Tag: Clinical-Nursing

Interactions that may increase drug availability essay

N521 Advanced Pharmacology interactions that may increase drug availability essay

Module 2 Discussion 1

Potential interactions, in this case, are likely to arise due to various medications, which are taken by the patient to treat different conditions. A.C is currently taking herbal medicines particular St. John’s Wort to manage her depression, iron pills for anaemia, Xanax for her anxiety, and prednisone to manage asthma exacerbation.

Specifically, multiple drug interactions are likely to arise through St. John’s Wort, which is herbal remedy used as an antidepressant. This type of medication induces cytochrome-p450 enzymes in the body. Various tissues of the body, including the liver, have cytochrome-p450 Interactions that may increase drug availability essay. This type of enzyme is involved in the synthesis and breakdown of hormones. Also, cytochrome-p450 is involved in the metabolism of drugs in the body (Foti & Dalvie, 2016). Therefore, the intake of many types of medications is likely to increase or decrease the level of cytochrome-p450 in the body. Consequently, A.C experience difficulty in the metabolism of these medications. Additionally, St. John’s Wort will inhibit alprazolam that is broken down by cytochrome-p450 in the liver. This action, will, in turn, lead to a significant increase in the level of bioavailability of cytochrome-p450 in the body. An increase in drug availability occurs due to a rise in the usage and overdose of various types of drugs. For instance, the level of opioid prescriptions that were dispensed by U.S. pharmacies tripled from 1991 to 2011 (National Institute of Drug Abuse, 2018). These prescriptions increased from 76 million to 219 million during this period. On the hand, some interactions are likely to decrease drug availability. A decrease in drug availability occurs due to the shortage of drugs in the country. Practitioners observe safety measures due to a decrease in drug availability in the country. They are cautious when prescribing drugs to patients to ensure the available drugs are enough. Health officers should check potential for interactions during co-administration of various medications. Interactions that may increase drug availability essay.

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References

Foti, R. S., & Dalvie, D. K. (2016). Cytochrome P450 and non–cytochrome P450 oxidative metabolism: Contributions to the pharmacokinetics, safety, and efficacy of xenobiotics. 
Drug Metabolism and Disposition
, 
44
(8), 1229-1245.

National Institute of Drug Abuse. (2018).
Prescription Opioids and Heroin: Increased drug availability is associated with increased use and overdose
. Retrieved from
https://www.drugabuse.gov/publications/research-reports/relationship-between-prescription-drug-abuse-heroin-use/increased-drug-availability-associated-increased-use-overdose
  Interactions that may increase drug availability essay

Topic 4 DQ 1

Advantages and disadvantages in using twins to analyze genetic heritability

Discuss some of the advantages and disadvantages in using twins to analyze genetic heritability. Why might it be useful for future twin studies to separate out monozygotic (identical) from dizygotic (fraternal) twins?

PSY 255 Personality Psychology Topic 4 DQ 1

Hello,

The advantages in using twins to analyze genetic heritability is twins are the closest model type that behavior geneticists can use for scientific experiments. It is most useful, as you probably already know, to separate out the identical twins from the fraternal twins. Why? Identical twins develop from a single fertilized egg; whereas, fraternal twins develop from separate fertilized eggs. There are no more similarities in fraternal twins than there are with the kids down the block in the same neighborhood. Advantages and disadvantages in using twins to analyze genetic heritability.

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When we take a closer look at how a human is created and how our genes are developed, we get a clearer understanding how different people truly are; even when born into the same household with the same parents. Humans have different chromosomes, DNA, and genes. These genes according to David Myers believes, “You have 30,000 or so gene words” (2011), that is a lot of gene words for a person’s personality to develop from.

When we think about God, who created each one of us. “We are the clay, you are the potter; we are all the work of your hand” (Isaiah 64:8). I am overwhelmed by the realization of how much God loves us, to create us all differently. We are an original, no two people have the same fingerprint or identical DNA. You and I are masterpieces, “…I am fearfully and wonderfully made: marvelous are your works…” (Psalm 139) Advantages and disadvantages in using twins to analyze genetic heritability.

Being created unique and differently, still raises the age-old question, how much does enviroment (nurture) influence personality? Parents still do influence a child’s attitude, value, manners, faith, and politics. Suppose you take identical twins, and the parents divorce and each parent takes one child and raises them differently. According to behavior geneticists the twins could still have the same likes, dislikes, mannerisms, laugh, sense of humar, and tastes in spouses. In conclusion, genetic heritability is still a mystery.

 

Myers, D.G. (2011).
Exploring Psychology:
Eighth edition in modules. New York, NY: Worth Publishers.

 

Re: Topic 4 DQ 1

The advantage is you have two genetically identical people that came from the same egg (monozygotic) and are virtually a carbon copy on one and another. Analyzing the set of twins can give you duplicate results and verifying the results will not be as difficult if they are the only set of children in the family. If they have other siblings then you have two sets of results that can be verified or contested with the other sibling(s). If the heritability results match then we can see we do inherit some of our personality genes from our parents. The disadvantage is they are both raised in the same environment and one can say the environment has an influence in shaping a portion of their personality. Another advantage is the nonadditive effect for monozygotic twins. The probability of sharing exact combination of genes is greater in monozygotic twins than it is with dizygotic twins. Nonadditive effects strengthen the genetic heritability in monozygotic twins but not in dizygotic twins. One serious ethical issue I can see is separating monozygotic or dizygotic twins at birth and separating them by distance and economical tiers to validate the genetic heritability. Advantages and disadvantages in using twins to analyze genetic heritability.

Topic 4 DQ 1

The different types of twins include identical and fraternal twins. Identical twins are made when a fertilized egg is split; thus creating twins. Fraternal twins are made when two eggs are fertilized at the same time. Each set of twins are unique and different in their own ways. However, one major advantage to twins is their genetic makeup. Twin A and twin B always have the same DNA which can somewhat be looked at as variables. One twin could technically be the dependent variable and the other the dependent due. Advantages and disadvantages in using twins to analyze genetic heritability. For example, if trying to research if breast milk really is best for a baby a mother could breast feed baby A and formula feed baby B. Using the twins that have the same genetic makeup leave less margin for error in my opinion. To look at this from a personality psychological stand point let’s take the movie parent trap. Identical twin girls are separated and live two completely different life styles. If we were trying to see if the twins developed any personality traits from their other parent it would be easier because we would not have the actual parents personality shaping how they are. It would be considered an outside factor because they are not influenced every day by their superego. However, if they were to be raised in the same environment this would leave to the possibility of disadvantages of both their mother and father having an effect on their personalities Advantages and disadvantages in using twins to analyze genetic heritability. Although I believe it is unethical to purposely separate twins I do believe there can be positives to it and if done in a good way can be beneficial. For example, I have three sets of twins in my class; one set of parents is very adamant about them being together at all times; the other two could careless as long as it does not affect their behavior in a negative way. We separate twin O and twin J at meal times because we know if they are together they tend to throw food, kick their friends, and not eat. However, at nap time we have them together because they sleep better when near each other. In my opinion, if done in a manner that does not separate them fully it is best for both twins. Advantages and disadvantages in using twins to analyze genetic heritability

Re: Topic 4 DQ 1

To introduce this week’s topic of the advantages and disadvantages faced in using twins to analyze genetic heritability, I found the following quote that Burger (2011) mentions relevant: “Eysenck maintained that the individual differences in personality he described are based on physiological differences” (p. 200-201). I feel that this could readily apply to twins. Now, in regard to the actual advantages and disadvantages, one of the most apparent advantages of using twins to analyze genetic heritability is that they share DNA. Therefore, if the testing shows that they have the same characteristics, even if they live separately, that would be evidence to show that twin studies are effective. Another advantage in using twins to analyze genetic heritability is that, according to Burger (2011), “Other methods for teasing apart genetic and environmental influences also find evidence for genetic influence, but are not as strong as in the twin-study data…The strongest and most consistent evidence in favor of genetic influence on personality comes from twin-study research” (p. 235-237). This goes to show just how efficacious data from the twin-study research is relative to other methods of gathering data. Now, a disadvantage of twin-study research is that, “researchers assume that MZ and DZ twins have equally similar environments. However, there is evidence that MZ twins may share more of their environment than DZ twins” (p. 237). This can be quite deceiving, especially when drawing conclusions from the research done on both kinds of twins. Another disadvantage of twin-study research, as Burger mentions, is, “Research suggests that personality traits aren’t passed down from parent to child in a simple, direct manner. Rather, the inherited part of personality is often the result of a combination of a complex combination of more than one gene…That is, the genetic influence of same personality traits may not be seen…” (p. 238). This can also cause deception when interpreting the results of the study. Overall, however, using twins to analyze genetic heritability is useful in that MZ twins’ genes and personalities are not affected by the environments: “As you can see, the MZ twins tend to be quite similar to each other regardless of whether they are raised with or separated from their twin brother or sister…The obvious explanation for this similarity is that the twins’ genes shaped their personalities in a similar manner regardless of the environments they grew up in” (Burger, 2011, p. 256).Burger, J.M. (2017).
Personality, 10th ed
. Mason, OH: Cengage Learning.Burger, J.M. (2011).
Personality, 8th instructor’s edition
. Belmont, CA: Wadsworth Advantages and disadvantages in using twins to analyze genetic heritability.

N521 AANP position statement APRNs Essay

Advanced Pharmacology

Introduction

Regulations for the APRN are determined at the state level through rule-making and legislation. The regulation and other executive agencies such as the Board of Nursing (BON) establish the scope of practice for APRNs at the state level. The prescribing for the APRNs in several states is restricted by the Pharmacy (BOP) oversight and the state laws (Rudner, 2016). The prescriptive authority for the APRNs is limited, depending on the state. However, many states are considering changing the existing prescribing laws. The purpose of this N521 AANP position statement APRNs Essay paper is to identify peer-reviewed journal articles, regulatory position statements or policies that support changes in APRN prescribing practices at the state or national level.

Policies, Regulator Position Statements, and Campaigns

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The position statement by the American Association of Nurse Practitioners
®
(AANP) advocates and supports the suggested changes for APRNs to have an unlimited prescriptive authority that includes dispensing privileges. AANP further recommends that the regulation of prescribing authority for APRNs should only be done by the state boards of nursing, and according to the training/education, certification, and the role of the APRN (Xue et al., 2015). The process of the nursing board being exclusively involved in the licensing and regulation of the NPs encourages competent practice and public safety. According to the AANP, APRNs are members of nursing state boards and hence have the suitable competence to regulate the prescribing authority of the NPs. AANP supports and advocates for the national certification of the APRNs (Weiland, 2015) N521 AANP position statement APRNs Essay. According to AANP, the ability of the nurse practitioner to prescribe independently is vital to the provision of quality and cost-effective health-care for the diverse populations. Moreover, the National Association of Clinical Nurse Specialist’s (NACNS) Position Statement on Prescriptive Privilege for the Clinical Nurse Specialist supports the changes that support the awarding of independent prescribing and ordering privileges for the nurse practitioners and in this case the Clinical Nurse Specialist (CNS).

The Primary Care Expert Panel also supports the full scope practice of APRNs which includes unrestricted prescriptive authority for the nurse practitioners. In 2010, the Institute of Medicine’s influential
Future of Nursing
2010, supported the call for the nurse practitioners to have a full scope of practice, including the prescriptive authority. According to this policy, NPs have the appropriate training, education, and competency to prescribe medications for patients within their specialty (Brom et al., 2018).

The campaign dubbed “
The Campaign for Consensus: Uniting APRNs, Promoting Uniformity, and Fostering Collaboration
” was by NCSBN held an APRN Summit. The summit aimed to update nursing organizations regarding the status APRN Consensus model. The APRN Consensus Model is the guideline for states to implement uniform regulations when it comes to the roles of APRNs (Brom et al., 2018). Regarding APRN prescribing practices, the campaign by the NCSBN supported the removal of barriers for the APRN scope of practice that included physician collaboration issues during prescriptions and also removal of prescriptive authority limitations. N521 AANP position statement APRNs Essay

The National Governors Association (NGA) report campaign supports the removal of prescriptive limitations and stipulates that APRN have equivalent competency with the physicians and therefore supports change and removal of the scope of practice limitations such as prescriptive restrictions for the APRNs (Weiland, 2015). The Federal Trade Commission (FTC) also published a report in 2014 that supported the position that APRNs are competent and safe independent practitioners. Therefore, the FTC supports the removal of restrictions such as collaborative and supervisory agreements for the APRNs.

Policies such as CARA and SUPPORT Acts have in the past supported the removal of restrictions regarding some prescriptions for NPs. For example, the CARA and SUPPORT Acts enabled the NPs to prescribe Buprenorphine. These policies follow state laws on if an APRN working with a physician through a collaborative or supervisory relationship (Rudner, 2016). Where the state law requires the supervision of the APRN, the physician should not also prescribe buprenorphine. This, therefore, encourages state laws to remove the restriction of APRNs having to be supervised by physicians during the prescription of buprenorphine. The Rules (National Council of State Boards of Nursing, 2011) and the Registered Nurse (APRN) Model Act are the policies that were endorsed to support independent prescribing and ordering privileges for the nurse practitioners (Gadbois et al., 2015). These Acts enabled the Board of Nursing in each specific state to award ordering and prescribing authority to the APRNs through licensing. N521 AANP position statement APRNs Essay.

Alignment with AANP’s Prescriptive Privilege Statement

The policies, position statements, and campaigns regarding the changes in APRN prescribing practices for APRNs align with the AANP’s Prescriptive Privilege Statement. For example, the National Association of Clinical Nurse Specialist’s (NACNS) Position Statement on Prescriptive Privilege for the Clinical Nurse Specialist supports the changes that support awarding of independent prescribing and ordering privileges for the nurse practitioners specifically the Clinical Nurse Specialist (CNS) (Gadbois et al., 2015). Similarly, campaigns by the National Governors Association (NGA) report, NCSBN report, and the Institute of Medicine’s influential
Future of Nursing
2010 support the removal of prescriptive limitations and by arguing that APRNs have the required competency, training and education to practice to the full scope that including removing practice limitations such as prescriptive restrictions. Prescription of drugs, treatments, devices, and modalities is a key element of the APRN role and fundamental to APRN practice. Limiting the prescriptive authority for the APRNs unreasonably restricts the ability of the APRNs to offer comprehensive health care services (Park et al., 2018).

All these positions and initiatives through various policies, campaigns and position statements regarding changes in the prescriptive authority of APRNs are in line with the AANP’s Prescriptive Privilege Statement. According to the AANP, APRNs should practice according to the role, training, education, and certification. This calls for the removal of restrictions that hinder APRNs from prescribing independently. AANP also advocates for the national certification of the APRNs to remove the state restrictions that limit autonomous prescriptive authority for APRNs in some states (Park et al., 2018). In line with the AANP’s Prescriptive Privilege Statement, the discussed policies, campaigns, and position statements support changes that advocate for the ability of APRNs to prescribe without limitations, prescribed controlled substances, medical equipment, and devices (Park et al., 2018) N521 AANP position statement APRNs Essay.

Conclusion

The discussed policies, position statements, and campaigns support the changes that support the removal of restrictions in APRN prescribing practices for APRNs. These changes include allowing APRNs to prescribe independently without supervision and the authority to prescribe controlled substances, and medical equipment in their specialty. The position from the sources is in line with the AANP’s Prescriptive Privilege Statement.

 

 

References

Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). Leveraging health care reform to accelerate nurse practitioner full practice authority.
Journal of the American Association of Nurse Practitioners
,
30
(3), 120–130.
https://doi.org/10.1097/JXX.0000000000000023
.

Gadbois, E. A., Miller, E. A., Tyler, D., & Intrator, O. (2015). Trends in state regulation of nurse practitioners and physician assistants, 2001 to 2010.
Medical care research and review: MCRR
,
72
(2), 200–219. https://doi.org/10.1177/1077558714563763 N521 AANP position statement APRNs Essay

Park, J., Athey, E., Pericak, A., Pulcini, J., & Greene, J. (2018). To What Extent Are State Scope of Practice Laws Related to Nurse Practitioners’ Day-to-Day Practice Autonomy?
Medical Care Research and Review
,
75
(1), 66–87.
https://doi.org/10.1177/1077558716677826

Rudner N. (2016). Full Practice Authority for Advanced Practice Registered Nurses is a Gender Issue”
OJIN: The Online Journal of Issues in Nursing
, 21(2).

Weiland, S. A. (2015). Understanding nurse practitioner autonomy.
Journal of the American Association of Nurse Practitioners
, 27(1), 95-104. doi:
10.1002/2327-6924.12120
.

Xue, Y., Ye, Z., Brewer, C., Spetz, J. (2015). Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review. Nursing Outlook, 64(1), 71-85. doi:
10.1016/j.outlook.2015.08.005 
  N521 AANP position statement APRNs Essay

PSY-255 Personality Research Paper Outline

Write an outline of your research paper. Refer to Topic 7 for details regarding the Research Project due at the end of Topic 7.

Your outline should be 500-750 words, not including the required APA-formatted reference page and cover page.

Use the following as a guide to your research:

Affirm your thesis on the approved personality psychology topic you have selected. Why is it important?

Evaluate relevant and valid research that reflects the ethical standards in the discipline of personality psychology. PSY-255 Personality Research Paper Outline.

Relate the concept to personality development.

Utilize research to validate your ideas and supporting claims.

The instructor will provide feedback with the expectation that feedback is incorporated into your final research paper due at the end of Topic 7.

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Use only peer-reviewed, scholarly sources.

This assignment uses a scoring guide. Please review the guide prior to beginning the assignment to become familiar with the expectations for successful completion.

APA style is not required, but solid academic writing is expected.

You are not required to submit this assignment to LopesWrite.

 

PSY-255 Personality Research Paper Outline

 

Topic:

Thesis Statement
:

1
st
Main Point: That Serves to Prove Your Thesis:

1
st
piece of research That Supports this Main Point (citation)

How does this article support this main point (key ideas)

 

2
nd
piece of research That Supports this Main Point (citation)

How does this article support this main point (key ideas)

2
nd
Main Point: That Serves to Prove Your Thesis:

1
st
piece of research That Supports this Main Point (citation)

How does this article support this main point (key ideas)

 

2
nd
piece of research That Supports this Main Point (citation)

How does this article support this main point (key ideas)

PSY-255 Personality Research Paper Outline

3
rd
Main Point that Serves to Prove your Thesis

1
st
piece of research That Supports this Main Point (citation)

How does this article support this main point (key ideas)

 

2
nd
piece of research That Supports this Main Point (citation)

How does this article support this main point (key ideas)

Conclusion What Have You found in your research and how does this apply to your thesis:

 

PSY-255 Personality Research Paper

 Scoring Guide

 

REQUIREMENTS:

POSSIBLE

ACTUAL

A clear and well- delineated outline

1)       Concise and complete thesis on Personality Psychology topic.

2)       Evaluate relevant and valid research

3)       Relate topic to personality development

4)       Research validates ideas and claims

5)       Scholarly resources identified in appropriate APA format. PSY-255 Personality Research Paper Outline

6)       Solid academic writing.

TOTAL

 

 
Instructor Comments

NUR 513 -Worldview and nursing process personal statement

The effect of the Christian worldview on my personal philosophy of practice and attitude towards patient care

My personal philosophy of practice as a nurse executive and attitude towards patient care is mostly influenced by the Christian worldview. I chose to major in the nursing executive as my profession since I believe in helping those who are in need. As a Christian, I feel I should be dedicated to helping those who are in need of my services anytime. Consequently, I do not consider nursing executive as a career like any other where am supposed to work for a specified number of hours to qualify for payment. Instead, I consider it a calling to help those in need. I focus on offering nonjudgmental care to individuals in need without any form of discrimination based on religion, ethnicity, and financial status NUR 513 -Worldview and nursing process personal statement.

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As a Christian, I believe that nurse executives have a God-given duty to provide the public with holistic, safe, quality, patient-centered healthcare services. I consider my patients as human beings who are in need of my medical attention. For this reason, I urge my colleagues to use clinical judgment to address the needs of every patient in the healthcare facility. As Christians, we are urged to love one another. Consequently, I always encourage them to treat patients and their families with love when they are providing care services to them. NUR 513 -Worldview and nursing process personal statement. Treating patients with love give them psychological support, which plays a significant role in their healing process. According to Wade et al (2018), psychological support improves patient outcomes of patients with PPTD and depression. Additionally, delivering psychological support to patients through non-expert staff improves the level of the patient’s outcome (Wade et al, 2018).

Being a Christian I treat others how I would like them to treat me. Thus, I treat patients’ personal details as private and confidential. According to Epstein and Turner (2015), nursing practitioners should treat the details of their patients as confidential. Besides, I keep all relevant information provided by the patients in the hospital’s database for easy retrieval and future reference. Thus, patients get the best treatment since their records serve as a point of reference throughout the treatment process NUR 513 -Worldview and nursing process personal statement. According to Mathioudakis (2016), the proper keeping of clinical records enhances the delivery of quality healthcare services and forms an integral part of good professional practice. More so, both electronic and paper clinical record keeping support continuity of healthcare delivery either by same or different healthcare professionals, thus enhancing the quality of care and overall patient outcomes (Mathioudakis, 2016).

Also, I believe it is my duty as a nurse executive to educate patients and their families about a particular disease and its management plan. Educating patients to improve their outcomes significantly. According to Wade et al (2018), engaging patients and therapeutic communication improve their outcomes. Finally, I strive to observe positive healthy behaviors as a committed nurse executive and a Christian. This practice enables me to provide better healthcare services to my clients, thus improving overall quality and patients’ outcomes.

Connection and similarities between my personal philosophy of practice and approach to patient care and the Selfless Caring of Theory Commitment

My philosophy of practice and approach to patient care are in line with the Selfless Caring of Theory Commitment. This theory holds that the integral character of nurse professionals play a significant role in determining the quality of health care services, which are offered to individual, family, or groups of people in the community (Gogola, 2018). In other words, it emphasizes on the adherence to the required features. Furthermore, this theory views commitment as the key to the fulfillment of one’s duties in the nursing profession (Alligood, 2017) NUR 513 -Worldview and nursing process personal statement. Nurses are emotionally bound to offer efficient, safe ethical, and selfless care to their patients if they are committed to their duties (Jiang, 2016). Nurses are dedicated to helping those in need irrespective of their social, political, and cultural status (Drahošová & Jarošová, 2016). Their commitment enables them to act in the best interest of their patients.

Similarities exist between the Selfless Caring of Theory Commitment and my philosophy of practice and approach to patient care. First, both of them consider committed nurses as those professionals who are willing to offer care services to people in need regardless of time. Time should not limit a committed nurse from helping a person who is in need (Jafaraghaee et al, 2017). Additionally, both of them perceive a committed nurse as an expert who should be willing to work during special holidays or during their off days if need be. Secondly, both of them view nursing as a calling, which requires commitment or dedication to one’s duties. Unlike other careers where individuals just focus on remaining on the payroll, nurses are interested in helping those in need. Nurse executives should perform their duties beyond expectations despite the challenges that they might face. Thirdly, my philosophy and this theory consider a committed nurse as a person who considers the patients as a valuable human being who are in need of selfless nursing care. Finally, both of them view nursing as a career, which is outcome-based. In other words, nurses focus on providing the best quality to the patients, thus improving their outcomes NUR 513 -Worldview and nursing process personal statement.

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This nursing theory reinforces my approach to care. It triggers me to dedicate all my energy to delivering quality care to the patients without discriminating them. In other words, I have become selfless and dedicated towards giving the best services to the patients, thus improving overall patient outcomes.

An example and how Christian worldview and the Selfless Caring of Theory Commitment could assist me in resolving this issue

After working for the required hours in the healthcare facility, a 25 years old patient was brought in. She was having heavy vaginal bleeding and tissues were coming from her vagina. Additionally, she was complaining of severe abdominal pain or cramping and severe back pain. My time was up in the clinic and I was supposed to go home and have some rest, which I did after directing the nurse on duty to attend to her immediately. Christian worldview and the Selfless Caring of Theory Commitment could assist me in resolving this issue. I was supposed to view the patient as a human being who was in need of my services. As a Christian, I was supposed to be compassionate and attend to her despite my time is over NUR 513 -Worldview and nursing process personal statement. On the other hand, the Selfless Caring of Theory Commitment urges for dedication to a nursing career and the engagement of the practitioners to their duties (Dempsey & Reilly, 2016). Therefore, I could have considered my career as a calling and remained in the healthcare facility until the patient was attended to.

The role of the Christian worldview and the Selfless Caring of Theory Commitment to further developing my future practice

Both the Christian worldview and the Selfless Caring of Theory Commitment play a significant role in assisting me to develop my future practice further. They will guide me towards becoming more dedicated to my duties in the healthcare facility. Consequently, I will be able to attend to all patients who are in need of my services irrespective of time. Additionally, I will be committed to learn new techniques and acquire more knowledge and skills in my profession, to enhance the delivery of care services to the patients. NUR 513 -Worldview and nursing process personal statement According to Brasaitė et al (2016), knowledge of nurses about patients’ safety determines the quality of healthcare services offered.

References

Alligood, M. R. (2017).
Nursing Theorists and Their Work-E-Book
. Elsevier Health Sciences.

Brasaitė, I., Kaunonen, M., Martinkėnas, A., Mockienė, V., & Suominen, T. (2016). Health care professionals’ skills regarding patient safety. 
Medicina
, 
52
(4), 250-256.

Dempsey, C., & Reilly, B. (2016). Nurse engagement: What are the contributing factors for success? 
OJIN: The Online Journal of Issues in Nursing
, 
21
(1) NUR 513 -Worldview and nursing process personal statement.

Drahošová, L., & Jarošová, D. (2016). Concept caring in nursing.
Central European Journal of Nursing and Midwifery, 7(2)
, 453-460.

Epstein, B., & Turner, M. (2015). The nursing code of ethics: Its value, its history. OJIN:
The Online Journal of Issues in Nursing, 20
(2).

Gogola, D, B. (2018). Selfless Caring of Theory Commitment.
International Journal of Nursing Science, 8(3)
: 45-50

Jafaraghaee, F., Ebadi, A., Negarandeh, R., & Mehrdad, N. (2017). A professional commitment scale for clinical nurses: A study protoco. 
Medical journal of the Islamic Republic of Iran
, 
31
, 123.

Jiang, Z. (2016). Emotional Intelligence and Career Decision‐Making Self‐ Efficacy: Mediating Roles of Goal Commitment and Professional Commitment.
J Employ Couns; 53(1)
:30-47.

Mathioudakis, A., Rousalova, I., Gagnat, A. A., Saad, N., & Hardavella, G. (2016). How to keep good clinical records. 
Breathe
, 
12
(4), 369-373. NUR 513 -Worldview and nursing process personal statement

Wade, D., Als, N., Bell, V., Brewin, C., D’Antoni, D., Harrison, D. A., … & Mythen, M. (2018). Providing psychological support to people in intensive care: development and feasibility study of a nurse-led intervention to prevent acute stress and long-term morbidity. 
BMJ open
, 
8
(7), e021083.

 

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect on your current and future practice, and the ways worldview and nursing theory influence that practice.

Draft a 1,000-1,250 word paper in which you:

1.Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most influence your personal philosophy of practice and attitude towards patient care.

2.Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.

3.Include in your explanation a specific example of a past or current practice and how your worldview and the nursing theory could assist you in resolving this issue. NUR 513 -Worldview and nursing process personal statement.

4.Finally, explain how your worldview and the nursing theory will assist you in further developing your future practice.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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You are required to submit this NUR 513 -Worldview and nursing process personal statement assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Note : My worldview is that of a Christian worldview.

The resource used should not be more than 5 years old

 

Course Code

Class Code

Assignment Title

Total Points

NUR-513

NUR-513-O500

Worldview and Nursing Process Personal Statement

220.0

Criteria

Percentage

Unsatisfactory (0.00%)

Less than Satisfactory (80.00%)

Satisfactory (88.00%)

Good (92.00%)

Excellent (100.00%)

Content

70.0%

Personal Worldview, Including the Religious, Spiritual, and Cultural Elements That Most Influence Personal Philosophy of Practice and Attitude Towards Patient Care

20.0%

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is not included. NUR 513 -Worldview and nursing process personal statement

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present, but it lacks detail or is incomplete.

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is present.

A discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is clearly provided and well developed.

A comprehensive discussion of personal worldview, including the religious, spiritual, and cultural elements that most influence personal philosophy of practice and attitude towards patient care is thoroughly developed with supporting details.

Specific Nursing Theory in Line With the Personal Philosophy of Practice and Approach to Patient Care, Including Similarities and How the Nursing Theory Reinforces the Approach to Care

15.0%

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is not included.

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present, but it lacks detail or is incomplete.

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is present.

A discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is clearly provided and well developed.

A comprehensive discussion of a specific nursing theory in line with the personal philosophy of practice and approach to patient care, including similarities and how the nursing theory reinforces the approach to care, is thoroughly developed with supporting details.

Specific Example of a Past or Current Practice Problem and How Worldview and the Nursing Theory Could Assist in Resolving This Issue

15.0%

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is not included.

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present, but it lacks detail or is incomplete.

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is present.

A discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is clearly provided and well developed.

A comprehensive discussion of a specific example of a past or current practice problem and how worldview and the nursing theory could assist in resolving this issue is thoroughly developed with supporting details.

How Worldview and the Nursing Theory Will Assist in Further Developing Future Practice

15.0%

A discussion of how worldview and the nursing theory will assist in further developing future practice is not included.

A discussion of how worldview and the nursing theory will assist in further developing future practice is present, but it lacks detail or is incomplete.

A discussion of how worldview and the nursing theory will assist in further developing future practice is present.

A discussion of how worldview and the nursing theory will assist in further developing future practice is clearly provided and well developed.

A comprehensive discussion of how worldview and the nursing theory will assist in further developing future practice is thoroughly developed with supporting details.

Required Sources

5.0%

Sources are not included.

Number of required sources is only partially met. NUR 513 -Worldview and nursing process personal statement

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Organization and Effectiveness

20.0%

Thesis Development and Purpose

7.0%

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

8.0%

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

Format

10.0%

Paper Format (Use of appropriate style for the major and assignment)

5.0%

Template is not used appropriately or documentation format is rarely followed correctly.

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Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0%

Sources are not documented.

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

NUR 513 -Worldview and nursing process personal statement

Total Weightage

100%

NUR 550-Translational Research Graphic Organizer Template

Translational Research Graphic Organizer Template
 

Observations (Similarities/Differences)

Methodology

 

 

 

 

 

Goals

 

 

 

 

 

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Data Collection

 

 

 

 

 

NUR 550-Translational Research Graphic Organizer Template

Our experienced nursing essay writers will handle all your writing needs including

Note: You will begin this Evaluating Performance Management Systems Essay Assignment in Week 5 and it will be due by Day 7 of Week 7. Plan your time accordingly.

Depending on your experience in healthcare, and other fields as well, you may be familiar with a performance management system or primarily with one aspect of assessing performance, the annual performance review. As a critical distinction from the annual review, performance management goes beyond a list of skills to rate or expected behaviors to check off, to a larger consideration of goals to reach and specific improvement strategies to implement.

Photo Credit: Getty Images/iStockphoto

Gaining understanding and perspective on a nurse executive’s role in performance management is the purpose of this Module 3 Assignment. To help inform your thinking and both the opportunities and challenges of performance management, you will gain firsthand information through an interview with a nursing professional whose responsibilities include those you will assume as a nurse executive.

Follow the guidelines for this Evaluating Performance Management Systems Essay Assignment as provided in the overview documents. You are encouraged to give yourself adequate time to reflect on your interviewee’s responses, the better to support you in assuming this aspect of the work of a nurse executive.

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To Prepare:

Review the Learning Resources on performance management for support in preparing for your interview with the human resources nurse manager.

Access and review the Performance Management System Interview Guidelines and Questions document for guidance on selecting a nurse executive to interview, and on planning, conducting, and analyzing the interview responses.

Note: You are required to complete and submit Page 2 of this Guidelines document in a Word file identified as “Interviewee Profile and Confirmation Signature.” Be sure to obtain the full signature of your nurse executive interviewee to confirm the individual’s participation. Initials and/or only first or last name are not sufficient.

Access and review the Performance Management System Interview Matrix Summary Template. Consider how you can use this matrix to help organize information and conclusions from your interview.

When you have completed the interview, reflect on the results, including background information on the professional, the healthcare organization, and performance management system. As needed, follow up with your interviewee by phone or e-mail to clarify answers and conclusions Evaluating Performance Management Systems Essay.

Assignment:

Part 1: Interview Matrix Summary

Complete the Performance Management System Interview Matrix Summary, provided with the Assessment materials, to create a visual summary of the information gathered through your interview with the nurse executive.

Part 2: Interview Reflection

In a separate Word document, write 2–3 pages that reflect on the interview and your overall impressions. Include the following points in your reflection:

Briefly describe the professional you interviewed, including title, years of experience, and his/her healthcare organization (e.g., size, location, special services). Note: Be mindful of your interviewee’s privacy in the details you provide. Evaluating Performance Management Systems Essay

Explain the concept of “performance management” that guided your interview and the interviewee’s responses.

Evaluate the healthcare organization’s performance management system for effectiveness, drawing on the interviewee’s assessment and your own observations and conclusions.

Describe characteristics and/or factors that stand out to you as contributing to the system’s strengths and weaknesses.

Describe actions, strategies, or approaches that you would recommend to address weaknesses in the system.

By Day 7 of Week 5

Note: There is no Assignment due in Week 5.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Learning Resources

Required Readings (click to expand/reduce)

Fried, B. J., & Fottler, M. D. (Eds.). (2018). Fundamentals of human resources in healthcare (2nd ed.). Chicago, IL: Health Administration Press.

Chapter 6, “Organizational Development and Training” (pp. 150–173)

ChaNote: You began this Assignment in Week 5 and it will be due by Day 7 of Week 7. Plan your time accordingly.

Depending on how you have planned and organized your interview tasks, you may be well into summarizing your conversation with your nurse executive interviewee or beginning that process. Keep in mind the goal of understanding performance management as a system as you reflect on the information you have gathered. As needed, follow up by phone or e-mail to clarify answers and conclusions Evaluating Performance Management Systems Essay. If time allows, you may ask the interviewee to review a rough draft of your interview summary, to ensure that you captured the individual’s intent.

Photo Credit: Getty Images/iStockphoto

To Prepare:

Consider how you would summarize the interview to provide a thorough description of the performance management system.

Consider strengths and weaknesses of the system, as described by the interviewee, and from your own analysis.

Review the Learning Resources for support in evaluating this performance management system and strategies for addressing its weaknesses.

Assignment:

Finalize the Module 3 Assignment Part 1,
Interview Matrix Summary
, and Part 2,
Interview Reflection
.

By Day 7 of Week 7

Submit your Assignment Parts 1 and 2, plus the Interviewee Profile and Confirmation Signature page, in three separate Word files. pter 7, “Performance Management” (pp. 174–204) Evaluating Performance Management Systems Essay

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Part 1: Interview Matrix Summary

Characteristics/Factors

 

Performance Management System for Maternity and Delivery ward

System Features

Employee Evaluation

Criteria

The executive nurse worked in the Maternity and Delivery ward.

Sources of

Evaluation Criteria
 

 

The sources of evaluation criteria included the rate of patient

Satisfaction.

How Criteria

Communicated to

Employees

The criteria were communicated to the employee through the issuance

of the expected code of ethics and conduct. Evaluating Performance Management Systems Essay

How Components of

Performance Management

Are Interconnected in the

System

 

The connectivity between the performance management concepts was

based on the criteria that a high performance was associated with high patient satisfaction.

How Information Collected,

Maintained, Consolidated,

and Summarized on

Employee Performance

and Retention
 

The information was collected through the nurse assessment forms given

to the patients at the time of discharge. The forms were submitted

electronically whereby the patients were required to rate the nurses

from their PADs/ tablets. The forms were compiled and analyzed

depending on the scale formulated to assign the satisfaction scores.

The employee performance and retention reflected the rate of satisfaction.

The employees with the highest patient satisfaction scores

were regarded as top performance and had higher chances of being retained. Evaluating Performance Management Systems Essay

Technology Integration

in the System
 

The technology included use of the electronic medical records to

assess the rates of care such as workloads per employee.

The EHRs were also used to assess the number of successful cases

per employee.

Privacy Protections

 

The employee assessment platform was only accessible to the patient

via use of the biometrics. The nurses could not rate themselves since

their biometric data was not saved under the patient’s database.

Again, the rates could not be deleted, altered, or accessed by anybody

except the head of human resource management.

System Analysis

How System Supports

Employee Development

 

 

The system used by the hospital was important in enhancing the development of an organization culture that aims at satisfying the patients.

The nurses were encouraged to practice the best nursing protocols that

enhance the healing, safety, and quality care. Evaluating Performance Management Systems Essay

How System Supports

Employee Retention

 

The system was crucial in identifying the nurses with the highest performance on the nurses of patient satisfaction. Such employees would be retained.

Use of Peer Reviews/

Multisource (360 degree)

Feedback and

Effectiveness

 

The hospital uses the 360-degree feedback. The 360-degree feedback has

been effective in creating a community with well connected health professionals joined by the interest to fulfil the patient’s needs of care. However, the 360-degree

feedback system has contributed to nurse burnout as the nurses overwork to

meet the expectations of the employer.

How Training Used to

Enhance Employee

Performance

and Retention

 

The training included workshops, seminars as well as talks and presentations

by people in the hospitality as well as medical professionals.

Such training has been productive in shifting the minds of the nurses to

assume the business understanding of the hospital alongside the provision

of quality care.

How Training Used to

Support Managers That

Evaluate Performance

 

The training has been used as a tool of assessing the efficiency of the

performance before and after training to analyze the effect of nursing

training on the patient satisfaction. The training has been used as a way

of collecting evidence-based management strategies that enhance the quality

of care.

Mechanisms for Employee

Input on the System

 

The employee is also given the employee-employee appraisal platforms

whereby they vote amongst themselves on the basis of different criteria

to rates of employee-employee relationships and performance. Evaluating Performance Management Systems Essay

System Evaluation

How Well System

Supports Employee
Performance Growth and

Development
 

The system is essential in promoting competitiveness among the nurses on

the basis of meeting the patient’s needs. The employee performance is

enhanced as the nurses struggle to satisfy the patients. The system supports

the growth since the employees are encouraged to satisfy more patients by

giving excellent services.

How Well System

Supports Employee

Retention
 

The system supports employee retention by emphasizing that the high

rates of patient satisfaction promote employability.

Performance Management

System Strengths

 

The strengths of the performance management system include encouragement of provision of quality care. The system also encourages following the right protocols

of the hospital. The performance of the nurses is enhanced and promote

the provision of quality care.

Performance Management

System Weaknesses

 

The performance management system encourages nurses to work harder

since satisfaction of the patient influences employee retention.

Therefore, the system promotes nurse-burnout as well as employee

dissatisfaction from work. Evaluating Performance Management Systems Essay

Overall Conclusions

 

The performance management system based on the patient satisfaction

enhances performance and quality of care.

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Part 2: Interview Reflection

The executive nurse worked in a 150-bed capacity maternity and delivery ward of a teaching and referral hospital in the UK. The interviewee was a female with a vast experience in bedside nursing and an MSc in nursing. The significance of choosing the M & D ward set-up was due to the complexity of the environment on the bases of the employee requirements. The M & D ward was characterized by the unique demand for nursing care and a large task force. Therefore, the critical nursing environment in such set-ups is associated with the quality of care and nurse-patient relationships.

As stated by Fried & Fottler (2018), human resource management in healthcare units influence performance. The creation of organizational culture in the hospital entails the relationships between the workers as well as their rights. The safety of the environment, cooperation, the relationship between the employees as well as their performance assessment/ appraisal influence the quality of care. In this context, the human resources management of healthcare is essential in the creation of the working environment that promotes growth and development. For this case, training and educational approaches for the nursing employees enhance their skills, performance, confidence levels as well as patient satisfaction.

The performance management concept that guided the interview included the effect of patient satisfaction as a tool for assessing the performance of the nurses. Furthermore, the rate of patient satisfaction was linked to employee performance and retention. The healthcare facility used patient satisfaction scores as a method of rating the performance of the nurses. The hospital used software for assessing the nurses, whereby the patients were requested to rate their satisfaction on the computer devices used by the nurses (PADs and Tablets). The hospital used the data to assess the performance of the nurses as well as make informed decisions on employee retention. In this manner, the hospital emphasized that high patient satisfaction scores translated to better performance and increased chances of job retention. The hospital used a patient-centered approach whereby electronic medical records were essential in the collection and management of patient data. The computer devices were used and indicated better management of patient data for easier retrieval (Gomes, Hash, Orsolini, Watkins, & Mazzoccoli, 2016).

An evaluation of the performance of the management system illustrated high effectiveness. The nurses had high competence levels due to the urge to meet the patient’s satisfaction. The relationships between the nurse and the patients as well as amongst the nurse indicated top qualities. The nurses treat each other with respect and camaraderie. The teamwork spirit of the nurses enhanced the performance of the hospital as well as the satisfaction of the patients. The nurses were well informed about their responsibilities and expressed themselves professionally. The hospital had the nursing community that exhibited a high level of confidence in communication as well as reliability to provide quality care. The performance management system enhanced confidentiality such that the identity of the patient or peer-peer reviewer was not revealed to the employee being reviewed. The protection of the patient’s privacy contributed to increased confidence among the patients and the reliability of the performance assessment (Swathi, Krishna, & Somu, 2019).

The strengths of the performance management system include encouragement of the provision of quality care. The system also encourages following the right protocols of the hospital. The performance of the nurses is enhanced and promotes the provision of quality care. Although the performance management system helps nurses to work harder, there are also some disadvantages to the system. Evaluating Performance Management Systems Essay. For instance, since the satisfaction of the patient influences employee retention, there was a high pressure on the employees to satisfy the patients. Therefore, the system promotes nurse-burnout as well as employee dissatisfaction from work. Nurse-burnout and job dissatisfaction are liked to demotivation and poor performance of the nurses. Therefore, there should be ways of encouraging and motivating the nurses, such as recognition of excellent performance by salary increments, promotion as well as paid work leaves (Abdullah & Nusari, 2019).

 

References

Abdullah, W., & Nusari, M. (2019). THE RELATIONSHIP BETWEEN NURSES’JOB

SATISFACTION AND NURSES’PERFORMANCE IN THE PUBLIC HEALTH CARE SECTOR IN YEMEN. International Journal Of Management And Human Science, 3(2), 23-43.

Fried, B. J., & Fottler, M. D. (Eds.). (2018). Fundamentals of human resources in healthcare (2nd

ed.). Chicago, IL: Health Administration Press. Evaluating Performance Management Systems Essay

Gomes, M., Hash, P., Orsolini, L., Watkins, A., & Mazzoccoli, A. (2016). Connecting

professional practice and technology at the bedside: nurses’ beliefs about using an electronic health record and their ability to incorporate professional and patient-centered nursing activities in patient care. Computers, Informatics, Nursing, 34(12), 578.

Swathi, K. S., Krishna, B. G., & Somu, G. (2019). Assessment of In-Patient Satisfaction Using

Importance-Performance Map Analysis. Indian Journal of Public Health Research & Development, 10(6), 267-271. Evaluating Performance Management Systems Essay

Performance Management System Nurse Executive Interview

Performance Management Interview Guidelines & Questions

 

Module 3 Assignment

Performance Management System Nurse Executive Interview

 

 

Planning and Arranging the Interview

Plan for 45–60 minutes to conduct the interview. You may speak in person, by phone, via Skype, or another means that is convenient for you and the interviewee. If you record the interview, obtain the person’s permission in advance. Performance Management System Nurse Executive Interview

Confirm to your interviewee that all information obtained in the interview will be confidential. If preferred by the individual, you may identify the nurse executive and his/her healthcare organization using pseudonyms in the Assignment materials you submit.

Interview questions to guide your conversation begin on Page 3 of this document.

Note:
You are required to request the individual’s signature to confirm the interview. Fill in the information on Page 2, print out the page, and obtain the nurse executive’s full signature. Scan and submit the signed Page 2 as a separate Word file with your completed Assignment.

 

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Interviewee Profile and Confirmation Signature

 

Name

 

Healthcare Organization

 

Unit/Department

 

Job Title

 

Years in Position

 

HR-Related Responsibilities

 

Relationship to You/How Identified for Interview Performance Management System Nurse Executive Interview

 

 

 

Interviewee’s Signature:

 

 

 

Conducting the Interview

There are 10 sets of question that follow for examining the performance management system in your interview subject’s healthcare organization. Keep the interview focus on the nurse executive’s unit (i.e., neonatal, critical care) to obtain as detailed information as possible: Performance Management System Nurse Executive Interview

 

Take notes on the responses in the spaces on the right. If you record the interview, you are still encouraged to take notes on the person’s responses, as a safeguard in case there is any problem with the recording.

 

Questions

 

Responses

1.
What criteria are used to evaluate employee performance within your specific unit (i.e., neonatal, critical care) in the healthcare organization?

 

What are the sources of information (e.g., observation, patient satisfaction) that inform the criteria?

 

How are the criteria communicated to employees? Performance Management System Nurse Executive Interview

 

1.
Notes/verbatim quotes:

2.
Basically, “performance management” refers to all activities carried out to manage and improve employee performance. This includes obtaining performance information and communicating this information to the employee; supervision; coaching; rewards; training; discipline; and at times, career development.

 

Thinking about the performance management system for nurses in your specific unit, how does the system support development and retention of desired employee characteristics and behaviors? Performance Management System Nurse Executive Interview

 

Note:
Ask for both specific examples and comments on how well the system works.

 

 

2.
Notes/verbatim quotes:

3.
To what extent are the various components of performance management interconnected?

 

For example, is performance appraisal information used to help identify training needs for employees?

 

 

3.
Notes/verbatim quotes:

4.
What types of training are provided to enhance employee performance and retention?

 

4.
Notes/verbatim quotes:

5.
How is information collected, maintained, consolidated, and summarized on employee performance and retention?

 

What is the role of technology in this process, including ensuring privacy of employee information?

Performance Management System Nurse Executive Interview

 

5.
Notes/verbatim quotes:

6.
Are peer reviews or multisource feedback (i.e., 360-degree feedback) used?

 

If it is/has been used, what are/were its strengths and drawbacks?

 

If it was tried and abandoned, why was it discontinued?

 

What is your overall assessment of the multisource feedback, and circumstances (if any) when it might be useful?

 

6.
Notes/verbatim quotes:

7.
What are two types of training you would recommend to help prepare managers to discuss performance with employees?

 

7.
Notes/verbatim quotes:

8.
What are strengths of your performance management system to recommend as exemplars?

 

 

 

8.
Notes/verbatim quotes:

9.
What weaknesses in the performance management system need to be addressed?

 

How do you know the nature of the weaknesses?

 

 

 

9.
Notes/verbatim quotes:

10.
What mechanisms are available, if any, for your employees to provide input on the performance management system?

 

10.
Notes/verbatim quotes:

Analyzing and Reflecting on the Interview

·      Reflect on the results of the interview, including background information on the professional, the healthcare organization, and performance management system. Performance Management System Nurse Executive Interview

 

·      Consider how you would summarize information gained in the interview using the Performance Management System Interview Matrix Template and your Reflection paper to provide a thorough description of the performance management system.

 

·      Consider strengths and weaknesses of the system, as described by the nurse executive and from your own analysis, and strategies and approaches you would recommend for addressing the weaknesses. Performance Management System Nurse Executive Interview

 

·      As needed, follow up with your interviewee by phone or e-mail to clarify answers and conclusions. You may ask the nurse executive to review a draft of your interview summary to ensure that you captured the individual’s intent.

 

Completing the Module 3 Assignment

 

Part 1: Interview Matrix Summary

Complete the Performance Management System Interview Matrix Summary Template, provided in the Module 3 Learning Resources, to create a visual summary of the information gathered through your interview with a nurse manager.

 

Part 2: Interview Reflection

In a separate Word document, write 2–3 pages that reflect on the interview and your overall impressions and that include the following: Performance Management System Nurse Executive Interview

 

·   Briefly describe the professional you interviewed, including title, years of experience, and his/her healthcare organization (e.g., size, location, special services).
Note:
Be mindful of your interviewee’s privacy in the details you provide.

·   Explain the concept of “performance management” that guided your interview and the interviewee’s responses.

·   Evaluate the healthcare organization’s performance management system for effectiveness, drawing on the nurse executive’s assessment and your own observations and conclusions.

 

·   Describe characteristics and/or factors that stand out to you as contributing to the system’s strengths and weaknesses.

 

·   Describe actions, strategies, or approaches you would recommend to address weaknesses in the system.

Final Submission

Submit in three separate files:

·         Performance Management System Interview Matrix Summary

·         Interview Reflection

·         Interviewee Profile and Confirmation Signature (Page 2 from this document)

Performance Management System Nurse Executive Interview

Performance Management System Interview Matrix Summary

Performance Management Interview Matrix Summary

 

Module 3 Assignment

 

Performance Management System Interview Matrix Summary

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Complete this matrix to summarize information from your interview with a nurse executive on the performance management system for the individual’s healthcare organization. Identify the nurse executive’s unit/department that is the specific focus of your evaluation. Performance Management System Interview Matrix Summary

 

Characteristics/Factors

 

Performance Management System for [specify nursing unit]

System Features

Employee Evaluation

Criteria

Sources of

Evaluation Criteria
 

 

 

How Criteria

Communicated to

Employees

How Components of

Performance Management

Are Interconnected in the

System

 

How Information Collected,

Maintained, Consolidated,

and Summarized on

Employee Performance

and Retention
 

Technology Integration

in the System
 

Privacy Protections

 

System Analysis

How System Supports

Employee Development

 

 

Performance Management System Interview Matrix Summary

 

 

How System Supports

Employee Retention

 

Use of Peer Reviews/

Multisource (360 degree)

Feedback and

Effectiveness

 

How Training Used to

Enhance Employee

Performance

and Retention

 

How Training Used to

Support Managers That

Evaluate Performance

 

Mechanisms for Employee

Input on the System

 

System Evaluation

How Well System

Supports Employee
Performance Growth and

Development
 

How Well System

Supports Employee

Retention
 

Performance Management

System Strengths

 

Performance Management

System Weaknesses

 

Overall Conclusions

 

Performance Management System Interview Matrix Summary

Impacts of Employee Empowerment and Psychological Safety Essay

A Comparative Look at Empowerment of Employees and Workplace Psychological Safety: Interviews with Employees in Healthcare, Automobile, and Finance Industries

The three employees that were interviewed are from the healthcare industry, the finance industry, and the automobile industry. Alisonia who is a registered nurse is a best friend who has been a nurse for the last two years since her graduation. She works in a large healthcare organization with several hospitals across the state. Marx is my maternal uncle and has been an automobile salesperson for the last four years. Lastly, Marion is a family friend who is a teller at a local bank and has been at the job in the same position for the past three years. All the three interviews were conducted separately (but in-person) with each of the three participants Impacts of Employee Empowerment and Psychological Safety Essay.

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The concept of employee empowerment, by definition, means that every employee in the organization is allowed to actively contribute to the organization’s processes and procedures. Literally speaking, the employee is given the power to suggest how things should be done, how improvements can be made to processes, and what measures can be taken to curtail problems within the organization. It also means that the employee is given the freedom to point out what is not right within the organization without fear of victimisation and/ or retribution (Lee et al., 2018; Asiri et al., 2016; Choi et al., 2016; Laschinger et al., 2013) Impacts of Employee Empowerment and Psychological Safety Essay. Employee engagement, on the other hand, is closely related to employee empowerment. It means that the leadership of the organization in which employees are empowered frequently seeks the input of the same employees when important decisions about procedures and processes are to be made. Engaging employees means that their suggestions about important issues within the organization are taken into account. They are made to feel that their views are important and that they themselves are important in the realisation of the goals of the organization.

A Summary of the Views and Perceptions of the Interviewees

Alisonia is a bedside registered nurse in the surgical unit of one of the chain of hospitals in the state. Having worked for two years in the same organization, she had a clear perspective of the state of employee empowerment and engagement within that healthcare organization. She clearly understood what empowerment meant and stated that she didn’t feel sufficiently empowered at her place of work. For instance, she felt that she lacked autonomy in the work that she does as a professional nurse. In her hospital, she feels that the work of the nurse manager seems to be to monitor the nurses under her to find out if they have made any mistake in the course of their work. This makes her tense and stressed every time the nurse manager is around her Impacts of Employee Empowerment and Psychological Safety Essay. She would have preferred to be left to do her duties without undue supervision because, as she states herself, she is a well-trained and qualified nurse. For instance, when doing a drug round, the nurse manager has the habit of exercising direct supervision by being physically behind her. She would have preferred that the manager be doing indirect supervision by letting them do the task and later report their result/ progress. Alisonia also felt that she is not sufficiently engaged at her work place. They are never asked what they think before major decisions affecting them as nurses are made. The management adopts a top-down approach to all issues. Because of this, she says that she may never even report a problem she has noticed at the workplace. This is because she will either be blamed for the problem or ignored altogether (A.N. Morales, personal communication, March 15, 2020).

Marion has been a bank teller for the past three years. She says that her work is pretty much routine from day to day. Even though she has her immediate superior at the workplace, she says that it is not common to find him following her around. She feels that for the three years she has worked at the bank, she has been empowered to make decisions on her own and only report to her supervisor if she is not sure of what to do. She therefore feels quite empowered in her job. Furthermore, she states that there are weekly meetings in which the section manager sits down with them and they discuss how the past week has been. During these meetings, everyone of the employees is free to contribute and their views are included in the minutes of the meeting. On countless occasions, she has made suggestions that have ended up being implemented for the betterment of the work environment. Because of this, her opinion and feeling is that the management of the bank adequately engages its employees and takes their feelings and views seriously (M.A. Jeanice, personal communication, March 16, 2020)Impacts of Employee Empowerment and Psychological Safety Essay.

Marx is my maternal uncle. Since he graduated from college, he has been working as a salesperson for the Ford Motor Corporation. This is his fourth year in the job and he is greatly satisfied with his job. Of the three interviewees, he is the one who appeared to feel the most empowered in his workplace. He stated that in his work, the only thing that he discusses with his immediate superior are the targets that he needs to achieve within a given period of time. After that, he has the autonomy to do his work as he deems fit. In doing so, also, he is provided with all the resources that he needs for his work. For him, he has more say in how he does his work as the company is only interested in results and the meeting of objectives. This, according to him, is testament enough that he is empowered in his work. Concerning employee engagement, Marx says that this has always gone hand in hand with the empowerment. In every sales meeting, it is what he has to say that is important as the managers realise that he is the one that talks directly with the customers and knows what they want. In all, he feels he is empowered, has the autonomy, and is engaged as much as he would wish for (M.J. Nelson, personal communication, March 18, 2020) Impacts of Employee Empowerment and Psychological Safety Essay

Industry Comparison of Employee Empowerment and Engagement

From the interviews, it is clear that employee empowerment and engagement within the healthcare industry is not exactly the same as that in other industries. In my opinion, this could be due to the difference in the nature of work that employees in these industries do. In healthcare, many organizations tend to prefer close supervision and monitoring of employees such as nurses because even small mistakes can be costly (malpractice litigation and vicarious liability). However, this is not to say that this is good practice. It has been shown that empowered employees are highly motivated and are more productive (Lee et al., 2018) Impacts of Employee Empowerment and Psychological Safety Essay. Not all healthcare industry organizations, however, give limited empowerment and engagement to their employees. That said, even those that have empowered their employees well cannot reach the levels of empowerment and engagement seen in other industries. As stated, the reason is that the healthcare industry is sensitive and highly regulated professionally.

A Working Definition of Psychological Safety

The concept of psychological safety at the workplace is related to the state of mind of the employee when they are at their workplace. It is how the employee feels as they carry out their day-to-day duties. For instance, does the employee feel free when they are carrying out their duties? Do they fear what might happen to them in the event that they made a small mistake in the course of their duties? Are they free to report any mistakes they may make without any fear of victimisation? These are the kinds of questions that define psychological safety in the workplace. An employee who cannot answer these questions favorably does not experience psychological safety at their workplace. This may affect their morale and workplace productivity (O’Donovan et al., 2019).

Going by Alisonia’s account in the interview; she does not have psychological safety in the hospital in which she works. She is afraid of the nurse manager who seems to be exercising authoritarian leadership style. A lack of psychological safety is therefore evident in her workplace. Marion the bank teller has a high degree of psychological safety in her workplace. She feels valued and secure. Her opinion counts and she is not afraid of her supervisors and managers like Alisonia. Lastly, Marx has demonstrated that his workplace gives him the highest degree of psychological safety. He is extremely autonomous and decides how he does his work, as long as he meets the company’s sales projections. Compared to the other two, a possible reason for Marx’s high degree of psychological safety could be because his work does not involve staying in one location at the company. He moves around to where customers are and pitches for their car products outside the company’s premises. Impacts of Employee Empowerment and Psychological Safety Essay.

Traditionally, psychological safety within healthcare organizations has not been as it should be. Authoritarian supervision and strict standard operating procedures have been the hallmark of professional work in healthcare, especially for nurses. The only health worker category that has been enjoying the greatest autonomy and psychological safety are the physicians. However, this is rapidly changing with the realisation that creating a conducive work environment motivates nurse employees and improves the quality of care given to patients. The manufacturing and financial industries enjoy a high degree of psychological safety. Only the hospitality industry is comparable to the healthcare industry as the waiters are analogous to the nurses in the healthcare industry. The tribulations waiters go through from customers and management are similar to the tribulations nurses go through from patients and nurse managers.

From the foregoing, it goes without saying that a high degree of psychological safety, employee empowerment, and employee engagement in healthcare is a positive thing. This is because the presence of these factors motivates health workers, making them feel energised to work and deliver the highest quality of care. High psychological safety, empowerment, and engagement of employees are therefore directly correlated with patient safety.

Leadership Strategies for Ensuring Psychological Safety, Empowerment, and Engagement

The two tried and tested leadership strategies that are known to create a conducive work environment for employees and hence psychological safety are transformational leadership and consultation (Choi et al., 2016). Transformational leadership motivates, guides, appreciates, and values employees. A good example, generally, is my current healthcare organization in which there is only transformational leadership and a high level of empowerment, engagement, and psychological safety.

References

Asiri, S.A., Rohrer, W.W., Al-Surimi, K., Da’ar, O.O., & Ahmed, A. (2016). The association of leadership styles and empowerment with nurses’ organizational commitment in an acute health care setting: A cross-sectional study.
BMC Nursing, 15
(38), 1–10. Doi:10.1186/s12912-016-0161-7 Impacts of Employee Empowerment and Psychological Safety Essay

Choi, S.L., Goh, C.F., Adam, M.B.H., & Tan, O.K. (2016). Transformational leadership, empowerment, and job satisfaction: The mediating role of employee empowerment.
Human Resources for Health, 14
(1), 73. Doi:10.1186/s12960-016-0171-2

Laschinger, H.K.S., Wong, C.A., & Grau, A.L. (2013). Authentic leadership, empowerment and burnout: A comparison in new graduates and experienced nurses.
Journal of Nursing Management, 21
(3), 541–552. Doi:10.1111/j.1365-2834.2012.01375.x

Lee, A., Willis, S., & Tian, A.W. (2018). When empowering employees works, and when it doesn’t.
Harvard Business Review
. Retrieved 19 March 2020 from
https://hbr.org/2018/03/when-empowering-employees-works-and-when-it-doesnt

O’Donovan, R., Ward, M., De Brún, A., & McAuliffe, E. (2019). Safety culture in health care teams: A narrative review of the literature.
Journal of Nursing Management, 27
(5), 871–883. Doi:10.1111/jonm.12740

 

Note: You will begin this Assignment in Week 3, and it will be due by Day 7 of Week 4. Plan your time accordingly.

How does healthcare compare with other fields in markers, such as employee empowerment and engagement? Investigating that question is one purpose of your Module 2 Assignment, for which you will interview three employees in different fields, with one individual in healthcare. You will also consider the theme of psychological safety, which you will explore in more detail in Week 4. Impacts of Employee Empowerment and Psychological Safety Essay

Photo Credit: Getty Images/iStockphoto

As you begin your Assignment, reflect on your own experiences and perceptions of a typical work environment within a healthcare setting. As a nurse executive, you will have greater influence over how the nurses you lead function within that environment. Recall examples from the Learning Resources of benefits when nurses are empowered and engaged. Consider how you can use the information you gain through this Assignment to develop your leadership skills, with the goal of providing support that is constructively impactful for nurses, patients, and a healthcare organization.

To Prepare:

Choose and secure the agreement of three individuals you know well (i.e., family and friends) to be interviewed on the topics of employee empowerment, engagement, and psychological safety in the workplace. One person you interview must work in a healthcare setting.

Review the Learning Resources on employee empowerment, engagement, and psychological safety in the workplace. Consider definitions that clarify these concepts and which you can explain to your interview subjects in enlisting their participation and guiding responses.

Access and review the document Employee Interviews: Guidelines and Questions, located in the Learning Resources, for guidance on planning, conducting, analyzing, and comparing the interview responses.

Note: You are required to submit the signature of each person you interview to confirm the individual’s agreement to participate. Fill in Page 1 of the Employee Interviews: Guidelines and Questions document, print the page, and obtain the signatures. (There is a place for all three signatures on Page 1.) Scan and submit Page 1 as a separate Word file with your completed Assessment.

Conduct a brief (20–30 minutes) phone or in-person interview with each individual. Speak with each person separately so that you have three sets of independent views to compare. Questions to ask are provided in the Guidelines document. Note the questions are repeated in a section for each interviewee. Take notes in the document, or record the interviews with each person’s permission.

When you have completed all three interviews, review each individual’s experiences and sense of empowerment, engagement, and psychological safety at work. Compare and contrast the responses with the goal of arriving at clear conclusions on how the degree of employee empowerment, engagement, and psychological safety influences job performance, satisfaction, and morale. v

Compare the responses of the individual who works in healthcare and your own experiences in professional practice in healthcare to the responses of your interviewees working in other areas. Consider conclusions you can make about employee empowerment, engagement, and psychological safety in healthcare compared with other professions.

Consider quality care and safety issues in healthcare and the relationship among psychological safety, employee empowerment, and engagement as positive or negative factors.

Consider strategies nurse executives can apply to improve or enhance employee empowerment, engagement, and psychological safety within healthcare settings.

Assignment:

Based on your
three interviews
and drawing on current literature, and from the perspective of a nurse executive’s role in supporting employee job performance and satisfaction, write an analysis that addresses, in 4–5 pages, the following points:

Describe the three employees you interviewed, including their industries and job titles.

Explain your working definitions of “employee empowerment” and “employee engagement” that are the basis of the interviews. Impacts of Employee Empowerment and Psychological Safety Essay

Summarize how the interviewees characterized the culture of employee empowerment and engagement within their organizations.

Analyze how employee empowerment and employee engagement within healthcare organizations compare with other industries.

Explain your working definition of “psychological safety” that is the basis of the interviews.

Summarize how the interviewees characterized the presence, absence, and/or degree of psychological safety within their organizations.

Analyze how psychological safety within healthcare compares with other industries.

Analyze how degree of psychological safety, employee empowerment, and engagement are positive or negative factors for quality care and safety issues within healthcare.

From the position of a nurse executive, explain at least two leadership strategies you would recommend for actions to improve or sustain psychological safety, employee empowerment, and engagement within healthcare organizations. Speak generally, or specifically, to your current healthcare organization or one where you have worked in the past.

Note: You began this Assignment in Week 3 and it will be due by Day 7 of Week 4. Plan your time accordingly.

As you wrap up your analysis of the three interviews you completed, draw on the information and perspectives gained through the Learning Resources and Discussion, this week, to assess psychological safety in each workplace. As a nurse executive, you will have new avenues for making a difference for staff and patients. With those opportunities in mind, consider how to apply the insights you gain regarding psychological safety in healthcare settings.

Photo Credit: Getty Images/iStockphoto

To Prepare:

Review Learning Resources that will guide your analysis of employee empowerment, engagement, and psychological safety.

Use the Guidelines & Questions document, from the Learning Resources, to help you in completing your Assignment, including providing the signature sheet to confirm your three interviews.

Resources

Learning Objectives

Students will:

Explain concepts of employee empowerment and psychological safety*

Analyze factors associated with high-performance teams*

Analyze impact of psychological safety and employee empowerment on team decision making and performance *

Explain leadership strategies to improve psychological safety and empowerment of employees in healthcare settings*

* Objective is introduced this week and assessed in Week 4.

Learning Resources

Required Readings (click to expand/reduce)

Asiri, S. A., Rohrer, W. W., Al-Surimi, K., Da’ar, O. O., & Ahmed, A. (2016). The association of leadership styles and empowerment with nurses’ organizational commitment in an acute health care setting: A cross-sectional study. BMC Nursing, 15(38), 1–10. doi:10.1186/s12912-016-0161-7

Choi, S. L., Goh, C. F., Adam, M. B. H., & Tan, O. K. (2016). Transformational leadership, empowerment, and job satisfaction: The mediating role of employee empowerment. Human Resources for Health, 14(1), 73. doi:10.1186/s12960-016-0171-2

Laschinger, H. K. S., Wong, C. A., & Grau, A. L. (2013). Authentic leadership, empowerment and burnout: A comparison in new graduates and experienced nurses. Journal of Nursing Management, 21(3), 541–552. doi:10.1111/j.1365-2834.2012.01375.x

Lee, A., Willis, S., & Tian, A. W. (2018, March). When empowering employees works, and when it doesn’t. Harvard Business Review. Retrieved from https://hbr.org/2018/03/when-empowering-employees-works-and-when-it-doesnt

O’Donovan, R., Ward, M., De Brún, A., & McAuliffe, E. (2019). Safety culture in health care teams: A narrative review of the literature. Journal of Nursing Management, 27(5), 871–883. doi:10.1111/jonm.12740

Society for Human Resource Management (SHRM). (2017). 2017 Employee job satisfaction and engagement: The doors of opportunity are open [Executive summary]. Retrieved from https://www.shrm.org/hr-today/trends-and-forecasting/research-and-surveys/Documents/2017-Employee-Job-Satisfaction-and-Engagement-Executive-Summary.pdf Impacts of Employee Empowerment and Psychological Safety Essay

Document: Employee Interviews on Empowerment and Psychological Safety: Guidelines & Questions (Word document)

Required Media (click to expand/reduce)

benedictineCVDL. (2018, July 6). Creating psychological safety at work in a knowledge economy – Amy Edmondson, Harvard [Video file]. Retrieved from https://www.youtube.com/watch?v=KUo1QwVcCv0

Note: The approximate length of this media piece is 3 minutes.

Fostering a Positive Workplace

This video addresses defining qualities of a positive work environment and the decisive role of nurse executives and other leaders in developing that environment. Pay particular attention to the discussion of employee engagement and its connection to job satisfaction—and how nurse executives can troubleshoot to encourage deeper engagement. (11m)

Accessible player

Creating a Culture of Engagement

Multiple experts offer advice and dynamic models of how to create an exemplary nursing staff through strategies that enhance engagement and empower nurses in healthcare settings. You may choose to skip the first section on hiring to go directly to the more relevant information for this module. (19m) Impacts of Employee Empowerment and Psychological Safety Essay