Assignment 2: Human Resources and Staffing Crisis at Blumberg’s Nursing Home

NO PLAGIARISM

Blumberg’s Nursing Home (BNH) is a 100-bed Medicare and Medicaid certified facility in suburban Philadelphia, PA. The administrator recently terminated the facility’s Director of Nursing (DON), receptionist, and dietary aid for inappropriate conduct. They had all been involved in purchasing and using illegal substances on facility grounds. Facility staff, as well as many of the more lucid residents, have found out about the incident.

The charge nurse has been appointed interim DON. The human resource manager has sent a memo to all staff informing them of a mandatory staff meeting to discuss BNH’s code of ethics and to provide additional training on workplace culture. Because federal law requires that there be at least one (1) registered nurse on duty for a minimum of eight (8) hours a day, seven (7) days a week, and that the DON must be a registered nurse (RN) – which the interim DON is not – BNH is out of compliance.

Write a six (6) page paper in which you:
1.Assess the immediate staffing needs at BNH. Prioritize the order in which BNH should fill the main unstaffed position(s). Justify your selection(s).
2.Considering the reason behind the termination of the employees, formulate a human resources policy that addresses inappropriate conduct in the workplace, the process of reporting inappropriate conduct, and the consequences of violating the policy. Explain your rationale. 
3.Per the text, an effective long-term care facility administrator must have both leadership and management skills. Propose at least one (1) way the administrator in this case must demonstrate quality leadership skills, and one (1) way the administrator must demonstrate quality management skills in the aftermath of this crisis so as to improve and maintain staff and resident morale.
4.Recommend a strategy for BNH to use the Quality Indicator Survey to improve administrative practices and ensure future compliance at the facility. Justify your recommendation.
5.Use at least three (3) quality academic resources. Note: Wikipedia and other similar websites do not qualify as academic resources.  

Your assignment must follow these formatting requirements:
•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
•Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length

Analyze the key benefits and/or consequences of practicing in a multicultural city such as Miami, FL. Select one (1) scholarly practice-based article that addresses application of theTheory of Culture Care Diversity and Universality in advanced nursing clinical practice, and after reading the article, create a diagram to document the ways in which the article identifies all components of the theory and its application to clinical and/or advanced nursing practice. Following is the reference for the scholarly practice-based article that addresses application of the Theory of Culture Care Diversity and Universality that I would like to use for my homework:Hicks, D. (2012, September-October). Cultural competence and the Hispanic population. MedSurg Nursing, 21(5), 314+. Retrieved from https://link.galegroup.com/apps/doc/A305192239/GPS?u=fl_program&sid=GPS&xid=5896481eAlso is needed to use the text book / Chapter 17Smith, M., & Parker, M.(2015). Nursing Theories & Nursing Practice. (4th Ed) Philadelphia: F.A. Davis Company

You are a team leader in a clinic inside of a medium security state prison. Many of the inmates have been diagnosed with brain disorders and the attending prison physicians have indicated medications that the prisoners must take while incarcerated in the facility. A state legislator visiting the prison has been advised of this program forcing inmates to take medications to treat their mental illnesses and is concerned about the reasons this is being done against the inmates will. The legislator asks for a meeting with members of the prison clinic and you are tasked to explain the reasoning for the forced medication program. The following are questions being asked by the legislator that need to be addressed:

  • Why are diagnosed mental health problem inmates being held in a jail type facility?
  • What is the reason the inmates are being given the drugs?
  • How can the prison clinic be forcing inmates to take the drugs against their will?

APA format. 3 paragraphs. . references throughout and reference page.

Q2

Need to write a 700 word article on THE FUTURE OF SUSTAINABLE HEALTH CARE

I need the following subtopics

1)Introduction that will also explain what the rest of the paper will be about,

and those bullet points are: a. Identifying opportunities for innovation; b. Explain how innovation contributes to a sustainable health care organizaton; b. Identify challenges to becoming a sustainable health care organization; d. Identify examples of health care sustainability successes

Written assignment: (2500 words, due in week 8)
The written assignment for this unit is based on students choosing a topic from the list of topics provided and undertake a literature search relevant to the chosen topic (10 refereed journal articles). Students will then provide a critical analysis of the chosen topic with the support of the literature reviewed including a discussion on how the knowledge gained will assist in advancing their
role in the work place.
Principles of nursing management of patients/clients with respiratory or cardiac medical-surgical conditions.
Principles of nursing management of patients/clients with medical-surgical conditions
relevant to cerebral/ neurological systems.
Principles of nursing management of patients/clients with medical-surgical conditions
relevant to haematological / vascular systems.
Gerontological/Aged care nursing – Principles of nursing management of older people
requiring aged care.
a. Rehabilitation Nursing: Principles and management of patients/clients requiring
rehabilitation
b. Community/Rural and Remote (Bush) nursing: Principles and management of clients in
community health care settings.
Mental Health Nursing principles (meeting the needs of people with altered mental health
status in hospital/institutional and community setting

Unit outcome(s) addressed in this Assignment:• Evaluate reasons for sound corporate compliance and penalties for failure to comply• Compare and contrast abuse and fraud in the health care settings• Discuss how Qui Tam lawsuits impact the healthcare industryIllustrate legal principles and laws that affect professional and administrative decisions found in health care services. Analyze conflict between cost, access, and quality of care as it relates to legal parameters. Evaluate inherent limitations to the delivery of health care due to legal mandates. Contrast the roles of legislatures, regulators, and the courts in health care services. Evaluate how the law of contract and malpractice mold health care delivery.InstructionsMuch of this course is, about compliance with quality standards. It is important to understand that compliance extends to every phone call, computer entry, claim submission, patient contact, visit, provider interaction, nursing care and so on. For this, your Final project, you will prepare a report about the role of the Joint Commission (JC).To begin, please visit the Joint Commission website:Source: The Joint Commission: The Joint Commission. Retrieved from http://www.jointcommission.org/Additional research will be necessary.

Briefly answer each question. references/resources: Advances in Nursing Science http://journals.lww.com/advancesinnursingscience/Fulltext/2001/09000/Toward_a_Praxis_Theory_of_Suffering.7.aspx US National Library of Medicine http://www.ncbi.nlm.nih.gov/pubmed/12889579 •Bergstrom, L., Richards, L., Morse, J., & Roberts, J. (2010). How caregivers manage pain and distress in second stage labor. Midwifery, 55(1), 38–45. •Carter, B. (1994). Surviving breast cancer. Cancer Practice, 2(2), 135–140. •Ekman, P., & Friesen, W. (1978). Facial action coding system: A technique for the measurement of facial movement. Palo Alto, CA: Consulting Psychologists. •Ekman, P., Irwin, W., & Rosenberg, E. (1994). EMFACS: Coders instructions (EMFACS-8). San Francisco, CA: University of California, San Francisco. •Morse, J. (1997). Responding to threats to integrity of self. Advances in Nursing Science, 19(4), 22–36. •Morse, J. M. (1992). Comfort: The refocusing of nursing care. Clinical Nursing Research, 1, 91–113. •Morse, J. M. (2000b). On comfort and comforting.American Journal of Nursing, 100(9), 34–38. •Morse, J. M. (2001). Toward a praxis theory of suffering. Advances in Nursing Science, 24(1), 47–59. •Morse, J. (2011). The praxis theory of suffering. In J. B. Butts & K. L. Rich (Eds.), Philosophies and theories for advance nursing practice. (pp. 569–595). Sudbury, MA: Jones & Bartlett Learning. •Morse, J., Beres, M., Spiers, J., Mayan, M., & Olson, K. (2003). Identifying signals of suffering by linking verbal and facial cues. Qualitative Health Research, 13(8), 1063–1077. •Morse., J., & Carter, B. (1996). The essence of enduring and the expression of suffering: The reformulation of self. Scholarly Inquiry for Nursing Practice, 10(1), 43–60. •Morse, J., Havens, G., DeLuca, A., & Wilson, S. (1997). The comforting interaction: Developing a model of nurse-patient relationship. Scholarly Inquiry for Nursing Practice, 11(4), 321–343. •Morse, J., & Mitcham, C. (1998). The experience of agonizing pain and signals of disembodiment. Journal of Psychosomatic Research, 44(6), 667–680. •Morse, J., & O’Brien, B. (1995). Preserving self: From victim, to patient, to disabled person. Journal of Advanced Nursing, 21, 886–896. •Morse, J., & Pooler, C. (2002). Patient-family-nurse interactions in the trauma resuscitation room. American Journal of Critical Care, 11(3), 240–249. •Morse, J., & Proctor, A. (1998). Maintaining patient endurance: The comfort work of trauma nurses. Clinical Nursing Research, 7(3), 250–274. •Olson K., Morse, J. M., Smith, J., Mayan, M., & Hammond, D. (2000–2001). Linking trajectories of illness and dying. Omega, 42(4), 293–308. •Proctor, A., Morse, J., & Khonsari, E. (1996). Sounds of comfort in the trauma center: How nurses talk to patients in pain. Social Sciences & Medicine, 42, 1669–1680.

1 Identify one area of nursing research that has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice?

2 What similarities and differences can you identify between the nursing process and the research process? Explain your answer.

3 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.
Review the article below and answer the following questions.
Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46. . doi:10.1016/S2155-8256(17)30097-https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S2155825617300972&site=eds-live&scope=site
(Links to an external site.)
Links to an external site.

1.       Select one of the four challenges and expand on how your workforce has responded to the change.

2.       How have these challenges affected the access to care for your patients?

3.       What can you do to decrease the effect on your patients? Provide a specific example.

  Write a 4 page paper and discuss each of the following questions in relation to your nursing practice using APA style and formatting.

·         Use APA level headings to develop each of the required elements of the assignment.

·         1.Discuss the importance of research as it informs the future of nursing practice.

·         2.Discuss two specific contributions you make to develop your colleagues in becoming a consumer of nursing research.

·         3.Describe at least two strategies you will use to maintain competency in using nursing research. Examples might include:

·         Perform a literature search on a particular practice issue and share with colleagues.

·         Join a nursing research discussion group.

·         Champion a nursing clinical issue to become a research study in your organization.

·         4.Describe three ways that your understanding of technologies and telecommunication in nursing and health care can have a positive impact on your practice.

·         5.Propose one strategy to increase the participation of the nursing profession in research and lifelong learning.

·         What role might technology and telecommunications play in promoting research participation?

·         6.Conclusion:

·         Include a title and reference page.

·         Use the following subheadings:

·         Advocating for Research in Nursing.

·         Maintaining Competency in Research Practices.

·         The Future of Technologies in Nursing and Research.

·         Conclusion.

Question Description

This week, you will learn how to plan care for patients while considering their diverse cultural backgrounds. This is an APA paper, which requires a title page, double spacing, and set up as per the example papers in your APA book. Please select a culture different from the one you chose to research in week 2. PLEASE USE ASIANS!!

Then, address the following:

  1. Describe the key components of conducting a comprehensive cultural assessment (rationales, interventions and evaluations may be found on the internet).
  2. Choose two of the components, reflect on your own culture and how it impacts your own attitude toward those aspects of providing culturally diverse care.
  3. Imagine that you are working in a physician’s office. A patient of a background different from your own comes in to be seen for a newly diagnosed problem. Create two nursing diagnoses that reflect cultural diversity (look at Appendix A for guidance ie., “Barrier to communication”); then give rationale for each diagnosis and describe how you would intervene and evaluate for success of your plan of care.

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMedor CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate,Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

o Title of Paper (centered, not bolded)—do not include the word Introduction

o Comprehensive Cultural Assessment Components (centered, bolded)

o Title of 1st Component (left margin, bolded)—please use the topic of your component as this heading

o Title of 2nd Component (left margin, bolded)—please use the topic of your component as this heading

o Nursing Diagnoses One (centered, bolded)

o Nursing Diagnosis Two (centered, bolded)

o Conclusion (generally not used as a heading and instead you should use the words In conclusion, to begin the conclusion)

: Developing Purpose and Thesis Statements
        
Developing Purpose and Thesis Statements
Objectives

Prepare purpose statements and thesis statements for speech topics
Apply standard methods for creating fully developed speech topics

Assignment Overview
In this writing assignment, you will practice selecting a topic and developing purpose and thesis statements for an Informative Speech. This speech informs your audience about a topic. It should be a topic that most people might not know much about such as a hobby you have or an interest you may have, such as history or beekeeping. Write about something you are interested in and might want to know more about or you want to share your knowledge with others.
Deliverables
A one-page (250-word) paper
Step 1  Consider the scenario. 
Imagine that you need to submit a proposal for an informative speech about one topic of your choice. If your proposal is accepted, you will have 30 minutes to present your speech.
Step 2  Paste the table. 
Copy and paste the following table into your document. Use this table to plan your speech.
 TopicGeneral PurposeSpecific PurposeThesisMain Points   Inform        Step 3  Enter a topic. 
Enter a topic suitable for Step 1 in the Topic column of the table.
Step 4  Enter the specific purpose. 
In the Specific Purpose cell, enter a specific purpose that matches the corresponding general purpose statement.
Step 5  Enter the thesis statement (TS). 
Enter a thesis based on the corresponding specific purpose statement.
Step 6  Identify and generate main points. 
Identify one resulting question and generate at least three main points. Enter the thesis statement, question, and main points into your word processing document using the format in the example shown here:
Example
Thesis Statement: The government should (or should not) provide health insurance coverage to all citizens.
Question: Why should the government provide health insurance coverage to all citizens?
Main Points:

Health care is prohibitively expensive for citizens without health insurance.
The first question you are asked when you call most doctors’ offices in the United States is, “What type of insurance do you have?”

People without health insurance may be unable to get the health care they need.