Discussion Question:

Neuman Systems Models is a flexible and adaptive model which can be applied to various aspects of nursing disciplines. Today, the model is used globally as a nursing conceptual model to guide curriculum development, research studies, and clinical practice in the full array of health-care disciplines.

Define a nursing practice area where you could apply Neuman Systems Model. What patient population would you target? How would you use this model to guide best practices? How would nursing outcomes be determined? Use at least one current research article related to your practice example.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook

Reflect for a moment on your nursing career. About what are you most passionate? When do you feel you are at your best? What brings you the greatest satisfaction in your work? Positive feelings in the workplace are usually fueled by intrinsic motivators: healthy relationships, meaningful purpose, competence, choice, and progress. As a nurse manager, it is helpful to recognize what motivates you to perform well in your own job. You should also take time to understand the motivations of employees. By speaking to staff about their interests and professional goals, nurse managers can build relationships and thus provide appropriate motivators.

For this Assignment, you examine your personal work experiences to determine which of the five intrinsic motivators are more influential in shaping your positive feelings about the workplace.

To prepare

• Reflect on your work history, from your first job to your current employment.
• Select one time period or situation in which you felt professionally happy, motivated, and fulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that helped to shape these feelings?
• Select one time period or situation in which you felt professionally unhappy, disengaged, and unfulfilled in your job. What do you remember most about this time period? What are, or were, the various personal and professional factors that caused these feelings?
• Review the selected pages from Chapter 7, “Coaching and Developing Others” in the course text, From Management to Leadership: Strategies for Transforming Health Care. Consider the potential influence of the five intrinsic motivators during your chosen time period or situation.
  • Which intrinsic motivators seem to resonate more with your own perceptions of job fulfillment?
  • Which motivators do you believe have greater influence on your professional well-being?
• Review the media, “Fostering a Positive Workplace.” How can nurse leaders use their awareness of the five motivators to engage and retain nursing staff?

To complete

By Day 7 of Week 8

Submit a 3- to 5-page paper in which you do the following:

• Appraise a time when you have felt professionally fulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Identify your own key intrinsic motivators and explain how these were evident in this situation. Cite specific examples.
• Appraise a time when you have felt professionally unfulfilled. Describe the setting, your job title, and the roles and responsibilities in which you were engaged. Explain the motivator(s) that were absent and how this impacted your professional performance. Cite specific examples.
• Discuss how you, as a nurse manager, might implement organization- or department-wide changes that would create an environment that engages staff through one or more intrinsic motivators.

optional resources

Achor, S. (2012). Positive intelligence. Harvard Business Review, 90(1/2), 100–102.

Morse, G. (2012). The science behind the smile: Interview with Daniel Gilbert. Harvard Business Review, 90(1/2), 84–90.

Muha, T. M., & Manion, J. (2010). Using positive psychology to engage your staff during difficult times. Nurse Leader, 8(1), 50–54.

nursing leadership

Comparing, or benchmarking, outcomes is an important means by which health care providers strive to improve quality of care. Although this concept applies to all kinds of clinical care facilities, for this Discussion you focus on hospitals so that you can make use of data on the CMS’s “Hospital Compare” website to conduct some basic benchmarking analysis.Using this analysis as a launching point, you then evaluate priorities for improvement and consider how to create a motivating environment that supports significant, lasting change. 

To prepare:

• Go to http://www.medicare.gov/hospitalcompare/search.html 
• Enter search criteria and click “Find Hospitals.” Select a hospital on which to focus for this Discussion.
• Review all of the data on this hospital, which should include the various Process of Care Measures and the Survey of Patients’ Hospital Experiences (HCAHPS scores).
• Compare the data for your selected hospital with data from other institutions in the area and across the country, as you think appropriate. (To do this, repeat the steps described above, but this time include these other institutions in your comparison.)
• Based upon your first selected hospital’s comparative scores, what do you think is the most important area related to patient satisfaction/clinical outcomes to improve, and why? It may be helpful to consider what other steps you would take to get a clearer picture of this quality issue.
• Think about how you as a leader and manager would communicate change at the point of care (front line) to provide service that improves one or more patient satisfaction/clinical outcomes in your selected hospital.

By Day 3

Post a brief description of the hospital and your selected outcome, including indications of the needed improvement. Then, provide a short, persuasive statement demonstrating how you would communicate and motivate a nurse at the point of care (front line) to provide service that improves the selected outcome. Support your statement with evidence and strategies from the literature.

M3D1: Managing pain and culture: Scenario 1 A 25 year old Arab American man is one day post op following a thoracotomy. There have been no post-surgical complications.He tells his family that he is “in terrible pain”. yet he reports ratings of 2 to 3 on 0-10 numeric rating scale to the nursing staff. He requests pain medication every two to three hours, and will not get out of bed or ambulate. For your assigned scenario, addressthe following: Identify and state a priority nursing diagnosis label for your assigned patient related to pain. Develop and state three (3) nursing interventions for this nursing diagnosis label or patient problem. When planning individualized nursing interventions, consider the patient’s type of pain and cultural perspective. Provide your rationale or reasoning for each intervention chosen.

Q2

In a paper of 1,000 words:

Discuss the work of the Committee of the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

Identify the importance of the IOM “Future of Nursing” report related to the nursing workforce.

Discuss the intent of the Future of Nursing: Campaign for Action.

Identify the rationale for state-based action coalitions.

Choose one state-based action coalition and discuss two initiatives that they are working on.

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

Including Reference