Patient education based on the prescribed therapy

S.C. is a 21-year-old college student. She presents with intermittent wheezing. She has a history of asthma as a child but had been free of symptoms until this year. She has symptoms 1 to 2 days per week but denies nocturnal wheezing. Her symptoms do not interfere with her normal activities. She has never taken systemic corticosteroids and has never been hospitalized for asthma. On physical exam, you observe soft end-expiratory wheezing at the bases bilaterally. Pulmonary function tests today show an FEV1/FVC of 80% with an FEV1 90% of predicted. She has no other medical conditions and and is not taking any nonprescription, prescription or complementary alternative medicines. She has no known environmental or drug allergies. Patient education based on the prescribed therapy

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DX: Asthma

1. List specific goals for treatment for S.C.

2. What drug therapy would you prescribe? Why?

3. Write prescription for drug therapy prescribed.

4. What are the parameters for monitoring success of the therapy?

5. Discuss specific patient education based on the prescribed therapy.

6. List one or two adverse reactions for the selected agent that would cause you to change therapy.

7. What would be the choice for second-line therapy?

8. What over the counter and/or alternative medications would be appropriate for S.C.?

9. What lifestyle changes would you recommend for S.C.?

10. Describe one or two drug-drug or drug-food interactions for the selected agent.

MUST USE REFERENCE IN TEXT CITATIONS, NURSING JOURNALS ONLY WITHIN 5 YEARS. Patient education based on the prescribed therapy

Caring for Populations Vulnerable Population

  NEEDS BASIC NURSING KNOWLEDGE 

The purpose of this paper is to identify and assess an aggregate or vulnerable population in your community. You will also describe one community health problem that impacts this group. This problem must be one that a community health nurse could positively impact.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4)

CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2) Caring for Populations Vulnerable Population

Attached is the directions, i need them followed exactly! NO PLAGIARIZING paper goes through turn it in! paper is also Due on sat 23 

Purpose

The purpose of this paper is to identify and assess an aggregate or vulnerable population in your community. You will also describe one community health problem that impacts this group. This problem must be one that a community health nurse could positively impact.

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Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO 4)

CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO 2)

Due Date

Submit the paper by 11:59 p.m. MT Sunday by the end of Week 4.

Points: 225 points

Rubric

Click to view and download the NR443 Milestone 2: Caring for Vulnerable Populations Rubric (Links to an external site.)Links to an external site..

Directions

Watch the Milestone 2 tutorial at http://www.brainshark.com/devry/Milestone2_2016 (Links to an external site.)Links to an external site.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the categories described below as the first level headings on your paper (note: the introduction does not carry a heading of “introduction,” instead the title of the paper is repeated and centered at the top of the second page in plain text). APA formatting helps you to format your paper in a professional manner and provides consistent methods for citing your sources within the paper and providing the complete reference on the reference page. See the APA resources for assistance with APA formatting. There is an APA template that you can use to type on and this will help with APA formatting Caring for Populations Vulnerable Population.The SSP Chamberlain Care Student Success Strategies resource has a module on writing scholarly papers and APA formatting (to find this resource watch: http://www.brainshark.com/devry/Student_Success_Strategies/zHszgnQAKzBXqbz0 (Links to an external site.)Links to an external site., transcript (Links to an external site.)Links to an external site.)

Based on your community assessment, including your windshield survey and the assessment information from your discussions, identify one aggregate or vulnerable population in your community that faces a community health problem. See units five (5) and six (6) in Nies and McEwen (2015) for examples of vulnerable populations and aggregates. Your community must be the area where you live or work.

A. Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.

· Provide a brief description of your community including the city name and state and key features.

· Briefly introduce one aggregate or vulnerable population that you identified in your assessment.

· Discuss the purpose of your paper. The purpose statement of the paper should relate to assessing this vulnerable population in your community.

· Note: the introduction does not carry a heading of “introduction,” instead; the title of the paper is repeated and centered at the top of the second page in plain text.

B. Vulnerable Population Overview (one to two paragraphs):

· Describe one aggregate or vulnerable group in your community in greater detail.

· Include your observations about this group from the windshield survey.

· Discuss events or trends that have affected this vulnerable group such as economic conditions, trends in health related behaviors or disease rates, etc.

C. Strengths, Risk Factors, and/or Barriers (two to three paragraphs):

· Discuss the strengths, risk factors, and/or barriers that impact this vulnerable population’s health.

· Include support from at least one scholarly peer-reviewed journal article in this discussion. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.)Links to an external site.. Search peer reviewed journals to find a scholarly article that discuss the strengths, risk factors, and/or barriers faced by this vulnerable group. Summarize what you learned from this article and cite the source in the text and reference page (Author, year). For this section, you must choose at least one scholarly article from a peer-reviewed journal. The article must be less than 10 years old (less than 5 years is best). You may include and cite your textbook or other scholarly sources as well, but they do not count as the scholarly journal article Caring for Populations Vulnerable Population

· Please do not include more than two short quotations, at the most. You will need to summarize and analyze the information from the article in your own words.

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D. Community Resources (one to two paragraphs):

· Search your local public health department website, the internet, the local newspaper and/or telephone book for health resources available in your community for this vulnerable group.

· Briefly describe the resources in your community that are available for this group.

· Are these resources adequate? If so, why? If not, discuss gaps in services that you identified.

E. Community Health Problem Diagnosis (one to two paragraphs):

· Based on your assessment and the Healthy People 2020 objectives, identify and discuss one priority community health problem that a community health nurse could positively impact. Examples include an increase in teen pregnancies, prevalence of cancer, high incidence of tobacco use, above average infant mortality etc. The problem must relate to the aggregate or vulnerable population you identified.

· Go to the Healthy People topic areas at http://www.healthypeople.gov/2020/topics-objectives (Links to an external site.)Links to an external site.. Find a topic area that relates to your aggregate or vulnerable population. Click on the topic area and then click on the green “Objectives” tab. Find and state the Healthy People 2020 specific numbered objective (not just a goal) that describes your problem (ex. for teen pregnancy, the topic area Family Planning is relevant, click the green objectives tab and you might choose FP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (US Department of Health and Human Services: Healthy People 2020, 2016, Objectives: Family Planning, para 8).

F. Summary (one paragraph):

· Summarize important points from the body of your paper including the aggregate or vulnerable group you identified and key factors that you discussed above that affect the health of this group.

· Include a statement about the priority problem you identified.

· End with a concluding statement.

G. Reference Page:

· The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the APA Guidelines in Course Resources for examples of properly formatted references.

Guidelines

· Application: Use Microsoft Word 2010™ or later to create this assignment.

· Scholarly Writing: APA format is required. Review the APA resources and take advantage of the free tutorial resources Caring for Populations Vulnerable Population.

· Use the categories above as APA headings for the sections of your paper.

· Length: This paper is expected to be no more than 4 pages in length (not including the title page and reference list).

· Quotations should be minimal – please paraphrase your sources. A maximum of two short quotations should be used for this paper.

· Submission: Submit your paper by 11:59 p.m. MT Sunday of Week 4.

· Save your paper with your last name in the document title (e.g., Smith Vulnerable Population Assessment).

· Late Submission: See the Policies on late submissions Caring for Populations Vulnerable Population

The components of a healing hospital and their relationship to spirituality

As agreed due 9/24/2017 @ 2100 MST

#1 Assignment

 Complete the “Personhood Chart.”  Please see attached file

#2 Assignment- Please see attached file

Write a 250-500 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

  1. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? Explain.
  2. How does the theory determine or influence each of their recommendation for action?
  3. What theory do you agree with?  How would the theory determine or influence the recommendation for action?

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Prepare this assignment according to the APA guidelines found in the APA. MUST TURITIN.

#3 Assignment 

Consider how the paradigm of a healing hospital might influence your philosophy of caregiving and write an essay of 500-750 words that addresses the following:

  1. Describe the components of a healing hospital and their relationship to spirituality.
  2. What are the challenges of creating a healing environment in light of the barriers and complexities of the hospital environment? The components of a healing hospital and their relationship to spirituality
  3. Include biblical aspects that support the concept of a healing hospital.
  4.  

Personhood Chart

This chart contains a grid for different philosophical anthropologies that answer the question of personhood.

Complete the following chart in the context of defining what it means to be human according to Christianity, Materialism, and your own Personal View. Refer to the assigned reading for explanation of characteristics listed on the left.

  Christianity Materialism Personal View
Relational      
Multidimensional      
Sexual      
Moral      
Mortal      
Destined for Eternal Life Destined for eternal life:    

© 2015. Grand Canyon University. All Rights Reserved. The components of a healing hospital and their relationship to spirituality

2

Plan for enhancing your power as a nurse and a leader–manager

Plan for enhancing your power as a nurse and a leader–manager

Individual Power Plan 

 What can you do to develop your individual power base? This week, you have heard and read about several types and sources of power. For this Assignment, consider your goals and how enhancing your own power may help you to achieve them.  

To Prepare •Reflect on your personal current sense of power within your organization and the profession; 

•Do a self–assessment of your leadership skills by doing the How Good are your Leadership Skills? assessment at http://www.mindtools.com/pages/article/newLDR_50.htm

How did you score? You do need not to reveal this in your paper, but hopefully it will guide you in how to apply the concepts to your own situation. 

•Reflect on your motivation for increasing your power within your organization and/or within the nursing profession.

 •Do a self–assessment of your leadership motivation by doing the assessment The Leadership Motivation Assessment found at http://www.mindtools.com/pages/article/newLDR_01.htm  Plan for enhancing your power as a nurse and a leader–manager

•Again, it is not necessary to post your score but hopefully it will guide you in how to discuss your motivation at this point in time. 

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•Review the information on power in the Learning Resources and conduct additional research on your own to examine strategies that seem relevant and worthwhile for helping to enrich your power as a nurse leader. 

•Identify specific strategies you can use to develop and leverage sources and types of power to achieve desired outcomes.  

To Complete  Write a 2– to 3–page paper, not including the cover and Reference page, describing: 

•A self–assessment of your current sense of power within your organization and the profession; 

•A self–assessment of your motivation for increasing your power base;

 •Write a detailed plan for enhancing your power as a nurse and a leader–manager, including specific strategies for achieving that plan.  Be sure to include strategies for mobilizing the power of nursing for social change, empowering others, and building a personal power base.

Required Readings  

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.  •Chapter 13, “Organizational, Political, and Personal Power”  Fry, B. (2013). 

Power up your leadership: Straight talk for nurse managers. Canadian Nurse, 109(5), 32–33.  Retrieved from the Walden Library databases.   

Mindtools (1996–2015). French and Raven’s Five Forms of Power. Understanding Where Power Comes From in the Workplace. Retrieved from http://www.mindtools.com/pages/article/newLDR_56.htm Plan for enhancing your power as a nurse and a leader–manager

Positive and negative aspects of disease management programs

Due Tomorrow At 1:00 PM

Discussion Board #6

HCA 340

Discussion Board Assignment #6

Chapter 7–The Health Care Workforce and Chapter 8—Financing Health

Answer the following questions on Health Care Workforce/Personnel:

  1. The majority of schools of medicine, dentistry, nursing, and other professions and their teaching hospitals are heavily subsidized by federal and state funds. Many of those graduates, when they become health practitioners, feel no obligation to society for their publicly supported education. Do health care providers who reap the benefits of high compensation and social position have an ethical responsibility to repay taxpayers by meeting the needs of the medically underserved?
  2. Technical advances in health care have spawned an ever-increasing number of specialty- trained personnel. More recently, however, hospitals and other institutions are promoting the cross-training of personnel so that they can perform multiple tasks and work more flexibly, based on institution needs. What are the implications of cross training, in terms of quality of care, costs, and efficiency? Positive and negative aspects of disease management programs
  3. Men comprise a small segment of the nurse population, although their numbers are increasing.  Given the good income potential of the nursing profession and continuing demand, what is your opinion about why nursing does not attract more males?

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Answer the following questions on Health Care Financing:

  1. Name one (1)  way each of the following has affected the costs of health care in the US?
    • The health insurance industry
    • Advances in medical care technology
    • Changes in U.S. demographics
    • Government support for health care
    • Consumer expectations
  2. If we accept the premises that resources available to meet the costs of health care are finite, and that continuing to increase dollars allocated for health care expenses carries “opportunity costs“ for the nation and society, discuss your position on the following: As a national policy should we allocate a set level of resources and apply them to achieving “the greatest good for the greatest number” (necessarily leaving some out) OR should we adopt the individualist approach of “those who can pay get, those who can’t pay, don’t?”
  3. From the patient perspective, what might be some of the positive and negative aspects of “disease management programs?” Positive and negative aspects of disease management programs

History and theory behind transcultural nursing

                 History and theory behind transcultural nursing

                               Transcultural nurse 

Guideline :- due date octubre 17

                  – at least 2 paragraph for case 

                  -APA format 

                   -at least 1 reference per case 

1- While on break from school, Jose, a nursing student, discusses his coursework with his family. His parents are intrigued and ask a lot of questions, especially when he mentions transcultural nursing, something they’ve never heard of before.

       -How should Jose describe transcultural nursing? What should he include     about the history and theory behind transcultural nursing?

2- Use an example nursing practice setting that incorporates transcultural nursing theory. Choose one of the following: A health clinic with primarily low-income migrant farm workers in rural Texas; an ICU with mainly trauma patients; a telemetry unit with patients with heart disease; or a neonatal ICU with very premature infants. History and theory behind transcultural nursing

        -How does the specific setting impact the need for and delivery of transcultural care

3- Courtney, a nurse on the pediatric floor of a hospital, spent 2 years volunteering through the Peace Corps in Honduras.Describe how her experience may be similar to Leininger’s development of transcultural nursing theory.

         -How has Courtney’s experience in the Peace Corps potentially enhanced her ability to provide culturally competent care?

4- A nurse on a surgical unit mentions that she would like to know more about various cultures and how to take care of patients with diverse cultural backgrounds.

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         -How could you use the Andrews/Boyle TIP Model to support her wish to provide culturally competent care?

         -Give an example of how the surgical nurse might use the Andrews/Boyle TIP Model in her everyday practice.

5- Lisa, an emergency room nurse, discusses with her colleagues how important it is to be aware of the immigration trends and the health issues in the United States and the world. She checks the Centers for Disease Control website at least once a week. She also received a care award last year for her compassionate care for all patients. 

          -Discuss the ways that her awareness may influence her nursing      care.Describe at least one additional way that a nurse may continue to learn about cultures.

6- A family who requests privacy five times during the day to pray wants to have a sign on the door during their prayer time. The wife of the patient appears very anxious about the accommodation. The patient is a 45-year-old Muslim man who had a heart attack and is in the step-down telemetry room.

         – How should the nurse respond in this situation? How should the organization respond. How can organizational and individual cultural assessments affect the plan of care?

7- Ana Maria is a 35-year-old computer intelligence and security expert who recently moved to the United States from Spain. She doesn’t speak or read English well. The nurse describes a need for a Spanish interpreter for interactions with the patient.

          – What additional information do you need to obtain from the patient and the chart prior to securing a Spanish interpreter?

(naver assume that because she is from spain she have to speak spanish)History and theory behind transcultural nursing

Benchmarking Or Improve Quality Of Care And Communicating Change

Benchmarking Or Improve Quality Of Care And Communicating Change

Comparing, or benchmarking, outcomes is an important means by which health care providers strive to improve quality of care. Although this concept applies to all kinds of clinical care facilities, for this Discussion you focus on hospitals so that you can make use of data on the CMS’s “Hospital Compare” website to conduct some basic benchmarking analysis.

Using this analysis as a launching point, you then evaluate priorities for improvement and consider how to create a motivating environment that supports significant, lasting change Benchmarking Or Improve Quality Of Care And Communicating Change

To Prepare

Go to http://www.medicare.gov/hospitalcompare/search.html

  • Enter search criteria and click “Find Hospitals.” Select a hospital on which to focus for this Discussion.
  • Review all of the data on this hospital, which should include the various Process of Care Measures and the Survey of Patients’ Hospital Experiences (HCAHPS scores).
  • Compare the data for your selected hospital with data from other institutions in the area and across the country, as you think appropriate. (To do this, repeat the steps described above, but this time include these other institutions in your comparison.)
  • Based upon your first selected hospital’s comparative scores, what do you think is the most important area related to patient satisfaction/clinical outcomes to improve, and why? It may be helpful to consider what other steps you would take to get a clearer picture of this quality issue.
  • Think about how you as a leader and manager would communicate change at the point of care (front line) to provide service that improves one or more patient satisfaction/clinical outcomes in your selected hospital.

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By Day 3

Post a brief description of the hospital and your selected outcome, including indications of the needed improvement. Then, provide a short, persuasive statement demonstrating how you would communicate and motivate a nurse at the point of care (front line) to provide service that improves the selected outcome. Support your statement with evidence and strategies from the literature.

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Review Chapter 19, “Organizational, Interpersonal, and Group Communication”
Read Chapter 23, “Quality Control”

Auer, C., Schwendimann, R., Koch, R., De Geest, S., & Ausserhofer, D. (2014). How hospital leaders contribute to patient safety through the development of trust. Journal of Nursing Administration44(1), 23–29. Benchmarking Or Improve Quality Of Care And Communicating Change
Retrieved from the Walden Library databases

Falkheimer, J. (2014). The power of strategic communication in organizational development. International Journal of Quality and Service Sciences6(2/3), 124–133.
Retrieved from the Walden Library databases.

Treatment for an upper respiratory infection (URI)

Treatment for an upper respiratory infection (URI)

Question

Question 1. Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic. He says the last time he had penicillin he developed a red, blotchy rash. The appropriate antibiotic to prescribe would be:

Penicillin VK, since his rash does not sound like a serious rash

Amoxicillin

Cefadroxil (Duricef)

Erythromycin

Question 2. Tetracyclines are contraindicated in children younger than 8 years because of:

Risk of developing cartilage problems

Development of significant diarrhea

Risk of kernicterus

Adverse effects on bone growth

Question 3. Lisa is a healthy non-pregnant adult woman who recently had a UTI. She is asking about drinking cranberry juice to prevent a recurrence of the UTI. The answer to give her would be:

“Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.”

“100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.”

“There is no evidence that cranberry juice helps prevent UTIs. ”Treatment for an upper respiratory infection (URI)

“Cranberry juice only works to prevent UTIs in children.”

Question 4. Rose is a 3 year old with an upper respiratory infection (URI). Treatment for her URI would include:

Amoxicillin

Diphenhydramine

Pseudoephedrine

Nasal saline spray

Question 5. Patient education for a patient who is prescribed antibiotics for sinusitis includes:

Use of nasal saline washes

Use of inhaled corticosteroids

Avoiding the use of ibuprofen while ill

Use of laxatives to treat constipation

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Question 6. Patients who should be cautious about using decongestants for an upper respiratory infection include:

School-age children

Patients with asthma

Patients with cardiac disease

Patients with allergies

Question 7. Janet was recently treated with clindamycin for an infection. She calls the advice nurse because she is having frequent diarrhea that she thinks may have blood in it. What would be the appropriate care for her?

Encourage increased fluids and fiber

Assess for pseudomembranous colitis

Advise her to eat yogurt daily to help restore her gut bacteria

Start her on an antidiarrheal medication

Question 8. To prevent further development of antibacterial resistance it is recommended fluoroquinolones be reserved for treatment of:

Urinary tract infections in young women

Upper respiratory infections in adults

Skin and soft tissue infections in adults

Community-acquired pneumonia in patients with comorbidities

Question 9. Nicole is a 4-year-old female with a febrile urinary tract infection. She is generally healthy and has no drug allergies. Appropriate initial therapy for her UTI would be:

Azithromycin

Trimethoprim/sulfamethoxazole

Ceftriaxone

Ciprofloxacin

Question 10. Sally is a 16-year-old female with a urinary tract infection. She is healthy, afebrile, with no use of antibiotics in the previous 6 months and no drug allergies. An appropriate first-line antibiotic choice for her would be:

Azithromycin

Trimethoprim/sulfamethoxazole

Ceftriaxone

Levofloxacin

How would the renal and respiratory systems try to compensate for this acid-base disturbance

Read the “Resource 1: Case Study.” Answer the questions at the end of the case study in a paper of 750-1,000 words. Prepare this assignment according APA guidelines . An abstract is not required.  

Resource 1: Case Study 

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following: Test Result           Normal levels 

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pH                                 7.5 7.35 – 7.45                                                               PaCO2 40 mm Hg 35-45 mm Hg 

PaO2 95 mm Hg 80-100 mm Hg 

SaO2                                 97% 95-100% 

HCO3- 32 meq/liter 22-26 meq/liter  

How would you classify the patient’s acid-base disturbance and explain why? Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors. How would the renal and respiratory systems try to compensate for this acid-base disturbance?  What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions.  Describe the educational needs for this patient and what your approach will be. How would the renal and respiratory systems try to compensate for this acid-base disturbance

Distinguishing Management And Leadership Competencies In Nursing

Distinguishing Management and Leadership Competencies  Thriving organizations see the value of cultivating both management and leadership competencies. For this Discussion, you consider two distinct “buckets” of competencies—management and leadership—and think about how these can be leveraged to successfully introduce a new product or service in an organization.  To prepare:

 •Think about a new product or service in your organization that was recently implemented. ◦Identify five leadership strategies you might use to address the implementation of the new product or service. ◦Think about the management competencies that were needed in order for this project to be successful. Why are these competencies important? ◦Consider the leadership competencies required for success, and reflect on the value of these competencies.  

 Post a description of the new product or service and how it aligns with organizational goals and professional standards. Describe the distinct management and leadership competencies that facilitated successful implementation of this project. Provide your rationale. Distinguishing Management And Leadership Competencies In Nursing

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Required Readings  Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.  

•Review Chapter 2 with a focus on page 44–50.  Arroliga, A. C., Huber, C., Myers, J. D., Dieckert, J. P., & Wesson, D. (2014). Leadership in Health Care for the 21 st Century: Challenges and Opportunities. The American Journal of Medicine, 127(3), 246–249.  Copyright 2014 by Elsevier Health Science Journals. Reprinted by permission of Elsevier  Health Science Journals  via the Copyright Clearance Center.    Stetler, C. B., Ritchie, J. A., Rycroft–Malone, J., & Charns, M. P. (2014). 

Leadership for Evidence–Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP. Worldviews on Evidence–Based Nursing, 11(4), 219–226.  Retrieved from the Walden Library databases.     Daire, J., & Gilson, L. (2014). 

Does identity shape leadership and management practice? Experiences of PHC facility managers in Cape Town, South Africa. Health policy and planning, 29 (suppl 2), ii82–ii97.  Copyright 2014 by Oxford University Press–Journals. Reprinted by permission of Oxford University Press–Journals via the Copyright Clearance Center. Distinguishing Management And Leadership Competencies In Nursing