Although nurses take active leadership roles in hospitals throughout the U.S., they are underrepresented on hospital boards. Since a 2011 survey found that only 6%Links to an external site. of board members in 1000 hospitals were nurses (meanwhile 20% were physicians) there has been a push toward including nurses in the boardroom. As part of this push, a national coalition of organizations, including the American Nurses Association (ANA), the American Academy of Nursing (AAN), and the American Nurses Foundation (ANF) among 18 other nationally-recognized organizations, has been formed to create the Nurses on Boards CoalitionLinks to an external site., which seeks to implement a comprehensive strategy that will “bring nurses’ valuable perspective to governing boards, as well as state-level and national commissions.” With big players like AARP and the Robert Wood Johnson Foundation backing this initiative, it is likely their recommendation that nurses play bigger roles in “improving the health of all Americans” will see mores nurses becoming movers and shakers not only in their field but also in hospitals as a whole.

After completing the required readings identified above, please respond to the following prompt:

Choose one of the ten barriers identified in Addressing Barriers in Leadership for Nurses and search the library databases for at least one quality/scholarly article that pertains to the barrier and discuss/share the findings in the article.  Does the article support or refute the concept of the barrier?  What questions are left unanswered in the article?

Michele Seibler

Yesterday Oct 11 at 8:42am

Option 1

I was a bit unclear on what a bureaucracy was until this week's lesson and readings. From what I understand and according to the text, a bureaucracy is a complex and hierarchal organization where several offices, each with a specific task, have a clear chain of command, and appointment and advancement of personnel are based on merit. A bureaucrat is someone who works for a bureaucracy (Greenberg & Page 2019, pg. 366). Bureaucracies are all around us – the DMV, financial organizations and insurance companies are a few examples. After understanding what a bureaucracy is, I think they can both help and hinder my life. Bureaucracies are something that we need to live as citizens of the United States, but often they have rules and regulations that can be a hinderance in many aspects of our lives. The rules and decisions of bureaucracies seem to be made without the public's best interest in mind, and the public often isn't involved in decision making. They all revolve around money. They are often unclear with the public, leaving people confused and overwhelmed with things they don't understand. It can take months to resolve certain issues or get question answered. Processes that should be simple can be very stressful. John Launer wrote an article titled “Battling Bureaucracy,” which is what it feels like sometimes. He explains how he jumped through hoops with bureaucracies trying to help a friend get money back. One of the things he said a couple of times in the article was “money problems figure more in peoples' lives than medical problems, especially now that we're in a serious cost of living crisis” (Launer 2023). One thing that is a large issue in bureaucracies is communication. These organizations are not good at communicating with the public; it often feels as if you're trying to talk through a wall. You could talk to one representative and have them tell you one thing, then speak to another and find out something completely different. This makes everyday things, like dealing with insurance companies, very stressful and difficult. If these bureaucracies can become more transparent with the public, it would help tremendously and there would be less confusion and frustration. 

References

Greenberg, E. S., & Page, B. I. (2019).
The Struggle for Democracy, 2018 Elections and Updates Edition (12th ed.). Pearson Education.

https://ambassadored.vitalsource.com/books/9780135246863

Links to an external site.

Launer, J. (2023). John Launer: Battling Bureaucracy.
BMJ: British Medical Journal (Online).

https://doi.org/10.1136/bmj.p206

Links to an external site.
 

Reply

 

• Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.

Purpose

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the 
required assigned topic (Diabetes). You will choose 
an already-developed and reliable mHealth app to educate your patient.

Preparing the Assignment

Select ONE of the 
Health Conditions or 
Health Behaviors for the focus of your assignment through the Healthy People 2030 link below:

https://health.gov/healthypeople/objectives-and-data/browse-objectivesLinks to an external site.

Note:  It is crucial to choose your Health Condition or Health Behavior first, then develop a short but detailed patient scenario (See the video tutorial, assignment directions, and rubric for details about the scenario.) Then, explore a mobile health app (mHealth app) that fits the patient and the topic.

Requirements and Guidelines

·
Write your own patient scenario using the 
Required Assignment Topic.

· Make sure to include a 
Healthy People 2030 Health Condition or 
Health Behavior in the scenario for a patient who desires to maintain or achieve good health and prevent illness and who could benefit from 
an already developed and reliable mHealth app from the internet.

· Choose a 
scholarly peer-reviewed journal article published within the last 5 years and related to your scenario's health condition or health behavior. This required article citation MUST appear in the 
Patient Scenario section of the paper and support your chosen health topic. You may use other citations/references in your paper; however, these would be optional. The Chamberlain Library is your best place to obtain this article. Cite this in APA 7th edition format in this section of the assignment.

·
Describe in detail the plan for teaching this patient in the scenario.

· Include the nurse's assessment of learning needs and readiness to learn.

·
Identify a mHealth app that could benefit the patient, considering the teaching/learning needs you identified.

· Tips for your internet search for an appropriate mHealth app:

· The iPhone App Store and Google Marketplace let you search for apps based on keywords such as “health” or more specific topics such as “weight loss,” “stress,” and “diabetes.” Look through the descriptions of apps that come up in your results. Does the app address the health concern you have identified? Does it do what you’re looking for with this specific patient? For example, if you’re interested in having your patient track their sleep habits, does the app do this? Please reach out to your instructor if you have questions about a particular mHealth app for this assignment.

· Describe the app, including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, and where to download or obtain it. Add any other information you believe would be pertinent to this situation.

· Include a working link if it is to be downloaded from a website in the area indicated on the template.   

· Make sure to add a citation for this mHealth app in APA format.  The directions and examples of how to cite a mobile app are located on page 340 of the APA Manual, 7th edition.

List your 2 references.  One will be the mHealth app reference, and the other will be your scholarly article reference.