Benchmark – Effective Approaches in Leadership and Management

Nursing practice has many issues that affect it. These issues may be related to the work environment, remuneration, or professional development among others. For instance, nurse may find that they are not as productive as they would wish because the work environment they are in curtails their resourcefulness. Most of the time, this kind of scenario is related to oppressive leadership on the part of nurse managers. The nurse may also find that the remuneration they are getting for their services are not congruent with the skills that they have and the workload. Or they may find that the organizational policies towards professional development in terms of…

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Benchmark – Effective Approaches in Leadership and Management

Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue. Benchmark – Effective Approaches in Leadership and Management
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

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Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings. Benchmark – Effective Approaches in Leadership and Management

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4: Demonstrate professional standards of practice.

 

Effective Nursing Leadership in the Face of High Nursing Staff Turnover: The Role of Leadership Style in Ensuring Patient Safety

Nursing practice has many issues that affect it. These issues may be related to the work environment, remuneration, or professional development among others. For instance, nurse may find that they are not as productive as they would wish because the work environment they are in curtails their resourcefulness. Most of the time, this kind of scenario is related to oppressive leadership on the part of nurse managers. The nurse may also find that the remuneration they are getting for their services are not congruent with the skills that they have and the workload. Or they may find that the organizational policies towards professional development in terms of training, upskilling, and reskilling are not favorable to them. All these factors normally lead to one undesirable outcome – high nurse turnover. This paper is about this issue of high nurse turnover in nursing practice and the role of the nurse manager in ensuring that patient safety is safeguarded in the face of a reduced workforce. Benchmark – Effective Approaches in Leadership and Management

Nurse turnover in the hospital and other healthcare settings negatively impacts the quality of care that patients receive in such settings. This is because the nurse is the one healthcare professional that is always in contact with the patient and actually delivers the end-product of healthcare institutions. According to Bae et al. (2010), nurse turnover has been shown to negatively impact both the quality and continuity of patient care. Apart from that, they also demonstrated through their study that nurse turnover affects workgroup learning which in turn influences patient outcomes. This position is supported by Antwi and Bowblis (2018) who opine that high nurse turnover is related to lower overall quality of nursing care. Benchmark – Effective Approaches in Leadership and Management According to them, it may also mortality rates in the hospital and other settings like nursing homes. Furthermore, nursing turnover has the effect of lowering effectiveness because new employees are not familiar with an organization’s standard operating procedures and other protocols. In fact, the high turnover may also increase operating costs to the organization; and this is detrimental to the bottom line in fiscal terms. Numerous studies have therefore shown an undisputed statistical association between nurse turnover and health outcomes (Antwi & Bowblis, 2018).

Ensuring Nursing Professional Standards of Practice are Observed

According to standard number 3 of the American Nurses Association’s Standards of Professional Nursing Practice, the registered nurse is tasked with identifying the outcomes that are expected for each individual patient (ANA, 2015). This is in appreciation of the fact that it is the registered nurse who is mandated to plan care for each patient in the care of her team. It is in this nursing care plan that the registered nurse clearly outlines individualised patient outcomes and works towards achieving them together with her team. The team in a typical healthcare setting usually includes other registered nurses, enrolled nurses, and nurse assistants. To achieve the desired patient outcomes, therefore, the registered nurse normally has to take the role of clinical nurse leader and guide care by clinically leading the other team members Benchmark – Effective Approaches in Leadership and Management. This is achieved by delegation of duties. The registered nurse in this case may be administratively involved in the management of the unit or not. That does not exclude her from taking the clinical leadership role. In the face of a shortage of nurses because of high staff turnover, however, the registered nurse who is the clinical nurse leader will find it difficult to maintain professional standards of practice. Yet this is exactly what must be maintained despite all the staffing difficulties.

The answer to the above situation lies in resourceful delegation of duties by the clinical nurse leader, such that the professional nursing standards of practice are respected at all times in the face of the nursing shortage. Care plans must still be made, and individual patient outcomes must still be achieved. The clinical nurse leader can thus delegate appropriate tasks to the other registered nurses in the team because these may not require direct supervision. Other lesser tasks will be delegated to enrolled nurses and both direct and indirect supervision employed depending on their experience. Then the nurse assistants can help the patients with activities of daily living such as feeding and bathing.

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Role of the Nurse Manager in a Situation of Nursing Shortage Due to Turnover

In a situation in which there is a shortage of the nursing workforce, the role of the nurse manager becomes very important. This is because patient safety must remain a priority at all times. As such, the nurse manager must find ways of mitigating the negative effects of the nurse shortage. This calls for experience, ingenuity, and resourcefulness. Their roles therefore include maintaining standards of care and patient safety, motivating their remaining staff to carry out the immense task without feeling overburdened, and meeting organizational expectations outlined it its strategic plan. Different nurse managers will adopt different approaches to the situation. There are those that will resort to authoritarianism in order to get things done. This kind of nurse manager will forcefully delegate extra duties to her staff due to the pressure of work and the lack of time to discuss over tasks before allocating them. Of course this approach is counterproductive and can only lead to worsening of the situation as more nurses will leave compounding the turnover crisis Benchmark – Effective Approaches in Leadership and Management. Other nurse leaders will adopt a more consultative and teamwork approach. To begin with, they will put on the gloves themselves and carry out tasks alongside the other staff members. This is the reason why the cl9inical nurse leader should first and foremost be a clinical expert with vast clinical experience. This way, they can fill in where there is a shortage even as they delegate other tasks to the other nurses in the team. This other nurse manager will then make sure that the working environment is conducive despite the pressure of work. The staff members will then feel appreciated and deliver only their best. This is the essence of transformational leadership (Cheng et al., 2016). In doing all these, the nurse managers will be applying the principles of management that are authority and responsibility in that they will be delegating these to the other nurses, even as they retain accountability for all the tasks.

Additional Measures the Nurse Leader and Manager Can Take in the Face of Nurse Turnover

There are additional measures that the nurse leader can institute to make sure that patient safety, professionalism, and standards of practice remain respected. She can make sure that skill mix in her team is correct. Regardless of the shortage, as the nurse and clinical manager she must ensure that the right skill mix among the registered nurses, enrolled nurses, and nurse assistants prevails (Moore, 2012). She must also make sure that she monitors her remaining staff more closely for signs of burnout such as increased irritability. This is because burnout itself will be a danger to patient safety as nurses suffering from burnout have been known to commit medication and nursing errors often.

As stated above, the leadership style that would best address the issue of nurse turnover is transformational leadership. This is a style that ensures motivation to the staff, a conducive and welcoming work environment, and an understanding ear (Cheng et al., 2016). Lack of succession planning has however made it difficult to replicate this kind of leadership, though it remains the best for this situation (Balogh-Robinson, 2012).

Conclusion

High nursing staff turnover is a menace to all healthcare organizations. It has got detrimental effects to the standard of care that is delivered by the remaining staff since they get overwhelmed with work. To effectively manage its impact, transformational nurse leadership is required. Benchmark – Effective Approaches in Leadership and Management.

 

References

American Nurses Association [ANA] (2015). Nursing scope and standards of practice, 3^rd ed. Silver Spring, MD: Author.

Antwi, Y.A. & Bowblis, J.R. (2018). The impact of nurse turnover on quality of care and mortality in nursing homes: Evidence from the great recession. American Journal of Health Economics, 4(2), 131–163. https://doi.org/10.17848/wp15-249

Bae, S.-H., Mark, B., & Fried, B. (2010). Impact of nursing unit turnover on patient outcomes in hospitals. Journal of Nursing Scholarship, 42(1), 40–49. Doi:10.1111/j.1547-5069.2009.01319.x

Balogh-Robinson, L. (2012). The crisis in leadership in the context of the nursing shortage and the increasing prevalence of nursing unions. Journal of Healthcare Leadership, 127-139. Doi:10.2147/jhl.s34024

Cheng, C., Bartram, T., Karimi, L., & Leggat, S. (2016). Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses. Personnel Review, 45(6), 1200–1216. Doi:10.1108/pr-05-2015-0118

Moore, A. (2012). Getting ratios right, for the patients’ sake. Nursing Standard, 26(31), 16-19. Doi: 10.7748/ns2012.04.26.31.16.p8021 Benchmark – Effective Approaches in Leadership and Management

Professional Nursing Portfolio

Personal Philosophy Statement

To become a highly skilled and committed mental health nurse practitioners providing safe and holistic care to patients of all ages in diverse settings. My foundation will be built through lifelong education, work experience, and active engagement in EBP. After six years having gained enough experience, I will enroll in the Mental Health Psychiatry Doctoral program for a Ph.D. to advance my career further. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Self-Assessment

I possess exemplary skills in conducting patient and family-focused assessments, to treat, make referrals, and educate patients who are acute or chronically ill. I am a good collaborator, communicator, and decision-maker, which boosts my ability to interact with patients and families and made clinical decisions regarding their care.

Personal Goals

            Short Term: To provide high-quality mental health care to mentally ill patients and positively impact their health and well-being together with that of their families. 

            Long Term: To be credentialed as a certified Mental Health Nurse Practitioner and contribute towards eliminating disparities and stigma associated with mental health illnesses

Personal Strengths

Critical thinking and Analytical skills: can use logical and analytical skills to address issues  in the clinical setting particularly in making diagnoses, conducting assessments, patient management, setting goals, making decisions and implementing care plans.

Collaboration: I am a good team player who can work with interdisciplinary teams to care for patients. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Areas to Develop

Ethical decision-making: I will improve my knowledge to understand the roles of a mental health nurse in making ethical decisions to be able to address ethical dilemmas in future mental health practice.

Cover Letter

(Name)

(Address)

(Email)

(Date)

 

(Name of the Hiring Manager)

(Company)

(Address)

(City, State)

Dear Mr., Mrs., Ms. (Name of Hiring Manager)

I am delighted to write in reference to the position of (name of position) in the advertisement dated (official date of advertisement) on (official name of the website). I am confident that I am the most suitable candidate for this position based on my professional experience, core abilities, and academic qualifications. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

I possess a Master’s Degree in (name) with more than five years’ experience working in both resource-limited and resource-rich diverse health settings. I am a good communicator, collaborator and decision-maker who is passionate about improving the health status of communities and individuals that I serve through holistic and culturally competent patient-centered care. I also possess exemplary leadership skills to motivate and inspire patients, families and those I closely work with.

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In my present role as field nurse-case manager at CADC Home Health Corporation, Miami, Florida, I coordinate and manage the health workforce, organize community fairs to promote the healthcare services provided by the agency, and coordinate care for nutritional and social support. In this entire period, I have been identified as a very committed and reliable staff who can work with different people with minimal or no supervision.

I am certain that relating with your organization will benefit my professional growth since it is a challenging environment full of learning opportunities where I can exercise my knowledge and skills. As I look forward to hearing from you, I am positive that I will get the opportunity to share more about my abilities, achievements, and skills in an interview. Cover Letter, Resume, and Portfolio Practicum Assignment Examples. Attached is a comprehensive account of my professional objective, experience, and achievements.

Sincerely,

(Name), RN, MSN

 

RESUME

(Name), BSN, RN

(P.O Box Address)

(Physical Address)

(Phone Number)

(Email)

OBJECTIVE

A dedicated, compassionate, and patient-oriented nurse with vast experience in: healthcare management, mental health care, basic life support, medication administration, time management, and prioritization. Attained a lot of experience in managing employees, conducting patient evaluations, and developing care plans. Has a proven record of responsibility in managing critical incidents and addressing patient needs in diverse care settings. Able to provide public health education, manage the acute and chronically ill, and provide rehabilitative services Cover Letter, Resume, and Portfolio Practicum Assignment Examples. Can provide social and emotional support to patients and their families and use individual judgment to address ethical dilemmas in clinical settings.

CORE COMPETENCIES

Healthcare management, mental health care, marketing, liaison, basic life support, medication administration, transportation and emergency coordination, medical devices proper utilization, medications, and nutritional supplements, reports generation, patient/client/worker safety and education, time management and prioritization, implementation of PDO programs

WORK EXPERIENCE

Staywell/WellCare (Miami, Palmetto office, FI)                               February 2019-July 2019

RN Field Nurse, Case Manager LTC specialist

• Conducted case management of LTC members,
• Enrolled, provided care and planned  services for LTC members
• Implemented PDO programs
• Conducted patient follow-up and transitioned them to community from NF, Hospitals, ALF’s, ADC’s
• Coordinated healthcare services and programs
• Managed chronic conditions
• Created and updated patient care plans based on their conditions
• Taught patients and families how to follow care plans
• Collaborated with doctors and specialists  to integrate their recommendations in care plans
• Liaised with insurers to ensure that patient care plans are covered
• Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Established good working conditions and collaborated with healthcare teams in the entire processes of case management
• Helped patients to make decisions in an advocacy capacity in reference to their clinical status and treatment choices

xxx Health Corporation, Miami,                  January 2018-Present

Field Nurse Case Manager, Liaison.

• Provided skilled nursing services in managing resources and personnel to adequately meet patients’ needs
• Provided psychiatric nursing services
• Provided wound care nursing services
• Coordinated patient care and provided nutritional assistance
• Coordinated transportation and social support
• Nurse supervisor
• Conducted marketing activities to promote business in the market
• Organized community fairs to promote services provided by the agency at the capacity of a Home Health Care leader
• Recorded information about different cases, accurately fled necessary forms and produced statistical reports
• Established good working conditions and collaborated with healthcare teams in the entire processes of case management
• Helped patients to make decisions in an advocacy capacity in reference to their clinical status and treatment choices

Health Home Care, Inc., xxx                                    March 2017-Present

Field Nurse Case Manager

• Helped to develop, maintain, implement and update patient case records
• Liaised with the organization and customers to ensure efficient flow to services provided
• Supervised the provision of customer services
• Created and updated patient care plans based on their conditions
• Taught patients and families how to follow care plans
• Collaborated with doctors and specialists  to integrate their recommendations in care plans
• Liaised with insurers to ensure that patient care plans are covered
• Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Conducted and addressed psychosocial and motivational issues
• Adhered to professional standards as enlisted by rules, regulations and protocols
• Recorded information about different cases, accurately fled necessary forms and produced statistical reports

 

TLC, Home Health Agency, Miami FL                                          August 2013-April 2018

Director of Nursing

• Created and updated patient care plans based on their conditions
• Taught patients and families how to follow care plans
• Collaborated with doctors and specialists  to integrate their recommendations in care plans
• Helped patients to attain autonomy and wellness
• Drafted plans for service,  reviewed progress for cases and determined closure of cases
• Liaised with insurers to ensure that patient care plans are covered
• Coordinated healthcare services for medically fragile children and geriatric patients
• Oversaw patient care based on individual needs
• Organized community and family reimbursements requirements
• Interacted with patients to ensure satisfaction and track progress
• Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Established good working conditions and collaborated with healthcare teams in the entire processes of case management
• Helped patients to make decisions in an advocacy capacity in reference to their clinical status and treatment choices

EDUCATION

xxxx International University (BSN)                                   2011   

Certified Registered Rehabilitation Nurse

xxxx International University                                              2018

Target Case Manager

xxxxx International University                                            2006

Coding and Billing Specialist

PROFESSIONAL SKILLS

• More than 14 years’ experience providing exemplary culturally competent care to adult, geriatric and pediatric patient s and managing employees.
• Compassionate, and professionally focused with patients
• Firsthand experience providing nursing care to individuals in community health facilities, Health Insurance and Home Health Care
• Experienced in LTC Case management
• Bilingual: Spanish and English.
• Progressively develops positive relationships with families and clients. Physicians and other healthcare providers in community settings                                

LICESURE, CERTIFICATIONS AND AFFILIATIONS

Certifications

RN in Florida, (License Number, Expiry)

Affiliations

FL Nurses Association, 2002-Present -Member

American Nurses Association, January 2017-Present-Member

REFEREES

 

 

References

Cover Letter Advice (n.d.). Nurse practitioner cover letter sample 1. Retrieved from http://www.coverletter.us/nurse-practitioner-cover-letter/

Dahring, R. (2013). Cover letter caveats. Retrieved from http://nurse-practitioners-and- physician-assistants.advanceweb.com/Columns/Career-Coach/Cover-Letter-Caveats.aspx

Porche, D. J. & Danna, D. (2015). Cover letter & resume preparation: Every detail is important when applying for a job. Advance healthcare network for NPs & PAs.

Ulrich, D. L., & Stalter, A. M. (2015). Securing your first clinical nursing position. Nursing2018, 45(8), 60-63. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

 

 

Assignment: Practicum: Cover Letter, Resume, and Portfolio
For this Assignment, you create a professional cover letter, resume, and portfolio that you can use as you pursue your next professional role.
Learning Objectives
Students will:
• Create professional cover letters, resumes, and portfolios
The following checklists outline all of the items you should include in your cover letter, resume, and portfolio.
Checklist for Cover Letter (S/U grade)
Your cover letter should be:
• Presented and formatted in a professional business manner
• Addressed properly
• Clear and concise and include:
o Content Introduction
o Content Body
o Content Conclusion
• Written in a professional style and include:
o Correct spelling, punctuation, and grammar
o Clear and accurate sentence structure
Checklist for Resume
Your Resume should be clear, concise, and well-organized and it should also include your:
• Name, address, business phone number, and e-mail address (top center of resume)
• Profile: 2–3 sentences describing goal and positive attributes/characteristics
• Certifications and licensure
• Education
• Professional experience
• Honors/awards
• References
Checklist for Portfolio
Your Portfolio should be clear, concise, and well-organized and it should also include your:
• Personal philosophy statement

Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Self-assessment
• Personal goals (short term and long term)
• Achievements
• Cover letter
• Resume
• Diplomas for formal education
• Letters of recommendation
• References (list names, affiliation, and contact information)
• Certifications
• Certificates of attendance for continuing education
• Transcripts
• Publications
• Oral presentations and/or poster presentations

 

 

Cover letter, resume and portfolio

Name

Institution

 

Cover letter, resume and portfolio

Cover letter

xxx xxx

43xx E. Anderson RD

Bloomington, IN

Tel. xxx

Email: xxxx@xxx.com

 

Date

 

Name

Title

Company name

Address

City, State, Zip

 

Dear Ms/Mr. Name:

 

I am writing to apply for the position of registered nurse for xxx as advertised on your website career page. I have eleven years of experience working as a nurse with different facilities and in different positions, and I believe that my set of skills, knowledge, and experiences identify me as an ideal fit for the position. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

In your job posting, you mentioned that you seek to hire a registered nurse with the capacity to be a team player, work independently, lead others, and develop and apply innovative thinking in solving professional problems. In my position as a nurse for the seven facilities that I have worked for in my eleven years of career as a nurse, I worked psychiatric, peds/OB, geriatric, and med/surg fields. I gained experiences that improved my professional skills, practice proficiency, and capacity, allowing me to take on more responsibilities. Besides that, the varied employment positions allowed me to engage with diverse medical personnel and patients, which improved my awareness and understanding of the concept of teamwork. In addition, I have ten years of experience as an army reservist, a position that allowed me to appreciate the concept of leadership, innovation and critical thinking, qualities that serve me well in my nursing career.

When I saw the advertisement for the job opening, I knew that I was a good opportunity to explore a new challenge that would test my nursing skills and knowledge. I have included my resume and portfolio to allow you to learn more about my educational background and work experiences.

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I appreciate the time you have taken to review my professional qualifications and credentials. Again, thank you for your time and consideration Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Please feel free to contact me via email (xxxx@hotmail.com) or call my telephone xxx 202-xxxx) for any clarifications as required. I hope to hear from you soon.

Sincerely

 

 

Xxx xxx

 

 

Resume

 

xxxx

43xx E. xxx RD

Bloomington, In

Tel. (xxx) 202-xxxx

Email: xxxx@xxx.com

RN#x81xxx

 

OBJECTIVE: Obtain Employment as a Registered Nurse

 

SUMMARY: Skilled nurse practitioner with eleven years of relevant experience in providing expert nursing care and addressing patients’ needs.

 

EDUCATION:

BSN from xxxxUniversity: May 2013

Associates in Science (Nursing) from xxxx College, January 2009

Diploma: Practical Nursing from xxxx Technical College

Associates in Science from xxx, May 1999

Diploma from Broad xxx. Indianapolis, Indiana, 1982

 

EXPERIENCE:

Universal Health Service, nurse practitioner in acute psych hospital from Aug 2015 till present.

CCA, nurse practitioner in clinical and institutional setting, from September 2011 to 2015.

Nightingale Home Health, nurse practitioner from July 2013 to October 2013.

Morgan Hospital, nurse practitioner in Float pool, ICU, Med/Surg and Psych from Nov 2010 to Sept 2011.

Bloomington Hospital, nurse practitioner in Outpatient, Surgery Unit, and Med/Surg from March 2010 to Oct 2010.

Methodist Hospital Indianapolis, nurse practitioner in Ortho Unit from January 2009to March 2010.

Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Bloomington Nursing and Rehab, nurse practitioner in nursing home setting from April 2008 to January 2009.

Delta Airlines from November 99 to April 2008.

 

Clinical Training:

Med/surg=Grady Hospital, Northside Hospital, Cartersville Medical center,

Geriatric = Starcrest Nursing Home, Specialty Care of Marietta

Peds/OB = Northside Hospital, Cartersville Pediatrics, Health Department

Psychiatric = Northwest Georgia Psychiatric Hospital,

Military experience: U.S. Army National Guard/ Reserves May 1981 -1994

 

CAREER SUMMARY:

I have demonstrated the ability to provide acute and chronic nursing care for both psych and medical issues in different health care settings. I am a team player who involves the patient, family and other healthcare providers in the day-to-day care of patients to facilitate a favorable outcome for all involved. I am a self-starter, with experience in the management of support staff and other nurses as required. I can multitask within a fast-paced environment, and collaborate with other staff, to ensure that the provided health care is within policy guidelines.

My career that spans eleven years has allowed me to gain valuable professional experiences while being employed as a supervisor and charge nurse on both day shift and night shift. In fact, I gained acute trauma care experiences at Morgan Hospital ICU unit med/surge and psychiatric units and Methodist Hospital ortho unit. I gained medical-surgical care experiences at Bloomington Hospital and Morgan Hospital. I gained long-term care experiences at Bloomington Nursing & Rehab. Cover Letter, Resume, and Portfolio Practicum Assignment Examples. I gained triage and wound care experiences at all the facilities in which I worked. I gained experience with electronic records and other common medical equipment at all the facilities in which I worked. I gained more than ten years of professional leadership experience in the Army Reserves where leadership skills were acquired along with the ability of sizing up situations and developing alternative courses of action, and then built upon while in the nursing profession. Overall, my eleven-year career has allowed me to gain a rich complement of experiences that will advance my professional nursing capacity.

 

AREAS OF KNOWLEDGE:

De-escalation of angry clients. *injections & immunizations*intravenous fluids, *chest, NG, gastric tubes *ortho, *geriatric & pediatric base care , *in-patient basic care. Wound care/vac pumps, blood draws along with medication administration and patient assessment. Ability to think and act quickly as needed while keeping focused on the clients well-being.

 

References available upon request

Portfolio

Rxx Bxx

I am xxxxx, a nurse practitioner whose immediate career objective is to obtain employment as a registered nurse. I am currently working as a nurse practitioner with Universal Health Services, an acute psych hospital. I have a BSN that I obtained from the Western Governors University in 2013 after having obtained a Diploma in 1982 from Broad Ripple HS, Associate degree in 1999 from Vincennes University, Diploma in practical nursing from North Metro Technical College, and Associate degree in science (nursing) from Excelsior College in 2009. My clinical training is for psychic, peds/OB, geriatric, and med/surg nursing care. I am experienced in performing nursing tasks that include descalating patients, injections and immunizations, administering intravenous fluids, managing chest, NG and gastric tubes, ortho, and offering geriatric and pediatric base care. In addition, I am experienced in offering inpatient basic care, wound care, using vac pumps, blood draws with medication administration and patient assessment. Although my current career objective is to be engaged as a registered nurse, my ultimate career objective is to engaged as a nursing faculty member involved in nurturing the future generation of nurses through developing education material and imparting professional knowledge. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Health Literacy and Patient Safety: Help Patients Understand

To prepare for this assignment view the following brief video from the American Medical Association titled, “Health Literacy and Patient Safety: Help Patients Understand.” The video can be accessed through the following link: Health Literacy and Patient Safety: Help Patients Understand

Part I: Pamphlet

Develop a pamphlet to inform parents and caregivers about environmental factors that can affect the health of infants.

Use the “Pamphlet Template” document to help you create your pamphlet. Include the following: Health Literacy and Patient Safety: Help Patients Understand

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Select an environmental factor that poses a threat to the health or safety of infants.

Explain how the environmental factor you selected can potentially affect the health or safety of infants.

Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.

Offer examples, interventions, and suggestions from evidence-based research. A minimum of three scholarly resources are required.

Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

In developing your pamphlet, take into consideration the healthcare literacy level of your target audience.

Part II: Pamphlet Sharing Experience

Share the pamphlet you have developed with a parent of an infant child. The parent may be a person from your neighborhood, a parent of an infant from a child-care center in your community, or a parent from another organization, such as a church group with which you have an affiliation.

Provide a written summary of the teaching / learning interaction. Include in your summary:

Demographical information of the parent and child (age, gender, ethnicity, educational level).

Description of parent response to teaching.

Assessment of parent understanding.

Your impressions of the experience; what went well, what can be improved.

Submit Part I and Part II of the Accident Prevention and Safety Promotion for Parents and Caregivers of Infants assignment by the end of Topic 1.

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. Health Literacy and Patient Safety: Help Patients Understand

Health Organization Case Study

Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare, Vanguard, Banner Healthcare, etc.). You may also find pertinent information on your organization’s webpage.

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Prepare a 1,250-1,500 word Health Organization Case Study paper that focuses on the organization or network you have selected.

Your essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade, and include a strategic plan that addresses issues pertaining to network growth, nurse staffing, resource management, and patient satisfaction.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This Health Organization Case Study assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this Health Organization Case Study assignment to Turnitin. Health Organization Case Study

Nursing Journal Article Critique Example

1. Address the essential parts of the study addressed within the abstract. 2. What is the problem statement & significance to nursing practice? 3. What is the purpose of the study? 4. What type of research method was used? 5. Detail applications to practice & how you can incorporate this into your own practice. 6. What future studies would you recommend? I have my own research article. It is found in the Journal of Emergency Nursing,vol-46(1),51-58. Ttitle: Experiences of care in the Emergency Department among a sample of homeless male veterans: A qualitative study. nursing journal article critique example.
All sources need to be within the last 5 years. Sources should be journals or medical organization websites, no books.

Critique a Scholarly Peer-Reviewed Nursing Journal Article

Weber, J. J., Lee, R. C., & Martsolf, D. (2020). Experiences of care in the emergency department among a sample of homeless male veterans: a qualitative study. Journal of Emergency Nursing, 46(1), 51-58.

Parts of the Study Addressed in the Abstract

An abstract should be succinct and clear. Similarly, the abstract of the article is brief, concise and clear and summarizes the content of the article. An abstract should include the introduction, purpose, methodology, results, and conclusions. The abstract of this article has the introduction, method, results, and discussion part. The introduction part concisely introduces the study and stipulates that the purpose of the study is to present the experiences of homeless male veterans during their visits to the emergency department. The methods part indicates the study framework as grounded theory methodology while structured interviews were used to collect the data. The results section is however extremely brief and ambiguous nursing journal article critique example.  The discussion part briefly discusses the findings of the study.

The Problem Statement & Significance to Nursing Practice

The problem statement is about the homeless populations who have been a tendency of using the emergency department even for the low-acuity health issues that can be treated within other settings such as primary care settings (Weber, Lee & Martsolf, 2020). According to Chrystal et al (2015), homeless populations often face social, medical, and environmental challenges to their health. A significant number of the homeless population includes the veterans who are often visiting the community (Weber et al., 2020). This issue is important to nursing practice because homeless populations disproportionately experience medical illnesses, substance abuse, as well as mental disorders. Also, the challenges experienced by the homeless populations are further aggravated by the fact that the homeless underutilize health services with problems in accessing specialty and primary care, as well as the high number of unmet health needs. This leads to unnecessary increased utilization of visits to the emergency department (ED). Therefore, this study sought to explore the experience of homeless male veterans when they try to access care in the ED.

The Purpose of the Study

The purpose of the study was to explore the experience of homeless male veterans when they try to access care in the ED (Weber et al., 2020). The purpose of the study specifies the nature of the population under study. The population being studied is homeless male veterans. Therefore, the study seeks to identify the experiences of the population under the study when they try to seek healthcare in the emergency department.

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Type of Research Method

The study adopted a grounded theory methodology as the framework for the study. Grounded theory methodology includes systematic inductive techniques for carrying out qualitative researches to develop a theory (Rahman, 2017). Grounded theory methodology was suitable because it is suitable for exploring the experiences of the study participants to come up with a theory. In this study, the grounded theory methodology depended on the experiences of male homeless veterans about access to healthcare. An unstructured interview does not involve any predetermined questions even though it covers the study topic. Additionally, in unstructured interviews, open-ended questions are used and this allows in-depth exploration of the answers (Rahman, 2017). The unstructured interview was suitable for a qualitative study because the questions are very flexible and produce qualitative data using open questions. This allows collection of in-depth data and assists the researcher to get the reality of the study participant’s understanding of a situation. Additionally, unstructured interviews have higher validity because the interviewer can probe for more understanding, make inquiries, ask for clarification, and also allow study participants to steer to the interview’s direction. This indicates the suitability of using unstructured interviews to collect data (Rahman, 2017). The information from the interviews was audio-recorded and transcription was done for analysis. The grounded theory methods were further used to identify emerging codes. Data analysis for the emerging themes and codes was then performed.

The main strength of the qualitative phenomenological research design that was used in this study is that the method is flexible and therefore ensures flexibility and freedom during the interviews when investigating and exploring experiences and insights from the participants of the study. Moreover, a qualitative research design ensures that there is an in-depth collection of data on the insights, experiences, feelings, and opinions of the study subjects. Accordingly, the research design used in this article ensured that there was a deeper exploration of the experiences and insights from the male homeless veterans (Rahman, 2017).

However, there are a few limitations associated with the study methodology used in the selected article. The unstructured interviews used in phenomenological research design does not cover contextual sensitivities but only focuses on the experiences and meanings. Finally, the sample size in this study was 35; the size of the sample is relatively small and thus may limit the generalization of the findings to the general population or limit application of the findings to practice (Rahman, 2017). nursing journal article critique example

Applications to Practice & how to Incorporate Findings into Practice

The findings of this study showed that homeless populations highly seek care in the emergency department. Findings further indicate that the homeless populations often feel unrecognized and they are not shown compassion when they visit ED. The findings show that the homeless highly seek care in the ED, but that their medical needs may not be met in other healthcare settings such as primary care settings. Services provided in the EDs such as accessibility 24/7, care provision without an appointment, and treatment of acute injuries encourage higher utilization of emergency services (Moulin, et al., 2018) nursing journal article critique example. Acute injuries are common among the homeless and thus a big predictor of ED use by the homeless. However, homeless populations under-utilize health services, especially when it comes to accessing specialty and primary care. The population also has a high number of unmet health needs (Gable et al., 2018). Therefore, there is a need to implement interventions that increase awareness among the homeless populations regarding the need to seek treatment in other settings such as primary care, specialty, and ambulatory care settings. The nursing staff working in the ED need to be actively involved in educating the homeless populations regarding their health problems and alternatives to emergency department care. Besides, there is a need to address the needs of the homeless people who demonstrate repeated utilization of the emergency department. For example, the housing and nutrition needs of the homeless need to be addressed to reduce their vulnerability to illnesses and injuries (Field et al., 2019). In this regard, nurses need to act as the patient advocates and advocate for the implementation of the policies that support the provision of housing and nutrition needs of the homeless populations. nursing journal article critique example.

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Recommendations for Future Studies

Homelessness significantly impacts the use of the emergency department. Homeless populations depict a high number of visits to the ED and hospitalizations, and particularly after discharge to shelters or streets.

However, there are few numbers of studies that examine the health needs and health outcomes of the homeless populations. Additionally, there are minimal clinical guidelines that cover the provision of care for homeless populations. Therefore, further research is required to comprehend the health needs of the homeless populations and to guide the care of the homeless within acute care settings nursing journal article critique example.

Moreover, the provision of care to the homeless populations in the emergency departments is complex. Moreover, it is important for the nursing staff working in the ED to be conversant with the social determinants of health as well as the special features of homelessness in their community. Therefore, further research is required to better understand the aspects and needs of the homeless population, to provide care better to this vulnerable population.

 

References

Chrystal JG, Glover DL, Young AS, Whelan F, Austin EL, Johnson NK, et al. (2015) Experience of Primary Care among Homeless Individuals with Mental Health Conditions. PLoS ONE, 10(2): e0117395. https://doi.org/10.1371/journal.pone.0117395.

Field, H., Hudson, B., Hewett, N. et al. (2019). Secondary care usage and characteristics of hospital inpatients referred to a UK homeless health team: a retrospective service evaluation. BMC Health Serv Res, 19(857).

Gable, A. R., Der-Martirosian, C., & Dobalian, A. (2018). Access to Care for Homeless Veterans During Disasters. Journal of Primary Care & Community Health, 9, 2150132718815382. https://doi.org/10.1177/2150132718815382.

Moulin, A., Evans, E. J., Xing, G., & Melnikow, J. (2018). Substance use, homelessness, mental illness, and Medicaid coverage: a set-up for high emergency department utilization. Western Journal of Emergency Medicine, 19(6), 902.

Rahman S. (2017). The Advantages and Disadvantages of Using Qualitative and Quantitative Approaches and Methods in Language “Testing and Assessment” Research: A Literature Review. Journal of Education and Learning, 6(1).

Weber, J. J., Lee, R. C., & Martsolf, D. (2020). Experiences of care in the emergency department among a sample of homeless male veterans: a qualitative study. Journal of Emergency Nursing, 46(1), 51-58. nursing journal article critique example