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Utilizing servant leadership principles, outline a plan to improve your own success as a leader

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Topic: Servant Leadership From a Christian Perspective: In the Real World

Leadership Journal: Humility

Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.

Unlike a personal journal of thoughts and feelings, this Leadership Journal is a record of your activities, assessments, and learning related to this academic experience.

Journal entries should include a record of the number of hours spent with your nurse leader each week.

including the following:

1. Provide observations and thoughts on the activities in Weeks 13-14.

2. Describe an interaction or decision point this semester in which your nurse leader demonstrated humility or a missed opportunity to promote the success of others.

3. Summarize your practicum experience with your nurse leader. What insight into your own leadership style were you able to see? What do you believe was the most important thing you learned in this experience?

4. Utilizing servant leadership principles, outline a plan to improve your own success as a leader. Identify specific steps you plan to take to create this improvement.

5. Reflect on at least two things you learned from the “Issue of Humility” video

Examine the sources of evidence that contribute to professional nursing practice?

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CO1 Examine the sources of evidence that contribute to professional nursing practice. (PO 7)

  • CO2 Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)
  1. Reflect on your practice, and identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue.
  2. Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue.
  3. e.Briefly describe how it is relevant to your nursing clinical issu Remember to give a complete reference to the study.

 

Discuss patient medical or family history that may alter your recommendation for screening?

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Discussion.

From the U.S. Preventive Task Force website Index (Links to an external site.)Links to an external site., choose one screening test that might be considered in primary care.

Define the test, its positive predictive value, reliability and validity. Discuss patient medical or family history that may alter your recommendation for screening?

 

 

Direct Quotes 

Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the grammar, syntax, APA category.

Sample

One screening test that might be considered in primary care is cervical cancer screening. Cervical cancer is a leading cause of cancer deaths among women worldwide, however, the number of cases and number of deaths in the United States have decreased drastically. In 2014, 12,578 women were diagnosed and 4,115 women have died from cervical cancer (Centers for Disease Control and Prevention [CDC], 2017). It is commonly diagnosed and is one of the most successfully treated cancers.

Cervical cancer screening is an essential part of a woman’s routine health checkup. Cytology screening or papanicolaou (Pap) test and the human papillomavirus (HPV) test are used for early detection of cervical cancer. Pap test is used to detect abnormal cervical cells including precancerous lesions before developing into cancer or cancer itself. It can also detect other conditions such as infections and inflammation. The HPV test is used to detect the virus in cervical cells that may have changed (CDC, 2017). The U.S. Preventive Services Task Force (USPSTF) recommends women ages 21-29 to screen for cervical cancer using cytology every 3 years. For women ages 30-65 a combination of cytology and HPV testing is recommended every 5 years (Hofmeister, 2016).

Positive predictive value is the probability of patients who test positive who have the disease (Gordis, 2014). According to Gordis (2014), validity determines between who has a disease and who does not have a disease. Sensitivity and specificity are two elements within validity. Sensitivity tests to identify those who have the disease and specificity tests to identify those who do not have the disease (Gordis, 2014). Reliability refers to consistency. For example, a test that is repeated more than once resulting with the same or similar results.

Patient history may alter recommending cervical cancer screening more than family history because it is mostly sexually transmitted. Women who have a compromised immune system, who have human immunodeficiency virus (HIV) infection, who have had prior abnormal results, who have been exposed to diethylstilbestrol (DES) in utero, who have a hysterectomy, and who have had previous treatment of a high-grade precancerous lesion are at an increased risk for cervical cancer (Hofmeister, 2016). Cervical cancer screening should be provided to all women in a primary care setting. It is a preventable disease with the effectiveness of early detection and early treatment.

Reference

which are the cost-efficient alternatives in health care?

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1-According to Huber, “Reengineering is a radical redesign of business processes.” (Huber 242) The nurse manager plays a big role in health care in general, as the nurse manager allocates available resources, coordinate activities, facilitate interactive management, and have major responsibility for implementing the vision, mission, philosophy, goals, plans, and standards of the organization and nursing services. (Huber 34)

Now that we defined these two items, how do they co-relate? Well, nurse managers are on the front lines with the staff serving in front line roles. These nurse managers have a hand both on what goes on in the day-to-day and are a link to administration. Nurse managers are coordinating what happens on the front lines with patients and with administration to make things run as smooth as possible. These are the people who are a voice in administration for direct care providers.

Teamwork designs have become popular in healthcare organizations. Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown. Future research should investigate middle managers’ role in healthcare innovation implementation. Findings may aid top managers in leveraging middle managers’ influence to improve the effectiveness of healthcare innovation implementation. (Birken)

Resources

Birken, S. A., Lee, S. D., & Weiner, B. J. (2012). Uncovering middle managers role in healthcare innovation implementation. Implementation Science,7(1). doi:10.1186/1748-5908-7-28

Huber, Diane. Leadership and Nursing Care Management, 5th Edition. Saunders, 10/2013. VitalBook file.

 

2-there are so many changes happening in healthcare today, I agree nurse leaders are important. In the recent years we have seen the insurance companies and the healthcare providers unite, to provide a more efficient system with the focus on cost-effectiveness. These mergers dissolve the traditional building blocks of the healthcare system (Kacik, 2016). The changes will improve patient care and decrease healthcare spending. This relationship will provide evidenced based care and create a more integrated full-service provider. These deals are happening because the consumer is the top priority in healthcare. (Kacik, 2016).

As a case manager in the emergency department, I find people do not know how to navigate the healthcare system appropriately. The emergency department is often used for minor issues, that are not emergencies. The rise of urgent care centers and Walgreens clinics has not deterred people from using the ED for minor, non-urgent care. I recently saw a person come with an irritated cuticle on their finger. I saw a mother bring a toddler with a small rash on his leg. Only a few examples that shock me. This is a huge cost for the health care system that we are currently, tactfully trying to address. There are so many more cost-efficient alternatives in health care. We cannot deny care to anyone, yet education regarding improper use of the emergency department is becoming a top priority.