comment 1

When a new director makes a decision of reorganizing the department without consulting the nurses who have been operating there for some time develops a conflict issue. This director rules autocratically which a style which builds tension among the management as well as employees. Nurses are important in the execution of better health care in the community and their roles are undisputable (Huber, 2018). Thus, nurses are supposed to be involved in changes that an organization wants and in decision making. 

Conflict may be described as the perceived threat that can be external or internal, positive or negative and disruptive or competitive. Leaders are supposed to be attentive to negative and disruptive conflicts that impact people’s actions and feeling in an undesired way. In case a change is made without involving nurses lead to high turnover, resentment, frustration and negative patient results. Conflict resolution leads to the adoption of different strategies which include the following; defensive mode like avoiding the subject to prevent escalation as well as gain time. The other one is a compromise as well as meeting at halfway to ensure each party gains something and finally, creative problem solving which includes empathy with the involved parties, discussing in a constructive manner and developing an assertive dialogue which results in solution agreement (Huber, 2018). 

As a nurse leader, in case of conflict, I would employ creative problem solving as a method of conflict resolution. I would make sure am familiar with the changing scope initiated by the director and understand the concerns of the staff as well as how the changes may negatively affect patient care, influence staff feelings and emotion and disrupt the entire nursing process. I would talk to the management to meet with the nurse staff to address the problem. Communication is a safe way for the management to share changes to the staff. I would motivate the nurses to speak out their concerns, remain assertive and communicate their ideas. I would also encourage an external mediator who is trusted, objective and knowledgeable. 

comment 2

We have worked so hard to attain all of your nursing credentials, yes, now it’s time to put your skills to work in a professional setting and make your contribution to the healthcare profession, but you cannot just do it alone. Therefore, building a professional network is the opportunity you need so it can bring career advancement. In addition to helping grow your professional network and making lifelong friends, attending conferences can also give nurses a chance to break away from the stress of their everyday work and give your brain a break. Creating  a connection maybe able to offer direct help or put you in contact with someone who can directly help you, but you may be able to return the favor at some point by keeping the connection open for other people. Moreover, every professional connection should be based on interactions that involve knowledge sharing and mutual professional development

  In fact, networking may play an even larger role when it comes to nursing jobs.  Nurses must develop strong relationships with peers and managers at both their current and former jobs. This means maintaining some level of contact with former coworkers to ensure relationships stay fresh and relevant and open. It also means developing relationships that are strong enough to be able to ask for and receive a glowing professional reference when needed. Given that nurse’s central role in patient care is maintaining current knowledge of trends and advancements, teamwork is vital too.

  A situation in which I have networked for the health of a population or your community was when our facility lagged really behind in wound care, our new admissions from hospital always come with very bad wound and before we could start our own policy on wound care some are worse, I made my director of nursing hire a wound doctor I met when I was in school. The doctor created a wound tracking every Wednesday and sent some interested nurses to wound care training, since then we are one of the best if you ask me in our community.

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Comment 1

Continuous quality improvement (CQI) is taken very serious at my organization, as I am sure it is taken serious at my fellow classmates facilities. CQI is a quality management process that encourages the health care team members to continuous ask “how are we doing” and “can we get better” (Moran, 2012). CQI is for the safety and education of the patients and staff members. We report out each morning about 30-day readmissions in house or patients at high risk for a 30-day readmit. We have a team that identifies the trends of the readmission predictors in order to identified patients currently in house at high risk for 30-day readmission. After the identification of the high risk patients, a structured discharge plan is put in place. Education on the disease process and discharge instructions is immediately started with the patient and care givers. Outside resources are immediately identified, such as home health and hospice, and the patient is given the patient choice form to pick the company that they would like to use on discharge. On discharge, the patient will know their disease process and how to manage at home. The patient will state what medications they are taking and what they are taking them for.
The patient will also state what time of day the medication is due. The patient will receive a phone call within forty eight hours after discharge from the hospital to make sure the patient continues to understand all discharge instructions and medications.

Comment 2

Continuous quality improvement, CQI, is a viewpoint or attitude for evaluating processes and improving them to attain customer satisfaction (Huber, 2014). CQI focus in healthcare is usually related to improving patient outcomes (Conner, 2014).

There is no delaying that hospitals need to deal a brand in today’s medical world. I can speak for the organization where our brand is high-quality care at low cost. A part of growing a brand that delivers high-quality care consistently it is vital to continue to maintain an emphasis/focus on identified quality improvement initiatives. To create a hospital culture supportive of quality improvement, respondents stressed the importance of hospital leadership being in the vanguard to engage nurses and other staff. As a representative of an accrediting organization said, “For any quality improvement project to be successful, the literature shows that support has to trickle down from the top (Draper, Felland, Liebhaber, & Melichar, 2008).

The chief nursing officer, CNO, is passionate about the delivery of high-quality care, she talks about it each month at nursing leadership, and it is a constant in my staff meeting minutes. It is vital that we empower the nurses who are delivering the care at the front line to buy into initiatives. We have encouraged staff to participate in hospital-wide performance improvement and report out our progress as a healthcare system in unit councils.

One example of how we are applying CQI in our current practice is through our CAUTI initiative. We have developed an education package for the staff which was accompanied by a nurse-driven protocol for patients that have a foley. If we have a patient who comes through the emergency department, they need to meet specific criteria before a foley can be inserted. We have seen great successes in this project, and the results have been extremely positive.

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Comment 1

Qualitative research is used to record data that is not in the form of numbers such as opinions, feelings, and experiences; quantitative research is used to measure data in the form of numbers. Qualitative research uses observation as the data collection method (Clark & Veale, 2018). Qualitative research lacks standardization and some data might have been recorded as notes or on tapes. The researchers must use this data to formulate words. Because qualitative data are presented as words from participant observation field notes, interview transcripts, journals, documents, and literature, thematic analyses with coding and sorting techniques commonly are conducted. Qualitative analysis inevitably involves breaking the data up and coding different segments. Increasingly, researchers use software packages to assist in managing data (Gerrish & Lacey, 2013).

Comment 2

Qualitative research refers to a method of inquiry in which the researcher, acting as data collection instrument, seeks to answer questions about how or why a particular phenomenon occurs. Questions regarding of what a phenomenon is comprised may also guide qualitative research. The most fundamental assumption underlying qualitative research is that reality is something socially constructed on an individual basis. Varied methods of qualitative research exist. Examples of qualitative methods employed in nursing research include Qualitative research refers to a method of inquiry in which the researcher, acting as grounded theory, phenomenology, ethnography, and qualitative description (Miller, 2010). Each method has its own assumptions and purposes and an appropriate method is chosen based on the research question. An example would be, a researcher investigating the process involved in the occurrence of a phenomenon would likely choose grounded theory, while a researcher interested in the meaning of the phenomenon would utilize phenomenology (Miller, 2010). Regardless of method, participants are purposefully enrolled based on their familiarity with the phenomenon. Researchers can organize data by collecting the data through interviews, observations, or document/photograph review. Data can be organized in a manner which best answers the research question. Importantly, the objective of qualitative research is not the accumulation of information, but the growth of understanding about phenomena of concern to nursing.

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Analyzing and interpreting programs is another significant process of program evaluation. Conducting an evaluation means reviewing all sections starting with the introduction and background of the program to cultivate a detailed understanding of the program, then understanding the history and learning how it will affect the target population or community. Analyzing and interpreting the program also leads to developing cohesive goals and objectives, plus deciphering what to measure, and predicting possible barriers that will preclude a successful program. Furthermore, this process affords a better understanding of the design strategy and data collection and analysis.

In this assignment, you will continue working on sections for your final project. You will develop a matrix for this assignment.

Using the readings for the week, the South University Online Library, and the Internet for research, select scholarly references on three public health evaluation programs. You will use these references to support your responses. These references can be similar to the CDC publication, Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide.

Be sure to review public health programs in your state and include at least one program that addresses the health issue or health disease that you selected as your main theme or topic throughout the course. Use the following public health program matrix guide to analyze and interpret the three programs you selected.

Click here to download the Matrix Guide.

You will need to review, analyze, and interpret each program and use the matrix guide to address the following components:

• State the title of the public health program evaluation and its author.
• List the objectives and goals.
• Explain the purpose of the program (summarize).
• Describe the method and research data collection process (if applicable).
• Explain the framework and why it was selected.
• Address funding options.
• Summarize the findings of the program and include a brief note providing your evaluation of the program.

Submission Details:

• Fill in your information directly in the matrix. Submit one matrix for each public health program. Be sure to include a 100–200-word summary and evaluation of the program.
• Submit your matrix in a Microsoft Word document to the Submissions Area by the due date assigned.
• SU_PHE6202_W3_A2_LastName_FirstInitial.doc.

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