Nursing Leadership 1. What leadership style(s) does the preceptor exhibit?

Nursing Leadership
1. What leadership style(s) does the preceptor exhibit?
Brenda, the manager of the Elk’s rehab wound and hyperbaric center, has a transformational leadership style, which places more emphasis on change and visionary leadership with the main objective of improving individual and organizational performance. Transformational leadership is participative, implying that the staff members are given an opportunity to enhance their leadership skills using joint decision-making and shared leadership. In addition, the staff members take part in the problem-solving process, whereby they become their own leaders. This is of ultimate significance in the nursing environment because rational decisions have to be made in a timely manner, without the possibility of raising mixed reactions.
Brenda is charismatic, inspiring, motivating and intellectually stimulating. Through these traits of effective leaders, Brenda is able to attain persuasion from the staff members since she appeals to them and inspires them to achieve a common goal. Brenda leads by example, and has a clear vision on things to make sure that the goals and mission of the organization are met. She also reflects a positive attitude onto her staff in order to inspire them achieve the goals of the organization. She is an effective leader since she shares the vision of the organization; she increases self worth in others and makes them feel valued. This leadership style results in increased loyalty, commitment, job satisfaction, increased morale and performance of the staff members under her.
2. How effective is the preceptor in managing oneself?
Self-management requires high levels of trustworthiness, self-awareness and accountability. In light of this view, the preceptor is trustworthy, honest and can be relied upon to perform her roles and responsibilities as a leader. In addition, the preceptor is flexible since she is able to adapt to the changing needs of her staff members and the organizational context. In addition, Brenda is self-confident, implying that she trusts her abilities to complete tasks and rarely uses her positional rank to ensure things get things done. As the leader, Brenda is accountable for the outcomes of her actions by ensuring self-interest motives do not affect her leadership roles, responsibilities and outcomes.
3. How effectively do I manage myself in these same areas?
Time management and flexibility are core aspects of an effective leader in ensuring that the right tasks are accomplished in an efficient and timely manner. In addition, effective conflict resolution and management skills are appropriate in self-management; this is because they help to mitigate serious consequences if conflicts are not resolved appropriately and timely. Therefore, there is the need to improve on time management in order to become an effective leader and improve on self-management.
4. How effective is the preceptor in relating to others?
Successful leadership requires establishing effective interpersonal relationships between the leader and followers; this is achieved using collaboration, conflict management, teamwork and facilitating change. In light of this view, it is apparent that the preceptor has difficulties when it comes to handling conflicts and prefers to avoid them at all costs. Brenda is very collaborative and has good communication skills. She has managed to establish good interpersonal relationship with her staff members. In relation to teamwork, the preceptor has managed to instill the culture of teamwork among the staff members. For instance, she can fill in for missing member of her staff if one is not able to report to work. Initiating and managing change is usually challenging for most leaders, this is complicated by the fact that the organization is new; implying that change resistance is bound to be high. However, her visionary leadership has ensured that the staff members are receptive and positive towards change.
5. How effectively do I relate to others in these same areas?
I have difficulties with confrontation, which translates to difficulties in conflict management and resolution. I have effective interpersonal relationship and good communication skills. I believe that I can collaborate with other people through teamwork. In addition, I hold the view that I can facilitate and manage change effectively to ensure that the organizational goals and objectives are met.
6. What works well/does not work well in the organization of delivery of care in this unit?
In the organization, what does not work well during the delivery of health care is when the doctors cannot agree on an issue, which imposes significant constraints on the smooth running of operations in the organization. Disagreements among the staff members impose negative impacts on teamwork at the organizational level, which significantly reduces the effectiveness of care delivery. What works well in the organization of delivery of care in this unit is the fact that staff members cannot jump the chain of command to achieve their personal interests. Such interests are avoided at all costs while ensuring that patient care is prioritized.
7. What suggestions can be made for improvement?
The suggestion for improvement includes continuous reinforcement of conflict resolution and management skills and immediate handling of conflicts when they arise. Effective conflict resolution and management is needed to promote teamwork and collaboration among the staff members, which in turn ensures that operations at the organization run smoothly. Additionally, it is recommended that communication skills be improved to guarantee an interpersonal relationship between the preceptor and the staff members.
8. How effectively do team members communicate with each other on this unit?
Effective communication is needed to ensure team cohesiveness and collaborative working towards the achievement of organizational goals and objectives. Under this unit, there is more emphasis on participative decision-making. As a result, the staff members sit down on a table and engage on rigorous brainstorming to come up with a rational decision. Participative decision-making makes everyone feel like he/she is part of the solution. In addition, it helps in improving individual leadership skills since the staff members do not rely on the decisions imposed by the leader of the unit.
9. What barriers to communication can be identified within this unit/organization?
The source of information is of ultimate significance within this unit and the larger organization. As a result, members have to ascertain the source of information before they can act in accordance to the information. This is a significant barrier to communication when information is delivered by someone else apart from the source; people perceive such information with uncertainties.
10. What quality improvement process is used by the organization?
Quality improvement in the organization is achieved by ensuring competency at the leadership and managerial level. Competence implies that leaders and managers are conversant with issues surrounding quality care delivery. For instance, the person in charge of the organization is an attorney and a Registered Nurse (RN). The preceptor received her RN a year ago and has proved to be extremely effective in the job. The unit nurses are also involved in the quality improvement process by conducting weekly meetings.
11. What role does the nurse play in handling customer complaints and risk management?
Effective patient care is emphasized in the organization, this is a strategy aimed at minimizing customer complaints and risks. The organization also places emphasis on patient satisfaction with care delivery. In acute situations, the nurse usually intervenes to ensure quality care delivery. In addition, the nurse handles customer complaints by investigating the cause of complains and adopting measures to ensure that such complaints do not occur again.
12. How does the manager deal with personnel problems?
It is vital for the staff members to know that personnel problems should not interfere with the achievement of the organizational goals and duties. Under transformational leadership, the manager deals with personnel problems by working with the staff members with the main objective of eliminating the problems. Cases such as absenteeism, chemical dependency and unproductive employees can be dealt with and reversed through guidance. Serious cases such as clinical incompetence pose the need to terminate the staff member because it poses a risk on the quality of care delivery.
Mentoring and supporting nurses involve listening to their problems and offering support where necessary.
13. Based on observations and analysis during this course, what do I identify as my leadership strengths and areas for improvement?
My leadership strengths include understanding, supporting, initiating and managing change, delegating and asserting responsibilities, and laying out expectations. Leadership weaknesses include conflict avoidance and administering discipline.

Nursing research and science NURSING SCIENCE

Competencies:
724.8.5: Foundations of Inquiry – The graduate differentiates between quality improvement processes, evidence based practice and research.
724.8.6 Literature Review and Analysis – The graduate demonstrates knowledge of the process and outcomes of conducting a literature review.
724.8.7: Ethics and Research – The graduate demonstrates understanding of the ethics of nursing research particularly human subjects’ protections, informed consent and alignment with patient and family values and preferences.
724.8.8: Patient Outcomes – The graduate discriminates between identified standards and practices that do not provide improvements in patient outcomes utilizing relevant sources of evidence and the application of nursing theory.
724.8.9: Data Collection, Analysis, and Dissemination – The graduate describes the process of data collection, analysis and implementation of evidence that can improve clinical practice from an interprofessional perspective.
Introduction:
In this task, you will identify a healthcare problem and develop a question that can be informed by evidence. You will identify a single intervention and then search for five research articles and two non-research articles that support that intervention.
Requirements:
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.
The rubric provides detailed criteria for evaluating your submission. You are expected to use the rubric to direct the creation of your submission. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:
Describe a healthcare problem.
 
Note: A healthcare problem can be broad in nature or focused.
Explain the significance of the problem.
Describe the current practice related to the problem.
Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).
Complete the attached “PICO Table Template” by identifying allthe elements of the PICO.
Develop the PICO question.
Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:
Identify the keywords used for the search.
Describe the number and types of articles that were available for consideration.
Discuss tworesearch evidence and two non-research evidence sources that were considered (levels I–V).
 
Note: Be sure to upload a copy of the full text of the aritcles with your submission
Complete the attached “Evidence Matrix” to list fiveresearch evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.
Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.
Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.
 
Note: Be sure to upload a copy of the full text of the articles with your submission.
Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”
Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:
Explain how you would involve threekey stakeholders in the decision to implement the recommendation.
Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.
Identify twostrategies that could be used to overcome the barriers discussed in F2.
Identify oneindicator to measure the outcome related to the recommendation.
Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
 
 

Discuss 3 factors that influence a pathogens ability to cause infection in relation to johns case specifically

Case analysis report-
John is a 64 year old male who has developed a post-operative wound following a total hip replacement. John was well prior to surgery and has a history of high cholesterol, which he manages with a good diet. His wound is red, swollen, warm and painful. He also has a fever and feels generally unwell. John is given a broad spectrum antibiotic while waiting for the results on a wound culture. He subsequently experiences an anaphylactic reaction after the second dose of anti-biotics.
1.Discuss 3 factors that influence a pathogens ability to cause infection in relation to johns case specifically (ie. Mechanisms of action, virulence, infects its, toxigenicity, immunogenicity. Any 3).
2. Discuss innate immunity and analyse how John was able to develop an infection in the presence of a normal immune system.
3. Create a detailed diagram (can be from our text book if referenced), outlining the patho physiological process of inflammation that led to the manifestations of redness, swelling, pain and warmth at johns wound site.
4. Considering the adaptive immune response, outline why John DID NOT show signs of an allergic reaction when given his FIRST dose of antibiotics.

Discuss why the present process or procedure needs to be changed, based on the evidence you have gathered.

Requirements:
A. Describe a nursing admission/assessment or patient care/preparation process or procedure currently found in your practice setting.
Note: You must choose a process or procedure that was already in place and you can recommend changes to.
1. Discuss why the present process or procedure needs to be changed, based on the evidence you have gathered.
2. Based on your initial investigation of the situation, do the following:
Note: You may need to ask workplace personnel to complete the following.
a. Explain who determined the basis for the current process or procedure in your practice setting.
b. Explain the decision makers rationale for instituting or supporting the current process or procedure.
c. Explain why the decision makers decided to implement the current process or procedure.
3. Recommend a practice change for the process or procedure you selected.
a. List five relevant and credible sources to support your suggested practice change.
Note: Credible sources are less than five years old and may include professional journals, research reports, professional websites, governmental reports, current texts less than five years old, and presentations from professional meetings.
4. Explain the clinical implications your recommended change might have on patients, based on the relevant and credible sources you listed in part A3a.
5. Explain the implications your recommended change might have on the practice setting, based on the relevant and credible sources you listed in part A3a.
6. Discuss how you would involve key stakeholders in the decision to change the process or procedure or to comply with the recommended change.
B. Write an essay (suggested length of 23 pages) in which you do the following:
1. Discuss the specific barriers you may encounter in applying research to processes and procedures in your practice setting.
Note: You should distinguish between difficulties you would have interpreting what the research says and synthesizing it into a practice guideline or procedure, rather than just the outside barriers to change.
2. Identify at least two strategies that you and your team could use to overcome the barriers you discussed in part B1.
3. Explain how you would implement your recommended process or procedure based on research findings.
C. When you use sources, include all in-text citations and references in APA format.
Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.
Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section