What is the difference between macro-change and micro-change? Give an example of each that is related to nursing.

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1. Select a particular change in health care that you would like to see occur. Describe how you would work through the four phases of planned change as explained in the chapter to show how they would bring about your selected change.
2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. How did you react to the change? Would you have reacted differently if you had had more information? Using Lewin�s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.
3. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this. Will you have to leave earlier to be in class on time? Will you meet different people on your way to class? See different sights? Would you change your route to class on the day of the final exam? Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a �minor� change.
4. What is the difference between macro-change and micro-change? Give an example of each that is related to nursing.
5. Explain the phases of planned change.
6. Discuss people�s responses to moving out of their comfort zone. How can you as a nurse leader help people to change without becoming very uncomfortable?
7. What are some methods that managers and leaders can use to lower resistance to change?
8. What types of leaders and managers are more effective in initiating change? Explain.
9. Why is change inevitable? What would happen if no changes occurred in health care? Explain, using an example from your clinical area.
10. Why is it important to know how to help people adapt to change?
11. Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?
12. Dennie and Elias arrive in the unit for the 7 p.m. to 7 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two CNAs and one LPN. What are the responsibilities of the RN, CNA, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients?
13. Discuss the differences between direct delegation and indirect delegation.
14. Observe delegation procedures in your assigned unit (Job placement, real unit) . What considerations does the RN take into account when delegating client care?

Explain why the nurse needs to know this information in order to provide nursing care

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Explain why the nurse needs to know this information in order to provide nursing care.
To complete a holistic/variable assessment, utilize the same person that you obtain a health history from to perform an assessment of variables. Assessment of the variables provides a holistic view of the client and which attribute to their overall health. The variables assessed are to be as follows:
Developmental – includes physical and cognitive development. Document stage of development that your patient is currently experiencing (i.e. integrity vs. despair); describe the stage of development that your patient is in and why this whole development stage is important to nursing care. References two peer reviewed articles on development.
Sociocultural – includes your patient’s culture. What values, heritage, and culture he or she is practicing or adhering to from their culture. How does your patient socialize? i.e, having family visits every week, month etc., what culture environment does your patient reside in, Chinatown etc. Explain why the patient’s sociocultural background is important to the nurse in relationship to delivering nursing care. Chapter 2 – Jarvis textbook . References two peer reviewed articles on Sociocultural impact on delivery of care.
Spirituality – includes your patient’s religion, religious background, and spiritual well-being. Explain why the nurse needs to know this information in order to provide nursing care. Chapter 2 – Jarvis textbook. includes your patient’s religion, religious background, and spiritual well-being. Explain why the nurse needs to know this information in order to provide nursing care. Chapter 2 – Jarvis textbook. References two peer reviewed articles on Spirituality effects on patient physiologic well-being.
Psychological – includes your patient’s orientation, mood and affect, ability to respond and carry on a conversation with you. Explain why the nurse needs to know this information in order to provide nursing care. Chapter 5 – Jarvis textbook . References two peer-reviewed articles on the effect of psychological health on physiologic well-being.
The paper should be in APA format 6th edition. Therefore, it is highly recommended that you purchase this book in order to complete this assignment. Please proof read your paper prior to submission to ensure you have completed a spell check, grammar check and the paper is in the correct format, this section counts for 10% of your paper. Visit PurdueOWL or APAstyle.org for assistance

Identify and explain the aims and core business of health institutions from the perspective of both the organisation and the nursing sector within the organisation

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Task Details and Criteria:
All Australians have the right to receive safe, high quality health care, regardless of the setting
(ACSQHC, 2008). Information about quality of care within health care organisations is discussed under three (3) categories: Structure, Process and Outcome (Donabedian, 1988).
� Structure – the context in which health care is delivered, inclusive of its buildings, its staff, its financial structures, and all its varied equipment.
� Process – activities, procedures, processes that are actually conducted in giving and receiving care.
� Outcomes – the effects of the care on the health status of the patient or patient population.
Information gathered about the processes used to deliver care is identified as Process data. Information about the resultant outcomes is identified as Outcome data. A clear relationship is identified in literature between Process and Outcome (Donabedian, 1988).
For this Assignment, you are required to:
1. Identify and explain the aims and core business of health institutions from the perspective of both the organisation and the nursing sector within the organisation
2. Identify and explain Process data and Outcome data in the context of quality and safety in health care
3. Use one (1) example of a clinical care activity for which process and outcome data is collected to:
� Discuss the clinical care activity in relation to quality and safety,
� Critically analyse scholarly literature and relevant resources to discuss the process and outcome data collected about that activity,
� Discuss how these data are used in relation to quality and safety in health care institutions.

identify key therapeutic approaches for people with mental health problems

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Module Aims:
To introduce the students to key therapeutic models and how they can be applied to specific client groups within the field of mental health nursing.
Learning Outcomes:
On successful completion of the module the student will be able to:
To identify key therapeutic approaches for people with mental health problems
To critically evaluate the evidence base supporting such approaches in mental health nursing
To clearly understand the students role within the therapeutic approach
To demonstrate a critical understanding of specific applications within at least one approach
To critically reflect on the importance of the therapeutic alliance
To analyse core needs of specific client groups and the individual therapeutic needs and requirements within such groups