All posts by : chebby

Employee Retention Issues in Workplaces

Employee retention in workplaces remains one of the main issues human resource managers are dealing with for decades. That is why, in 2016, the Society for Human Resource Management (SHRM) reports that 46% of HR managers deem employee turnover as their top concern (Lee et al., 2018). Therefore, many programs have been experimented to improve employee’s turnover in workplaces. This situation is also common in the healthcare system. This situation has brought many harmful consequences to workplaces. The lack of experienced workers and the increase in the cost of human resources in new employees’ orientation are the main issues that workplaces are dealing with regarding employee turnover. That is why it is understandable that the issue presented in chapter 60 of the textbook refers to programs that may help retain health care professionals in workplaces.

The main issues that make up the author’s concern are reducing employee turnover in healthcare workplaces and retaining nurses in those settings. Their approaches were trying to find some loyalty programs that may help experienced nurses and new nurses.

The finding was not easy since a program that may work for new nurses may not impact professional nurses’ interest. For instance, a study published in the American Journal of Preventive Medicine has shown that young nurses from 33 years old or younger do not plan to stay in workplaces and are determined to have their own business (Sellers et al., 2020). That is proof that policies that address the interest of experienced nurses may not influence younger nurses. One focus of professional nurses is a healthy workplace. If the environment does not protect employees, experienced nurses may leave their workplaces and look for a better one. This health protection may include better health insurance provided by the workplace.

 The student believes that those issues persist in workplaces today. Many reasons make her understand that workplaces are still suffering from this persistent situation. If we analyze the causes, one should admit that young nurses are dealing with issues like the need to feel part of an organization that will help them grow professionally. They also have concerns about their childcare system. However, they share with the experimented nurses the need for the management to value them. Those are current issues that the healthcare workplaces are dealing with. As good responses to those issues, the enforcing of the emerging nurse leader program and the magnet recognition program may bring solutions that meet nurses’ interest in the current healthcare workplaces

We can make a difference in participating in nurses’ organizations that provide ideas to help sustain the healthcare system with experienced and educated nurses. That will help solve the issues related to nurse’s turnover in workplaces that will positively impact the patient outcome.

References

Lee, T. et al. (2018). Managing Employee’s Retention and Turnover with 21st Century Ideas. Retrieved from http://assets.humanresourcesonline.net/conferences/2019/TMA/TMA%20MY%20Pre-Reading%20Articles/Journal4.pdf (Links to an external site.)

Sellers, K. et al. (2020). Using Public Health Workforce Surveillance Data to Prioritize Retention Efforts for Younger Staff. Retrieved from https://www.sciencedirect.com/science/article/pii/S0749379720301756nu

Please do the following in its entirety: 

Answer all question please. 

Please  sure to use a cover sheet and please submit a reference page with  your assignment. Late assignments will not be accepted. NO EXCEPTIONS PLEASE!!!!

1.Apatient is having cardiac enzymes drawn to rule out a Myocardial Infarction.

  a) What are the clinical indication and nursing implications for the following enzymes and their importance as a marker for Myocardial Infarction?

CK  

    CK-MB 

     Myoglobin and Troponin 1.

2.A patient has chest pains and is worried of having a second Myocardial Infarction.

     a) What are the discriminating differences between chest pains from angina pectoris  versus the pain associated with Myocardial Infarction.

You pick a disease and speak on bad habits that people have with that disease.

APA formatted

Original Work!

Minimum 3 references within 5 years

Due in 24 hours.

1) Minimum 9 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 5, 6 and 7 must be different. Different writing and perspective, but always answering questions objectively

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

              Part 8: minimum 1 page

              Part 9: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

A neighbor, who is 3 months pregnant, asks to talk to you because she has felt tired for the last 2 days, has a headache, a rash, and does not feel like eating. You take her vital signs and find that she has a low-grade fever. She has recently traveled to an area where there is risk for Zika virus disease.

1. To what could your neighbor have been exposed

2. how could the exposure have occurred?

3. What advice would you give your neighbor?

Part 2: Crisis intervention 

 1. Discuss what is complicated grieving.

2.  Mention at least 3 clues for identifying complicated grief reaction and explain them. 

Part 3: Ethical

Case Study, Chapter 15, Collective Bargaining and the Professional Nurse

A nurse manager is concerned about a competing hospital in town that is publically hearing a lot about collective bargaining and the steps that the nurses have been taking to start a union. The nurse manager’s organization is aggressively providing in-depth education to all employees about collective bargaining in order to answer numerous questions that have arisen recently.

1. What are reasons that nurses want to join a union?

2. What are the reasons that nurses do not want to join a union?

3. What are the common union organizing strategies? 

Part 4: Aging

When caring for older adults, it is important for the nurse to understand special considerations for medication use in the older population. 

1. List at least two considerations and education you would provide for following medication: Analgesics: Aspirin, acetaminophen and Diuretics: Thiazides, loop diuretics, potassium-sparing diuretics?

You are the nurse caring for an 82-year-old patient with a diagnosis of: Ineffective Breathing Pattern. 

2. List two (2) interventions for this diagnosis with supporting rational.

Part 5. Healt care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2.  What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Part 6. Healt care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2.  What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Part 7: Healt care Policy

1. Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2.  What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

3. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

Part 8

1. What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. 

2. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues? 

Part 9

Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:

1. Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by previous students.

2. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.

3. With what people or agencies would you work in facilitating the proposed interventions and why?

N492 Discussion Mod 2:

Discuss the concept of life review. What are the goals and benefits of a life review? How is life review similar and different than ordinary remembering?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Reply to this discussion post (site sources if applicable)

Clinical significance and statistical significance are both important when determining evidence-based practice (EBP) projects. They both have their own importance, which makes them superior in their own way. Statistical significance help clinicians answer questions about probability in which they can accept or reject a hypothesis. The statisitical significance can only adress if there are statisitical differences between variables. Clinical significance requires clinicians to focus on significant changes within the clinical setting. Statistical significance helps clinicians determine that there is a problem by data collection, clinical significance helps determine if the intervention orquality initiative change project was successful and efficient.  

For my capstone project, I will use clinical significance to support positive outcomes in project by using it to determine the efficacy and efficiency of the sepsis handoff communication tool. This tool, per the EBP journal articles I have chosen for this project, shows that implementing a handoff communication tool in not only patients with a diagnosis of sepsis, severe sepsis or septic shock, but all patients, improves patient outcomes and decreases mortality. Improving nurse to nurse or nurse to physician communication decreases time away from implementing interventions. I will use the data I collected from implementing my quality initiative handoff tool to determine if it is efficient enough to be used in practice.

 Chapter 9 questions at the end of chapter 9

Page 1: 

Discussion Question 1—Please write 4 paragraphs with each paragraph containing 50-60 words.

Page 2: 

Discussion Question 2—Please write 4 paragraphs with each paragraph containing 50-60 words.

Page 3: 

Discussion Question 4—Please write 4 paragraphs with each paragraph containing 50-60 words.

Page 4: 

Discussion Question 5—Please write 4 paragraphs with each paragraph containing 50-60 words.

Page 5: 

Discussion Question 6—Please write 4 paragraphs with each paragraph containing 50-60 words.

Book Link: https://drive.google.com/file/d/1Lho7gBgscbBQ1CFC16v6zMPSPHm2iDDV/view

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team.

1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes.

2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function.

3. Create a nursing intervention for each of the adaptive modes to promote adaptation.

Less than 10 % similarity

References APA

Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Also, please ensure to have read the assigned chapters for the current week. 

Case Study, Chapter 16, Whistle-Blowing in Nursing

A student nurse asks a faculty member to explain whistle-blowing. The student nurse wants to know the work conditions that would have to be met before whistle-blowing occurs, as well as situations in which whistle-blowing is clearly indicated. The faculty member reviews key concepts with all members of the class.

1. Being a whistle-blower takes great courage and self-conviction because it requires the whistle-blower to avoid groupthink. Analyze how groupthink affects the process of whistle-blowing.

2. Discuss the pros and cons of whistle-blowing.

3. What are the key guidelines for blowing the whistle

Due 10/4/2020 Sunday @ 7pm EST

3 – 4 pages

Must run through Turnitin and provide a submission report

All other instructions attached.