Category: Nursing

NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

Question 1

G-protein coupled receptors are targets for several psychiatric medications. Given what we know about these receptors, what is the ultimate result we will see when one of them is activated in a way that would potentiate an action?

A. Intracellular activation of second messengers

 

B. Protein phosphorylation

 

Correct!

C. Modification of gene expression

 

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A and B are both steps in the activities seen leading up to modification of gene expression.

Question 2

Upon blocking a Serotonin reuptake pump, what happens in the synaptic cleft and on the post synaptic cell membrane?

A. The result will be an increase in available Serotonin in the synaptic cleft causing the post synaptic cell to increase the number of Serotonin receptors.

 

Correct!

B. The result will be an increase in the available Serotonin in the synaptic cleft causing the post synaptic neuron to reduce the number of Serotonin receptors.

 

C. The result will be an increase in Serotonin in the synaptic cleft resulting in an increase in reuptake pumps on the presynaptic neuron.

 

D. The result will be an increase in Serotonin in the synaptic cleft resulting in a decrease in reuptake pumps on the pre-synaptic neuron. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

 

A, C, and D are misrepresentations of what occurs when you increase Serotonin in the synaptic cleft. There is no effect on the pre-synaptic neuron, and the increases in Serotonin result in a reduction of receptor concentration on the post-synaptic neuron.

Question 3

Motivation is a component of patient-focused interventions to enhance adherence. Based on the transtheoretical model, readiness to change can fluctuate across five stages. Which stage is represented by the patient who is aware that a problem exists and, while seriously thinking about overcoming it, has not yet committed to a plan of action?

Preparation

 

Action

 

Correct!

Contemplation

 

Maintenance

 

Question 4

Receptors trigger one of two effector pathways resulting in changes in neuronal activity. These changes will, ultimately, effect gene expression. Which effector pathway is characterized by ion flux through transmitter-activated channels resulting in an altered membrane potential and neuronal activity?

A. Slow effector pathways

 

B. Modulated effector pathways

 

Correct!

C. Rapid effector pathways

 

D. NMDA glutamate receptor pathways

 

Answer B is fictitious, D is a type of rapid effector pathway, and A represents G-protein coupled receptors.

Question 5

Of the components of patient-focused interventions to enhance adherence, which component includes the following strategies: adaptive thinking, use of cues, and support?

Motivation

 

Correct!

Skills

 

Logistics

 

Education

 

Skills include adaptive thinking, problem solving, use of cues, and support.

Question 6

Treatment adherence is affected by several different factors. Clinical factors include mood, anxiety, psychosis, and substance misuse. There are also patient factors such as knowledge, attitude, and beliefs; economic and racial/ethnic disparities, and clinical encounters. A patient who presents hopeless, with decreased energy, and poor concentration is affected by which factor?

Substance misuse

 

Knowledge deficits

 

Attitude ad belief system

 

Correct!

Mood

 

These are signs of an altered mood.

Question 7

Neurotransmitters are defined by four essential characteristics. These are:

A. Neurotransmitters are synthesized within presynaptic neurons. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

 

B. Depolarization of a neuron results in the release of a neurotransmitter, which exerts a multitude of actions on the postsynaptic neuron.

 

C. Their action on postsynaptic neurons can be replicated by administering a drug that mimics the activity of the endogenous neurotransmitter.

 

D. Their action in the synaptic cleft is terminated by a specific action.

 

Correct!

E. A, C, and D only

 

Answer B should read a “discrete” (not multitude) action on the post synaptic neuron.

Question 8

Neurotransmission is unidirectional insofar as chemical and electrical conduction is concerned within the individual neuron. Of the following descriptions, which best characterizes the order of neurotransmitter/receptor interaction that results in an electrical signal impulse and the release of another neurotransmitter for interaction in the synaptic cleft (signal conduction through a neuron)?

Cell body, dendrites, Axon, Axon terminals

 

Dendrites, Axon, Cell body, Axon, Axon terminals

 

Correct!

Dendrites, Cell body, Axon, Axon terminals

 

Axon terminals, Axon, Cell body, Dendrites

 

All of the other options are mis-sequenced in signal conduction.

Question 9

The synaptic cleft is best characterized by which of the following statements?

A. The synaptic cleft is the space between a single neuron’s dendrites and axon terminals in which intracellular communication occurs through the release of neurotransmitters allowing for signal conduction throughout the central nervous system.

 

B. The synaptic cleft is the space between the cell body and axon terminals that allows for release of neurotransmitters from the presynaptic neuron for intercellular communication with an adjacent neuron (post synaptic neuron).

 

Correct!

C. The synaptic cleft is an area where dendrites and axon terminals are within close proximity, allowing for the release of a neurotransmitter from a presynaptic neuron that can interact with receptors on dendritic cells of a post synaptic neuron, which is the main basis for intercellular communication of neurons.

 

Answer A represents a neuron communicating with itself and Answer B states that the synapse is the space between the cell body (not dendrites) and axon terminals.

Question 10

The human brain is subcategorized into four major structures. These structures include the cerebral cortex, brainstem, subcortical structures, and the cerebellum. Of these major categories, which one houses the area of the brain that has been found in some neuropathological studies of patients with schizophrenia to be of smaller size?

Cerebral cortex

 

Brainstem

 

Correct!

Subcortical structures

 

Cerebellum

 

The area of the brain in question is part of the thalamus, which is located in the subcortical structures. The other options are incorrect, geographically speaking. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

Question 11

1
Neurons are classified in several different ways. From the following statements, select which ones are true.

The two structural classifications are projection neurons and local inter-neurons.

Function classifications are made up of two subcategories: excitatory and inhibitory.

Histological classification includes bipolar, unipolar, and multipolar.

Classifications using a combination of structural, functional, and neurotransmitter type provide the most robust and useful description.

Classification by neurotransmitter type alone provides the most useful description.

I only

III only

I, II, and V only

 

I, II, III, IV, and V

Correct!

I, III, and IV

Statement II would need to include modulatory function to be correct, and Statement V does not include structural and functional classification systems.

Question 12

Which of the following consists of all the known major neurotransmitters that are relevant in psychiatry?

glutamate, GABA, dopamine, serotonin, norepinephrine, histamine, steroids, nitric oxide

 

Correct!

glutamate, GABA, dopamine, norepinephrine, serotonin, acetylcholine, histamine, endogenous opioids, steroids, cannabinoids, nitric oxide

 

glutamate, GABA, dopamine, serotonin, acetylcholine, endogenous opioids, nitric oxide, cannabinoids, steroids

 

glutamate, GABA, dopamine, serotonin, norepinephrine, endogenous opioids, steroids, histamine, nitric oxide

 

all the other options are missing neurotransmitters considered important in psychiatry

Question 13

G-protein coupled receptors are examples of what type of effector pathway?

Correct!

A. Slow effector pathways

 

B. Rapid effector pathways

 

C. NMDA glutamate receptor pathways

 

D. Modulated effector pathways

 

Answer D is fictitious, B represents ion channel receptors, and C is a type of rapid effector pathway.

Question 14

Which neurotransmitter is considered the major excitatory neurotransmitter?

A. Glycine

 

B. GABA

 

Correct!

C. Glutamate

 

D. Serotonin

 

A and B are inhibitory, and D is involved in mood and sleep.

Question 15

Glia cells play a supportive role to the neuron. A few of the functions of the glial cells include providing nutrition, maintaining homeostasis, stabilizing synapses, and myelinating axons. The glial cells are categorized as microglia and macroglia. Of these two cell types, which one plays an active and critical role in glutamatergic neurotransmission by providing a co-agonist required for glutamate receptor function?

microglial

 

Correct!

macroglial

 

Microglial cells are small, phagocytic cells related to peripheral macrophages.

Question 16

If a patient admits to taking his medication every other day (instead of daily, as prescribed), a potential concern would be:

A. Sufficient understanding or acceptance of the illness

 

B. Abuse of the medication

 

Correct!

C. Expense

 

D. Is the desired effect recognized at a lower daily dose? NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

 

A represents a patient taking his medication sporadically, B represents a patient taking too much medication, and D represents a patient taking a lower-than-prescribed dose but daily

Question 17

When dopamine (subtype 2) receptors are blocked in this pathway (system), it is evident by EPS.

A. Mesocortical

 

B. Tuberoinfundibular

 

Correct!

C. Nigrostriatal

 

D. Mesolimbic

 

D is associated with positive symptoms in schizophrenia, B is associated with lactation, A is associated with affect.

Question 18

Introducing adherence in facilitating treatment goals is something that would be necessary in a patient who has previously displayed nonadherence patterns.

True

 

Correct!

False

 

It is introduced as early as possible in treatment to mitigate the risks associated with nonadherence.

Question 19

A patient arrives in the ED via EMS having a grand mal seizure. The ED physician instructs the RN to give 10 milligrams of Diazepam IV X1 dose STAT. The patient’s seizure breaks within 2 minutes of the Diazepam being administered. The mechanism by which this medication causes rapid resolution of seizure activity is via which receptor type (effector pathway/receptor subtype)?

A. Slow effector pathways/G-protein coupled receptor

 

B. Slow effector pathway/ion channel

 

C. Rapid effector pathways/G-protein coupled receptor

 

Correct!

D. Rapid effector pathway/ion channel

 

Options B and C are mismatched, and Option A shows effects days to weeks after activation.

Question 20

Serotonin (5HT) is a neurotransmitter associated with mood, sleep, and psychosis. There are several serotonin receptors all over the human body. A unique aspect of the second generation antipsychotics is their ability to block 5HT2a receptors. What is the effect of this inhibition?

Correct!

A. Stabilizes dopamine concentrations in the CNS

 

B. Induces anxiety

 

C. Causes hallucinations

 

D. Reduces platelet function

 

B represents antagonism of 5HT1a, C represents a 5HT2a agonist, and D represents what happens when you inhibit SERT. NURS 6630 Week 3: Self Assessment Quiz with 100% correct answers

Range

In the example in Table 11.1, the range of the distribution is 41, the difference between the high (93) and low (52) scores on the test. Range = highest score − lowest score

A small range indicates a concentrated distribution of scores, while a large range means that the scores are spread out and that some students have not done well on the test. This value gives us a rough idea of the variability of the test scores.

Scott Becker shadow health Subjective Data Collection

Subjective Data Collection: 26 of 26 (100.0%)

Hover To Reveal…

Hover over the 
Patient Data 
items below to reveal important information, including 
Pro Tips
 and 
Example Questions
.

Found:

 Indicates an item that you found.

Available:

 Indicates an item that is available to be found.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Patient Check In

Finding:

Asked about chief complaint

GET SHADOW HEALTH OR EXAM HELP HERE

Finding:

Reports fatigue

(Found)

Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.

Example Question:

What brings you to the hospital?

Finding:

Reports small amount of blood in vomit

(Found)

Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.

Example Question:

What brings you to the hospital?

Finding:

Reports stomach pain

(Found)

Pro Tip: By asking a patient an open question about their reason for coming into the hospital, you can establish their current medical and comfort needs and assist in coordinating their care.

Example Question:

What brings you to the hospital? Scott Becker shadow health Subjective Data Collection

History of Present Illness

Finding:

Followed up on fatigue

Finding:

Reports worsening fatigue over several weeks

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

How long have you felt fatigued?

Finding:

Followed up on vomit

Finding:

Reports vomiting only once

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

How often have you been vomiting?

Finding:

Reports vomiting this morning

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

When did you vomit?

Finding:

Reports noticing dark flecks in vomit

(Available)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

What was your vomit like?

Finding:

Followed up on stomach pain

Finding:

Reports pain in upper-left abdomen Scott Becker shadow health Subjective Data Collection

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Where is your stomach pain?

Finding:

Reports stomach pain is gnawing or burning

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

How would you describe the stomach pain?

Finding:

Reports experiencing stomach pain for past 3 to 4 months

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

How long have you had stomach pain?

Finding:

Reports stomach pain worsens after eating

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Does the pain get better or worse after eating?

Finding:

Reports stomach pain increasing over the past week

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Has your stomach pain gotten worse over time?

Finding:

Reports taking antacids daily Scott Becker shadow health Subjective Data Collection

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Do you take anything for your stomach pain?

Finding:

Reports antacids are moderately effective

(Found)

Pro Tip: Details of a patient’s current complaint will help you follow up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing.

Example Question:

Does anything relieve your stomach pain?

Past Medical History

Finding:

Asked about allergies

Finding:

Denies food allergies

(Available)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Do you have any food allergies?

Finding:

Denies environmental allergies

(Found)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Do you have any environmental allergies?

Finding:

Denies latex allergy

(Available)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Are you allergic to latex?

Finding:

Denies medication allergies

(Found)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Do you have any medication allergies?

Finding:

Asked about existing health conditions

Finding:

Reports hypertension

(Found)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Do you have any existing health conditions?

Finding:

Reports high cholesterol

(Found)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Do you have any existing health conditions?

Finding:

Reports coronary artery disease

(Found)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Do you have any existing health conditions?

Finding:

Reports osteoarthritis

(Found)

Pro Tip: A patient’s past medical history includes their health conditions, what preventive and maintenance treatments they have received, and any previous medical interventions they have received. Asking about a patient’s medical history helps you contextualize their current health for proper assessment.

Example Question:

Do you have any existing health conditions?

Social History

Finding:

Asked about living situation

Finding:

Reports living with family

(Found)

Pro Tip: A patient’s social history encompasses a patient’s social, cultural, economic, and lifestyle factors that together influence the patient’s health. Asking a patient about subjects such as common lifestyle activities and substance use can help you gain understanding about a patient’s social history.

Example Question:

What is your living situation?

GET SHADOW HEALTH HELP HERE

Finding:

Asked about tobacco use

Finding:

Denies tobacco use

(Found)

Pro Tip: A patient’s social history encompasses a patient’s social, cultural, economic, and lifestyle factors that together influence the patient’s health. Asking a patient about subjects such as common lifestyle activities and substance use can help you gain understanding about a patient’s social history.

Example Question:

Do you use any tobacco products?

Finding:

Asked about caffeine use

Finding:

Reports drinking coffee

(Found)

Pro Tip: A patient’s social history encompasses a patient’s social, cultural, economic, and lifestyle factors that together influence the patient’s health. Asking a patient about subjects such as common lifestyle activities and substance use can help you gain understanding about a patient’s social history.

Example Question:

Do you consume caffeine?

Finding:

Reports drinking coffee every morning

(Found)

Pro Tip: A patient’s social history encompasses a patient’s social, cultural, economic, and lifestyle factors that together influence the patient’s health. Asking a patient about subjects such as common lifestyle activities and substance use can help you gain understanding about a patient’s social history.

Example Question:

How often do you drink coffee?

Finding:

Reports drinking 2 to 3 cups

(Found)

Pro Tip: A patient’s social history encompasses a patient’s social, cultural, economic, and lifestyle factors that together influence the patient’s health. Asking a patient about subjects such as common lifestyle activities and substance use can help you gain understanding about a patient’s social history.

Example Question:

How many cups of coffee do you have in a day?

Finding:

Asked about alcohol use

Finding:

Reports alcohol use

(Found)

Pro Tip: A patient’s social history encompasses a patient’s social, cultural, economic, and lifestyle factors that together influence the patient’s health. Asking a patient about subjects such as common lifestyle activities and substance use can help you gain understanding about a patient’s social history.

Example Question:

Do you drink alcohol?

Finding:

Reports drinking 1 to 2 nights a week

(Found)

Pro Tip: A patient’s social history encompasses a patient’s social, cultural, economic, and lifestyle factors that together influence the patient’s health. Asking a patient about subjects such as common lifestyle activities and substance use can help you gain understanding about a patient’s social history.

Example Question:

How often do you drink alcohol?

Finding:

Reports having 1 to 2 glasses per sitting

Scott Becker gastrointestinal system hourly rounds shadow health Transcript Transcript

Started:
August 16, 2023 |
Total Time:
249 min

All Lines (207)
Interview Questions (143)
Statements (14)
Exam Actions (50)

HI, my name is xx, I am your nurse today. I am going to ask you some questions and exam you.

Greet

09/18/23 1:54 PM EDT

Hello.

What brings you here today Mr.Becker?

GET SHADOW HEALTH HELP HERE

Question

09/18/23 1:55 PM EDT

I’ve been having some pretty serious stomach pain. I’ve been strangely tired. And when I threw up and there was blood in it . . . I figured things were serious enough that I should finally get checked out.

I am sorry to hear that you are experiencing pain.It must be scary to see blood in your vomitus.You made the right decision to come to the hospital.We will take good care of you. (No matching questions found.)

Question

09/18/23 2:00 PM EDT

Was it the first time you vomited blood? (No matching questions found.)

Question

09/18/23 2:02 PM EDT

I am sorry to hear that you are having pain.

Empathize

09/18/23 2:05 PM EDT

I am sorry to hear that you have pain. (No matching questions found.)

Question

09/18/23 2:03 PM EDT

Thank you.

I am sorry to hear that you are having pain.That is the right decision you made to come to the hospital.

Educate

09/18/23 2:09 PM EDT scott becker gastrointestinal system hourly rounds shadow health Transcript

Ah, makes sense.

Was it the first time you had bloody vomitus? (No matching questions found.)

Question

09/18/23 2:12 PM EDT

Was it the first time you had bloody vomitus?Have you noticed any blood in the stool? (No matching questions found.)

Question

09/18/23 2:13 PM EDT

Was it the first time you had bloody vomitus?Have you noticed any blood in the stool? (No matching questions found.)

Question

09/18/23 2:14 PM EDT

Was it the first time you had bloody vomitus?Have you noticed any blood in the stool?How long have you been having abdominal pain? (No matching questions found.)

Question

09/18/23 2:15 PM EDT

How long have you been having abdominal pain?

Question

09/18/23 2:15 PM EDT

It started around three or four months ago. It got even worse the last week.

What is the pain like?

Question

09/18/23 2:17 PM EDT

It’s like a gnawing, burning pain in my stomach.

Is the pain moving around or is it staying in one place?

Question

09/18/23 2:19 PM EDT

No, it stays pretty much where it is, in the upper left part of my belly.

When do you experience the pain? (Clarified to How long ago did you have the pain last?.)

Question

09/18/23 2:20 PM EDT

I’m feeling it right now. (Clarified to when I last experienced the pain.)

How long ago did you have the pain last?

Question

09/18/23 2:22 PM EDT

I’m feeling it right now. scott becker gastrointestinal system hourly rounds shadow health Transcript

How would you rate the pain on a scale of 0-10? . Ten being the worst pain. (Clarified to Can you rate your current pain level on a scale of 0 to 10?.)

Question

09/18/23 2:24 PM EDT

Right now, maybe a 4 or 5 out of 10. (Clarified to how I would rate my pain on a scale.)

How have you been taking care of pain at home?

Question

09/18/23 2:26 PM EDT

I’ve been tired all the time, lately. I’ve also had a lot more stomach pain than I used to. I thought the stress was just getting to me, or I was just feeling my age catching up, but then I threw up this morning and I’m pretty sure there was blood.
That’s why I’m here right now
.

Do you also feel lightheadedness and dizziness? (No matching questions found.)

Question

09/18/23 2:31 PM EDT

Vomiting blood and feeling tired could be signs of serious problem. You made the right decision coming to the hospital.

Educate

09/18/23 2:35 PM EDT

OK, cool.

Can you estimate how much blood was in the vomitus? (No matching questions found.)

Question

09/18/23 2:38 PM EDT

The dark flecks of vomitus could mean that the blood has been in the stomach for some time.

Educate

09/18/23 2:43 PM EDT

Gotcha.

Next time keep the vomitus for me to…. scott becker gastrointestinal system hourly rounds shadow health Transcript

Fatima Khan Shadow Health Documentation

Vitals

Vitals

0800

1000

1200

Temp (<38° C) 36.7° C 36.5° C BP (<120/80) 124/80 122/78 HR (60-100) 70 68 RR (12-20) 18 18 O2 Sat (>94%)

99%

99%

 

My Provider Notes

Student Documentation

Model Documentation

Subjective

Ms Fatina Khan is a patient who is preparing for her surgery. She report to .. or fatigue

Ms. Fatima Khan is a 44 year old female that is admitted for acute cholelithiasis and is scheduled for a laparoscopic cholecystectomy today. Upon initial assessment, she is oriented to person only and states that she is feeling confused. She … and shaky. She also reports a rapid heartbeat. She denies any gastrointestinal problems. The patient states…Fatima Khan Shadow Health Documentation

GET SHADOWHEALTH HELP HERE 

Education & Empathy 
: 2 of 2 (100.0%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A 
Model Statement
 is provided as an example of an appropriate response to each opportunity.

Opportunities marked as 
Not Encountered
 are opportunities that were not elicited in the interview

Opportunities marked as 
Not Followed Up
 are missed opportunities that were present in the interview, but where no statements were made

Opportunities marked as 
Followed Up
 were followed up by students, and include the dialogue between student and patient

 1 Symptoms

Followed Up

 Description: 
Ms. Khan expresses that she feels ill and describes her symptoms as confusion, sweatiness, and rapid heartbeat.

Do you have any heart problem?

Question

05:26 PM EDT

Not usually, but . . . it’s beating rapidly right now.

I am sorry to hear that

Question

05:26 PM EDT

I can hear you fine. Fatima Khan Shadow Health Documentation

For how long has your heart been beating rapidly?

Question

05:29 PM EDT

I don’t know when it began.

Do you feel nauseated?

Question

05:29 PM EDT

I’m not nauseated. I just feel really strange.

I am sorry about that. We shall establish the problem and make you feel better

Empathize

05:30 PM EDT

Thank you.

 Model Statement: 
“I’m sorry to hear that you are feeling like this. Your rapid heartbeat, sweatiness, and confusion may be symptoms of a change in your condition. I’m going to do everything I can to get you feeling better.”

 2 Identifying Cause of Symptoms

Followed Up

 Description: 
Ms. Khan reports recently administering a bolus of insulin despite a normal blood glucose reading.

Have you taken any medications? (Clarified to: What medicines have you taken lately?)

Question

05:30 PM EDT

I just took it Fatima Khan Shadow Health Documentation. (Clarified to: what medicines I have taken lately)

Do you know why you were given the medicine (Clarified to: Do you know why you are here today?)

Question

05:31 PM EDT

I . . . um . . . well, I’m not sure why I’m here. (Clarified to: if I know why I am here)

Which medication did you take

Question

05:32 PM EDT

I just took it.

do you know the name of the medicine you just took (Clarified to: What medications do you take?)

Question

05:33 PM EDT

Ah . . . I’m taking Sim . . . Sima . . . vast . . . ah . . . for my heart, and um . . . insulin. Um . . . (Clarified to: what medications I am taking)

When was your last dose of insulin

Question

05:33 PM EDT

Um . . . I just gave myself insulin.

Do you have any pain

Question

05:37 PM EDT

No . . . it isn’t a pain.

Do you have any special needs (Clarified to: Do you have any religious preferences while you are here?)

Question

05:38 PM EDT

I am a Muslim, so please only provide halal foods and medicines. I would also prefer you try to only touch me with your right hand. (Clarified to: if I have religious preferences while I am here)
Fatima Khan Shadow Health
Documentation

Thats okay, we will try our best to meet your needs and preferences

Empathize

05:39 PM EDT

Thank you very much.

 Model Statement: 
“Based on your symptoms and what you’ve told me about taking an insulin bolus recently, it’s possible you may have administered too much insulin. It’s important to use your insulin only when your blood glucose reading indicates the need for a bolus. When you take more insulin than is required, this can make you feel ill, meaning you may feel symptoms such as confusion, sweatiness, and a rapid heartbeat.”

Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Objective Data Collection: 10 of 10 (100.0%)

Correct

Partially Correct

Incorrect

Missed

Assessed General Appearance

1 of 1 points

Patient Appearance
 (1.00/1.00 point)

Patient appears comfortable, and is not presenting visually with acute distress or illness

Patient appears uncomfortable, or is presenting visually with acute distress or illness

Assessed Vitals

1 of 1 points

Blood Pressure

(1.00/1.00 point)

Normotensive

Hypertensive

Hypotensive

Heart Rate
 (0.20/0.20 point)

No abnormal findings

Bradycardic

Tachycardic

GET INSTANT HELP HERE 

O2 Saturation
 (0.20/0.20 point)

No abnormal findings

Hypoxemia

Respiratory Rate
 (0.20/0.20 point)

No abnormal findings

Bradypnea

Tachypnea

Temperature
 (0.20/0.20 point)

Normothermic

Hyperthermic

Hypothermic

Assessed IV

1 of 1 points

Insertion Site
 (0.33/0.33 point)

No visible abnormal signs

Erythema

Infiltration

Dressing
 (0.33/0.33 point)

Dressing is dry and intact

Dressing is moist and/or not intact

IV Fluid
 (0.33/0.33 point)

Patent upon flushing

Not patent upon flushing

Assessed Peripheral Pulses

1 of 1 points

Radial Artery Amplitude
 (0.50/0.50 point)

0: Absent

1+: Diminished or barely palpable

2+: Expected

3+: Increased

4+: Bounding pulse

Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

Dorsalis Pedis Artery Amplitude
 (0.50/0.50 point)

0: Absent

1+: Diminished or barely palpable

2+: Expected

3+: Increased

4+: Bounding pulse

Checked Capillary Blood Glucose

1 of 1 points

Timing
 (0.33/0.33 point)

Preprandial

Postprandial

Level
 (0.33/0.33 point)

< 80 mg/dL 80-130 mg/dL 130-180 mg/dL > 180 mg/dL

Assessment
 (0.33/0.33 point)

Normoglycemic

Hypoglycemic

Hyperglycemic

Check Insulin Pump

1 of 1 points

Last Bolus
 (1.00/1.00 point)

No recent bolus administered

Manual bolus administered between 11 AM and 12 PM

Manual bolus administered between 10 AM and 11 AM

Fatima Khan Endocrine System Hourly Rounds
Shadow health Objective data

Auscultated Breath Sounds

1 of 1 points

Breath Sounds
 (0.50/0.50 point)

Clear in all areas

Diminished in some areas

Absent in some areas

Adventitious Sounds
 (0.50/0.50 point)

No adventitious sounds

Wheezing

Fine crackles

Stridor

Rhonchi

Rales

Auscultated Heart Sounds

1 of 1 points

Heart Sounds

(1.00/1.00 point)

S1 and S2 audible

S1, S2, and S3 audible

S1, S2, and S4 audible

S1, S2, S3, and S4 audible

Extra Heart Sounds
 (0.50/0.50 point)

No extra sounds

Gallops

Murmur

Friction rub

Valve clicks

Inspected IV Pump

1 of 1 points

Fluid
 (0.50/0.50 point)

Correct fluid

Incorrect fluid

Flow Rate
 (0.50/0.50 point)

Correct rate

Incorrect rate

Palpated Skin

1 of 1 points

Skin Palpation
 (1.00/1.00 point)

Warm and dry

Cool and diaphoretic

Fatima Khan Endocrine System Hourly Rounds Shadow health Objective data

NURS-6052 Module 2: Quiz – IS IT QUANTITATIVE, QUALITATIVE, OR MIXED METHODS?

Question 1

5 
/ 5
 pts

In quantitative studies, results are reported using words or themes.

True

 

Correct!

False

 

Question 2

5 
/ 5
 pts

A key characteristic of a systematic review is that it contains a meta-analysis.

True

 

Correct!

False

 

Question 3

5 
/ 5
 pts

The methods used in conducting a systematic review are specific and rigorous.

Correct!

True

 

False

 

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NURS-6052 Module 2: Quiz – IS IT QUANTITATIVE, QUALITATIVE, OR MIXED METHODS? Question 4

5 
/ 5
 pts

What type of study is described in the following excerpt?

Surveys to evaluate nurse satisfaction, medical errors, depression and anxiety, and demographics were given to 5,432 nurses from hospitals of various sizes and geographic locations; some had nurses working 8-hour shifts and 12-hour shifts. Nurses were asked to complete the survey. Upon completion of the survey, nurses were invited to participate in video conference focus groups and one-on-one interviews with a research assistant by video conferencing. Survey results were reported using descriptive statistics, and themes were identified and reported from the data collected in the focus groups and one-on-one interviews.

Quantitative research

 

Qualitative research

 

Quasi-experimental research

 

Correct!

Mixed-methods research

 

Systematic reviews

 

Question 5

5 
/ 5
 pts

Randomized controlled trials are which type of research?

Correct!

Quantitative research

 

Qualitative research

 

Mixed-methods research

 

Systematic review

 

Literature review

 

Cohort study

 

Question 6

5 
/ 5
 pts

Mixed-methods studies are a combination of which two methodologies?

Quantitative research methodologies and literature reviews

 

Correct!

Quantitative and qualitative research methodologies

 

Qualitative research methodologies and systematic reviews

 

Literature reviews and qualitative research methodologies

 

Quasi-experimental and program evaluation

 

NURS-6052 Module 2: Quiz – IS IT QUANTITATIVE, QUALITATIVE, OR MIXED METHODS? Question 7

5 
/ 5
 pts

What types of information would help you identify a research study as quantitative? (Select all that apply.)

Data is collected using such approaches as interviews, focus groups, and open-ended questions on surveys.

 

Correct!

Data is collected using Likert scales on surveys.

 

Correct!

Results are reported using numbers and statistics.

 

Results are reported using themes and words.

 

Question 8

5 
/ 5
 pts

When trying to determine what type of research study is described in an article, which two sections of the article will give you the best information to make that determination?

Abstract and conclusion

 

Methods and limitations

 

Correct!

Methods and results

 

Introduction and results

 

Abstract and discussion

 

Literature review and data analysis

 

Question 9

5 
/ 5
 pts

Which of the following statements is true of narrative reviews? (Select all that apply.)

Narrative reviews engage a highly structured and rigorous approach to reviewing research evidence.

 

Correct!

Narrative reviews provide a general background discussion of a particular issue.

 

Narrative reviews require a rigorous, systematic approach to searching the databases for evidence.

 

Correct!

Narrative reviews generally review literature that support the author’s point of view on an issue or topic.

Narrative reviews are a type of primary research.

 

Question 10

5 
/ 5
 pts

What kind of study is described in the following excerpt?

Researchers are interested in studying the impact of living in a family where a child has been diagnosed with cancer. They collaborate with the oncology department at a large children’s hospital to identify and receive consent from families that have a child with a cancer diagnosis. Participants are consented and data is collected and triangulated using one-on-one interviews, focus groups, and surveys. Data is analyzed for thematic analysis.

Quantitative research

 

Correct!

Qualitative research

 

Mixed-methods research

 

Systematic reviews

 

Literature reviews

 

Cohort studies

 

Question 11

5 
/ 5
 pts

In a systematic review with a meta-analysis, researchers combine the results of each of the individual studies to create a larger sample size (and therefore greater power), then re-run the statistics to capture the true magnitude of the effect. The single-effect measure calculated and reported when the results from all the studies are combined is called what?

Correct!

Summary statistic

 

Power analysis

 

Confidence Interval

Chi square

 

Pearson’s co-efficient

NURS-6052 Module 2: Quiz – IS IT QUANTITATIVE, QUALITATIVE, OR MIXED METHODS? Question 12

5 
/ 5
 pts

Order the following types of research evidence reviews in order of rigor from most rigorous to least rigorous:

Correct!

1

Systematic review with meta-analysis

Correct!

2

Systematic review without meta-analysis

Correct!

3

Integrative review

Correct!

4

Narrative review

Question 13

5 
/ 5
 pts

What type of information would help you identify a research study as qualitative? (Select all that apply.)

Correct!

Data is collected using such approaches as interviews, focus groups, and open-ended questions on surveys.

 

Data is collected using Likert scales on surveys.

 

Results are reported using numbers and statistics.

 

Correct!

Results are reported using themes and words.

 

Data is collected using surveys with fill-in-the-blank questions.

 

Results are reported using a mixture of numbers and themes.

 

Question 14

5 
/ 5
 pts

Both literature reviews and systematic reviews are types of research evidence reviews.

Correct!

True

 

False

 

Question 15

5 
/ 5
 pts

What type of literature may a systematic review include to be considered Level 1 evidence on the Melnyk & Fineout-Overholt levels of evidence hierarchy?

Phenomenology studies

 

Grounded theory studies

 

Descriptive studies

 

Cohort studies

 

Controlled trials without randomization

 

Correct!

Randomized controlled trials

 

Question 16

5 
/ 5
 pts

Which of the following is a type of quantitative research study?

Phenomenology

 

Case study

 

Correct!

Randomized controlled trial

 

Ethnography

 

Participative action research

 

Ground theory

 

Question 17

5 
/ 5
 pts

What type of study is described in the following excerpt?

An interprofessional team wants to test a new intervention to see whether it will improve central-line associated bloodstream infection (CLABSI) rates. Subjects were randomized into either the intervention or the control group by pulling a slip of paper with either a one or a two written on it from a manila envelope (those pulling ones were randomized to the intervention group; those pulling twos were randomized to the control group). When the study began, the intervention group received the intervention and the control group received equal attention. Data was collected and analyzed using the Statistical Package for the Social Sciences (SPSS). Descriptive statistics were used to report the data.

What type of research article is this?

Correct!

Quantitative research

 

Qualitative research

 

Systematic reviews

 

Literature reviews

 

Mixed methods

 

Program evaluation

 

Question 18

5 
/ 5
 pts

You are forming a team to do a systematic review of the literature about interventions to treat post-traumatic stress disorder (PTSD). Which of the following would be your first step?

Critically appraise the literature identified.

 

Conduct an exhaustive search of multiple databases to identify the literature.

 

Identify an explicit, reproducible methodology.

 

Correct!

Create a clearly stated set of objectives with predefined eligibility criteria for study inclusion.

 

Create a dissemination plan for your systematic review.

 

Question 19

5 
/ 5
 pts

Which of the following types of research can be categorized as primary research? Select all that apply.

Correct!

Cohort study

 

Literature review

 

Correct!

Grounded theory study

 

Correct!

Randomized controlled trial

 

Systematic review

 

Correct!

Controlled trial without randomization

 

Question 20

5 
/ 5
 pts

In qualitative studies, results are reported using words or themes.

Correct!

True

 

False

 

NURS-6052 Module 2: Quiz – IS IT QUANTITATIVE, QUALITATIVE, OR MIXED METHODS? Quiz Score:
100
 out of 100

Evidence Based Practice and the Quadruple Aim

NURS 6052: Essential of Evidence Base Practice

Evidence-based practice requires making patient care decisions based on the best available scientific evidence and is widely accepted as the best standard in practice. Adopting and implementing EBP in nursing and other healthcare practices is crucial to improving the quality of care and patient outcomes (Kim et al., 2016). Another model known as the quadruple aim was established to improve the performance of healthcare systems by combating the rising cost of healthcare, improving the patient care experience, and reducing burnout among healthcare workers (Arnetz et al., 2020). This paper addresses how EBP may help an organization reach the quadruple aim.

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The Effects of EBP on Patient Experience

One of the foci of the quadruple aim is to improve the patient experience. Evidence-based practice is essential to improving patient outcomes and quality of care (Kim et al.,2016). Improved quality of care and patient outcome leads to improved patient experience. In a recent study, evidence-based strategies such as hourly rounding, bedside shift report including updates of test results and events, and AIDET were implemented as a nursing bundle as part of a quality improvement initiative. The nursing bundle led to an increase in positive patient experiences in the emergency room. Following the implementation of the nursing bundle, 60% of patients rated their overall experience as excellent, propelling the emergency room’s ranking to the 85th percentile. (Skaggs et al., 2018). Implementation of EBP leads to improved patient experience.

The Effects of EBP on Population Health

Evidence-based practice allows clinicians to utilize research more effectively, promoting population health. Much notable knowledge has been gained from research over the last century and implementing this knowledge in clinical practice has increased life expectancy (Lhachimi, 2016). Organizations like the Centers for Disease Control and Prevention (CDC) provide scientific research data which are easily accessible with implementation strategies to help the population with the prevention and treatment of disease to improve population health (CDC, 2021).

The Effects of EBP on Costs

Evidence-based practice reduces patient complications such as healthcare-acquired infections and other health issues, leading to poor patient outcomes, increased hospital stay, and healthcare costs. Implementing EBP helps eliminate unnecessary medical procedures and costs, allowing health organizations to achieve the quadruple aim. In a study, evidence-based practice recommendations led to a 31-37% decrease in adverse medical events and an 18% reduction in healthcare cost per patient while improving patient satisfaction (Walewska-Zielecka,2021).

The Effects of EBP on the Work Life of Healthcare Providers

Utilization of EBP in an organization setting not only leads to better patient outcomes and decreased hospital costs. Improved patient outcomes also benefit healthcare providers by promoting increased job satisfaction (Kim et al., 2016). Although implementing EBP may require some additional skillset, it empowers clinicians, improves job satisfaction, and decreases burnout (American Association of Nurse Practitioners, 2021).

Conclusion

 
EBP is key to achieving the quadruple aim in a healthcare organization. EBP leads to enhanced quality of care and safety, improved health outcomes, eliminates unnecessary health costs for patients, and can improve job satisfaction for the healthcare team. EBP is an essential ingredient needed to achieve the quadruple aim (Melnyk & Gallagher-Ford, 2019).

 

 

References

American Association of Nurse Practitioners. (2021, April 1).
Why choose evidence-based practice?
Retrieved December 4, 2022, from https://www.aanp.org/news-feed/why-choose-evidence-based-practice

Arnetz, B. B., Goetz, C. M., Arnetz, J. E., Sudan, S., vanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the Quadruple Aim: an exploratory study. 
BMC research notes
, 
13
(1), 362. https://doi.org/10.1186/s13104-020-05199-8

Centers for Disease Control and Prevention. (2021, July 13).
Division of Population Health at a glance
. Retrieved December 4, 2022, from https://www.cdc.gov/chronicdisease/resources/publications/aag/population-health.htm

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016). Predictors of Evidence-Based Practice Implementation, Job Satisfaction, and Group Cohesion Among Regional Fellowship Program Participants. 
Worldviews on Evidence-Based Nursing
, 
13
(5), 340–348. https://doi.org/10.1111/wvn.12171 Evidence Based Practice and the Quadruple Aim

Lhachimi, S. K., Bala, M. M., & Vanagas, G. (2016). Evidence-Based Public Health. 
BioMed research international
, 
2016
, 5681409. https://doi.org/10.1155/2016/5681409

Melnyk, B. M., & Gallagher-Ford, L. (2019). Achieving the quadruple aim in healthcare with evidence-based practice: A necessary leadership strategy for improving quality, safety, patient outcomes, and cost reductions.
Evidence-Based Leadership, Innovation, and Entrepreneurship in Nursing and Healthcare
. https://doi.org/10.1891/9780826196255.0008

Skaggs, M. K. D., Daniels, J. F., Hodge, A. J., & DeCamp, V. L. (2018). Using the Evidence-Based Practice Service Nursing Bundle to Increase Patient Satisfaction. 
Journal of emergency nursing
, 
44
(1), 37–45. https://doi.org/10.1016/j.jen.2017.10.011

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. 
Value in health regional issues
, 
25
, 23–28. https://doi.org/10.1016/j.vhri.2020.07.577

 

EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

Evidence Based Practice and the Quadruple Aim

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

Evidence Based Practice and the Quadruple Aim

Work Environment Assessment

NURS 6053: Interprofessional Organization and System Leadership

 

Introduction

Civility in the workplace is crucial for maintaining a positive and productive work environment. Incivility in the workplace is a serious issue that directly impacts operations and performance, making it essential to measure and assess (Griffin & Clark, 2014). One way to do this is through the Work Environment Assessment, a tool used to evaluate the level of civility in an organization. In this paper, I discuss and analyze the meaning of my assessment which returned a score of 88. This paper highlights the strategies the organization could use to promote civility by capitalizing on the identified strengths and working on the areas of weakness.

Part 1: Work Environment Assessment

My Work Environment Assessment score was 88, indicating that my workplace has many positive aspects, but there may be room for improvement. This score suggests that the workplace is moderately healthy (Clark, 2015). Based on the results of the assessment, there are three areas that I need to put more effort in because they performed below average. These specific areas include communication among employees, employee engagement, and workload and stress management. Engaging in the work environment assessment was insightful because it underscored the importance of organizations regularly conducting these assessments. Doing this enables these organizations to monitor the evolution of the work environment and make changes as necessary.

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Two things that surprised me about the results were that the workplace’s physical environment was rated highly, and the workplace’s psychological aspects were also good. One idea confirmed before conducting the assessment was that the organization’s policies and procedures effectively promote a healthy and safe work environment. The work environment assessment later confirmed this idea about the organization’s policies and procedures. The assessment showed that the organization’s policies and procedures were effectively implemented to create a healthy and safe work environment for employees.

The work environment assessment suggests that the workplace is generally safe, healthy, and conducive to productivity. The physical space is free from hazardous materials, and the psychological environment is favorable. The organization’s policies and procedures are also effective in protecting employees from discrimination or unfair treatment. This indicates a generally positive work environment. However, there may be opportunities for improvement in areas such as providing more resources for employees, improving communication systems, and fostering a sense of community among staff to enhance the workplace even further.

 

Part 2: Reviewing the Literature

Clark (2015) highlights vital concepts to foster effective communication in the workplace. The first concept discussed is engaging in constructively challenging conversations by asking questions, listening actively, and reflecting on the conversation. The second concept is committing to the conversation and finding a resolution by expressing empathy and understanding while maintaining respect for the other person. The third concept is preparing for the conversation by understanding the purpose and gathering relevant facts and information. Finally, the fourth concept entails using contemporary communication models like the DESC model, which involves describing the situation, expressing feelings, stating the consequences and desired outcome, and asking for a resolution.

These theories and concepts discussed in Clark (2015) help encourage and promote meaningful conversations in the workplace. Newnam and Goode (2019) argued that by engaging in challenging conversations, reflecting, probing, and committing to the conversation, and applying contemporary communication models, employees could build relationships, trust, and respect with one another. Ultimately, doing this leads to improved morale and better communication, which improves the level of civility in the workplace.

By encouraging employees to reflect on conversations, probe for more information, and commit to finding a resolution, organizations can improve communication and understanding among team members. Newnam and Goode (2019) suggested that organizations can realize more effective collaboration and problem-solving models by practicing this. For example, when a team is facing a challenging project, the team leader could facilitate a conversation where team members reflect on their challenges, probe for more information about each other’s perspectives, and commit to finding a solution together. Such a process would help build trust and cohesion among team members and lead to better outcomes for the project (Lake et al., 2020). Using the DESC model would be helpful to organizations as it would provide effective feedback and improve communication among team members. For instance, when a team member fails to meet expectations, a manager could use the DESC model to provide feedback. Using the model, the manager would effectively describe the specific behavior causing concern, express its effect on the team, specify the desired behavior, and state the potential consequences of not making the change.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams

A strategy that could be implemented to improve communication among employees is to establish regular team meetings or check-ins. Arguably, this would be an effective way to promote open and transparent communication and ensure everyone is on the same page (Clark, 2015). Creating a culture of open communication and encouraging employees to speak up when they have concerns or ideas can also be beneficial. Another strategy, but this time focused on improving employee engagement, is to provide opportunities for professional development and growth. This would involve offering training and development programs, mentoring opportunities, and cross-functional projects. Additionally, involving employees in decision-making and giving them a sense of ownership in their work can increase engagement.

Creating a healthy and productive work environment is essential for success in any organization (Havaei et al., 2020). The key to achieving this is implementing strategies that support and bolster successful practices. Two such strategies can be implemented in this regard: establishing a formal feedback system and increasing recognition and reward practices.                  Implementing a formal feedback system is an effective way to gather employee feedback, understand their perspectives, and identify successful practices (Erum et al., 2020). An approach like this would help managers create an effective communication and collaboration process within the organization. This process also helps managers identify and address issues hindering the organization’s success. Another essential strategy is to increase recognition and reward practices within the organization. Recognizing and rewarding employees for their successful behaviors and practices can create a positive and productive workplace culture. According to Newnam and Goode (2019), this would encourage employees to continue their success, which fosters a work environment conducive to achieving success.

Conclusion

In the final analysis, the score of 88 from the Work Environment Assessment conducted shows that the workplace is relatively healthy but with a few areas that need improvement. The results had a few surprising elements, but the key among them was the positivity expressed by the participants. Areas that need improvement include communication, employee engagement, and stress management. Strategies for these three were, nonetheless, identified from proposed approaches from reviewed literature and insights from the assessment.

 

References

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. 
American Nurse Today
, 
10
(11), 18-23. https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Erum, H., Abid, G., Contreras, F., & Islam, T. (2020). Role of family motivation, workplace civility and self-efficacy in developing affective commitment and organizational citizenship behavior. 
European Journal of Investigation in Health, Psychology and Education
, 
10
(1), 358-374.
https://doi.org/10.3390/ejihpe10010027

Griffin, M., & Clark, C. M. (2014). Revisiting Cognitive Rehearsal as an Intervention Against Incivility and Lateral Violence in Nursing: 10 Years Later. The Journal of Continuing Education in Nursing, 45(12), 535-542. https://doi.org/10.3928/00220124-20141122-02

Havaei, F., Astivia, O. L. O., & MacPhee, M. (2020). The impact of workplace violence on medical-surgical nurses’ health outcome: A moderated mediation model of work environment conditions and burnout using secondary data. 
International Journal of Nursing Studies
, 
109
, 103666.
https://doi.org/10.1016/j.ijnurstu.2020.103666

Lake, E. T., Sanders, J., Duan, R., Riman, K. A., Schoenauer, K. M., & Chen, Y. (2019). A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes. 
Medical Care
, 
57
(5), 353.
https://doi.org/10.1097/MLR.0000000000001109

Newnam, S., & Goode, N. (2019). Communication in the workplace: Defining the conversations of supervisors. 
Journal of Safety Research
, 
70
, 19-23.
https://doi.org/10.1016/j.jsr.2019.04.009

 

WORKPLACE ENVIRONMENT ASSESSMENT

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

Review the Work Environment Assessment Template*.

Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.

Select and review one or more of the following articles found in the Resources:

Clark, Olender, Cardoni, and Kenski (2011)

Clark (2018)

Clark (2015)

Griffin and Clark (2014)

*Template completed in the Week 7 discussion should not be submitted with this assignment.

The Assignment (3-6 pages total):

Part 1: Work Environment Assessment (1-2 pages)

Review the Work Environment Assessment Template you completed for this Module’s Discussion.

Describe the results of the Work Environment Assessment you completed on your workplace.

Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.

Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (1-2 pages)

Briefly describe the theory or concept presented in the article(s) you selected.

Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.

Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (1–2 pages)

Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.

Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

Personal Leadership Philosophies NURS-6053 Assignment 

NURS 6053: Interprofessional Organization and System Leadership

Introduction

I am a nurse committed to providing compassionate care and upholding the highest ethical standards. My CliftonStrengths Assessment revealed five strengths: Relator, Strategic, Learner, Analytical, and Responsibility. I am driven to develop and strengthen my communication skills and responsibility to collaborate more effectively with others and become a more productive and successful individual. My development plan includes practicing active listening, participating in group discussions, taking ownership of my work, and staying organized and focused. The aim of this paper is to explore my leadership philosophy by looking at my core values, my strength assessment results, and my development plan.

Core Values as a Nurse

My core values are compassion, respect, integrity, collaboration, and excellence as a nurse. I believe in providing compassionate care that is based on respect and kindness. I am committed to upholding the highest ethical standards and always acting with integrity. I collaborate with patients, families, and other healthcare professionals to ensure the best possible outcomes. I am committed to excellence in all aspects of my practice.

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Mission and Vision Statement

My mission is to provide compassionate and excellent care to all my patients. My vision is to create meaningful connections with others and become a more confident and booming individual who will continue to improve myself and influence those around me to strive for excellence.

Clifton Strengths Assessment

My CliftonStrengths Assessment revealed five strengths in my profile: Relator, Strategic, Learner, Analytical, and Responsibility. As a relator, I am focused on creating and maintaining relationships with others (Rath, 2007). I am driven to build strong connections and create a sense of community. Being strategic means, I can look at problems and develop creative solutions. I can think about the big picture and pay attention to the details. Being a Learner means I am always looking for new knowledge and skills, and I am motivated to continuously grow and develop (Duggan et al., 2015). Analytical means seeing problems from multiple angles and breaking them down into parts. I can identify patterns and draw meaningful insights from data. Finally, Responsibility means I am reliable and take ownership of my work (Rath, 2007). I can stay focused and complete tasks, even when faced with challenges or obstacles. These five strengths make me a well-rounded individual who can think critically and work effectively with others Personal Leadership Philosophies NURS-6053 Assignment .

Behaviors to Strengthen.

The two key behaviors that I wish to strengthen are my communication skills and responsibility. With analytical strength comes the challenge of communicating one’s analysis fairly. Also, with responsibility as a leadership strength, one must find ways to manage time effectively, learn to delegate tasks, and not take on more than one can handle, which could lead to burnout. Communication is a vital component of care at every level of nursing practice (Jankelová & Joniaková, 2021).
 
  Developing proper communication skills means communicating my thoughts and opinions clearly and concisely (Bullington et al., 2019). This includes being able to listen attentively and respond in a respectful, productive way. It also means being able to recognize and understand different points of view. Effective communication also involves positively and respectfully resolving disagreements with others. According to Broome and Marshall (2021), responsibility is also an important skill to develop. This means staying focused and completing tasks, even when faced with challenges or obstacles. It also involves being accountable and taking ownership of my work. It is essential to be reliable and trustworthy and to be able to work independently as well as in groups. By developing these two key behaviors, I will be able to collaborate more effectively with others and become a more productive and successful individual.

Development Plan

My development plan includes two main goals: improving my communication skills and increasing my responsibility. I have also incorporated the feedback from my colleagues, who suggested improving my communication and responsibility skills to make me a better leader. To improve my communication skills, I plan to practice active listening and responding in a respectful, productive way when engaged in conversation. I will try to understand and appreciate different points of view. I will also improve my public speaking skills by speaking more in meetings and participating in group discussions. I will set deadlines and follow through on my commitments to increase my responsibility. I will also take ownership of my work and be accountable for my actions. Lastly, I will strive to stay organized and focused on the task.

I plan to use the development plan outlined above to achieve my vision. I will practice active listening when engaged in conversations, which will help me better understand and appreciate different points of view. I will also improve my public speaking skills and make an effort to speak up more in meetings. Furthermore, I will keep myself organized and follow through on my commitments. By developing my communication skills and responsibility, I will create meaningful connections with others and become a more confident and booming individual.

Conclusion

Nurses are responsible for providing quality care and should know their strengths and weaknesses to succeed. Setting objectives to improve areas of weakness is essential, as it helps nurses become more confident and booming individuals. Tools such as the CliftonStrengths Assessment can be used to identify and understand one’s strengths, which can be used to create a development plan to help achieve personal goals Personal Leadership Philosophies NURS-6053 Assignment. Additionally, self-reflection is an integral part of the development process, as it helps nurses be more aware of their strengths and weaknesses and develop the skills needed to succeed.

 
 

References

Broome, M., & Marshall, E. S. (2021). 
Transformational leadership in nursing: From expert clinician to influential leader
 (3rd ed.). New York, NY: Springer.

Bullington, J., Söderlund, M., Sparén, E. B., Kneck, Å., Omérov, P., & Cronqvist, A. (2019). Communication skills in nursing: A phenomenologically-based communication training approach. 
Nurse Education in Practice
, 
39
, 136-141.
https://doi.org/10.1016/j.nepr.2019.08.011

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence based practices: lessons from the field in six local health departments across the United States. 
BMC Health Services Research
, 
15
(1), 1-9.
https://doi.org/10.1186/s12913-015-0891-3

Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. 
Healthcare (Basel, Switzerland)
, 
9
(3), 346.
https://doi.org/10.3390/healthcare9030346

Rath, T. (2007). Strengths finder 2.
0.
 Gallup Press

 

PERSONAL LEADERSHIP PHILOSOPHIES

Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

What is your leadership philosophy? In this Personal Leadership Philosophies NURS-6053 Assignment, you will explore what guides your own leadership.

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

Reflect on the leadership behaviors presented in the three resources that you selected for review.

Reflect on your results of the CliftonStrengths Assessment*, and consider how the results relate to your leadership traits.

*not required to submit CliftonStrengths Assessment

The Assignment (2-3 pages):

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your Personal Leadership Philosophies NURS-6053 Assignment should include the following:

A description of your core values.

A personal mission and vision statement.

An analysis of your CliftonStrengths Assessment summarizing the results of your profile

A description of two key behaviors that you wish to strengthen.

A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.

Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2. Personal Leadership Philosophies NURS-6053 Assignment