Reflections week 3

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  write 1-2 paragraphs reflecting on your learning for the week 

  • In your experience, how have changes in healthcare affected nurses’ ability to provide person-centered, holistic care?
  • As you think ahead to your future practice as an NP, which of the concepts covered this week resonates most with you?  (I chose Culture Humility)  Why?
  • How do you anticipate that the concept of cultural humility will affect your practice?

6566

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See attached 

YOUR LEADERSHIP PROFILE

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Do you believe you have the traits to be an effective leader? Perhaps you are already in a supervisory role, but as has been discussed previously, appointment does not guarantee leadership skills.

How can you evaluate your own leadership skills and behaviors? You can start by analyzing your performance in specific areas of leadership. In this Discussion, you will complete Gallup’s StrengthsFinder assessment. This assessment will identify your personal strengths, which have been shown to improve motivation, engagement, and academic self-conference. Through this assessment, you will discover your top five themes—which you can reflect upon and use to leverage your talents for optimal success and examine how the results relate to your leadership traits.

To Prepare:

Complete the StrengthsFinder assessment instrument, per the instructions found in this Module’s Learning Resources.

Please Note: This Assessment will take roughly 30 minutes to complete.

  • Once you have completed your assessment, you will receive your “Top 5 Signature Themes of Talent” on your screen.
  • Click the Download button below Signature Theme Report, and then print and save the report. We also encourage you to select the Apply tab to review action items.

Post a brief description of your results from the StrengthsFinder assessment. Then, briefly describe two core values, two strengths, and two characteristics that you would like to strengthen based on the results of your StrengthsFinder assessment. Be specific. Note: Be sure to attach your Signature Theme Report to your Discussion post. 

Incivility and Healthful environments

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 Reflect on an experience in which you were directly involved or witnessed incivility in the workplace. Provide a brief synopsis of the situation. How did this make you feel? How did you respond? What were the consequences of this situation? Provide an example of how this negatively affected the work environment and outcomes. How could the situation have been prevented? Discuss strategies that would support a healthy work environment. 

Nursing

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Experiential Nursing Learning Planning Proposal
Assignment

 20 points 


Overview and Instructions:
 Demonstrating the student’s ability to effectively collaborate with nursing leaders and community health nurses for the upcoming public/community health clinical experience, while using leadership skills as a means to prepare for the upcoming NURS 450 experiential nursing learning experiences, the student will submit an experiential learning planning proposal paper by 6-25-23.

During this course (410), you will plan your experiences that will take place during the NURS 450 course. Prior to due date, you will be responsible for contacting a BSN (or higher) preceptor for 24 hours in a public/community health clinical site for your upcoming NURS 450 course. The clinical site must offer community/population-based services, with the primary preceptor being a BSN (or higher) prepared nurse working in a clinical setting providing community or population-based care, while using nurse leadership skills. You will also arrange for 11 additional volunteer hours in a different public/community health setting. Within this module, you will find a list of potential experiential learning (clinical) sites that have been used by previous nursing students. This is not an all-inclusive list but does give the student an idea of previously used sites. Your precepted and/or volunteer experiential nursing learning (clinical) site does not need to be included in this list, as other public/community health sites can be arranged as well.

Experiential Nursing Learning Planning Proposal Grading Rubric

Criterion

Excellent

Satisfactory

Unsatisfactory

Determine the experiential nursing learning (clinical) precepted site

(5 pts.)

a. Description of the clinical site is clear and relevant, including location and demographics of location (include either community/county/city demographic data such as age, race, ethnicity, gender, income, education, etc.) and population served (2.5 pts.)

b. Describes appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (2.5 points)

a. Minimally describes the clinical site (1.25 pts)

b. Minimally describes the appropriateness of the clinical site to a community/population health focus as well as application to professional nursing practice (1.25 pts.)

a. Description of the clinical site is unclear and/or irrelevant (0.625 – 0 pts.)

b. Does not describe the appropriateness of the clinical site to a community/population health focus as well as application to nursing practice (0.625 – 0 pts.)

*May receive (0) if description of clinical site and/or appropriateness is missing

Describe the role of the BSN preceptor

(5 pts.)

a. Describes the role of the proposed BSN preceptor as a community/ population-based BSN prepared nurse and nurse leader (2.5 pts.)

b. Describes the value of the nursing student having an experience with a BSN prepared nurse preceptor in general, and specifically with the proposed preceptor, integrating nursing standards of practice and how this relates to their role in adhering to the Standards of Practice while completing the nursing process during this public/community health clinical experience.

c. (2.5 pts.)

a. Minimally describes the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (1.25 pts.)

b. Minimally describes the value of the nursing student having an experience with a BSN preceptor, does not integrate public health nursing standards of practice (1.25 pts.)

a. Does not describe the role of the proposed BSN preceptor as a community/population-based BSN and nurse leader (0.625 – 0 pts.)

b. Does not describe the value of the nursing student having an experience with a BSN preceptor (0.625 – 0 pts.)

*May receive (0) if description of the role of the BSN prepared preceptor and/or public health nursing standards of practice are missing

Explain the community service and volunteer public/community health setting

(2.5 points)

a. Explains the appropriateness of the community service/volunteer setting to a community/population health focus (2.5 points)

a. Minimally explains the appropriateness of the community service/volunteer setting to a community/population health focus (1.25 pts)

a. Does not explain the appropriateness of the community service/volunteer setting (0.625 – 0 pts.)

Included
at least one professional/research nursing journal article to support rationale (2.5 pts.)

a. Includes at least one professional research
nursing journal article (hint- use CINAHL) (2.5 pts.)

a. Includes article that lacked professional credibility (1.25 pts.)

a. Fails to include professional journal article (0.625 – 0 pts.)

Experiential Learning (clinical)agency/contact information for preceptor (2.5 pts.)

a. Includes agency/contact information for BSN preceptor, including preceptor name, clinical site name, phone contact, address, and email contact (2.5 pts.)

a. Includes partial agency/contact information for BSN preceptor (1.25pts.)

a. Does not provide any agency/contact information for BSN preceptor (0.625 – 0 pts.)

Writing Mechanics and APA formatting (2.5 pts.)

*Must include American Nurses Association (2013).
Public health nursing: Scope and standards of practice (2nd ed.) reference

a. Demonstrates information literacy and proper writing mechanics through formatting, citing, and documenting a reference list for resources while displaying a proficient understanding of how to appropriately organize his/her work using headings per 7th ed. APA formatting. Must include

· Title Page

· Body of paper

· Reference list

(2.5 pts)(No page length requirements. Suggested page length of paper for the body of the paper is one to two pages in length.)

a. Demonstrates information literacy through formatting, citing, and documenting relevant material but does not organize work using headings per 7th ed. APA formatting. Includes partial paper requirements. (1.25 pts.)

a. Incorrect use of information literacy in formatting, citation, and documentation. Multiple errors in APA formatting. (0.625 – 0 pts.)

Total Points

20 points

Reflection week 7

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Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.

You will need to post your reflection here before you are able to see other students’ posts.

  • Nearly every student in the course was able to think of a time when they had personally been impacted by or had observed incivility in the workplace. In what ways does this impact your view of the nursing profession?
  • If those outside of healthcare were aware, how might it impact their view?
  • As you move towards your role as an NP, what will you do to support healthful work environments for yourself and your colleagues?
  • Think about your personal use of social media. Are there changes you would like to make in how you use social media?
  • What self-care practices do you engage in to promote personal holistic health?

W2 R see attachment

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Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Ally Carvalho

What are the potential ethical and legal implications for each of the following practice members?


Medical assistant 

The medical assistant engaged in unethical behavior by refilling a prescription without proper authorization. Her action can potentially harm the patient if the medication is no longer appropriate or if there are contraindications.

Her actions violate state laws and regulations related to prescribing and dispensing medications without proper authorization.

Nurse Practitioner

The NP should thoroughly investigate the situation and address any ethical concerns related to patient care, including the appropriateness of the prescription refill and the potential breach of trust. The National Health Care Anti-Fraud Association estimates three percent of all healthcare spending is lost to fraudulent transactions (Haddad Soleymani et al., 2018).

The NP's name was used on the prescription label without their knowledge and it must clarify this discrepancy and ensure compliance with prescription laws and regulations. At this point, the NP doesn't know if this has happened with other patients and it must be addressed.

Medical Director

The medical director has the ethical responsibility to address the situation promptly, ensuring that the practice's standards for ethical and legal behavior are upheld. 

Practice

The practice as a whole has an ethical obligation to provide high-quality, safe patient care. Any lapses in ethical standards may erode trust and confidence. Healthcare professionals must follow structured policies and procedures (Kadivar et al., 2017).

The practice should ensure that all staff members comply with legal requirements regarding prescription renewal. 

 

What strategies would you implement to prevent further episodes of potentially illegal behavior? 

Reinforce the importance of adhering to legal and ethical standards during training and ongoing education for medical assistants. 

Implementing stick protocols for prescription renewals including requiring direct provider authorization and documentation. 

According to the Department of Health and human services (2011), it is important to implement regular audits or checks of prescription practices to identify any irregularities.

Foster a culture of openness, where staff members feel comfortable reporting any ethical or legal concerns without fear of retaliation.

Medicare prescription drug sponsors’ training to prevent fraud, waste, and abuse. (2011). Department of Health and Human Services, Office of Inspector General.

Haddad Soleymani, M., Yaseri, M., Farzadfar, F., Mohammadpour, A., Sharifi, F., & Kabir, M. J. (2018). Detecting medical prescriptions suspected of fraud using an unsupervised data mining algorithm. 
Daru, 
26(2), 209–214. 

https://doi.org/10.1007/s40199-018-0227-zLinks to an external site.

Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A.

(2017). Ethical and legal aspects of patients safety; a ckunucak case report. Journal of Medical Ethics and History of Medicine, 10, 15-.