The overall goal of the Session Long Project in this course is to examine health care delivery in the United States from a personal perspective and provide recommendations for improvement.

According to the United States Census Bureau (2016), rural areas cover 97% of the nation’s land area, but contain 19.3 percent of the population (about 60 million people). Access to health care services is vital to good health; however, U.S. rural residents face a variety of access barriers. For rural residents to have sufficient health care access, necessary and appropriate services must be available and obtainable in a timely manner.

Rural Health Information Hub. (2017). Healthcare Access in Rural Communities. Retrieved from https://www.ruralhealthinfo.org/topics/healthcare-access

United States Census Bureau. (2016). New Census Data Show Differences Between Urban and Rural Populations. Retrieved from https://www.census.gov/newsroom/press-releases/2016/cb16-210.html

For Module 2 SLP, you are employed at a non-profit organization in rural Minot, North Dakota (population ≈ 49,000). As the Lead Health care Project Manager, you have been charged with developing a project charter for the new “Rural Health Improvement” project. This project goal is to increase access to health care services in the area. Based on your module reading and your own research, include the following in your project charter:

1. Factors of your project (i.e., aim, timeframe, cost, scope, etc.).
2. Major stakeholders and each stakeholder interest in the project.
3. At least two innovative approaches to health care delivery.
4. At least two expected outcomes of your project.

You may use the following template as a guide to create your Project Charter: https://www.med.unc.edu/pediatrics/quality/documents/Improvement%20Project%20Charter%20Template.doc/view

Use this guide on completing a Project Charter.

SLP Assignment Expectations

1. Conduct additional research to gather sufficient information to support your project charter.
2. Limit your paper to 2 pages.
3. Support your SLP with peer-reviewed articles, using at least 2-3 references. Use the following source for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
4. You may use the following source to assist in formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.

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Write an argumentative research paper on a managed care-related topic, assumption or myth; thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today. You will gather evidence on present a well-reasoned argument or debatable issue. The goal of an argumentative paper is to show that your perspective is valid. You are to form reasons, draw conclusions and apply them to your findings. The purpose is not to completely prove your point, but to convince readers, with your evidence, that your argument or position has merit.

You will be evaluated according to your topic selection, thesis and outline, annotated bibliography, peer review, and final paper delivered in proper format as follows:

ASSIGNMENT

 Present “a managed care-related topic, thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today.”

• Presents an argumentative paper with reasoning and evidence of debatable issue.
• Incorporates suggestions as needed from peer review.
• Incorporates key elements of a quality research paper:
  • Strong thesis statement that states the main point of your project and suggests the path that your project will follow.
  • Attention-getting introduction moving into quick transition that leads into thesis. Captures readers’ attention.
  • Topic sentences relate back to thesis statement. All information is relevant to thesis.
  • Logical transitions between paragraphs and ideas provide unity and coherence to the whole. Clear organization.
  • Concluding paragraph sums up information and reiterates thesis.
• Mechanics follow required standards. (Spelling, grammar, sentences written according to Standard English.)

Technical Requirements

An original research paper with a body of 6-8 pages. In general, your paper should consist of the following pages:

Title Page – captivating title, your name, title of the course, date

Body – 6-8 pages of introduction, background on your topic, research support, personal evaluation, strong conclusion. Body should be organized with a minimum of the following titles

• Introduction
• Thesis or Position
• Reasons
• Objections
• Support of Responses
• Conclusion

References Cited page – in APA format.

Research and Writing Requirements include:

1. Proper mechanics: clear, concise, complete sentences and paragraphs, proper spelling, grammar and punctuation. 
2. Five or six sources for the paper from your research.  Internet resources should be reliable as at a university or government website. Use statements and ideas that you have come up with on your own and blend these in with your research. Do not plagiarize. If you want to use actual words from a source, put them in quotation marks with the source.

Follow APA format for citing your sources.

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Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting.

Due Date: 03-Nov-2019 at 11:59:59 PM 

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Managing Conflict in the Workplace

High-pressure environments, life-or-death implications, constant change, and long days of exhausting work … It is not surprising that conflicts arise in health care settings. In the fast-paced environment in which nurses work, small differences in decision making, processes, work ethic, and personal characteristics can quickly escalate

As a nurse manager, you need to develop and model skills that effectively address conflict situations. Stephen Covey, author of The 7 Habits of Highly Effective People, offers sound advice that can be applied to conflict management and resolution. In Habit 4, Think Win-Win, Covey (2004) explains, “[m]any people think in terms of either/or: either you’re nice or you’re tough. Win-win requires that you be both. It is a balancing act between courage and consideration.” Ultimately, how you manage conflict in your setting will determine whether you foster an environment that breeds contempt or one that fosters growth.

Conflict abounds in any workplace; it is a normal part of organizational life. Instead of avoiding or ignoring conflict, the role of the nurse manager is to coach employees through conflict situations and to exercise judgment on how and when to intervene. When managed effectively and focused on substantive issues, conflict can actually lead to better outcomes. However, when interpersonal conflicts go unaddressed, employee morale and engagement–two factors that can seriously impact quality of patient care—will dwindle.

When nurse managers observe employees engaging in toxic or inappropriate workplace behaviors, they must prepare to give difficult feedback. Delivering difficult feedback can be challenging for nurse managers, as they must address employees in a way that is authoritative, supportive, and resolute. One strategy nurse managers can use to deliver difficult feedback is to employ the scripting framework. In this week’s Discussion, you gain experience with using the scripting framework to resolve a conflict situation that you have observed in your past or present workplace.

To prepare

• Review this week’s Learning Resources, focusing on the various forms of conflict that can occur in the workplace.
• Consider the types of conflict, including bullying, horizontal violence, toxic and disruptive employees, misuse of social media, unbalanced power, harassment, and favoritism, that exist in your current organization or past place of employment.
• Select one type of conflict you have observed. How has conflict impacted your work environment? How have nurse mangers attempted to address conflict situations?
• Examine the six-step scripting framework for delivering difficult feedback in Chapter 7 of the course text, From Management to Leadership: Strategies for Transforming Health Care. Then, use this framework to script a conversation between you and the employee(s) involved in the conflict situation you selected.
• When drafting your script, reflect on how HR might be able to help you in addressing this issue, both before you talk to this employee and if the problem continues to exist.

By Day 4

Post a brief overview of the conflict you selected and how this specific type of conflict has impacted the work environment. Share the script you drafted and explain at least one way you would enlist HR’s help in managing this situation. Support your response by referencing authentic examples from the workplace and the Learning Resources as applicable.

Required Readings

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.
Chapter 7, “Coaching and Developing Others” (pp. 339–341)Review the scripting model on these pages. In this chapter, Manion discusses motivation and explains how leaders can make the most of it through coaching. She explains the leader’s role, the coaching role, and the difference between coaching and being a coach.

Alichnie, C. (2012). Social media and nursing. Pennsylvania Nurse, 67(1), 3–10.  Retrieved from the Walden Library databases.

This article discusses the use of social media in nursing. The author determines that social media can be a means to an end if it’s used wisely, professionally, and within legal and ethical boundaries.

Barrett, A., Piatek, C., Korber, S., & Padula, C. (2009). Lessons learned from a lateral violence and team-building intervention. Nursing Administration Quarterly, 33(4), 342–351.  Retrieved from the Walden Library databases.

This study focuses on nurse interaction in relation to lateral violence. The authors conclude that the key to a cohesive work environment is a nurse leader who is able to drive and sustain change.

Barton, S. A., Alamri, M. S., Cella, D., Cherry, K. L., Curll, K., Hallman, B. D., et al. (2011). Dissolving clique behavior. Nursing Management, 42(8), 32–37.  Retrieved from the Walden Library databases.

This article addresses clique behavior in health care settings. The argument is that the current economic climate encourages regression in health care workers.

Brinkert, R. (2010). A literature review of conflict communication causes, costs, benefits and interventions in nursing. Journal of Nursing Management, 18(2), 145–156.  Retrieved from the Walden Library databases.

The author assesses the effects of conflict communication on nursing. The study concludes that conflict will always be a part of nursing but that it can be mitigated if nurse managers use employee-effective intervention methods.

Cronquist, R., & Spector, N. (2011). Nurses and social media: Regulatory concerns and guidelines. Journal of Nursing Regulation, 2(3), 37–40.  Retrieved from the Walden Library databases.

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