Geriatric Nursing

Geriatric Nursing

 

 

 

 

 

Geriatric Nursing

Name

Institution

Professor

Course

Date

 

 

 

 

 

Geriatric nurses tend to be educated to enable them treat plus understand the most complex mental and physical health needs of the older individuals. They attempt to assist their patients safeguard their health as well as cope with the changes within their physical and mental capabilities, so that the older individuals may remain independent as well as active for the longest time possible. The gerontological nursing is considered to be the nursing specialty that  pertains to the older adults. These nurses operate alongside collaboration with the older individuals, the communities plus their families with the intention of supporting a healthy aging, quality of life in addition to maximum functioning (Yiqun, 2021).

The geriatric nurses are supposed to enjoy working with the individuals who are older. They should be patient, listen with a lot of attentiveness as well as the balance the necessities of the patients with a times demands that are conflicting from the members of the family.

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The targeted audience

With geriatrics, its all about care for the older people, this happens to be an age group that quote difficult to precisely define. The term older tends to be more preferable as compared to elderly though they are somehow equal. Sixty five years and above is the mostly used age, however, most individuals are not in need of geriatrics professionalism within their care till they are around 70 – 80 years of age.  The target audience is actually the senior citizen segment which comprises of approximately 75 million individuals. They basically posses huge amounts of an income that is disposable, and are in search of guidance to assist them live longer and healthier lives. This targeted audience is classified into four. The pre-retirees who are in between 50-65 years. There is also the grandparents in addition to relatives who are in the age bracket of 50 years and above. The third category is the one that is made up of the late retirees who happen to be between the age bracket of 65 years to 75 years. It mainly constitutes of individuals above the standard age of retirement. The last category of the targeted audience is the active retirees. This is a group that is made up is seniors who are not having any active income (Van Seben, et.al, 2019).

With this particular group, when teaching the on the health promotion, it is evident that prevention of diseases as well as early detection happens to be the most appropriate strategy for a successful management of a chronic disease. The elderly need to know that identifying plus early intercurrent illness treatment is extremely crucial within the seniors who are quite frail. The elderly are supposed to get educated on the importance of exercises daily, healthy eating, alongside leaving a life that is stress free. The adults under medication are supposed to take as per the prescriptions and faithfully in order to have their health promoted.

 

Teaching theory

It is appropriate to utilize teaching techniques during the providence of health teachings for the older individuals. There are several elders with increasing challenges in understanding the complex sentences, have less proficiency as compared to the younger individuals when it comes to drawing of inferences, alongside having challenges with the motor tasks. The information should be prevented through a slower pace contrary to the younger patients.  The best theory is the behavioral theory. Due to their character traits, it is advisable to speak using low voice tones as well as enable adequate time for the patients to integrate and also assimilate the conceptual material, in addition to putting emphasis on concrete instead of abstract material (Ahmed, et.al, 2020).

It becomes paramount to minimize the environmental distractions which is essential in compensating for any hearing loss that is age-related as well as aid the patient with concentration plus attention. Carrying out group teaching might assist the elderly patients to enhance their health-related problem solving capabilities. During the suggestion of lifestyle changes, it is important to take into account that most of the elderly individuals extremely cautious and might fail to accept the changes with ease. In the behavioral teaching, in order to achieve effectiveness in the teaching, the program is supposed to be individualized so that it suits the lifestyle as well as the necessities of the older patients, as well as ensure that the goals are mutually acceptable. Patients are supposed to actively participate in the goal setting. When it comes to planning the patient teaching for these elderly individuals, the goals should be individualized as per the requirements of the patients in addition to what they are supposed to do for themselves (Teófilo, et.al, 2019).

 

Importance of this teaching theory

The main essence of using the behavioral theory is mainly because, with the advancing age, the memory of an individual tends to be much better as compared to the information that has been seen. As a result, an older patient has high probabilities of remembering information that they get to hear contrary to the information that they have read from somewhere. In order to enhance learning for any patient who has memory loss, it is important to have the message repeated frequently during the teaching, as well as have the patient questioned frequently in order to determine the retention level. The theory helps one to pay specific attention to the language that is used in teaching (Ahmed, et.al, 2020).

It enables one to choose simple, elaborated terminology then have talks that are on the level of the patient. There are several elderly individuals who tend to be highly educated, hence have a preference that during the training one uses as well as gives explanations using the medical terminology, there are others who prefer keeping interactions to be short and precise.

Diversity effects

Being a teaching, one gets to play the role of a facilitator then encourage conversation plus healthy debate in between the opinions that are diverse. The group assignments are perceived to be a great means of exposing students to perspectives that are diverse, enabling them to function as one in exploring plus solving challenges. Among the diversity issues affecting the teaching happens to be socioeconomic status which greatly affects the psychological health of an aging patient. Poverty is said to be a risk factor for the declines within the mental health amidst the older individuals. The elderly who are socioeconomic status levels that are lower are in most occasions most probably to be diagnosed with having a psychological disorder.

There is also the issue of gender in that, the women who are older and suffering from dementia were said to be having higher risks of suffering from physical abuse plus neglect by the family caregivers. In the training, it is important to note out the contributing factors to the elder abuse within individuals who have dementia, these comprise of; poverty, low education levels of the caregiver plus the victim, abuse of alcohol and social isolation among others (Hsieh and Chen, 2018).

Minimizing health disparities plus attaining of equitable health care continues to be an essential goal for the healthcare system within the United States. Cultural competence is essential in addressing the diversity during the education program. It acts as a foundational pillar when it comes to minimizing disparities via culturally sensitive plus quality care that is unbiased. The care that is culturally competent is one that greatly respects diversity within the patient population plus cultural factors capable of affecting health plus healthcare, like communication styles, behaviors, language, attitudes in addition to beliefs.

It is quite evident that racism is a factor that leads to creation of systemic stressors resulting into health outcomes that are poor as well as accelerates aging. This causes biological weathering and is capable of demonstrating the telomeres shortening. This happens to be evidence of aging that is early within individuals who have been exposed to the side cumulative stress. The same way gerontologists become aware of the fact that age is quite a limited plus crude variable that is actually explanatory, it is the same situation with ethnicity and race (Wollesen, et.al, 2019).

Solving conflicts

During the training, there are several ways in which the conflicts that arise in between the older patients might be solved. These include:

Compromising – which involves making efforts to have the conflict resolved through identifying a solution that happens to be partially satisfactory to the two parties, and should never be entirely satisfactory to any of the parties. There is collaborating – involves being in cooperation with different participants to understand their own concerns as well as express personal concerns in an attempt to identify a mutually plus entirely satisfactory solution. These is a very beneficial strategy in addressing interpersonal conflict situations because it ends up promoting creative problem solving in addition to being a means of fostering rapport plus mutual respect. Therefore, despite there being lots of ways to address conflicts, collaboration is effective as it does not force, compromise, avoid or even accommodate (Dai, et.al, 2021).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Ahmed, R. R., Streimikiene, D., Abrhám, J., Streimikis, J., & Vveinhardt, J. (2020). Social and behavioral theories and physician’s prescription behavior. Sustainability, 12(8), 3379. https://www.mdpi.com/696944

Dai, F., Liu, Y., Ju, M., & Yang, Y. (2021). Nursing students’ willingness to work in geriatric care: An integrative review. Nursing Open, 8(5), 2061-2077.  https://onlinelibrary.wiley.com/doi/abs/10.1002/nop2.726

Hsieh, P. L., & Chen, C. M. (2018). Nursing competence in geriatric/long term care curriculum development for baccalaureate nursing programs: a systematic review. Journal of Professional Nursing, 34(5), 400-411. https://www.sciencedirect.com/science/article/pii/S875572231830067X  

Teófilo, T. J. S., Veras, R. F. S., Silva, V. A., Cunha, N. M., Oliveira, J. D. S., & Vasconcelos, S. C. (2019). Empathy in the nurse–patient relationship in geriatric care: An integrative review. Nursing ethics, 26(6), 1585-1600.  https://journals.sagepub.com/doi/abs/10.1177/0969733018787228

Van Seben, R., Reichardt, L. A., Aarden, J. J., van der Schaaf, M., van der Esch, M., Engelbert, R. H., … & Wold, J. (2019). The course of geriatric syndromes in acutely hospitalized older adults: The Hospital-ADL Study. Journal of the American Medical Directors Association, 20(2), 152-158. https://www.sciencedirect.com/science/article/pii/S1525861018304456

Wollesen, B., Hagemann, D., Pabst, K., Schlüter, R., Bischoff, L. L., Otto, A. K., … & Fenger, A. (2019). Identifying individual stressors in geriatric nursing staff—A cross-sectional study. International journal of environmental research and public health, 16(19), 3587.  https://www.mdpi.com/541058

Yiqun, L. I. U. (2021). Discussion on the Application of Innovative Entrepreneurship Education Concept in the Course of Geriatric Nursing. The Theory and Practice of Innovation and Enntrepreneurship, 4(8), 62. http://www.cxcybjb.com/EN/abstract/abstract2501.shtml

 

 

 

 

Geriatric Nursing

Geriatric Nursing

 

 

 

 

 

Geriatric Nursing

Name

Institution

Professor

Course

Date

 

 

 

 

 

Geriatric nurses tend to be educated to enable them treat plus understand the most complex mental and physical health needs of the older individuals. They attempt to assist their patients safeguard their health as well as cope with the changes within their physical and mental capabilities, so that the older individuals may remain independent as well as active for the longest time possible. The gerontological nursing is considered to be the nursing specialty that  pertains to the older adults. These nurses operate alongside collaboration with the older individuals, the communities plus their families with the intention of supporting a healthy aging, quality of life in addition to maximum functioning (Yiqun, 2021).

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The geriatric nurses are supposed to enjoy working with the individuals who are older. They should be patient, listen with a lot of attentiveness as well as the balance the necessities of the patients with a times demands that are conflicting from the members of the family.

The targeted audience

With geriatrics, its all about care for the older people, this happens to be an age group that quote difficult to precisely define. The term older tends to be more preferable as compared to elderly though they are somehow equal. Sixty five years and above is the mostly used age, however, most individuals are not in need of geriatrics professionalism within their care till they are around 70 – 80 years of age.  The target audience is actually the senior citizen segment which comprises of approximately 75 million individuals. They basically posses huge amounts of an income that is disposable, and are in search of guidance to assist them live longer and healthier lives. This targeted audience is classified into four. The pre-retirees who are in between 50-65 years. There is also the grandparents in addition to relatives who are in the age bracket of 50 years and above. The third category is the one that is made up of the late retirees who happen to be between the age bracket of 65 years to 75 years. It mainly constitutes of individuals above the standard age of retirement. The last category of the targeted audience is the active retirees. This is a group that is made up is seniors who are not having any active income (Van Seben, et.al, 2019).

With this particular group, when teaching the on the health promotion, it is evident that prevention of diseases as well as early detection happens to be the most appropriate strategy for a successful management of a chronic disease. The elderly need to know that identifying plus early intercurrent illness treatment is extremely crucial within the seniors who are quite frail. The elderly are supposed to get educated on the importance of exercises daily, healthy eating, alongside leaving a life that is stress free. The adults under medication are supposed to take as per the prescriptions and faithfully in order to have their health promoted.

 

Teaching theory

It is appropriate to utilize teaching techniques during the providence of health teachings for the older individuals. There are several elders with increasing challenges in understanding the complex sentences, have less proficiency as compared to the younger individuals when it comes to drawing of inferences, alongside having challenges with the motor tasks. The information should be prevented through a slower pace contrary to the younger patients.  The best theory is the behavioral theory. Due to their character traits, it is advisable to speak using low voice tones as well as enable adequate time for the patients to integrate and also assimilate the conceptual material, in addition to putting emphasis on concrete instead of abstract material (Ahmed, et.al, 2020).

It becomes paramount to minimize the environmental distractions which is essential in compensating for any hearing loss that is age-related as well as aid the patient with concentration plus attention. Carrying out group teaching might assist the elderly patients to enhance their health-related problem solving capabilities. During the suggestion of lifestyle changes, it is important to take into account that most of the elderly individuals extremely cautious and might fail to accept the changes with ease. In the behavioral teaching, in order to achieve effectiveness in the teaching, the program is supposed to be individualized so that it suits the lifestyle as well as the necessities of the older patients, as well as ensure that the goals are mutually acceptable. Patients are supposed to actively participate in the goal setting. When it comes to planning the patient teaching for these elderly individuals, the goals should be individualized as per the requirements of the patients in addition to what they are supposed to do for themselves (Teófilo, et.al, 2019).

 

Importance of this teaching theory

The main essence of using the behavioral theory is mainly because, with the advancing age, the memory of an individual tends to be much better as compared to the information that has been seen. As a result, an older patient has high probabilities of remembering information that they get to hear contrary to the information that they have read from somewhere. In order to enhance learning for any patient who has memory loss, it is important to have the message repeated frequently during the teaching, as well as have the patient questioned frequently in order to determine the retention level. The theory helps one to pay specific attention to the language that is used in teaching (Ahmed, et.al, 2020).

It enables one to choose simple, elaborated terminology then have talks that are on the level of the patient. There are several elderly individuals who tend to be highly educated, hence have a preference that during the training one uses as well as gives explanations using the medical terminology, there are others who prefer keeping interactions to be short and precise.

Diversity effects

Being a teaching, one gets to play the role of a facilitator then encourage conversation plus healthy debate in between the opinions that are diverse. The group assignments are perceived to be a great means of exposing students to perspectives that are diverse, enabling them to function as one in exploring plus solving challenges. Among the diversity issues affecting the teaching happens to be socioeconomic status which greatly affects the psychological health of an aging patient. Poverty is said to be a risk factor for the declines within the mental health amidst the older individuals. The elderly who are socioeconomic status levels that are lower are in most occasions most probably to be diagnosed with having a psychological disorder.

There is also the issue of gender in that, the women who are older and suffering from dementia were said to be having higher risks of suffering from physical abuse plus neglect by the family caregivers. In the training, it is important to note out the contributing factors to the elder abuse within individuals who have dementia, these comprise of; poverty, low education levels of the caregiver plus the victim, abuse of alcohol and social isolation among others (Hsieh and Chen, 2018).

Minimizing health disparities plus attaining of equitable health care continues to be an essential goal for the healthcare system within the United States. Cultural competence is essential in addressing the diversity during the education program. It acts as a foundational pillar when it comes to minimizing disparities via culturally sensitive plus quality care that is unbiased. The care that is culturally competent is one that greatly respects diversity within the patient population plus cultural factors capable of affecting health plus healthcare, like communication styles, behaviors, language, attitudes in addition to beliefs.

It is quite evident that racism is a factor that leads to creation of systemic stressors resulting into health outcomes that are poor as well as accelerates aging. This causes biological weathering and is capable of demonstrating the telomeres shortening. This happens to be evidence of aging that is early within individuals who have been exposed to the side cumulative stress. The same way gerontologists become aware of the fact that age is quite a limited plus crude variable that is actually explanatory, it is the same situation with ethnicity and race (Wollesen, et.al, 2019).

Solving conflicts

During the training, there are several ways in which the conflicts that arise in between the older patients might be solved. These include:

Compromising – which involves making efforts to have the conflict resolved through identifying a solution that happens to be partially satisfactory to the two parties, and should never be entirely satisfactory to any of the parties. There is collaborating – involves being in cooperation with different participants to understand their own concerns as well as express personal concerns in an attempt to identify a mutually plus entirely satisfactory solution. These is a very beneficial strategy in addressing interpersonal conflict situations because it ends up promoting creative problem solving in addition to being a means of fostering rapport plus mutual respect. Therefore, despite there being lots of ways to address conflicts, collaboration is effective as it does not force, compromise, avoid or even accommodate (Dai, et.al, 2021).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Ahmed, R. R., Streimikiene, D., Abrhám, J., Streimikis, J., & Vveinhardt, J. (2020). Social and behavioral theories and physician’s prescription behavior. Sustainability, 12(8), 3379. https://www.mdpi.com/696944

Dai, F., Liu, Y., Ju, M., & Yang, Y. (2021). Nursing students’ willingness to work in geriatric care: An integrative review. Nursing Open, 8(5), 2061-2077.  https://onlinelibrary.wiley.com/doi/abs/10.1002/nop2.726

Hsieh, P. L., & Chen, C. M. (2018). Nursing competence in geriatric/long term care curriculum development for baccalaureate nursing programs: a systematic review. Journal of Professional Nursing, 34(5), 400-411. https://www.sciencedirect.com/science/article/pii/S875572231830067X  

Teófilo, T. J. S., Veras, R. F. S., Silva, V. A., Cunha, N. M., Oliveira, J. D. S., & Vasconcelos, S. C. (2019). Empathy in the nurse–patient relationship in geriatric care: An integrative review. Nursing ethics, 26(6), 1585-1600.  https://journals.sagepub.com/doi/abs/10.1177/0969733018787228

Van Seben, R., Reichardt, L. A., Aarden, J. J., van der Schaaf, M., van der Esch, M., Engelbert, R. H., … & Wold, J. (2019). The course of geriatric syndromes in acutely hospitalized older adults: The Hospital-ADL Study. Journal of the American Medical Directors Association, 20(2), 152-158. https://www.sciencedirect.com/science/article/pii/S1525861018304456

Wollesen, B., Hagemann, D., Pabst, K., Schlüter, R., Bischoff, L. L., Otto, A. K., … & Fenger, A. (2019). Identifying individual stressors in geriatric nursing staff—A cross-sectional study. International journal of environmental research and public health, 16(19), 3587.  https://www.mdpi.com/541058

Yiqun, L. I. U. (2021). Discussion on the Application of Innovative Entrepreneurship Education Concept in the Course of Geriatric Nursing. The Theory and Practice of Innovation and Enntrepreneurship, 4(8), 62. http://www.cxcybjb.com/EN/abstract/abstract2501.shtml

 

 

 

 

Project charter with a work breakdown structure

Project charter with a work breakdown structure

 

 

 

 

 

 

 

 

 

 

 

The purpose of this assignment is to create a project charter with a work breakdown structure. Select one case study in Chapter 8 of the textbook from the following options: Case Study: Nurse Manager or Case Study: Informatics Nurse Specialist (INS).  The case study you select in this topic will be used throughout the course to complete the assignments in Topics 3-7.

 

Review Figure 3.2 “Project Charter Content” from Chapter 3 in the textbook. Use this as a model to complete the “Project Charter Template” located in the topic Resources folder. You will complete the template as if you are the project manager. The project charter will serve as a statement of work for the case study you selected in Chapter 8 of the textbook.

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Case model I will use -Nurse Manager

 Ruth S., a newly graduated MSN, is the nurse manager who reports to Becky and as a new nurse manager is required to learn how to plan and schedule staff to adequately cover a dynamic and frequently changing work environment. She has also been asked to manage the budget for the unit, something she will need to learn, as she has not done that before. Ruth has had an introduction to the basic skills in her master’s program but not to the extent she will need to perform her role functions well.There are other competencies she will need to learn as a manager and, just as her predecessor, will take the same two PM courses at the university where she will develop skills such as developing communication plans, learning how to communicate with organizational leadership through report writing, and attending meetings where she will learn more about the group process (Chapter 4, Planning: Project Management—Phase 2). She will learn to develop change management plans and by doing so will learn how to utilize the change process to become more knowledgeable in team building and managing conflict, as well as provide resolutions and manage resources; she became more computer literate as well (Chapter 3, Design/Initiation: Project Management—Phase 1, and Chapter 4, Planning: Project Management—Phase 2).Ruth is not well versed in finance so Becky, who promoted her, initially will take on this task until Ruth becomes more conformable with the process (Chapter 4, Planning: Project Management—Phase 2). With oversight from Becky, Ruth will need to review and validate how to assign tasks, as well as delegate, deal with conflict, and assess and prioritize timelines (Chapter 4, Planning: Project Management—Phase 2). Becky also suggested that Ruth work with other peers who have expertise in data collection and analysis, understand how to collect data, analyze and prepare reports for the CNO and NE, define the metrics that leadership will require, and review outcomes (Chapter 3, Design/Initiation: Project Management—Phase 1, and Chapter 4, Planning: Project Management—Phase 2). Ruth will learn how to do other tasks as she takes the courses in project management. Other tasks include the ability to:■Develop objectives for both short- and long-term goals (Chapter 4, Planning: Project Management—Phase 2)■Develop and plan “a” and “b” options (Chapter 4, Planning: Project Management—Phase 2)■Take action and know when to delegate (Chapter 5, Implementation/Execution—Phase 3)■Define what processes need to be in place (Chapter 3, Design/Initiation: Project Management—Phase 1, and Chapter 4, Planning: Project Management—Phase 2)■Determine how to monitor and control (Chapter 6, Monitoring and Controlling: Project Management—Phase 4)■Define the different types of project closing (Chapter 7, Closing the Project—Phase 5)■Develop, utilize all tools developed, and successfully close a project (Chapter 7, Closing the Project—Phase 5)Ruth has also been told that the ABC Medical Center will be implementing a new system to document and track nursing standards. She will need to work with IT to implement the system and ensure the system has implementation of standards in place, including a method for documenting employees exceeding or failing to meet standards (Chapter 4, Planning: Project Management—Phase 2, and Chapter 5, Implementation/Execution—Phase 3).Ruth realizes that she will be very busy at least for her first 6 months in the new job and works with Becky to establish a timeline for all of the new tasks including her schoolwork (Chapter 4, Planning: Project Management—Phase 2).

Rubric

The Project Charter Template is present and includes substantial relevant details

A summary of the steps involved in initiating and designing a project is present and thorough.

Influence of Authority Gradients on Team Selection and Formulation

An explanation of how authority gradients influence teamwork and patient safety is present and thorough.

A description of two strategies for identifying and managing overlap in team member roles and accountabilities is present and thorough.

One benefit and one challenge for each researched strategy is present and thorough.

 

 

 

Project Charter Template

Part 1: A project charter is an essential element in the design phase of project management. The project charter serves as a framework and outlines key details of the project. Ultimately, the project charter will give authority to the project manager once key stakeholders and leadership sign off. Complete the template below based on the running case study in the Class Resources.  

 

Project Title:
Project Start Date:                                 Projected Finish Date:
Project Manager: (include name and e-mail)

               

Background/Need/Justification:

 

Project Objective(s):

 

Applicable Industry Standards:

 

Budget Information:

 

 

Deliverables:

 

 

 

Risks and/or Potential Issues:

 

 

 

 

 

Project Timeline:
Key milestones Team Member Responsible Planned Target Date Actual Date
       
       
       
       
       
Project Team: Roles and Responsibilities:
Position Position Position Position
       
       
       
       
       
Approval/Review Committee:
Name and Signature Role Position Contact Information
       
       
       
       
       

 

Part 2: In 500-750 words, address the following:

  1. Summarize the steps involved in initiating and designing a project in a health care setting.

 

  1. Describe the influence of authority gradients on team selection and formulation. What is unique about this relative to health care quality and safety?

 

  1. Explain how authority gradients influence team work and patient safety in a health care setting.

 

  1. Research and describe two strategies for identifying and managing overlap in team member roles and accountabilities in a health care setting.

 

  1. Describe one benefit and one challenge for each researched strategy.

 

 

References

This assignment requires one or two scholarly resources. Cite these references below.

Capitalism Essay

Capitalism Essay

What is Capitalism???

 

 

Picture by Tess Martin

 

 

 

 

  1. What is capitalism?

 

  1. Free Market?

 

  1. There have been various types of free markets throughout history, so a free market for the exchange of goods is not historically unique to capitalism.

 

  1. But markets have always been considered a means to social ends, whereas with capitalism we see instead an inversion in which society itself has now become a means to producing for market ends.

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  • What is unique then about capitalism that enabled it to remake society into a means exclusively for market exchange?

 

  1. Private ownership of the social means of production for private profit as opposed to the social ownership of the social means of production for the common good.

 

  1. Private ownership of the social means of production is then the key, and it means society’s common productive means are now owned by private corporations for the sake of their own private profit: this ownership differs from:

 

  1. State “socialism”: State ownership of the means of production – more often this is better referred to as State Monopoly Capitalism rather than socialism proper (which often had more to do with collective democratic ownership rather than centralized state ownership).

 

  1. Worker socialism: closer to socialism proper, socialized/democratized ownership of the means of production by the producers themselves, whether through worker’s councils or some type of cooperative. (USSR tried to operate this way before quickly devolving into State Monopoly Capitalism under Stalin, same thing with China and Mao)

 

  1. Historical Background: How did society’s means of production become privatized by private commercial corporations and reoriented toward the end of private profit? (or in Aristotle’s language: how did the means and ends of production, which were oriented toward satisfying real human needs and social goods, become inverted into the private pursuit of money making as now the end?)

 

  1. For most of human history production was a social project for the sake of the community of producers themselves rather than generating merely exchangeable commodities for the private profit of a few individuals.

 

  1. More importantly the social means for producing society were socially owned in some form, since a wealth of tools, technologies, infrastructure, and resources are always collective products made possible only by many hands and minds working together across generations.

 

  1. In ancient times large empires did not own all the social means of production. There were of course state-owned lands, wealthy landowners and palaces as well as slavery, but the dominant mode of production for producing subsistence for most of society were still rural village communities (often more than 80% of the population) oriented around social use values rather than mere market exchange.

 

  • The rise of Mercantile Capitalism: During the Medieval age in Europe some of the land was owned by various manor lords (feudal landlords) while serfs rented/owned a portion of that land and used their own tools to produce goods both for the landlord and for themselves. Also, various peasant communities still existed outside the manors too.

 

  1. Villages were constructed around a “commons” or “greens” as public lands shared by all—often Church and monastery lands contributed to these commons as well.

 

 

  1. Through advances in productive technologies as well as the ability of workers to better politically organize against feudal lords, workers gained a certain amount of independence.

 

  1. This led to the breakdown of feudalism and the short-lived development of worker-owned guilds and cooperatives prior to the rise of capitalism (13th to 16th century).

 

  1. Certain craftsmen became middlemen buying and selling goods from other craftsmen for the market and long-distance trade.

 

  1. Through exploiting their monopolistic controls on buying cheap and selling high, and therein accumulating money for which there was a growing commercialized demand in terms of loans, these middlemen rose from the upper strata of the laboring classes to that of a new class of wealthy merchants, investors and bankers—the bourgeoisie or middle class of high finance: hence, the banking dynasties like the Fuggers.

 

  1. Accumulating capital first took place in exploiting the making of money for its own sake. This was called “usury” which was the exploitative charging of interest on loans.

 

  1. A certain drive begins to develop that no longer aims to produce quality goods according to the purposes of meeting real needs for community building, but to privately maximize monetary profit through exploiting demand, driving down the costs of resources and labor as low as possible in order to increase private gain through market exchange.

 

  1. In turn, profit was used to buy up or capture more capital (productive means) from social ownership.

 

  1. But these early private endeavors were not just the result of cunningly industrious individuals. Instead they relied heavily on a militarized state to colonize foreign lands.

 

  1. Colonization exploded at the beginning of capitalism because it was needed to open up new routes for cheaper resources, labor, and capital, and for controlling foreign mines in order to acquire a monopoly on precious metals to back the rise of monetary accumulation.

 

  1. But colonization is only possible through the use of military power backing certain state-sanctioned enterprises

 

  1. This concentration of wealth also allowed for the private acquisition of more lands at home, also with the help of the state military—the Reformation was not simply about church doctrines, but more so it was about the state commandeering of the “commons” as well as taking lands previously owned by the Catholic church and its monasteries for the market interests of privatization, i.e. “enclosing the commons”, which evicted many workers who were now landless with nothing to sell but their own labor for a wage.

 

  1. As most of the common public lands in Europe were privatized (enclosed, fenced in, etc) this led to a cycle of more expeditions for the continued colonization of new lands and resources.

 

  1. Increasing colonization requires not only a heavy military but also a larger workforce

 

  1. And since private profit is generated by running down the cost of resources, land, capital, and most importantly, labor, the colonization process also led to the largest commercialized slave trade in recorded history—the Transatlantic slave trade (12 to 15 million Africans were exported between 16th–19th century)

 

  1. As private ownership of money, land, and the means of production in the form of slave labor accumulated, the growing pool of landless wage laborers began to lose any negotiating leverage.

 

  1. The price of wage labor was driven down even more so with the institutionalization of the Transatlantic slave trade, which provided early capitalists with a fixed source of cheap labor to help rapidly accumulate capital.

 

  1. The actual history of mercantile capitalism as that initial stage of capital accumulation is therefore fraught with violence and far more complicated than the myths told by economists about some innocent individual merchants who just happened to be more industrious compared to the rest of the supposedly lazy workers.

 

  1. Industrial capitalism:

 

  1. As private capital gained more power through privatizing more lands and resources for large scale industry the state role diminished only somewhat in the form of nationalized economies. But there was still a race to colonize new lands for cheaper resources and labor, and to monopolize markets which continued to rely on state involvement

 

  1. colonization continued well into the 20th century and was driven by a ceaseless desire to accumulate capital—WWII was largely driven by Germany’s attempt to play catch-up in the Western game of colonization

 

  1. Financial capitalism:

 

  1. As a direct result of industrialization which allowed for a mass of enormous corporations to grow, there was a greater drive to expand operations which meant the need for more investors, more financing, more backers to share the risk taking—this also meant more of an intimate interrelation of corporations with banking, stock markets, and shareholders.

 

  1. State welfare capitalism:

 

  1. But this high-risk financialization of expansion also led to a boom and bust cycle from which the Great Depression came.

 

  1. This led to another iteration of capitalism with more government oversight in terms of supplementing the busts, doing the work that businesses should have been doing by taking care of the social welfare of the workforce – social security, workers comp, unemployment insurance, health care, legislation establishing and empowering trade unions, etc. (basically supplementing labor’s wage with a social wage)

 

  1. This “state” phase is really a misnomer, since history shows that capitalism is an inherently unstable system that cannot exist on its own without government intervention and state superintending in some form and at some level, as we already saw since its inception at its mercantilist phase (pace libertarian claims about a self-regulating “free” market that needs no government involvement—there has never been a capitalist “free” market without state involvement).

 

  • Globalized capitalism (aka: Neoliberalism):

 

  1. The rise of multinational corporations also still relies on certain world powers to regulate and police the expansion of the global market. (e.g., think of how much capital benefits from its freedom of movement compared to workers being bound by national borders).

 

  1. But in our present neoliberal moment we have shifted from having a market to becoming more fully a market-ruled society, with private capital not simply relying on state help but more directly controlling the very existence of the state. Hence since the 1970s there has a been a vast shift toward greater forms of:

 

  1. Privatization of not only the economy, but also of social and health services, public services, and even political goods (hence, the current battle to take back healthcare and childcare as a public service).

 

  1. Deregulation of the economy insofar as it serves the interests of private corporations. (e.g. deregulated the commercial use of natural resources; deregulated labor organizing, disempowering unions; deregulated the financial industry leading to bigger banks and more predatory lending).

 

  1. Consumerism and the debt economy: citizens come to view themselves as mainly consumers who are empowered through credit which means the increase in debt.

 

 

  1. What are the key Features of Capitalism?

 

  1. Companies: the privatization of the social means of production turns into its own type of society—a new social entity—but in an abstract way divorced from the actual producers and the public good.

 

  1. As Shaw notes, more than “church or state”, within capitalism it is now the company that has possibly become the most important organization in the world. (the new oligarchies?)

 

  1. Profit Motive: This is the driving force and end goal for economic activity, the very reason of existence for companies as privatizing the social means of production: from C-M-C to M-C-M’

 

  1. Shaw quotes Heilbroner: “the profit motive, as we understand it, is a very recent phenomenon. It was foreign to the lower and middle classes of Egyptian, Greek, Roman, and medieval cultures, only scattered throughout the Renaissance times, and largely absent in most Eastern civilizations.”

 

  1. Throughout much of history, the selfish pursuit of private monetary gain was either looked down upon as dishonorable or merely tolerated. But now it has become a celebrated goal for life. (precisely the opposite of what Aristotle said is natural to being human)

 

  • What does it say about us that we tend to think everyone, for all times and places, has always been driven by a profit motive? (is this to naively and falsely project from our own contingent experience within our Western capitalist societies?)

 

  1. Competition: the supposed salve to monopolies forming and that which supposedly regulates the profit motive from getting out of control.

 

  1. Competition tends not to be an answer to monopolies so much as a continual reshuffling of them

 

  1. Is it a coincidence that British political economists in the 19th century were celebrating this idea of competition as a kind of natural selection in the marketplace while Darwin and other biologists began describing in nature a violent process of competitive struggle for existence through the survival of the fittest?

 

  1. Didn’t Aristotle and Kant say, in their own different ways, that what makes us human is precisely our ability to transcend an animalistic fight for the survival of the fittest by living in solidarity together around higher ideals beyond violent competition?

 

  1. Private Property: It is important to note that the right to private property is not simply about an individual’s personal possessions, which other societies prior to capitalism had, and since socialist societies can have personal possessions too.

 

  1. Private property here means the private ownership of the social means of production and distribution – the right to take up land as exclusively one’s own to use for private profit.

 

  1. The heart of capitalism is about using money to make more money by investing in private accumulation of the productive means and other related assets.

 

  1. What are some classical moral justifications?

 

  1. As Shaw states: “rarely are we presented with fundamental criticisms of, or possible alternatives to, our socioeconomic order. It is not surprising, then, that most of us blithely assume, without ever bothering to question, that our capitalist economic system is a morally justifiable one.” This is obviously a major question that we need to ask!

 

  1. The two dominant responses:

 

  1. The right to private property:

 

  1. John Locke was one of the original founders of this idea, which he used to justify the private colonial appropriation of Native American “wastelands” as he called them. But he relied on a naïve sense of individual labor:

 

  1. Basically, he claimed that if you’re the first one to sink your shovel into something, it is yours (which of course colonizers neglected to consider the fact that indigenous people had worked this land well before their own shovels entered it).

 

  1. But this fails to account for the inherently social nature of labor—it assumes that prior to social formations we lived as private asocial individuals who labored alone only for private gain (e.g. the hypothetical idea of the “state of nature” in Hobbes and Locke):

 

  1. But can one clear a field alone, build a home or a society alone, or make a complex machine alone, let alone do anything of minimal skill without some form of socialization? Not only is labor social, but it relies on past forms of social labor that have made one’s own labor possible in the first place (nurturing upbringing and education etc).

 

  1. Also, it assumes that nature is just a dead mechanism there to be privately possessed rather than a living dynamism to be creatively shared.

 

  1. Moreover, as Shaw rightly notes, capitalism as the making of money off money through legalized usury as interest, takes leave of Locke’s paradigm since gaining interest on money is now an acquisition of profit and a certain kind of property that one did not directly produce through their own labors.

 

  1. The invisible hand: this has been the more influential attempt throughout the history of capitalism: It is essentially a justification for promoting the selfishness of the profit motive. As the early British political economist, Bernard Mandeville said—the market somehow is responsible for turning private vices into public benefits.

 

  1. But how does the market magically/miraculously turn unintended consequences from private self-interest into public benefits for all?

 

  1. Supposedly through the laws of supply and demand and competition.

 

  1. But as we already discussed above, the history of capitalism has shown that the market is unstable and anarchic, leading to ruin, rather than miracles, without government force. Thus, the hands organizing the market are hardly invisible or law-like.

 

 

  1. What are some fundamental criticisms of capitalism?

 

  1. It is an inherently unstable economic system that continually generates widespread inequality and poverty the more wealth it produces, since it generates abundance by simultaneously running down the cost of, and thus depleting, labor and land.

 

  1. It is not government intervention that causes these things as if the market would self-correct if we took an absolute laissez faire approach.

 

  1. The history of capitalism has shown that government intervention is needed to keep the market from collapsing under its own internal crises—hence the history of military and police intervention, expanding colonization to supplement markets, debt bondage, and continual bailouts to failing corporations (not to mention all the needed extra public services and welfare to care for a society in a way that the market cannot).

 

  1. Moreover, the current trend toward government deregulation and increasing privatization has now led to the widest inequality gaps within recent history, with more private wealth consolidated into the hands of a smaller few over against the rest (hence the rhetoric around the 1% and the 99%)

 

  1. The “all boats are rising” argument tends to set up a diversionary straw man by pointing to some past or alternative society in order to show how better off we are despite the inequality.

 

  1. But this fails to see the real problem, which is the fact that the more wealth is produced the more inequality is generated, which should be the opposite trend in a system that is able to create so much social surplus.

 

  1. g., recent tax cuts for corporations by the Trump administration were justified by a “trickle down” argument claiming they would allow companies to create more jobs and invest in their employees; yet records show that companies used the tax cuts to buy back more of their own stocks in order to boost stockholder value.

 

  1. It has a lowly view of human nature that is also uncritically accepted as unchangeable (which always helps those who want to say this is the best we can do).

 

  1. It denies that humans are inherently social, cooperative, creative and rationally purposeful, driven by higher ends beyond mere commerce for private profit.

 

  1. Capitalism not just assumes, but habituates, promotes, fosters, ensures, and demands that we see ourselves as inherently selfish individuals. It has no patience for higher ideals about what it means to be human since this would mean challenging its sovereign rule of the profit motive.

 

  1. It is no coincidence that early defenders of capitalism who justified its hidden hand as the only way to regulate the chaos of unchangeably selfish individuals were also people who accepted a religious doctrine of the inherent sinfulness of humans as selfish animals who cannot change their own nature but must instead rely on the hidden hand of a god for salvation (market providence).

 

  1. This is why the notion that Shaw mentions of “market fundamentalism” is apt here: many thinkers have noted the religious quality of capitalism and its defenders since they rely on a blind acceptance that humans are fated to be selfish and cannot do anything about it except faithfully participate in the dictates of a god-like market (resign yourself to the matrix).

 

  1. But its assumption that human nature cannot change itself denies the socially evolving history of humanity in which, through many ups and downs, humans have creatively transformed their nature to a degree beyond mere survival and violent competition.

 

  1. It assumes that we only find well-being through ever greater access to material consumption—we are primarily consumers. But then this leads to people working more, in order to gain more purchasing power in order to consume more, rather than working less in order to have more leisure time in pursuing higher ideals and relationships rather than consumption.

 

  1. Social psychologists have found that populations of industrialized nations who have more money and consume more are often unhappier than those in other “less developed” societies.

 

  1. Its privatizing drive and profit motive tends toward oligarchical consolidations of power both economically and socio-politically. Moreover, competition isn’t the salve to this problem but often fosters the divisive drive even more so.

 

  1. Speaking of competition—the evidence is still not very clear as to whether competition is the great driver of innovation. How creative can we be if we’re competing within a cutthroat survival-of-the-fittest.

 

  1. Market competition might not be the engine of innovation that capitalists often claim it is: most of the great innovations throughout history have come from either non-market sources (artistic, religious, scientific/educational, or political communities) or from productive communities cooperating together, or from institutions sheltered from market competition:

 

  1. Producing for exchange value in order to make money often does not encourage taking the necessary long-term risks to be innovative since the aim is not to socially benefit humankind or solve its major plights, but rather the short term aim of making money through proven commercial means according to whatever the market demands.

 

  1. Hence, a recent business magazine asked “is pursuing a cure for cancer really a viable business pursuit?”

 

  1. Think more recently about major innovations that led to various advances in medical technologies, cures, vaccines, telecommunications, computers, the internet, etc.

 

  1. The possibilities for these innovations were driven not by the profit motive and market cost/benefit analysis, but by being fostered and developed within non-market institutions such as government labs, hospitals, military institutions, NASA, non-profit organizations, universities and research institutions, etc. – they required long hours of cooperative work pursuing real social needs.

 

  1. Its privatized mode of production for commodity exchange inherently exploits and alienates the laborer.

 

  1. All of the above could be boiled down to this problem:

 

  1. If the production process by which a society is able to subsist, and progress, is itself inherently social, then privatizing this social process so that its surplus is now privately consumed by the owners, is inherently backwards, using our social capacities, not as ends in themselves, but as means for benefitting a few.

 

  1. This is a deeper criticism than merely pointing out that there is poverty, or there are income inequalities, or that ideologically there is a quasi-religious notion of a depraved humanity dependent on a magical invisible hand:

 

  1. rather it gets to the heart of how and why the very structures of the capitalist production process, which produces for exchange value rather than use value, necessarily generates these material inequalities and false self-perceptions in the first place.

 

 

 

 

 

 

DNP Reflective Journal Template

DNP Reflective Journal Template

 

DNP Reflective Journal Template

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The Essentials of Reflective Practice

Student Name

Grand Canyon University

DNP: XXX

 

 

 

The following reflection essay is an attestation of the nurse scholar’s acquisition of the course objectives of Grand Canyon University’s (GCU) Doctor of Nursing Practice (DNP) program for DNP-XXX (Enter the Course #) and the competencies set forth by the American Association of Colleges of Nursing’s (AACN) Essentials of Doctoral Education for Advanced Nursing Practice (American Associations of Colleges of Nursing, 2012).  From scientific underpinnings to project completion, the AACN Essentials provide the core competencies for all nurses seeking a Doctor of Nursing Practice Degree. DNP Reflective Journal Template

For this reflective journal, analyze your own professional practice/skills/responses to provide a reflective summary that describes how the experiences in this course have personally enabled the DNP student to approach, attempt, or attain these competencies in his or her current course. Provide an introduction paragraph for this reflective essay to organize the essay for the reader. Use a scholarly approach (i.e., third person) in writing the reflective journal. This assignment is designed to help you think deeply about your learning and how you have achieved the competencies established by the AACN Essentials. Share your approach to learning, the resources used, and the strategies explored to achieve your personal learning goals. For more information, see the example Reflective Essay in the Appendix.

Submit your Reflective Journal in the course dropbox, and upload to LDP under the corresponding course section. Learners must submit this deliverable in the classroom and in the LDP. Failure to submit in both locations can result in an Incomplete for the course.

Reflection

Grand Canyon University’s DNP-XXX course prepared this DNP learner to do what? What have you discovered about your professional practice, personal strengths, and weaknesses that surfaced while taking the course, additional resources, and abilities that could have influenced more optimal learning outcomes?

Is there a structure to this Reflective Journal? This journal is an exploration of personal learning experiences as a doctoral learner pursuing life-long learning. Each week describe a situation or experience which can be reflected upon as important or worth writing about. Describe your approach, feelings, or thoughts about the situation or experience. Explain what you have observed in terms of the DNP Essentials and DNP course objectives. What did you expect, learn, or decide about the experience?

Go to the DC Network and look at the DNP Essentials located in the Reflection Journal Template Folder. Reflect on these essentials and discuss at least three domains that align your experience with what you learned in the course and support your claim on how you accomplished them.

Conclusion

The purpose of this DNP-XXX Reflection was to provide exemplars of the methods used to fulfill GCU’s course objectives and achieve the competencies outlined in the AACN’s Essentials by this DNP student. The DNP learner used the weekly required readings and learning activities, supplemental readings, scholarly discussions, and project updates to solidify these competencies and outcomes. Ethical considerations, project implementation, leading collaborative teams using IT, researching the internet for a variety of resources, and creating a project PowerPoint presentation was integral to the achievement of learner competencies.

 

 

References

American Association of College of Nursing. (2012, January 3). The essentials of doctoral education for advanced nursing practice. Retrieved from American Association of College of Nursing: https://www.aacnnursing.org/About-AACN/Who-We-Are/Staff-Directory

 

 

 

Appendix

Example Only

 

 

 

 

 

 

 

 

 

Essential I: Scientific Underpinnings for Practice

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

Essential IV. Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

Essential V. Health Care Policy for Advocacy in Health Care

Essential VI. Interprofessional Collaboration for Improving Patient and Population Health Outcomes

Essential VII. Clinical Prevention and Population Health for Improving the Nation’s Health

Essential VIII. Advanced Nursing Practice

 

 

Nursing homework help

Nursing homework help

REQUIRED READING

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Harris, D. M. (2014). Using the law to promote our policy goals and ethical principles. In Contemporary Issues in Healthcare Law & Ethics (pp. 3-10). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Jahn, W. G. (2011). The 4 basic ethical principles that apply to forensic activities are respect for autonomy, beneficence, nonmaleficence, and justice. Journal of Chiropractic Medicine, 10(3), 225-226. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4863255/

Martin, G. (2021). Public health ethics. Thinking about bioethics, human rights, justice and moral responsibility [Video]. YouTube. https://youtu.be/G1IOf7Hd69g

Ruger, J. P., Ruger, T. W., & Annas, G. J. (2015). The elusive right to health care under U.S. law. The New England Journal of Medicine, 372(26), 2558-2563. Retrieved from the Trident Online Library.

Showalter, J. S. (2020). A brief history of law and medicine. In The Law of Healthcare Administration (9th Ed., pp. 1-37). Chicago: Health Administration Press. Retrieved from the Trident Online Library.

Showalter, J. S. (2020). Access to healthcare: Rights and responsibilities. In The Law of Healthcare Administration (9th Ed., pp. 39-79). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Simkins v. Moses H. Cone Memorial Hospital, 323 F. 2d 959 (1963). Retrieved from https://www.leagle.com/decision/19631282323f2d95911029

 

It has been established that the Right to Health Care is not a guaranteed right in American law. Despite this, there have been many legal enactments that have incrementally moved in that direction without expressly granting it. After reviewing the background readings as well as doing your own research, draft a 1- to 2-page (single-spaced) position statement on whether the right to health care should be guaranteed in the United States. Be sure to include some discussion of ethics behind your position, including a discussion of ethical principles. You will not be graded on which side you choose, but you must support your position with reputable and reliable sources; this is not an opinion piece.

Please review the following document on how to draft a position paper; you are expected to follow the outline that is located within this document.

Xavier University Library. (2014). How to write a position paper. Retrieved from https://www.xavier.edu/library/students/documents/position_paper.pdf

SLP Assignment Expectations

  1. Conduct additional research to gather sufficient information to justify/support your report.
  2. Limit your response to a maximum of 2 pages (title and reference page is not included in page number count).
  3. Support your paper with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals:
    Angelo State University Library. (n.d.). Library guides: How to recognize peer-reviewed (refereed) journals. Retrieved from https://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in formatting your assignment:
    Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from https://owl.english.purdue.edu/owl/resource/560/01/
  5. For additional information on reliability of sources, review the following source:
    Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
  6. This assignment will be graded based on the content in the rubric.

 

Nursing homework help

Nursing homework help

Alarms are intended to alert caregivers of potential patient problems. But if alarms are not properly managed, they can compromise patient safety.

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After completing the assigned readings:

  • Respond in one strategy per level.
  • Develop one alarm management and patient safety strategies for each of the following levels of care:
    • Organizational
    • Unit
    • Individual caregiver
  • Review the rubric for more information on how your assignment will be graded.
  • Submit as an attachment to the assignment area.

 

 

 

 

 

 

 

 

 

Rubric

NURS_498L – Knowledge Assignment Rubric

NURS_498L – Knowledge Assignment Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContent
4 pts

Highly Proficient

Content is clearly written, thorough, and organized effectively. The paper includes all criteria required in assignment.

3.4 pts

Mostly Meeting Expectations

Content is mostly clear, thorough, and organized effectively. Some points are well supported. The paper includes all criteria required in assignment.

3.04 pts

Developing

Content is somewhat clear, but may not be thorough, or organized ineffectively. Main points may not be well supported. Includes all criteria required in assignment.

2.6 pts

Novice

Content is generally unclear, not thorough, and organized ineffectively. Main points are not well supported. The paper does not include all criteria required in assignment.

0 pts

Underdeveloped

Content is disconnected and unorganized. The paper does not include any criteria required in assignment.

4 pts
This criterion is linked to a Learning OutcomeClarity and Coherence
1 pts

Highly Proficient

Sentences are well constructed throughout the paper with no oversights, omissions, or inaccuracies. Writing flows smoothly from one idea to another. Transitions are seamless and link the writer’s points consistently. The assignment is written without spelling or grammatical errors.

0.85 pts

Mostly Meeting Expectations

Sentences are structured to communicate ideas clearly with one or two oversights, omissions, or inaccuracies. Writing flows from one idea to another with one or two exceptions. Transitions between paragraphs make the writer’s points easy to follow. The paper contains one to two spelling or grammatical errors.

0.76 pts

Developing

Sentence structure and the writing is not clear and may distract the reader, with three to five oversights, omissions, or inaccuracies. Writing flows from one idea to another with one or two exceptions. Transitions between paragraphs may not link the writer’s points. The paper contains three to four spelling or grammatical errors.

0.65 pts

Novice

Sentence structure and writing is not clear and distracts the reader with more than five oversights, omissions, or inaccuracies. Transitions are limited and do not link the writer’s points. The paper contains five to six spelling or grammatical errors.

0 pts

Underdeveloped

The paper contains poor sentence structure, and sentences do not make sense. The paper lacks clarity. There are no transitions, which makes ideas difficult to follow or understand. The paper contains more than six spelling or grammatical errors.

1 pts
Total Points: 5

 

Position Statement Activity

Position Statement Activity

Position Statement Activity

 

 

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Position Statement Activity

TOPIC
                                                                                                      

Patient Safety

 

PRO
 

Summary:

A nurse’s first and foremost duty to a patient is to safeguard their safety. Every nurse must prioritize patient care.

Following directions may not free nurses and other non-physicians of accountability when they fall short of the required standard of care. On the other hand, nurses are taught to evaluate medical advice and judge whether it is harmful to the patient. For example, when a physician fails to assess or treat a patient properly, a nurse must follow the “chain of command” method to safeguard the patient by either withholding or finding appropriate care and treatment for the patient.

To implement a “chain of command” system, every hospital and healthcare facility must have written protocols detailing a step-by-step approach. When a patient is injured, a nurse’s failure to follow the “chain of command” protocol may be considered malpractice.

 

 

 

Source:  The Nurse Attorney. (2022). A nurse’s independent duty to the patient. The Nurse Attorney, P.A. https://thenurseattorney.com/resources/a-nurses-independent-duty-to-the-patient/

 

CON
 

Summary:

In research done by the researchers of “Patient Safety and Quality: An Evidence-Based Handbook for nurses,” the focus was on the major injury and safety issues for working nurses. According to the research, Others remain unexplored and unsolved, despite considerable evidence-based findings for epidemiology and prevention. Even though many risk factors for nursing injury remain neglected, there is much room for improvement. Increasing nurse safety has many advantages, including maintaining existing nurses and attracting new ones. Too much work can harm a nurse’s health, resulting in poor patient care. These resources must be leveraged to promote staff safety as well. In the long run, these changes will help patients by making nurses healthier and more productive.

Source: Trinkoff, A. M., Geiger-Brown, J. M., Caruso, C. C., Lipscomb, J. A., Johantgen, M., Nelson, A. L., … & Selby, V. L. (2008). Personal safety for nurses. Patient safety and quality: An evidence-based handbook for nurses.

NEUTRAL
 

Summary:

 

The link between nurse-to-patient ratios and patient outcomes is likely due to increased effort, stress, and potential nursing burnout. Nurses are at risk of making errors due to their high-intensity work. Human factors engineering principles mandate that when performing a complex operation, such as providing medication to a hospitalized patient, the work environment be as favorable as possible. However, operational concerns such as disruptions or equipment malfunctions may limit nurses’ ability to conduct their work safely and effectively. These interruptions have been associated with a higher risk of medication mistakes. However, the association between interruptions and errors shows how flaws in a nurse’s regular work environment undermine patient safety.

Source: Phillips, J., Malliaris, A., MSN, & Bakerjian, D. (2021). Nursing and patient safety. PSNet. https://psnet.ahrq.gov/primer/nursing-and-patient-safety

POSITION STATEMENT
 

Nurses owe a duty to care for their patients, so they should put their patient’s safety before their own.

 

 

 

Nursing homework help

Nursing homework help

Narrated PowerPoint presentation of 5 or 6 slides.  The Power Point presentation must include the Title and References that presents a comprehensive plan to implement the change you propose.

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Your presentation should be 5–6 minutes in length and should include you as presenter.

Include the Title slide and list of at least Five (5) References.

 

  • Create a Power Point first.
  • A rule of thumb is no more than 5 lines of statements in one slide. Statements should be brief, clear, and direct.
  • Try not to clutter a slide with too much text, graphics, and various colors.
  • Use one main idea per slide: Maximum of 6-7 bullets and maximum of 6-8 words per bullet.
  • Do not underline.Use italics sparingly
  • Do not use all capital letters.
  • Use common fonts, such as Arial and Times New Roman.
  • Use larger font size: 36 points, no less than 24 points.
  • Watch your color combinations.Example: Do not use green writing on a yellow background or blue writing on a red background.
  • A good rule of thumb for total number of slides is to have no more than one slide per minute of presentation time.

 

 

Assignment: Change Implementation and Management Plan

It is one of the most cliché of clichés, but it nevertheless rings true: The only constant is change. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace. In this case you can use module for this assigment which you did for me I am attaching. Unhealthy environment workload of the employees, which is unfairly distributed, and the majority of the workers being overworked This as a result contributed to nurses leaving they job at and alarming rate which contributed to the nursing shortage we are experiencing now.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4 I have attached this for your revied which you did for me. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose

 

EHR Implementation

EHR Implementation

Communicating an electronic health record (EHR) implementation plan is crucial. As a result, if the new processes are defined, and the advantages of the changes are recognized, each staff member will feel more engaged in the EHR adoption process. All workers’ employment scope and duties in practice will change due to an EHR implementation, just as they will with any other IT integration project. As a result, some workers may become territorial or retreat into pre-EHR behaviors, finally abdicating responsibility to someone else. EHR implementers must speak with and receive input from every impacted employee to prepare for this, ensuring they understand and own any changes to their job scope and duties (Palvia et al., 2015). When there is no personal or professional benefit to making a change, clinical and non-clinical workers may become sensitive to change. Therefore, physician offices should have a comprehensive strategy to help with all parts of the electronic health record adoption process.

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To define the new workflow procedures, form process teams within the company. As the practice prepares to implement an EHR, these teams will engage and educate the rest of the personnel. These groups should meet on a consistent and regular basis at defined times. Avoid using phrases like “because we said so” or “it is a government obligation.” While this is accurate in some instances, it falls short of capturing the true spirit of EHR adoption. Instead, create a strategy for communicating the concept of success. These contacts should occur regularly, at pre-determined periods. In these conversations, make sure to note all triumphs (as well as areas for improvement). Nothing brings people together more quickly than achieving achievement, even if it is tiny at first (Deokar & Sarnikar, 2016).

Always keep personnel informed about where the EHR deployment stands in the acceptance process. Also, as the practice moves closer to actual implementation, it should consider how it will convey this shift to patients. Process Teams or Staff Meetings should be held regularly at clearly defined periods. Following the assessment of training needs, a Training Plan that fulfills the needs of the staff should be conveyed to all members of the practice (Barrett & Stephens, 2017).

Even after creating and supporting numerous communication channels, the practice must continue to assess its current requirements. Create comprehensive training methods that are uniform and reproducible to add maturity to communication processes. As the practice grows, this information may be customized to match the individual needs and specializations of the practice. Finally, clinical leaders or “champions” should be present in medical offices. When it comes to successfully implementing an EHR, the notion of a physician as a champion is critical. As an inherent aspect of cultural change, collaboration is crucial for the EHR implementation plan. While nothing can ensure success, a lack of cooperation, communication, and teamwork will almost surely lead to failure (Barrett, 2018).

EHRs make patient records accessible to all relevant staff, allowing patient information to be processed efficiently and effectively. Integrated scheduling tools that immediately link appointments to progress notes, automatic coding, and easier-to-manage claims can help the healthcare team operate the business more effectively and enhance medical practice administration. Administrative chores, such as filling out paperwork and responding to billing requests, need workers’ time and effort. The adoption of electronic health records simplifies these obligations (EHRs). In addition, employees will spend less time analyzing handwritten notes if they use EHRs.

References

Barrett, A. K. (2018). Electronic health record (EHR) organizational change: Explaining resistance through profession, organizational experience, and EHR communication quality. Health communication, 33(4), 496-506.

Barrett, A. K., & Stephens, K. K. (2017). Making electronic health records (EHRs) work: Informal talk and workarounds in healthcare organizations. Health Communication, 32(8), 1004-1013.

Deokar, A. V., & Amit Deokar, Ph.D. | UMass Lowell. https://www.uml.edu/profile/amit_deokar.

Palvia, P., Jacks, T., & Brown, W. (2015). Critical Issues in EHR Implementation: Provider and Vendor …. https://libres.uncg.edu/ir/uncg/f/P_Palvia_Critical_2015.pdf 36(1), 36.