Examine the attributes of leadership that may be needed for graduate level nurses. Assignment 2: Leadership and the Graduate Nursing Role

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Examine the attributes of leadership that may be needed for graduate level nurses.
Assignment 2: Leadership and the Graduate Nursing Role

The graduate nurse evidences leadership as seen in the four domains: the profession of nursing, clinical practice arena, health policy arena, and systems level. In order to complete this assignment, complete the short eighteen-question quiz (this takes approximately five minutes) about your leadership style at

About.com Psychology. (n.d.). Quiz – What’s your leadership style? Retrieved

from http://psychology.about.com/library/quiz/bl-leadershipquiz.htm

In a 3- to 5-page paper (excluding the title page, references and appendices), you will address the following criteria:

Report your findings from the quiz:
What kind of leader were you?
How does this fit into your beliefs about your leadership style?
Examine the attributes of leadership that may be needed for graduate level nurses.
Analyze your personal leadership attributes you feel you have that will help you in your graduate nursing role. Also discuss those attributes that you feel you may need to develop in your graduate nursing role.

 

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What was the health care setting (hospital, clinic, nursing home, etc.)?Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates.

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What was the health care setting (hospital, clinic, nursing home, etc.)?Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates.

Week 2 – Discussion 1
Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Refer to the Discussion Forum Grading Rubric under the Settings icon above for guidance on how your discussion will be evaluated.
Cost and Quality
As you can see in the chart above, though the United States has had the highest health care expenditure in the world, the health status of the entire population has lagged behind numerous developed countries. The Affordable Care Act is aimed at promoting quality of care along with cost reduction, but health care organizations wrestle with meeting all of the challenges.
Present to your classmates a quality improvement & cost saving project that you read about in a scholarly source, addressing the following eight key questions:
• What was the health care setting (hospital, clinic, nursing home, etc.)?
• What were the problems/issues leading to the change project?
• Who were the stakeholders involved in the project?
• What was the timeframe involved in the project?
• What were the financial resources allocated to the project?
• What were the results on quality improvement?
• What was the evidence on cost saving?
• Leatt and colleagues (1997) recommended nine approaches for successful cost cutting. Which approaches are demonstrated in your case?
Use the MHA601 Library Research Guide (Links to an external site.)Links to an external site. for help with locating a scholarly source for this discussion. Your initial post should be at least 300 words. Support your response with a minimum of two scholarly sources.
Guided Response: Review several of your classmates’ posts. Respond to at least two of your classmates’ posts substantively in a minimum of 100 words by Day 7. In your responses, compare and contrast the quality improvement project and cost saving project your classmates’ analyzed with your own. Which do you think would be most successful and why

 

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Discuss factors that specifically influenced women’s vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.

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Discuss factors that specifically influenced women’s vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.

Let’s have a debate!!! Is nursing theory important to the nursing profession? If you believe that it is important, explain why it is useful. If you do not believe that it is useful, explain why nursing theory is not necessary to the profession? Be sure to provide an example that demonstrates your opinion and a scholarly reference (not using the required textbook or lesson) which supports your opinion.

The diversity movement suggests that there is strength in our differences and that our differences enhance each other. At the same time, the movement insists that our differences should not have economic, social, or political consequences. We are entitled to the same access to resources and opportunities regardless of our differences. The human suffering from Hurricane Katrina and the images of victims has stimulated the debate about differential access to resources.
Read the report Women in the Wake of the Storm: Examining the Post-Katrina Realities of the Women of New Orleans and the Gulf Coast. On the basis of your reading, create a report, answering the following:
• Discuss the prominent dimensions of diversity revealed as a result of the Hurricane Katrina disaster.
• Discuss factors that specifically influenced women’s vulnerability to Hurricane Katrina. While answering, consider the primary dimensions mentioned in the lectures as well as the secondary dimensions such as parental and marital status, income, educational level, military experience, geographic location, work background, and religious beliefs.
• Describe the implications for healthcare organizations as a result of the disaster.
• Discuss at least of two of the policy implications that are outlined in the report. If you were given the task to add another policy recommendation what would it be and why?

Medical Indications: The Principles of Beneficence and Nonmaleficence
1. What is the patient’s medical problem? Is the problem acute? Chronic? Critical? Reversible? Emergent? Terminal?
2. What are the goals of treatment?
3. In what circumstances are medical treatments not indicated?
4. What are the probabilities of success of various treatment options?
5. In sum, how can this patient be benefited by medical and nursing care, and how can harm be avoided?
Patient Preferences: The Principle of Respect for Autonomy
1. Has the patient been informed of benefits and risks, understood this information, and given consent?
2. Is the patient mentally capable and legally competent, and is there evidence of incapacity?
3. If mentally capable, what preferences about treatment is the patient stating?
4. If incapacitated, has the patient expressed prior preferences?
5. Who is the appropriate surrogate to make decisions for the incapacitated patient?
6. Is the patient unwilling or unable to cooperate with medical treatment? If so, why?
Quality of Life: The Principles of Beneficence and Nonmaleficence and Respect for Autonomy
1. What are the prospects, with or without treatment, for a return to normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds?
2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment?
3. Are there biases that might prejudice the provider’s evaluation of the patient’s quality of life?
4. What ethical issues arise concerning improving or enhancing a patient’s quality of life?
5. Do quality-of-life assessments raise any questions regarding changes in treatment plans, such as forgoing life-sustaining treatment?
6. What are plans and rationale to forgo life-sustaining treatment?
7. What is the legal and ethical status of suicide?
Contextual Features: The Principles of Justice and Fairness
1. Are there professional, interprofessional, or business interests that might create conflicts of interest in the clinical treatment of patients?
2. Are there parties other than clinicians and patients, such as family members, who have an interest in clinical decisions?
3. What are the limits imposed on patient confidentiality by the legitimate interests of third parties?
4. Are there financial factors that create conflicts of interest in clinical decisions?
5. Are there problems of allocation of scarce health resources that might affect clinical decisions?
6. Are there religious issues that might influence clinical decisions?
7. What are the legal issues that might affect clinical decisions?
8. Are there considerations of clinical research and education that might affect clinical decisions?
9. Are there issues of public health and safety that affect clinical decisions?
10. Are there conflicts of interest within institutions and organizations (e.g., hospitals) that may affect clinical decisions and patient welfare?

 

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Describe in detail the nursing care that may be given to your client.Mon Tran is an 85 year old widowed gentleman who was born in Combodia and has two sons. Mon speaks

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Describe in detail the nursing care that may be given to your client.Mon Tran is an 85 year old widowed gentleman who was born in Combodia and has two sons. Mon speaks

fluent english having come to australia as a young man to work as well as fluent vietnamese.

HLTEN512B,HLTEN513B AND HLTEN505B

Mon Tran is an 85 year old widowed gentleman who was born in Combodia and has two sons. Mon speaks

fluent english having come to australia as a young man to work as well as fluent vietnamese. Mon

has lived with one of his son’s since his wife died 4 years ago and has very limited physical

contact with his other son as he lives interstate. He is very active within his local Buddhist

community. Mon has a vision impairment and can moblise independently with a frame when at home. Mon

has been transferred to your unit from the intensive care unit.Mon was electively admitted to the

hospital 5 days previously with Benign Prostatic Hypertrophy(BPH) and underwent a Transurethral

resection of the prostate (TURP).His past medical history includes poorly controlled Non-insulin

Dependent Diabetes Mellitis,Hypertension and recurrent urinary tract infections.While undergoing

surgery he had an acute Myocardial Infraction(AMI),and was admitted to intensive care for further

stabilisation and management On transfer to your unit, Mon’s vital signs were BP 175/100, Temp 38,

Respiration 18, Pulse 90,BGL 12mmol/L, Oxygen Saturation 94% on 4L oxygen via nasal specs.

Neurologically Mon was easy to rouse. He was not oriented to person but was unaware of the time and

place and he was responding to direct commands.His conversation was inappropriate at times in both

English and Vietnamese(his first language) and he was confused nursing staff with his family

members. Mon has a patient IVT of 0.9% Normal Saline flowing at 1.25 mls/hour.The cannula was

inserted in his R arm 24 hours ago. He has a triple lumen IDC insitu that requires hourly urine

measures and is currently undergoing bladder Irrigation. Telemetry is still in place and will be

reviewed by the Doctors tomorrow regarding ceasing it. 4 hourly vital signs are medically

requested. Due to Mon’s current health state,he is on strict rest in bed (RIB) and tires easily. He

has a medical order for sliding scale insulin (Actrapid) and requires 4/24 BGLs. Mon requires a

vegetarian diabetic diet and is on a 1.5 litre fluid restriction. He has recently been screened and

shown to have a positive MRSA culture within his urine. A referral for cardiac Rehabilitation,

Dietitian, Physiotherapy and an ACAT assessment for home support services. Discharge plans are for

Mon to return home to live with his son when well enough to do so. Medications are as follows:

Verapamil 240 mg daily, Atenolol 100 mg daily, Glycerol CR 30mg BD, Glycerol Trinitrate 400mg as

required, Humulin 30/70 16 units TDS, Enoxaparin 40mg QID as required, Ceftazidime 1g IV QID On

speaking to the doctor, you find out that on discharge Mon will require ongoing Insulin to help

manage his unstable diabetes instead of the oral hyperglycemic medication he was previously taking.

The Assignment details: 1. Age and gender for the client including a summary of the nursing

admission assessment/client history of the client 2. The clients Medical History and a brief

summary of what these conditions means to the client in relation to their care requirements. please

ensure you have covered each medical condition in relation to their definition, pathophysiology and

nursing interventions. 3. Describe in detail the nursing care that may be given to your client.

State why these nursing interventions may be undertaken and any outcomes for the client in relation

to their medical history and the nursing process. keep this relevant to your client.This is to be

presented as a care plan listing the nursing diagnosis, 4 nursing interventions, their rationales

and the outcomes that are anticipated for the client form the care provided. (12 nursing actual or

potential problems including the diagnosis, 4 interventions per diagnosis, rationales and outcomes

anticipated) for example: 1. NURSING DIAGNOSIS-potential for unstable blood glucose levels related

to lack of client/family education/non-compliance,as evidenced by hyperglycaemia-(12mmoi/L),changes

in diabetes management and insulin requirements EVALUATION-The client will demonstrate blood

 

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