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Modern healthcare systems have become more chaotic, requiring nursing leaders to obtain skill sets that will allow them to adapt to change successfully (Huber, 2018). Huston (2008) suggests that preparation must come from educational models and management development programs that contain leadership competencies. Superior performance comes from strong leadership skills and behaviors (Thusini & Mingay, 2019). Strong skills and abilities associated with effective nurse leaders include social intelligence, management skills, and being politically astSocial Intelligence

Social Intelligence is the ability to connect with other people and influence them. A nurse leader with highly developed social intelligence possesses the capability to work collaboratively and engage in team-building with other health care professionals. Huston (2008) highlights collaboration and team-building skills as a competency essential to creating a positive and productive healthcare environment. Poor social intelligence can lead to non-productive conflict. 

Economic Factors

Concerning the relationship between nursing leaders and economics, technology, and the high cost of healthcare must be considered. Electric Medical Records (EMR) require funding to implement. Additionally, the cost of expensive equipment and supplies impacts nurse managers’ decision making on how much is needed to operate safely (Huber, 2018). The nurse leader must be aware of the high cost of healthcare at all times.

Political Skills

Being politically astute is a nursing competency that is needed for organizational goal attainment. Politically skilled nurse leaders maintain balance and accountability (Thusini & Mingay, 2019). By utilizing power prudently and clear decision making. The nurse leader must be proactive to healthcare organizational demands. 

 
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Please, respond to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years from database and not internet.

APA format required.

 

The Health Belief Model

Maya Maman posted Mar 21, 2019 10:03 PM SubscribePrevious Next This page automatically marks posts as read as you scroll.Adjust automatic marking as read setting

Globally different cultures have different beliefs in well-being, medicine, and health-promoting behaviors. The Health Belief Model is a theory that individual change in behavior depends on the person’s belief of the gravity of the disease process and the vulnerability to the disease.  As such, change in behavior depends on the belief of the advantages that would come with assuming healthier habits (Jacobsen, 2019).  This means that in order for a given individual to change their current behavior to a health-promoting behavior, they must fear the disease process and the consequences at hand if a change is not made.  In addition, individuals require motivational cues or environmental stimulus to trigger a change in behavior by way of news, adds, healthcare providers, or loved one’s hospitalizations (Jacobsen, 2019).  Again, globally stimulus differs with access to healthcare, television, internet, and population.  An individual living in a remote area would have less exposure to stimulus than a person living in a highly populated city and therefore less motivation for change.  The Health Belief Model-based training has been shown to have positive effects on behavioral change (Bakan & Erci, 2018).  As health care providers, we must take advantage of every approach to promote healthier behavior change in patients for improved outcomes.        

 
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 Please, provide a response to the following discussion by using one reference of Nursing peer-reviewed journal not older than 5 years from Database.

Is nursing a profession?

            When debating whether or not nursing is considered a profession, is it important to define what is a profession. By definition, a profession involves having a clear framework of its own body of knowledge, which implies that the professional is able to use the knowledge gained through research and uses it in practice (George, 2011). In a real-life situation, when a person enters a hospital after sustaining a gunshot wound, the individual will be immediately treated by a variety of different staff members who are trained and capable of treating the injured patient. Registered Nurses (RN), are surely among many of the staff members who would be present on the scene to ensure that the patient doesn’t bleed by continuously assessing and monitoring the patient’s progress. 

Nursing is indeed considered a profession for many reasons that are worth to discuss. First, nurses are trained in an accredited school where they receive the training from professors who have received the proper training to educate their students to learn the knowledge required to practice the profession of nursing (Eptein & Turner, 2015). Second, the profession of nursing has been guided by the American Nurses Association and by the Code of Ethics, which mandates nurses to adhere to their strict standards and if failure to do so, will result in having the nursing license revoked (Eptein & Turner, 2015). Nurses have the ethical duty to protect their patients from harm, to treat every individual equally and with respect despite their gender, cultural background, sexual orientation or criminal record. Lastly, a nurse has the ability to use his/her judgement when making clinical decisions and has the ability to use his/her critical thinking skills when treating patients (Eptein & Turner, 2015). If for instance, a nurse comes across a medication that may be contraindicated for a particular patient, a nurse can use his/her critical thinking skills to question the doctor’s order and may hold the medication until full clarification is obtained. As part of their profession, nurses are responsible to ensuring that their patients receive the highest level of care.

 
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Please, write one paragraph response to the following Discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

 

Evidence based practice plays a major role in nursing, EBN is any practice that relies on scientific evidence for guidance and decision making. Organizations with forthcoming leadership reinforce staff will boost the use of evidence based practice. Informal and formal leadership is necessary across all organizational levels and nursing roles when implementing evidence based practice (Huber, 2018). Nurse Managers can ease and support EBP work in ways like setting up unit expectations, discussing the importance of EBP, promote staff questioning, track progress and much more. Encouraging nurse to attend project work conferences will promote the use of evidence based practice. Economics do affect nursing practice

 We all agree that finding a large amount of research support Evidence based practice ameliorate quality and safety of health care which amplify health outcomes and decreased variation I care and reduces costs. A lot of money is spent on healthcare in the United States than any western country. Nurse’s work 12 hours shift, patient are awaken every 2-4 hours for vitals, patient with indwelling catheter ends up with infection. In the United States EBP has been the Triple Aim in healthcare. EBP has been found to license clinicians and result in higher job satisfaction. Although it has brought many positives outcomes it is not used throughout the United States or the rest of the world due to multiple barriers that have continued to persist over the past decades. Study shows there is a gap between the research evidence available and the implementation of it in clinical practice. The reason for that is because clinicians can overwhelmed with information or lack skills to assess information , sometimes it is reviewed but not apply to clinical decision-making (Stephen-Haynes,2014). Not having many research evidence available, nurses tend to make decisions based what was already available and not any updated information. While sometimes it provides positive outcomes, sometimes it ends on costing the facility when the effects are not so positive. Patients are concerned about achieving better outcomes while controlling the cost of medications and treatment. It can cause patient not to seek help until it’s too late. The more research we find the more we can implement into our practice and the more it can decreased cost for patients and also the hospitals.

In summary we talked how evidence-based practice (EBP) improves healthcare quality, patient outcomes, and cost reductions, and abundance barriers persist in healthcare settings that need to be rapidly overcome. We talk about how the cost of treatment affects nursing care and how clinicians sometimes may not review any new research due to being burn out.

 
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please, write one paragraph response to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

 

 

How Client’s Values Are Used to Provide Framework of Care

One of the most important things to remember when providing care for an individual is to listen. Being a patient advocate means that not only are you providing care, but you are also keeping the patient and their family involved in the care. Client centered care is an approach that values the patient as a whole and not just focusing on the health issues that needs to be addressed. Communication is key because it gives the opportunity for the patient to voice their concerns and to state what makes them comfortable which gives them autonomy. In order to have a proper plan that will deliver positive outcomes there needs to be exchange of dialogue between the patient and the healthcare provider, this will aide in creating the best plan of care. The values and beliefs of the patient need to be acknowledged because it can make the process of care more satisfying. When healthcare professionals are culturally competent it provides building blocks to create a plan of care that will be of great quality. This means that the provider will take into consideration that patient’s values and beliefs when deciding what treatments meet that needs (Henderson, Horne, Hills, & Kendall, 2018).  

  

References

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in

the community: A concept analysis. Health & Social Care in the Community26(4), 590–

603. https://doi-org.db03.linccweb.org/10.1111/hsc.12556

 
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Please, write a response to the following discussion in one paragraph. APA format needed without cover page, one reference from peer-reviewed Nursing Journal required.

 

             Minorities such as the Hispanic population are having to deal with chronic conditions without the ability to access healthcare. They lack healthcare access because they are unable to afford a healthcare plan nor are they able to pay for doctor visits. In addition, they are unable to afford their daily medications that are needed to help control their health conditions. Many of the low-income Hispanics on average have an income of less than 25, 000 per year. They are financially unstable and worried about their finances. Because of this low income, they are unable to afford the costs associated with their illnesses leading to a lack of follow-up visits, lack of adherence to the medication regimen and many simply do not see a doctor. For the Hispanic population, diabetes is the most common chronic health condition affecting their family (Saulsberry, Blendon, & Benson, 2016).

            A program that has helped many people in the United States to obtain healthcare coverage is the Affordable Care Act. When ACA was signed into law in 2010, it allowed for the largest number of people to obtain coverage in fifty years (Sommers, Maylone, Blendon, Orav & Epstein, 2017). Because of ACA, there have been increased primary care visits, improved blood pressure control and PAP testing rates. Under the healthcare law, healthcare companies cannot refuse to insure people with pre-existing conditions. People with pre-existing chronic conditions have the most to gain because they are covered and will not be denied care. ACA has provided medical adherence, open communication with healthcare providers and it has improved access to healthcare and services to low income Hispanic communities. I hope that ACA continues to be a law, one providing better healthcare and access to all in the United States.

 
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Please, write a response to this discussion in one paragraph by using one reference from peer-reviewed Nursing Journal not older than 5 years. APA required without cover page.

 

Family Issues on Aging

            Mrs. Lo and her daughter seem to be at a critical point in their lives where tough decisions must be made. Mrs. Lo is under the impression that children should take care of their older parents in the latter years of their lives. The need for a comprehensive approach to tackle the needs of elderly Americans have always been an issue in the United States. Cultural, economic and social factors complicate the issue of elderly healthcare (Harvey, 2019).  In Mrs. Lo’s case, I would counsel her and the daughter together and try and find common ground on what is expected of Mrs. Lo’s care. A compromise would have to be reached in order for all parties to be happy. Communication and transparency are vital in situations like this. If there is still an unwillingness on the daughters end to move the mother in I think it would be best for Mrs. Lo to relocate close to the daughter so that at least she will be in close proximity with the daughter. It seems that Mrs. Lo had always been fairly independent so if she lived close to the daughter she would be able to help with the small tasks like grocery shopping and the like. There are millions of nursing home residents in the US and many of these nursing homes are understaffed and in need of better regulation and financing (Tabloski, 2014). An option that I’m familiar with for Mrs. Lo would include having a caregiver visit her during the day to aid her with the tasks that she needs help with. Ultimately communicating with her loved ones would be the best way for Mrs. Lo to have her opinion respected.

 
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Please, write a one-paragraph report to the discussion posted bellow by using one reference from peer-reviewed English Nursing Journal not older than 5 years.

 

Despite case management’s humble beginnings, the overall importance of case management has increased exponentially over the years. Over the past 25 years the role of case management (CM) in the health care field has evolved (Huber, 2018).  The patient-centered primary care model is currently preferred. It requires quality-driven prevention and outpatient management in order to produce favorable outcomes for patients.  Case Management is an essential part of the primary care model. In the early 1990’s the effectiveness of case management was unclear (Huber, 2018). CM nurses were unnoticed and rarely paid for their services (Huber, 2018). Health insurance companies acknowledge that the utilization of case management nurses produces quality and cost containment outcomes (Huber, 2018).

According to Huber (2018) case management is the coordination of care and advocating for patients and their family’s health care needs and services.  CM empowers patients to understand and access quality, efficient health care (Joo & Huber, 2018).  They also often take responsibility for vulnerable patients (Joo & Huber, 2018).  Case management nurses bridge the gap between fragmented care and effective care. 

Case managers at the health care facility that I work for often work closely with social workers and other healthcare professionals. The ensure that an appropriate level of care is provided to the patient.  They also reduce length of stay in the hospital thus reducing healthcare costs.  CM at my job also reduce readmission by setting up follow up appointments as needed.

 
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Please, write a one paragraph response to the discussion posted below by using one reference from peer-reviewed English Nursing Journal not older than 5 years. APA required, no cover page needed.

  Ms. Johnson was fortunate to have been offered such a great opportunity of becoming the new director of nursing at the long term care facility she is currently employed. Ms. Johnson obtained her associates degree about three years ago, which is fairly recent. Her current position is assistant director of nursing. Some realities that Ms. Johnson should consider is that most manger or supervisor nursing positions should obtain higher education classes and specialty certifications in order to gain knowledge of varies strategies and resources because this can influence the outcomes of residents in the facility (Trinkoff et al., 2015). Studies have shown that nursing homes or long term care facilities that have nurses with high credentials had lower rates of deficiencies than other facilities with less credentialed nurses. BSN prepared nurses are highly preferred in hospitals and facilities because they are linked to decreased mortality and morbidity (Saver, Cichra, & Kline, 2015). Granted, she has been there for only a few months in this long term care facility, it is still possible for her to be able to provide great leadership skills and possibly work towards her BSN degree. BSN degrees prepare the nurse by teaching evidence-based practices and leadership and management skills. As the DON, Ms. Johnson will be responsible to motivate the nursing staff to modify standards and apply best practices. Credentials distinguish the level of certifications in the nursing profession to other healthcare professionals and to the patients and their relatives (Tabloski, 2014). The benefits that she will encounter is a substantial salary increase, but risks may be that she is not fully capable of carrying so much responsibilities. DON responsibilities include developing, implementing, assessing, and improving quality of nursing care in the facility. A nurse with an associate’s degree has less educational courses and training that a nurse with a BSN degree, which means the facility may see a decline in patient health. For example, there may be increase in pressure ulcers, catheter uses, and increase in pain levels. Education is important among leaders in hospital and facilities because there is a relation with lower adverse outcomes (Trinkoff et al., 2015). 

 
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Rua 19070781

Teaching brochure

 
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