Discuss what information you should obtain to develop and implement culturally appropriate nursing care plan for a female older adult of a Muslim group.

Discuss what information you should obtain to develop and implement culturally appropriate nursing care plan for a female older adult of a Muslim group. A brief case study or exemplar may be one way to present your information.

Sexual Harassment In The Workplace

Assignment: Sexual Harassment in the Workplace

Julie has been a nurse at Memorial Hospital for three years. During that time, she has developed productive relationships with her colleagues and has earned a reputation for providing exceptional care to patients. One day she approaches you, her manager, and asks to speak in private. Once you are alone, Julie explains that over the past couple of months she has heard a physician and two nurses repeatedly make disparaging remarks about people who are homosexual. She appears visibly upset as she tells you this. Julie says that the situation has become so uncomfortable that she no longer feels safe in this environment.Does this scenario reflect a possible case of sexual harassment? How would you respond to Julie, and what steps might you take next?

Sexual harassment is an important topic in today’s organizations–one that is often addressed through HR presentations and trainings. However, even for experienced nurse managers and HR professionals, it can be challenging to recognize some of the behaviors and actions that may indicate sexual harassment. Nurses in leadership and management positions have a critical responsibility to become attuned to the various interactions that can be problematic, including inappropriate remarks and jokes, improper fraternization, quid pro quo situations, and potentially offensive images.

To prepare

Review the articles, “Sexual Harassment – A Touchy Subject for Nurses,” “Why Are Nurses Leaving? Findings from an Initial Qualitative Study on Nursing,” and “Bullying, Harassment, and Horizontal Violence in the Nursing Workforce.” Consider sexual harassment situations most commonly experienced by nurses.Think about a work environment with which you are familiar. Have you witnessed or experienced any behaviors that–perhaps with the benefit of hindsight and increasing awareness–may be construed as sexual harassment, even if you did not think of them that way at the time? Do you recall any instances in which you might have intentionally or unintentionally contributed to or participated in an environment that tolerated harassment against one or more individuals? If so, what were your thoughts and feelings at the time? How, perhaps, has your perspective since shifted?Select one of the following options:

Option 1: Conduct research via the Walden Library, or other scholarly sites, to select an article that presents an authentic example of workplace sexual harassment.

Option 2: Identify an authentic example of suspected or proven sexual harassment from your professional experience.Conduct research related to your selected example to assess the ramifications that may result from instances of sexual harassment.

Consider how you could partner with HR to mitigate situations of sexual harassment in your workplace. In addition, think about specific steps you could take to diminish inappropriate behaviors in the workplace.

Submit a 3- to 5-page paper in which you do the following:

Describe an authentic example of suspected or proven sexual harassment.

Explain how this specific instance of sexual harassment impacted the workplace.Identify at least two legal ramifications that could have (or did) result from this situation and how they could (or did) negatively impact the workplace.

Briefly explain other ramifications (e.g., organizational culture, staff relationships, individual and team performances, patient safety, quality of care) that could have (or did) result because of this specific instance.Describe the actions that were taken to resolve the situation, if applicable.Formulate an action plan that can be used to mitigate and/or ameliorate behaviors that constitute sexual harassment.

Based on your example, explain how you would educate staff on the identification and prevention of inappropriate behaviors. Describe at least two specific steps you would take to diminish similar sexual harassment situations.Describe at least two ways you could partner with HR to effectively accomplish your action plan.

NOTE:

For the purposes of this assignment, please do not reveal the name of your workplace or the individuals involved.Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Required ReadingsLussier, R. N., & Hendon, J. R. (2016). Human resource management: Functions, applications, & skill development (2nd ed.). Thousand Oaks, CA: Sage Publications. Chapter 3, “The Legal Environment and Diversity Management” (pp. 78–117) Chapter 3 provides an in-depth overview of the laws that mandate equal employment opportunities in the workplace. The authors define discrimination and sexual harassment and explain how knowledgeable managers can detect and mitigate these behaviors in their workplaces.Cogin, J., & Fish, A. (2009). Sexual harassment – A touchy subject for nurses. Journal of Health Organization and Management, 23(4), 442–462. Retrieved from the Walden Library databases. This article describes a mixed-methods research study that was conducted to analyze the prevalence of sexual harassment in clinical settings. Findings indicated that patients and physicians are the primary instigators of sexual harassment. The article highlights ethical decision making and intervention techniques.MacKusick, C. I., & Minick, P. (2010). Why are nurses leaving? Findings from an initial qualitative study on nursing attrition. Medsurg Nursing, 19(6), 335–340. Retrieved from the Walden Library databases. For this study, the researchers interviewed nurses who decided to leave the profession after only a few years of service. Study participants commonly cited one or more of the following reasons for leaving: unfriendly workplace (i.e., bullying and/or sexual harassment), emotional distress, and fatigue and exhaustion. Participants shared authentic examples and feelings about each factor.Vessey, J. A., DeMarco, R., & DiFazio, R. (2010). Bullying, harassment, and horizontal violence in the nursing workforce: The state of the science. Annual Review of Nursing Research, 28, 133–157. Retrieved from the Walden Library databases. Over the years, bullying, harassment, and horizontal violence (BHHV) among nurses has increased in health care settings. The authors of this article illustrate BHHV situations and solutions through the use of models and authentic examples.

What were the consequences of this for the patient, others, myself?

THE END RESULT SHOULD BE A 1-2 PAGE TYPED PAPERORIGINAL WORK, APA FORMAT

The student is to choose an incident that occurred during one of the clinical days this week.  The issue can be from the patient’s pathophysiology, education needs, psychosocial needs, socioeconomic conditions, cultural/religious concerns, or a combination of these factors.  It can be an incident like a cardiopulmonary arrest, a procedure like a dressing change or bladder catheterization, or an interaction (positive or negative) with a family member, staff person, or physician.

 

Paragraph 1:  Briefly describe the scenario.

I went to the Operating Room (OR) on Monday afternoon (4 pm -8:30 pm the surgery lasted) and was able to witness and observe a surgery by a Gynecologic Oncologist who removed a mass from the pelvic area on a female patient in her 50’s. prior to meeting the surgeon the surgical team get the room prepped for sterile field, do the counts of all instruments, gauzes, pads, drapes and sutures and they write on a dry erase board. He was assisted by (2) residents. However during the course of the surgery the mass was found and removed and the attendees assumed they were done and could close the patient up. However, the surgeon new the mass he removed was not the place of origin of the cancer. He went up to her abdomen and begin inspecting the large intestine (while showing me and stating what I was looking at in hands was the transverse colon) and he went all the wat to the small intestine and there he found what was the source of her cancer that obviously metastasized to her pelvic region. Due to regulations of the hospital he asked the OR nurse to contact a trauma surgeon or the surgeon in the ER. Because of the time there were no surgeons available and the one that was on call contacted back in OR room and stated it would take him about 20 min to back to the hospital (that doesn’t include the time it would take him to scrub in). The surgeon over the phone gave my surgeon permission to go ahead and cut out the tumor in the small intestine and that we he came back tomorrow he would make an addendum to the patients chart stating he gave the surgeon I was watching permission to resection her small intestine. The residents as well as I and everyone else in the room was impressed how he knew that the cancer did not originate in her pelvic region. He let us know he’s been doing this so long that it comes with time and that the residents would get there to eventually after they have did hundreds upon hundreds of surgery’s. Since the patient was under for quite some time the anesthesiologist had to order a pint of blood to infuse into her since the surgery became much more complicated than expected. So I was able to witness them place the order in from their computer screen warm it in a warmer machine than piggy back it on her IV. Finally when the residents were told to close her up (I witnessed the internal suturing (dissolvable sutures) which would dissolve without her coming back to have them removed) and then they begin to staple her stomach on top and they were almost done until the surgical nurse and the OR nurse noticed the discrepancy on the sponge count. There was supposed to be 24 total that’s what was write on the board but the surgical nurse only counted 23 as well as the OR nurse did too! The surgeon told the residents to open the patient back up and low and behold a sponge was left inside the patient! They removed and redid all the suturing and stapling again. Finally the patient was closed up all the way now and the count for the surgical needle holders was off. So now the OR nurse had to call X-ray and I was able witness the portable x-ray team take an x-ray of the patients abdomen and pelvic area where the surgeon and resident were working to see if the needle holders were in her stomach. We than had to wait from confirmation from the cardiologist (who was on staff) to approve the x-ray that there was no instrument left in the patients abdomen. It was cleared and the needle holders somehow I think were found in the trash. Finally she was ready to come off sedation and a post op team came in to transfer to recovery. I t was a very eye opening experience for me. But it did prove to me that I absolutely love being in the operating room. I can’t wait to go back.

Paragraph 2:  Explain the issue.

The issues was the surgery was more complex than expected to be; gauze (sponge) was left inside the patient’s body and possible needle holders.

Paragraph 3:  Use the Critical Incident Analysis Model below, and reflect on what occurred.  Address only the relevant questions.

Critical Incident Analysis Model

1 What was I trying to achieve?

2 Why did I respond like I did?

3 What strengths and /or limitations did I      demonstrate in this situation?

What were the consequences of this for the patient, others, myself? The consequences are for the patient and staff. If they would have left the gauze pad inside the patients abdomen that would have eventually if not immediately caused the patient to get an infection (due to a foreign body left inside her) and may cause her to go septic. The consequences that would have affected the staff and surgeon. If they had not did the count and left the gauze inside her they could have been sued as well as the hospital when she began to show signs of illness.

How was this person (or persons) feeling? I know patient was going through divorce

How did I know that? When the patient was getting closed up the surgeon scrubbed out and let us know he was going out to talk with the family to inform them of how the surgery went. That’s when one of the OR nurses stated she was going through divorce and that when she came out of surgery they were to contact her sister and she would come up.

How did I feel in this situation? I felt very bad for the patientI did not get to speak to her prior to the surgery nor after. However, when the nurse stated that to the surgeon I could only imagine the stress she must be going through. She just recently got diagnosed with cancer and at the same time she is going through divorce. I can only pray she has a great support system to get through everything. Even the surgeon felt bad when he was told.

8 What internal factors were influencing me including attitudes about working with patients of diverse backgrounds?

9 How did my actions match my beliefs?

10 What factors made me act in incongruent ways?

11 What knowledge did or should have informed me?

12 How does this connect with previous experiences?

13 Could I handle this better in similar situations?

14 What would be the consequence of alternative actions for the patient, others, and myself? The consequences the patient would either have gotten very ill or died. The staff and surgeon along with hospital could have been sued by either the patient or her family (if she passed away because of simple medical error.)

15 How do I feel now about the experience? As stated above I absolutely loved my experience. In a crazy way it felt like a television show.

16 Can I support myself and others better as a consequence?

17 Has this changed my way of knowing?

Please Respond To This Question. Thanks.

As it happens, there are real-life applications for interaction that we often come across. What is interesting to note is that it’s always beneficial to distinguish between the quantitative interactions with their qualitative counterparts.

So, could you further describe what significance “qualitative” interactions would have in statistics? What about “quantitative” ones? How can you distinguish between the two types of interactions between variables R and S?

Thanks,

NURSING HEALTH INTERVENTIONS FOR HEALTH PROMOTION

NURSING HEALTH INTERVENTIONS FOR HEALTH PROMOTIONOverview
For this discussion, choose a nursing intervention strategy that you can use to promote health for a specific family.
Select one of the nursing intervention strategies found:
• Self-Care Contract: Involvement of all family members
• Family Empowerment and Family Strengths-Based Nursing Care
• Anticipatory Guidance and Offering Information
• Use of Rituals/Routines and Family Time
• Family Meal and Healthy Eating
Describe the major points of the strategy you select. Then, identify and describe a family you know who might benefit from the selected strategy. Identify why the family needs to develop this health promotion practice. Explain specifically how you would go about intervening with this family to help them with health promotion activities.

Instructions
To be successful, complete the following steps in order:
• Address topics described in the above overview.
• Use APA format

Theories of Behavior Timeline

Field: Psychology

Report Issue
This assignment helps you get an idea of the foundation that was created for ABA, including who the theorists were, what they did, and with when they did it.

Complete the Theories of Behavior Timeline worksheet.

Theories of Behavior Timeline

Complete the following table by reordering the theorists according to the relevant date (and providing these dates), writing at least 90 words to describe what the particular theorist was known for and a real-world application of the theory.

Name of theorist

Relevant dates

Description of what the theoriest is known for

Real-world application of the theory

Discuss how patient care is delivered in a complex health care system

Discuss how patient care is delivered in a complex health care system
Describe nursing care delivery models.
Discuss teamwork and collaboration in the context of quality and safety

There is wisdom in the old adage that “a bird in the hand is worth two in the bush

due thrusday by 11:59pm 250-300 words use citations accordingly!!!!!

 

The same prudence, which in private life would forbid our paying our own money for unexplained projects, forbids it in the dispensation of the public moneys.
—T homas Jefferson

There is wisdom in the old adage that “a bird in the hand is worth two in the bush.” The value of what you have now is generally greater than what it will be in the future. Time is a major factor in understanding current and future worth of money. Getting paid for a good or service today is worth more than a promise of being paid in the future. Why is it so important to clear your accounts receivable as quickly as possible? Every day a claim remains uncollected you are losing money. Ever increasing costs continue to put pressure on the consumer.

Understanding how the other countries address cost, quality, and access to care provides health care managers in the United States with models they can use to benchmark their own performance. As health care reform continues to change how health care is paid for in the U.S., managers will have to learn to read the signs, make predictions, and prepare for any number of various economic, political, and financial implications of change. Pay-for-performance, patient-centered care, and medical home models are all relatively new constructs within the health care industry. These must also be considered as they represent the latest trends in health care delivery markets.

Learning Objectives

Students will:
  • Differentiate between net present value and internal rate of return for capital investments
  • Compare and contrast different types of national health care systems
  • Identify global issues related to health care economics, finance, and budgeting
  • Identify future trends in health care economics
  • ________________________________________________________________________________________
  • resources

 

Introduction to Health Care Economics & Financial Management
Chapter 14, “International Health Economics Issues”Globalization is an external factor that can influence health care economics and finance. This chapter highlights the shared concerns of quality—access and cost control that impact providers and consumers around the world.

Chapter 15, “Future Trends and Keeping Updated”Information about heath care economics and finance changes quickly, especially as policy and politics rapidly change. This chapter discusses possible future directions and trends in health care as they are related to economics and finance and suggest ways for health care professionals to keep up to date on related trends. While focusing on policies relevant to health care professionals in the U.S., key concepts may be applied to other industrialized and developing nations.

Financial Statements: A Step-by-Step Guide to Understanding and Creating Financial Reports
Chapter 16, “Mission, Vision, Goals, Strategies, Actions and Tactics”Developing a sound financial strategy is a process. It begins by first asking questions, then testing some assumptions and gathering information. Managers then examine strengths and weaknesses and ultimately looking at customers and the overall economic environment. Strategic planning helps produce fundamental decisions and actions that shape and guide health care settings toward achieving their mission and vision goals.

Chapter 17, “Risk and Uncertainty”A crystal ball that could predict the future would be nice. However, that technology has not been perfected at this time. There are always risks and uncertainty when planning for expenses. This chapter draws your attention to the concepts of risk, uncertainty, and threats commonly encountered in business.

Chapter 20, “The Time Value of Money”In this chapter, the authors clarify the value of today’s dollar in the future. They discuss issues of inflation, risk, and opportunity cost.

Chapter 21, “Net Present Value (NPV)”Capital budgeting for new projects or technologies in health care may be part of the health care manager’s role. This chapter describes the net present value analysis.

Wegner, S. E., Humble, C. G., & Antonelli, R. C. (2009). Looming financial issues for medical homes in healthcare reform. Pediatric Annals, 38(9), 524–528. Retrieved from the Walden Library databases.

This article highlights the three current payment methods utilized in the U.S. health care system: fee-for-service, capitation, and pay-for-performance. The future of medical home reimbursement for pediatric issues is also addressed.

Gruber, J. (2010). The cost implications of health care reform. The New England Journal of Medicine, 362(22), 2050–2051. Retrieved from the Walden Library databases.

A report from the Congressional Budget Office and Centers for Medicare and Medicaid Services shows that the Affordable Care Act (ACA) of 2010 will substantially reduce the federal deficit while only slightly increasing national medical spending. This article highlights the economic impact o

Critical Thinking: Case Study – Medical Malpractice Report

Assignment 11 CT – 515

Critical Thinking: Case Study – Medical Malpractice Report

In this assignment you will examine the legal and ethical implications of medical malpractice. Read the case study here: http://www.hpso.com/Documents/Risk%20Education/individuals/LegalCaseStudy/RX_SLCSx-10122-0213_February2013.pdf

Write a four- to five-page report to the chief executive officer for the healthcare facility to assist him in gaining a better understanding of what occurred and the legal implications for the organization.

Your report should address the following substantive requirements:

· Describe what occurred, who was affected, and why

· Assess the case from the following perspectives:

· Ethical – identify the ethical principles involved in this situation from the perspective of the patient, pharmacist, and the organization.

· Legal – what are the legal implications and what laws were involved?

· Provide recommendations for how to manage this case from the perspective of the healthcare organization. What could have been done to prevent this situation?

· Recommend implementation of procedures to prevent this from occurring in the future.

Your well-written report should meet the following structural requirements:

· Be four to five pages in length, not including the cover or reference pages.

· Formatted according to APA writing guidelines.

· Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but two must be external.

· Utilize headings to organize the content in your work.

A Historical Nursing Figure

. Select an historical nursing figure that interests you. Your interest might be related to the period of time in history that they lived, their particular field of interest, or their special accomplishments.
2. To learn more about this person you must complete a literature search. To accomplish this you may use the library data base: e.g. CINAHL Type in keyword and find 3-5 articles scholarly sources (books, articles, or professional website) published within the past 6 years. Websites must be from sponsoring professional organizations in nursing. Reference list and citations must be in APA format
3. Write an outline to follow. Here are the general categories to help you organize your thoughts:
a. General introduction of the individual and the area of interest or particular accomplishment that you plan to discuss
b. The purpose of the paper, clearly state what you intent to accomplish through this paper
c. The body of the paper (middle) includes:
i. Major points you want to make about the individual, the specific accomplishment/s of the individual, their contribution to changes in health care, healthcare systems, and/or social justice. Be sure that each point is supported by the literature and referenced using APA format.
ii. Your reflection of the impact of this person on your perception of nursing particularly new ideas related to your role as a nurse.
iii. Examine your values and beliefs in relation to those of the historical leader or theorist, any similarities in nursing metaparadigm, and implications for nursing practice How are the similar? Why did you choose him/her?
d. The conclusion: A summary of your main points
4. You must use APA format
5. Make sure that you include
a. A title page
b. A running head
c. Page numbers
d. Citations in the body of your paper to avoid plagiarism
e. A reference list.