Response

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  Due today 09/28/23 2000 EST

Respond by making recommendations for how they might strengthen the leadership behaviors profiled in their StrengthsFinder assessment, or by commenting on lessons to be learned from the results that can be applied to personal leadership philosophies and behaviors.

2 scholarly references

The strength finder assessment I took is an eye opener to my strengths and weaknesses. It also showed me where to exert some effort and how to do it. The findings followed this order.

1. Achieving Person: Achiever means someone who is always looking to do better. This theme helps me understand what my drive is. I am always looking to get things done better and more manageable. 

2. Consistency: I care about balance. It is essential to treat everyone the same, no matter their situation, not wanting the scales to tip too far in favor of one person because that sends wrong signals to the team.  

 3. Gathering Information: I think critically and make out opinions of things and people. I might be trying to solve a problem, develop an idea, or understand how someone else feels. 

 4. Harmony/ Teamwork: I want people to have a common ground for achieving goals. There is little to gain from disagreement and chaos. When I know that the people around me have different ideas, finding common ground always breaks the ice and ensures we achieve common goals.

5. Relator/Relationship: The Relator theme makes me want to be with people I already know. Meeting new people might be challenging, but it is worth trying to achieve a common goal.

      The two central values that I would strengthen are optimism and creativity. There are times when I need more confidence concerning some situations. As for creativity, I do have various concepts that I can implement. Nurses are known for their emotional intelligence and critical thinking, which might affect their effectiveness. These attributes may affect clinical decision-making, reasoning, evidence-based practice, and practice-based knowledge in nursing. (Kaya et al. 2018) 

     The two strengths that I would make sturdier is self-confidence because, many times, self-doubt places a trick on me, especially when I am not sure about an issue. I will also work on building relationships because making new associates has advantages. 

       Two qualities must be improved upon: patience with my associates when handling issues. And delegating. Being a perfectionist makes me want to do everything myself to get the desired outcome. I need to harmonize these findings to achieve the best out of my strengths and weaknesses. 

                                                                                     Reference 

Kaya, H., Şenyuva, E., & Bodur, G. (2018). The relationship between critical thinking and emotional intelligence in nursing students: A longitudinal study. Nurse Education Today, 68(68), 26–32. https://doi.org/10.1016/j.nedt.2018.05.024

Rath, T. (2007). Strengthsfinder 2.0. Gallup Press.

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer. (pp. 182–211)

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Week 3 Learning Exercise Analysis: Organizational, Political, and Personal Power/Organizing Patient Care

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Solve one of the following Learning Exercises from Huston’s Leadership Roles and Management Functions in Nursing, 11th edition.

  • Learning Exercise 13.3 (page 321)
  • Learning Exercise 13.8 (pages 334-335)
  • Learning Exercise 13.10 (page 336)

List which Learning Exercise you are solving at the start of your analysis and provide a brief summary of the case. Be sure to apply an appropriate problem-solving/decision-making model (Traditional Problem-Solving Process, Managerial Decision-Making Model, The Nursing Process, or the Integrated Ethical Problem-Solving Model) in determining what you should do. Justify your decision with supporting evidence

nursing

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 The four principles, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative? Refer to the topic Resources in your response. 

Leadership vs. Management

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Describe how a leader can create positive outcomes in the work environment while applying a leadership theory.

  • Clearly describe/define the leadership theory you are presenting.
  • Clearly describe how a leader can create positive outcomes using this leadership theory.

evidence based

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NUR640 Week 4 Assignment 4.1 Page 1

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Assignment Title: Research Critique

Step 4 for your Evidence-Based Practice Mini-Project (Research Proposal)

Assignment Overview:

Since your EBP Research Proposal does not include completing the entire research process, e.g., collecting data, statistics, or findings, you will do a critique of a Level of Evidence I-IV research article there is a rubric related to this critique that you will follow.

Deliverables:

The final copy of your Research Critique assignment is due on or before Sunday at 11:59pm, just before Week 5 begins, at the latest. Be sure to use the file naming protocol: NUR640_EBP Step4_last name_mmddyyyy.

Assignment Details:

For this assignment, you will write a research critique of a research article. It does not have to be an article similar to what you would do in a Research Proposal. It can be a research article that you find scholarly and would like to delve into more deeply. The critique does need to be a LeveI I-Level IV level of evidence. Use the discernment gained from your Week 4 Discussion regarding whether your article is credible, and use that to answer a section in your research critique.

Include the Following Sections that are noted on your research critique, and use your textbook if you are unsure of what each of these headings mean.

1. Purpose

2. Conceptual Framework

3. Design/Method

4. Sampling/Setting

5. Major variables studied and their definition

6. Data Analysis

7. Study Findings

8. Overall strengths and weaknesses of the study, e.g. reliability and validity, ethics (IRB), topic, etc.



Grading: Each part (category) listed above for your research article critique has a rubric that is to be followed. All submissions should have a title page and reference page.

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case study week 8

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2

Insomnia
31-year-old Male

76-year-old Iranian Male

 

BACKGROUND

This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia.

SUBJECTIVE

Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient's medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed.

MENTAL STATUS EXAM

The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.

Decision Point One

Select what you should do:

Zolpidem: 10 mg daily at bedtime

Trazodone 50 mg po at bedtime

Hydroxyzine: 50 mg daily at bedtime

Examine
 Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

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Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

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 Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it. 

nursing

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 What aspects of the topic readings do you find the most interesting? What is your view of the analysis of disease and healing in the readings? Explain. 

CONTROVERSY ASSOCIATED WITH PERSONALITY AND PARAPHILIC DISORDERS

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TO PREPARE

· Review this week’s Learning Resources and consider the insights they provide on assessing, diagnosing, and treating personality and paraphilic disorders.

· Select a specific personality or paraphilic disorder from the 
DSM-5-TR to use for this Assignment.

· Use the Walden Library to investigate your chosen disorder further, including controversial aspects of the disorder, maintaining the therapeutic relationship, and ethical and legal considerations. 

THE ASSIGNMENT

In 2–3 pages:

· Explain the controversy that surrounds your selected disorder.

· Explain your professional beliefs about this disorder, supporting your rationale with at least three scholarly references from the literature.

· Explain strategies for maintaining the therapeutic relationship with a patient that may present with this disorder.

· Finally, explain ethical and legal considerations related to this disorder that you need to bring to your practice and why they are important.

reply

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It is no secret that phones, computers, and technology in general have started to take over the world. It is safe to say that every one of our co-workers owns a cellphone of their own and has probably used it in the workplace at one point or another. “Information technology opens our windows and doors upon the world, allowing us to quickly communicate and exchange data and information within facilities, within healthcare delivery systems, and even across the globe” (Chamberlain College of Nursing, 2020). This can become tricky when put into legal terms in relation to patient safety and privacy. “Communication within the medical field is critical to ensure safe, timely delivery of healthcare” (Chandra, et al., 2023). Considering this patient scenario, it is both unethical and unlawful to take photos and send and receive patient photos on your personal cellphone. This can very easily violate the HIPAA policy because the patient photos are not sent under a secure network and can be breached through the firewall of your own personal cellphone by hackers. It is also possible that someone is using your phone and sees it mistakingly, or you decide to show friends or family the photos of another patients wound. With that being said, technology is very important in healthcare as it allows for more efficient healthcare when used appropriately. “Technology in healthcare today allows for global healthcare information systems (HISs), more specialized clinical information systems (CIS), and the electronic health record” (EHR) (Hebda et al., 2019). Many facilities have started to incorporate secure messaging devices in order to taking pictures, and send messages relating to patient data/care. This makes it so that the healthcare personnel are not taking any healthcare data home as they are to return the device at the end of their shift and the messages delete are a certain amount of time if not deleted previously by the employee. My facility has specific guidelines regarding the use of personal communication devices in patient care settings. This policy states that we are not allowed to take phones within the health care setting that could breech patient information. This includes taking pictures at the desk that could possibly include patient care charts and patient boards in the background of the photo. We do have access to our hospital email, and secure messaging services within applications on our personal cellphones but we have to download and encrypt our phone with certain secure firewalls in order to keep these apps so that the messages remain secure. This allows for us to use our personal phones, almost like in the scenario, but we would be messaging the PCP with a secure application that could not be hacked or shared. 

 

Resources 

Chamberlain College of Nursing. (2020). 
NR-361 RN Information Systems in Healthcare: Week 7 Lesson. Downers Grove, IL: Online Publication.

Chandra, S., Oberg, M., Hilburn, G., Wu, D. T., & Adhyaru, B. (2023). Improving Communication in a Large Urban Academic Safety Net Hospital System: Implementation of Secure Messaging. 
Journal of medical systems, 
47(1), 56. https://doi.org/10.1007/s10916-023-01956-x

Hebda, T., Hunter, K., & Czar, P. (2019). 
Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.