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

The concept of organizational structure is fundamental in all companies. Among other things, it defines the characteristics of the organization of the company and has the mission of establishing authority, hierarchy, organizational charts, and departments, among other things. All organizations must have an organizational structure according to the tasks or activities they intend to do, through an appropriate structure that allows them to set their functions, and areas with the intention of producing products or services through a correct order that facilitates the achievement of business objectives. All workers must be clear about their role in the system, and through this order, a series of protocols for action and control results are specified (Huber, 2010).

In order to follow an organizational structure, a leader or a manager is needed. Positive leadership is exercised by those who are capable of guiding the efforts of a work team towards achieving the objectives and goals of the organization (Karefoot, 2015). An organizational structure has a vision and mission a leader must follow in order to lead other employees in that direction. An organizational structure can shape a leader or manager into learning how to be confident, to promote dialogue within the employees and to become an innovator (Huber, 2010). A leader or manager also improve the skill of decision-making, the person becomes a motivator, the one that takes the initiative, and further improve the skills of listening and delegation. A leader must identify with the mission and vision of an organization because this one will shape the path of the employees, company and the method of achieving the goals (Karefoot, 2015).

 

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Multigenerational nursing

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

Some of the challenges of having different generations in the workplace include a difference in education, particularly vocational training, and a difference in communication style. As current practices are studied and re-evaluated, traditional practices may be replaced by those that are more recently researched and are evidence-based. Veteran nurses may believe it is a waste of resources to change a practice that has been in place for so long and, in their view, has yielded adequate results.  Similarly, younger generations may readily dismiss suggestions and viewpoints from veteran nurses in favor of the new practices learned in school without considering that years of clinical experience can be just as valuable. This disconnect between nurses of differing generations may be rooted in a difference of communication style. For example, Baby Boomer nurses were trained to only voice their opinions when asked, whereas Millennial nurses’ were taught to speak up any time they have a problem with, or idea for, new practices; this difference in communication may lead the Baby Boomer nurse to regard the Millennial nurse as impertinent and disrespectful of authority instead of realizing that new nurse is actually trying to improve the patient experience (Phillips, 2016, p.198).

In my experience, some veteran workers can be set in their ways to a fault, even if there is clear evidence that practices they are accustomed to are simply not the best practices anymore. This is not to say that middle-aged or younger workers cannot share this attribute, however the veteran workers sometimes use their field experience as a rationale to ignore current research findings and continue using practices they deem appropriate. Also, as an employee that is frequently on the team that rolls out new technology and equipment, I feel that veteran workers take more time to warm up to change and can be somewhat hostile to a younger person, such as myself, training them.

As far as accommodations, we have certain older employees that will not perform job-necessary duties because of back issues, knee issues, or other medical issues in the same vein. As a result, these employees rarely get assigned total care patients, making the younger staff resentful because they feel they, literally, do all the heavy lifting while these older employees are routinely assigned the less acute patients. To a certain extent, allowances should be made for older workers, including nurses. After a lifetime of caring for patients, it is reasonable to deduce that the joints, particularly knees and back, can be irreparably damaged from repeated use. However, in my opinion if an employee is unable to perform the duties required of their job title, they should be doing a different job. It is not fair that one group of nurses consistently gets less acute patients, thereby doing half the work, but still receiving the same benefits as those nurses that pick up the slack. A potential solution would be for the nurses with physical limitations to shift to a position that utilizes their experience but is less physically demanding; such positions include resource nurse, case manager, or patient care coordinator. If this were fiscally feasible, the unit would be able to retain the wealth of knowledge provided by these seasoned nurses and still have room to hire new nurses that can help distribute the patient loads more equitably.

            Life expectancy in the United States has increased over the past few decades and older people are generally healthier than their predecessors, however the incidence of chronic conditions has also increased in this time frame (Tabloski, 2014, p.8). This indicates that there are more people to care for and these patients are more likely to have multiple comorbidities. This trend has the potential to put an enormous strain, economically and physically, on an already overburdened health care system and nurses, particularly bedside nurses, will bear the brunt of this (Tabloski, 2014, p.13). It is important that nurses engage in primary and secondary prevention with this population, including education related to diet, exercise, and proper medication utilization (Tabloski, 2014, p.13). By encouraging older patients to take an active role in preservation of function and overall health, nurses empower these patients to help decrease their risk for chronic conditions, like hypertension, and injury (Tabloski, 2014, p.13). Also, nurses must be educated on specific attributes of the older population, such as increased sensitivity to certain medications, decreased sensory perception, and increased susceptibility to mental health issues, such as depression, that may affect their physical health or motivation to maintain a healthy lifestyle.le

 

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Please, respond to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years. APA required without cover page. (one paragraph)

  Mr. Jones’ current non-compliance with treatment appears to be due to a disturbed body image and lack of education regarding the aging process. Although development of arthritis is not a normal change of aging, it is something that may happen due to the natural alterations in the musculoskeletal system (Tabloski, 2014). Bones become stiff, weaker and more brittle as people age and vertebral disc thinning is likely (Tabloski, 2014) . Osteoarthritis affects over 50% of individuals over age 65, restricting self-care ability – even more so when the recommended treatment regimen is not followed (Tabloski, 2014) . The nurse caring for Mr. Jones should continue to educate him on the risks of non-compliance such as falls and hip fracture. Talking to Mr. Jones about alternatives to pain medication (such as lifestyle changes like exercise, weight loss and healthy diet) may prove to be helpful in this situation. Mr. Jones believes that if he uses a cane to get around, he will be seen as undesirable to women and that is affecting his willingness to comply with his treatment. Reassigning the patient to (or collaborating with) a younger female nurse who is empathetic to how he feels may be helpful and he may decide to listen to her advice. The nurse could also collaborate with the physical therapist to teach Mr. Jones some exercises that he can do in the privacy of his home since he is concerned with his image (Kotter-Grühn, 2015). 

 

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

Regulation

      The healthcare profession has numerous regulatory bodies ensuring patient safety is maintained at a high standard.  One such organization is The Joint Commission (TJC), an organization established in 1951 that provides voluntary accreditation through a very in-depth evaluation of compliance with standards of care of an organization (Wrzesniewski, 2017).  Continued accreditation establishes an organization’s determination to provide evidence-based, safe, quality care.  In 2001 TJC introduced a new requirement of a formal patient safety program (Huber, 2018).  The continuously elevated level of standards and safety measures required by TJC ensures safety is always at the forefront of health care.  Although medication administration error goals can be to keep errors to a minimum, it is impossible to avoid errors where the human element exists (Wang et al., 2015).  Hospitals can establish the building blocks needed to provide care of the highest standards through the safety framework required by TJC accreditation.  However, to assure continued safety and compliance it is important as a hospital culture to maintain standards and not push staff compliance before inspections (Wrzesniewski, 2017).  The standard of care and safety measures should be instilled in healthcare workers.  Policies and procedures should be adhered to and followed to the letter to avoid staff confusion and straying from the goal of safety.  Safety in an organization is a culture and must be preserved at its highest form. 

As nurses, we follow organizational policies and procedures, question when necessary, and advocate for change when applicable. Nurses are the last line of defense in medical errors.  This responsibility should not be taken lightly and a conscious continuous effort should be made to apply evidence-based practice when providing care to patients.  Patient safety should be the number one priority in any health care and to any given healthcare provider as we have all taken an oath to above all not do any harm to our patients.       

 

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