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Collaborating With the Community

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WEEK 3

NR 443 Week 3 DQ 1 :
Collaborating With the Community (Graded)
Identify a community or aggregate you are currently involved with at home (personal life) or at work. Cite some major value, major strengths, and health needs of your community or aggregate. How could a nurse work collaboratively with a community to build on these strengths and facilitate community empowerment? Keep in mind the different methods of community outreach the nurse could utilize.
Please note: According to Nies and McEwan (2011), the definition of an aggregate is a “community composed of people who share common characteristics” (p.92). Remember, aggregates do not necessarily know or interact with one another, but share a common bond such as religious belief, age, life experience, illness, etc.
NR 443 Week 3 DQ 2 :
Resources (Graded)
Assurance is one of the three core functions of public health. Knowing what resources are available is part of this function. Find a resource in your community that could be used as a referral source and share information about the services provided. Who is eligible for the services? What could be done in order to improve the accessibility, acceptability, affordability, or availability of this resource in your community? Make sure to address all four of the A’s in your posting.

How do the data from your county compare to the sets of data from the other counties posted by other students in your discussion group?

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WEEK 2

NR 443 Week 2 DQ 1 :
Census Data and Epidemiological Data (Graded)
Go online to the U.S. Census Bureau atwww.census.gov. Obtain information about the demographic characteristics of the population for your county of residence. Once you are on the website, choose the link to “QuickFacts”, and from there you can choose state, county, and city data. You may have to look at county data if your city is not listed. There is also a tab where you can see U.S. comparable data, too.
Include information about age, income, housing, and education. Post a brief summary of the key demographic characteristics of the population in your county (do not copy and paste directly from the website) and apply these data to your community by answering the following questions:

  • How do the data from your county compare to the sets of data from the other counties posted by other students in your discussion group?
  • Based on the demographic data, what health needs might you anticipate for the population in your county?

NR 443 Week 2 DQ 2 :
Communicable Diseases (Graded)
Review the levels of prevention of communicable diseases discussed in Chapter 25 (Nies& McEwen, 2011). Choose a communicable disease objective listed within theHealthy People 2020 topic area (p. 492). Discuss a role (function) that you, as a CHN, could play in implementing the objective. What community health nursing intervention would you implement? Describe at least two levels of prevention you could address and how you can address them.
NR 443 Caring for Populations: Milestone 1: Community Windshield Survey Form
Directions: Please refer to the Milestone 1: Community Windshield Survey Guidelines and grading rubric found in Doc Sharing for specific instructions in order to complete the information below. This assignment is worth 150 points.
Type your name above and your answers below directly on this form. Click Save as and save the file with the assignment name and your last name (e.g., “NR443 Windshield Survey Form_Smith”). When you are finished, submit the form to the Week 2 Caring for Populations: Windshield Survey Dropbox by the deadline indicated in your guidelines.
Criteria

  1. Community introduction:

Identify the community you will be using for this assignment. It should be the area where you live or the area surrounding your work setting.

  1. Windshield survey
  2. vitality
  3. Indicators of social and economic conditions
  4. Health resources
  5. Environmental conditions related to health
  6. Social functioning
  7. Attitude toward healthcare
  8. Conclusion:

Provide a summary of your findings and your conclusion. What problems did you identify?

  1. References:

OPTIONAL: List any references that you cited.

Conflict-Handing Styles in Organizational Behavior in Health Care

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Nursing homework help
Resource: Ch. 14 Case Study: Conflict-Handing Styles in Organizational Behavior in Health Care (2nd ed.)
Choose two scenarios from the Conflict-Handing Styles section and write a 700- to 1,050-word response to the questions provided at the end of each scenario. Using the scenarios, identify a problem-solving model that could be used in the situation and leadership qualities that may be involved. Describe a process that the leader may need to use to promote change within this organization after a situation like this has occurred.
 
Case Study 14–7 Conflict-Handling Styles
For each of the five scenarios described below, determine what is the most appropriate conflict-handling style(s).
Scenario One
A radiologist on the staff of a large community hospital was stopped after a staff meeting by a colleague in internal medicine. On Monday of the previous week, the internist referred an elderly man with chronic, productive cough for chest X-ray, with a clinical diagnosis of bronchitis. Thursday morning the internist received the radiologist’s written X-ray report with a diagnosis of “probable bronchogenic carcinoma.” The internist expressed his dismay that the radiologist had not called him much earlier with a verbal report. Visibly upset, the internist raised his voice, but did not use abusive language.
How should the radiologist handle this conflict with the internist?
Scenario Two
The Family and Community Medicine Division of a large-staff model HMO serves a population that is ethnically diverse. The senior management team of the HMO, spurred by repeated complaints from representatives of one racial group, has encouraged the division, all of whose physicians are white, to diversify. Several black and Hispanic physicians with strong credentials apply for the open positions, but none is hired. Weeks later, a young female family physician learns from several colleagues that the division director has identified her as racist and the obstructionist to recruiting. The comments attributed to her are not only false but are also typical of discriminatory statements that she has heard the division chief utter. The rumors about her “behavior” have circulated widely in the division.
How should the young female family physician handle this conflict with the division chief?
Scenario Three
A manager who reports to the Vice President for Clinical Affairs (VPCA) of a tertiary-care hospital hired a young woman to supervise development of a large community outreach program. During the first four months of her employment, several behavioral problems came to the VPCA’s attention: (1) complaints from community physicians that the coordinator criticizes other physicians in public; (2) concerns from two community leaders that the coordinator is not truthful; and (3) written reports about the project that label and blame others, sometimes in language that is disrespectful. The VPCA spoke several times to the manager about these problems. The manager reported other dissatisfactions with the coordinator’s performance, but he showed no sign of dealing with the behavior. Two more complaints come in, one from an influential community leader.
How should the VPCA handle this conflict with the manager?
Scenario Four
The medical school in an academic health center recently implemented a problem-based curriculum, dramatically reducing the number of lectures given and substituting small-group learning that focuses on actual patient cases. Both clinical and basic science faculty are feeling stretched in their new roles. In the past, dental students took the basic course in microanatomy with medical students. The core lectures are still given but at different times that do not match with the dental-curriculum schedule. The anatomists insist that they don’t have time to teach another course specifically for dental students. The dean has informed the chair of the Department of Anatomy and Cell Biology that some educational revenues will be redirected to the dental school if the faculty do not meet this need.
How should the dean handle this conflict with the chair of the Department of Anatomy and Cell Biology?
Scenario Five
The partners in a medical group practice are informed by the clinic manager that one physician member of the group has been repeatedly upcoding procedures for a specific diagnosis. This issue first came to light six months ago. At that time the partners met with him, clarified the Medicare guidelines, and outlined the threat to the practice for noncompliance. He argued with their view, but ultimately agreed to code appropriately. There were no infractions for several months, but now he has submitted several erroneous codes. One member of the office staff has asked whether Medicare would consider this behavior “fraudulent.”
How should the partners handle the situation with the other physician partner?

Theories From the Biomedical Sciences

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Nursing homework help
Hello This is my h.w instructions
associate what you have learned about theory in comparison to the case study and reflect on it.
 
·       A comparison of what you have learned from the case study to related theories you have studied. Make sure to cite these theories in APA format.
·       A comparison of the case study to your nursing practice, giving one or two examples from your nursing experience in which you might have applied a particular theory covered.
Your reflection should be a minimum of five to six paragraphs
Below are the theories

CHAPTER 15: Theories From the Biomedical Sciences
Melanie McEwen
Maria Leon is in her final year of a graduate program preparing to become a certified registered nurse anesthetist (CRNA). During the course of her graduate education, Maria observed that most people reported a burning sensation as propofol (a drug used to induce general anesthesia) was administered intravenously (IV). In conducting a review of the literature and discussing her observations with other CRNAs, Maria found several techniques used to minimize the injection pain. Based on this information, Maria decided that she would like to conduct a research study to examine the effectiveness of using lidocaine to reduce the injection pain of propofol. This project would fulfill the capstone requirement for her master’s degree.
A literature review of pain management led Maria to the gate control theory, which posits that there is a gating mechanism in the spinal cord. When pain impulses are transmitted from the periphery of the body by nerve fibers, the impulses travel to the dorsal horns of the spinal cord, specifically to the area of the cord called the substantia gelatinosa. According to the theory, when the gate is open, pain impulses ascend to the brain; when the gate is partially open, only some of the pain impulses can pass through. Pain medication has an effect on the gate, and if pain medication is administered before the onset of pain, it will help keep the gate closed, allowing fewer pain impulses to pass through.
In planning her research project, Maria used the gate control theory to guide the design and structure of the study. For the study, she decided to compare two techniques for pain prevention. One technique involved mixing 20 ml of a 1% propofol solution with 5 ml of a 2% lidocaine solution and injecting 1 ml of the mixture immediately before administration of the propofol. The second technique involved the placement of a tourniquet inflated to 50 mmHg on the arm in which the IV access device was placed. Then, 5 ml of 2% lidocaine would be injected and the tourniquet would be removed 1 minute later; propofol would then be injected. A time frame of 20 seconds would allow the clients to report pain in the arm before the propofol took effect. Maria also planned to have a control group that did not have either of the pain prevention interventions.
If the theory was correct, Maria hypothesized that both experimental groups would have less pain from the injection because the gate that allowed pain sensations would not open or would only partially open. She did not know which of the two experimental procedures would be more effective in preventing pain but was enthusiastic about conducting the study and adding to the body of knowledge on pain prevention in anesthesia.