tomorrow

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

nur512-Reply to this discussion kevin

why do you think the issues presented in this chapter persist in today’s workforce culture?

Workforce Culture Issues

Workforce culture is a significant aspect of the nursing profession. It is determined by the leadership, including the approach involved in managing the working environment. Culture is an effective strategy in nursing that either reinforces or undermines professional competence.  Cultural competence among nurses enhances communication among nurses and patients with diverse backgrounds (Rittle, 2015). A positive workforce culture enhances staff satisfaction and engagement, influences patient safety, along with attracting the right talent.

The nursing profession experiences a shortage in its workforce, an aspect that interferes with its capacity to deliver services effectively. A workforce culture that promotes career growth and supports employee roles by offering a favorable environment with the required tools is likely to thrive (Davis, White, and Stephenson, 2016). Although technical skills are valuable in nursing, nurses have people-oriented jobs. As such, opportunities for people skills in the workplace are necessary to enhance collaboration, conflict resolution, and empathy. The nursing profession is more aligned with helping people and dealing with their emotions. The hiring process should involve senior nursing staff to facilitate the mentoring of new hires such that new employees benefit from their expertise. Nursing staff with longer service terms will feel their contributions to the organization’s management or leadership is valued.

There are dynamic shifts in the demand for staff in the nursing profession. Nurses are sometimes forced to work long hours, which affects their productivity and morale. The attraction of new talent by advocating for cultural competence is becoming significant in the nursing profession. A positive workforce culture is vital for the overall success of employees, including patient experience (Davis et al., 2016). The increased turnover rates are attributed to poor leadership in the nursing profession, especially when too much focus is drawn towards patient satisfaction and not staff satisfaction. There is an increasing need among nurses to portray competence in service delivery that indicates an understanding of cultural diversity (Rittle, 2015). Therefore, the nursing profession should continually encourage staff engagement and improve their professional experience to give patients the necessary care.

            Workplace culture necessitates improvements, such as clear communication among healthcare stakeholders. A professional relationship is established among administrators, patients, and employees, which improves service delivery and maintains rapport among nursing staff. The nurses also have a convenient way to express their grievances to the administrators. Moreover, concerns about nursing shortage are easily addressed because of the transparency in making decisions and sharing information. Nurses have diverse beliefs and approaches towards patient satisfaction and safety, which healthcare organizations can support through clear and consistent engagement (Rittle, 2015). The organizational commitment to make employees feel valued improves care quality and builds a desirable workforce characterized by competence and better services.

  A workforce culture that promotes inclusion entitles nurses to valuable practice and learning. However, limited acceptance in the workplace hinders the efficiency of nurses in healthcare facilities. The discrimination based on gender, color, and sexual orientation lowers the performance of nurses due to low morale and unequal opportunities to progress in their careers. An inclusive environment in nursing promotes learning and helps attain positive patient outcomes (Davis et al., 2016). Nurses should, therefore, learn in environments that support professional practice, facilitate best patient outcomes and influence workplace culture. Moreover, positive attitudes and rewards create a positive work culture, resulting from superior management style and effective leadership.

References

 Davis, K., White, S., & Stephenson, M. (2016). The Influence of Workplace Culture on Nurses’ Learning Experiences: A Systematic Review of Qualitative Evidence. JBI Database of Systematic Reviews and Implementation Reports14(6), 274-346.

Rittle, C. (2015). Multicultural Nursing: Providing Better Employee Care. Workplace Health & Safety63(12), 532-538.

week 9 Community

 

Chapter 15: Emerging Infectious Diseases

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.

To what could your neighbor have been exposed, and how could the exposure have occurred?

What advice would you give your neighbor?

longa state strategies

 

Exercise Content

  1. State Strategies (20% of grade) The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. Students should summarize their findings in a 1-2 page, single-spaced memo. Sample memo attached. A memo is required, see attached sample. A few examples of state innovations include Vermont’s single payer system, Massachusetts’ health reforms and Kentucky’s Medicaid healthcare program (none of these can be used). Please see attached rubric.. 

im from Miami Florida.  please turniting report

case study

 Review the following case study and complete the questions that follow. Submit your completed document to Blackboard using the assignment link.

As a nurse practicing within a family practice, you are interviewing a 55-year-old woman who is an executive assistant at a local law firm, where she has worked for 9 years. She has a 7-year history of respiratory illness, which occurs several times throughout the year, not seemingly connected to the changes in season. She does not use tobacco products in any form. During your questions regarding her home and work environments, she reports that she enjoys working adjacent to the courthouse in a building over 100 years old because it is such a contrast to her brand-new home on a local golf course. When describing the health of her coworkers, she indicates, “We all share illnesses, which seem to affect everyone else during the year; we just seem to be sicker more often!”

  • What information is pertinent to your client’s case?
  • How would you assess your client’s risk?
  • What would be an exposure pathway for your client?

Your document should be 2 pages in length, in APA format, typed in Times New Roman with 12-point font, double-spaced with 1” margins, and include at least two citations using references less than five years old.

week 2 assignment

This week we have a paper due concerning the Cardiovascular system.  Please use the scenario below to base your paper on.  It is not the goal to necessarily change ALL medications, however, that might be the case.  In short, I am looking for concrete examples of how you back up your decisions with proper resources and guidelines.

Talk to you soon!

Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:

  • Glipizide 10 mg po daily
  • HCTZ 25 mg daily
  • Atenolol 25 mg po daily
  • Hydralazine 25 mg qid
  • Simvastatin 80 mg daily
  • Verapamil 180 mg CD daily

Week 10 capstone care plan part 4

Please use this reference To base the care plan.

The assignment has to be on a patient with uncontrolled hypertension and cardiac issues  This patient was re admitted to the hospital (cardiac/telemetry unit) because of the on going Controlled hypertension And possible heart attack.  

Instructions

Evaluation of Plan Effectiveness Criteria

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned to implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It is time now for you to present your final submission of this Capstone project.

In a Microsoft Word document of 6-7 pages formatted in APA style, you will describe your project and evaluate the effectiveness of the intervention you implemented.

Include the following in your paper:

  • A detailed description of the aggregate.
  • A description of the aggregate’s strengths and weaknesses.
  • A risk assessment of the aggregate.
  • Diagnoses based on the risk assessment.
  • A detailed care plan for the aggregate.
  • A description of how at least one intervention was implemented in the aggregate to address an identified issue.
  • An evaluation of the effectiveness of the intervention (this section should be 2-3 pages of your paper) and include the following:
    • Did I implement the intervention as planned? If not, what were the reasons?
    • Are there visible signs of success (for example, reduced health issues)? If yes, describe.
    • Interview/measure outcomes for two or three members of your group to determine/measure the effectiveness of the intervention(s).
      • Include transcripts of the interviews with the participants from the group in the appendix of your paper.
    • Finally, compare the projected effectiveness of your plan before implementation with the actual effectiveness after implementation.
    • You may want to use the responses to the above two criteria to measure the actual effectiveness of the intervention.

On a separate references page, cite all sources using APA format. Please notethat the title and reference pages should not be included in the total page count of your paper.