Leadership In Nursing And Healthcare Essay Discussion

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Leadership In Nursing And Healthcare Essay Discussion

Leadership in nursing and healthcare has become significant in creating and motivating nurse employees, fostering quality care delivery, and effective collaboration. Different aspects have, in turn, become synonymous with effective leadership. These include ethics, as ethical leaders can help create ethical leadership and culture among the workers. Nursing has become an ethical profession and practice requiring courage to be moral and take tough decisions to stand for what is right. Nurses need moral courage in every aspect and level of their practice. This paper discusses moral and ethical leadership and their subsequent relationship to the necessary courage during challenging situations. Leadership In Nursing And Healthcare Essay Discussion

Ethical leadership in nursing has led to a shift toward fulfilling the universal ethical principles, i.e., autonomous, beneficence, fidelity, non-maleficence, and justice (Franczukowska et al., 2021). Nursing is centered on doing what is right for patients requiring care, so being moral and ethical has become indispensable for nurse leaders. How moral and ethical in nursing may vary in how they are portrayed or practiced may differ, but they should not be ignored or forgotten.

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Strategies to Demonstrate Courage to Speak Up and Address Difficulty Situations as Nurse Leader

Nurse leaders must understand their obligations and assess risks related to acting ethically (Keselman & Saxe-Braithwaite, 2020). Being assertive and adopting negotiating skills enables leaders and nurses to be morally courageous if their decisions and what they stand for. Moreover, with moral courage, leaders can understand the possibility of undesirable consequences yet realize maintaining a high level of integrity is more critical than avoiding the undesired results. Secondly, by fostering a culture of safety, nurse leaders can address uncertainty and unsafe practices, building a level of comfort for other workers and being able to express one’s ideas even in difficult situations without causing conflict. In order to stamp one authority as a nurse leader, one should be prone to giving honest feedback in discussions, employee reviews, and during conversations while simultaneously sharing alternative viewpoints with the team. According to Shivadas et al. (2021), courage in nursing leadership is simply doing what is right despite being considerate and afraid of negative consequences. Giving honest feedback to nurses while giving them alternative ways to deliver care allows them to learn and improve positively. Leadership In Nursing And Healthcare Essay Discussion

Another strategy is avoiding settling for ‘we have always done it this way narrative.’ This allows leaders to be considerate of situations, hence focusing on improving the experience, learning to grow, and developing to become better and being courageous entails being driven by own vision and values while at the same time accepting when a mistake is made. A leader telling his staff that he is wrong in challenging situations is a powerful act of solid and ethical leadership as it allows room for learning new ideas (Ozdoba et al., 2022). Being courageous means coming out of your comfort zone; hence leading successful teamwork enables the leader to utilize other people’s opinions to navigate situations that are deemed problematic.

How Moral and Ethical Views Impacted How to Handled Difficult Situations

Challenging situations are synonymous with the healthcare setting, and influential leaders in nursing are those who can and effectively navigate such situations (Huang et al., 2021). The nurturing aspect aligned with leadership can improve an organization’s culture and the employee values to higher levels of being moral and ethical considerate. When leaders demonstrate ethical leadership, they promote higher integrity levels among the workers, stimulating a sense of trustworthiness and courageous subjects ready to follow laid vision and goals. Being ethical and moral as a leader enables one to handle challenges with courage and without compromise or prejudice in case the situation involves employees. Difficult situations can lead us to present ethical decisions as a weak choice of action. However, being an ethical leader brings moral insight to the employees and the organization hence fostering the nurses to uphold more than one concern or value simultaneously. Being ethical enables leaders to remain focused and stays inspired during tying times (Franczukowska et al., 2021). Ethical leadership is a key asset in creating a positive, psychologically conducive, and safe work environment for healthcare professionals, giving them support and able to address any work-related issues.

References

Franczukowska, A. A., Krczal, E., Knapp, C., & Baumgartner, M. (2021). Examining ethical leadership in health care organizations and its impacts on employee work attitudes: an empirical analysis from Austria. Leadership in Health Services, 34(3), 229–247. https://doi.org/10.1108/lhs-06-2020-0034

Huang, N., Qiu, S., Yang, S., & Deng, R. (2021). Ethical Leadership and Organizational Citizenship Behavior: Mediation of Trust and Psychological Well-Being. Psychology Research and Behavior Management, Volume 14, 655–664. https://doi.org/10.2147/prbm.s311856 Leadership In Nursing And Healthcare Essay Discussion

Keselman, D., & Saxe-Braithwaite, M. (2020). Authentic and ethical leadership during a crisis. Healthcare Management Forum, 34(3), 154–157. https://doi.org/10.1177/0840470420973051

Ozdoba, P., Dziurka, M., Pilewska-Kozak, A., & Dobrowolska, B. (2022). Hospital ethical climate and job satisfaction among nurses: A scoping review. International Journal of Environmental Research and Public Health, 19(8), 4554. https://doi.org/10.3390/ijerph19084554

Shivadas, S., Dlabolová, D. H., Veronika, K., & Khan, Z. R. (2021). Assisting you to advance with ethics in research: An introduction to ethical governance and application procedures. International Journal for Educational Integrity, 17(1) https://doi.org/10.1007/s40979-021-00078-6

Moral and Ethical Leadership
Discussion
Purpose
The purpose of this discussion is to explore moral and ethical leadership and their relationship to the courage required during difficult situations.
Instructions
Reflect on your readings this week and respond to the following questions.
1. Analyze strategies that you have used to demonstrate courage to speak up and address difficult situations as a nurse leader.
2. Examine how your moral and ethical views impacted how you handled the situation. Leadership In Nursing And Healthcare Essay Discussion

 

 

 

 

The Mental Assessment Critique Assignment

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The Mental Assessment Critique Assignment

Based on the video, the patient is most likely suffering from aphasia. Aphasia is a mental disorder that affects the communication ability of an individual. Aphasia can severely impair speech, affect how people write and understand both oral or written speech. The mental illness usually happens in an individual after either stroke or injury to the head. When the underlying cause has been treated, the main treatment option for the patient is speech therapy where the person is taught on speech (Doogan et al., 2018)The Mental Assessment Critique Assignment. The symptoms displayed by the patient are related with speech and the part of the braion that controls speech is the frontal lobe which contains Broca’s area.

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There are several ethical issues that are associated with caring for a patient with a mental condition. The first ethical consideration is involuntary treatment (Maylea, 2017). Mental illness affects the ability of a patient to make the right decisions based on the need for treatment. The aim of treatment is to modify behavior that may threaten the safety of the patient or people near them. Therefore, psychiatric healthcare providers must exercise the principles of beneficence and nonmaleficence while trying to balance with the autonomy of patients or their caregivers. In addition, recruiting patients with mental illnesses into research raises issues on informed consent, autonomy and the decision-making capacity. Besides, the use of medications that have no proven efficacy equally raises concerns of beneficence and nonmaleficence The Mental Assessment Critique Assignment.

In the DSM-5 classification, aphasia is categorized under social cognition. The ability to effectively treat the patient is based on correct classification to diagnose the condition and provide effective treatment plans afterwards. For instance, if the condition is not classified correctly, inappropriate medication will be prescribed which will lead to negative patient outcomes The Mental Assessment Critique Assignment.

References

Doogan, C., Dignam, J., Copland, D., & Leff, A. (2018). Aphasia recovery: When, how and who to treat?. Current neurology and neuroscience reports, 18(12), 1-7.

Maylea, C. H. (2017). A rejection of involuntary treatment in mental health social work. Ethics and Social Welfare, 11(4), 336-352.

The psychiatric nurse practitioner uses the DSM-5 criteria when assessing a patient’s presenting symptoms to assist in formulating a treatment plan. Best practice includes incorporating a holistic approach when providing care. Watch this mental status exam and answer the following questions:

1. Looking at the video, what seems to be happening to this patient?; what part of the brain controls the emotions displayed by this patient?
2. What are the important ethical considerations? Discuss your position and thoughts on all ethical considerations when caring for a patient with mental conditions.
3. Looking at the DSM-5 criteria for diagnosis, do you think classification can affect the patient’s treatment outcome? The Mental Assessment Critique Assignment

 

 

 

 

Enhancing Quality and Safety Assessment 1

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Enhancing Quality and Safety Assessment 1

safety quality issue pertaining to medication administration in a health care setting.

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You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

Enhancing Quality and Safety Assessment 1

Improvement Plan Inservice Presentation Assessment 3

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Improvement Plan Inservice Presentation Assessment 3

PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2. As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions.  Improvement Plan Inservice Presentation Assessment 3

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Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that change practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategies, audiovisual media, and participant learning evaluation. The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel & Wright, 2018). As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and establishing best practices.

Improvement Plan Inservice Presentation Assessment 3

Assessment 2: Root-Cause Analysis and Safety Improvement

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Assessment 2: Root-Cause Analysis and Safety Improvement

For this assessment, you can use a supplied template to conduct a root-cause analysis.

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The completed assessment will be a scholarly paper focusing on a quality or safety issue pertaining to medication administration in a health care setting of your choice as well as a safety improvement plan

Assessment 2: Root-Cause Analysis and Safety Improvement

Community Case: Health Promotion: Childhood Obesity

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Community Case: Health Promotion: Childhood Obesity

Case Part 1
As part of a district-wide initiative, school nurses and other Circle County School District
personnel have decided to target childhood nutrition and childhood obesity during the upcoming
academic year. The district recently conducted body mass index (BMI) screenings on students to
identify the numbers of underweight, normal weight, overweight, and obese children in the
district. The BMI scores for Circle County students are higher than the national averages:
Approximately 22% of these students have a BMI greater than or equal to 95%, according to the
BMI reference standards of the Centers for Disease Control and Prevention (CDC). Community Case: Health Promotion: Childhood Obesity

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Questions for students:

1. Using the Public Health Interventions Wheel as your resource, identify two public health- related interventions that could be implemented in the BMI screening activity at Circle County Schools. Provide your rationale.
1) Screening these children was the first step in recognizing the trends and need for change. Collaboration and Health Teaching to the individual level, as well as community and system levels will benefit the children in this area. Recognizing the upward trend of a high BMI and addressing ways to make personal changes with diet and exercise are the first steps individually. Secondly, community booths can be set up to inform the public of little changes in our daily lives we can all make to improve quality of health. With information and health promotion, the system beyond the children and the families can be affected with policy changes throughout schools in this area.
2. Why is BMI screening in childhood important? What chronic illnesses later in life result from increased BMIs? Community Case: Health Promotion: Childhood Obesity
1) Screening for obesity utilizing BMI as a child is important to alert the child early on in life of modifiable factors. Unhealthy habits that start early in life are more  difficult to change down the road. Childhood full of fattening dietary choices and lack of exercise are difficult to correct, and lead to high obesity statistics. Obesity is a risk factor for Cardiovascular Diseases, especially Coronary Artery Disease.
3. How do these rates compare with national averages? How do they compare with Healthy
People 2020 goals?
1) According to the CDC, “Obesity among 2- to 19-year-olds is defined as a BMI at or above the 95th percentile of children of the same age and sex in this 1963 to 1994 reference population. For example, a 10-year-old boy of average height (56 inches) who weighs 102 pounds would have a BMI of 22.9 kg/m2””. This indicates the boy is in 95th percentile for BMI, including him with 22% of others
in Circle County. This is an example of a BMI greater than 95% of similarly aged boys in this population. Therefore, if the national average of a male BMI is 28.6, a normal BMI is 18.5 -24.9 as “normal”, then 22% of this county classify as obese being 30 or higher. This county is high comparable to the national average which states that a third of the population is obese.
2) Healthy people 2020 state that HP2020 Baseline: In 2005–2008, the rate of obesity was 16.1% among children and adolescents aged 2–19 years, and we have a target of a 10% improvement over the baseline. Community Case: Health Promotion: Childhood Obesity

NURS4000 Community Case: Mental Health

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NURS4000 Community Case: Mental Health

 

Community Case: Mental Health
Case Part 1
Seventeen-year-old Justin Sutton took his own life last night with a handgun owned by his
parents. Recently, several of his peers had posted photographs and demeaning comments about
him on social media, suggesting that Justin was gay. This was only the most recent incident in a
long history of bullying and depression experienced by Justin, who had been meeting with his
guidance counselor regularly. The counselor had referred him for mental health services, and
he’d been waiting for his first appointment. NURS4000 Community Case: Mental Health

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Questions for students:

1. What risk factors are commonly associated with teen suicide? Which risk factors are observed in Justin’s situation?
a. Suicide rates for adolescent males are 4 to 5 times higher than the rates for female adolescents. Sources state that suicide is the third leading cause of death in this age group of 15-19-year old individuals. In addition to these risk factors, being bullied or having untreated depression can also increase the risk of suicide.
Bullying was an ongoing problem in Justin’s case, and he also falls into the gender and age range of risk factors.
2. Think of your high school days or the community where you grew up (if you are older, you could consider the experience of your children). What do you remember about classmates with severe depression or anxiety and suicidal tendencies? What kind of supports were available in your school or community? To what extent was the issue of teen depression and teen suicide discussed in your school or community?
a. I remember classmates dealing with severe depression, anxiety, and suicidal tendencies from a young age. I remember several people admitting to cutting themselves starting in middle school, and they concurrently admitted to their home life situations causing stress on them. It seemed to be a mixture of hitting an emotional age along with a lack of support and environmental factors in their home life. There were counselors available at school, and friendly staff that had open door policies, but the big difference was the friends who gave them advice on how to handle the stress. This subject was not ignored in my school, and there were several auditorium meetings along with a mandatory health class that
discussed mental health. NURS4000 Community Case: Mental Health

 

NURS4000 Community Case: Case Management

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NURS4000 Community Case: Case Management

 

These determinants could affect women treated differently, especially if they are from a lower socioeconomic class with less education. Specifically, women are disregarded more frequently when
having an MI because their symptoms present differently than the classic chest pain. This can lead to devastating health outcomes.

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5. What other information would be important to know regarding Florence’s hospital stay and discharge instructions to provide effective case management?

a. Discovering if there were any barriers to accessing health services would be important to assess, because this could lead to revealing unmet health needs. Health service barriers could lead to delays in receiving appropriate care, and an inability to get preventive services.

NURS4000 Community Case: Case Management

NURS4000 Community Case Part 1: Sexual Abuse

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NURS4000 Community Case Part 1: Sexual Abuse

This small rural county has one community health nurse, Judy Prescott, who has been in this role
for about 10 years. The town where her office is located has fewer than 2,000 residents. The
nearest hospital is located 20 miles away. The sexual assault nurse examiner who had been
practicing in this hospital moved away about 2 months ago, leaving the county without this
service. Now those services are provided in a larger hospital emergency room located 50 miles
away. NURS4000 Community Case Part 1: Sexual Abuse

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Questions for students:

1. Describe the sociocultural dynamics of small rural communities and how they may impact victims of sexual abuse and rape.
a. Due to the small rural community, the young woman who was raped felt comfortable enough to trust a friend within the community to take her home.
Culturally, this community could be very trusting of one another. After the act, the victim knew to call the community health nurse, but she is going to need to travel to be seen by a specialized nurse. This wait and stress can put the client through more stress than she would have been in than if she could drive ten minutes to be examined. NURS4000 Community Case Part 1: Sexual Abuse
2. Identify goals in Healthy People 2020 that focus on access to care and services for underserved populations. How do these objectives apply to this scenario?
a. A goal of Healthy People 2020 is access to health services, or “the timely use of personal health services to achieve the best health outcomes.” This goal therefore requires: Gaining entry into the health care system with or without insurance, accessing a location where needed health care services are provided, and finding a health care provider the patient trusts and can communicate with. This is clearly
pertinent to this rape scenario, where there is no access for fifty miles, she will have to gain entry to the system, and the specialist may or may not offer a personal connection.
3. Compare and contrast situational crisis with developmental crisis.
a. Developmental crisis is an event that can occur in normal progression of life, such as graduating high school, giving birth to a child, or retiring from a career. On another hand, situational crisis is an uncommon event such as getting raped when going off to college, losing a job, etc. One crisis is somewhat expected, and another is purely based on an individualized and unfortunate situation.

NURS4000 Community Case Part 1: Sexual Abuse

Community Case Part 1: Environmental Health: Food Safety

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Community Case Part 1: Environmental Health: Food Safety

Columbia General Hospital, located in Johnson County, has observed 10 cases of similar client
symptoms in its emergency room in the past 10 hours. Client ages range from 2 to 67 years old.
Client symptoms consist of nausea, vomiting, severe abdominal cramps, headache, and diarrhea.
Questions for students: Community Case Part 1: Environmental Health: Food Safety

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1. What is your initial needs assessment of this situation?

a. During the initiation of the needs assessment, we realize there are limitations to the ER and its ability to investigate the growing number of cases. We know there is a need for a Nurse Epidemiologist to come and investigate the histories, work places, lifestyles, and travels of these ten cases. The interventions may include a consultation, community organizing, advocacy, policy enforcement, surveillance, disease investigation, screening, referral, follow up, and health teaching.
2. Why might it be important to contact the Johnson County Health Department?
a. It is important to seek guidance and assistance from the Health Department if the staff is overwhelmed, instead of ignoring the problem. The Health Department should be made aware of an arising epidemic, especially when cases are piling up in a short amount of time. The Nurse Epidemiologist should have more resources to investigate a situation like this. Furthermore, all clients should be followed up with even if they were discharged with instructions.
3. What are the duties and role of the local health department?
a. The local health department has a responsibility of using evidence-based practice to investigate, report, and address environmental risk factors. The foundation of disease prevention rests on Public Health Surveillance and Epidemiology. These factors lay a factual basis from which agencies and departments prioritize, plan programs, and take actions to protect the public’s health. Surveillance for
noninfectious diseases related to exposure to the environment (lead and pesticides) is a managed by state health departments. A workgroup defined “10
Essential Environmental Public Health Services” which should help state health departments divide resources and prioritize activities of their environmental epidemiologists. This results in an achievable goal of improving the delivery of environmental health services to the public.
4. What aspects of vulnerable populations could be factors in this outbreak?
a. Residents of low-income areas should be addressed and educated. They should be encouraged to seek help and to learn proper hygiene tactics to protect themselves and others during an outbreak. The community health nurse can open a line of communication with this population by empathizing with their struggles.
Community Case Part 1: Environmental Health: Food Safety