Nursing

The essential goal of the RN is to provide information and resources to assist the patient and family with chronic illnesses or disabilities so they can manage their own care over the course of the illness or disability.

Initial Discussion Post:

1. Compare and contrast the terms “disability” and “chronic illness”. What are the similarities and/or differences? Can they coexist? Give reasoning behind your evaluation.
2. Discuss two (2) legal and/or ethical challenges or implications for patients and families with disabilities or with chronic illnesses, trying to achieve comprehensive self-management.
3. Identify and state two (2) actions the RN can implement to help the patient and family achieve comprehensive self-management with a disability or with a chronic illness.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

 Lubkin’s Chronic Illness Impact and Intervention by Pamela Larsen (Chapter 14, Self-Management) may be of assistance with this topic.  Click on link to access.

LeBlanc, R., & Jacelon, C. (2016). Self-management. In P. Larsen (Ed.),   Lubkin’s chronic illness: Impact and intervention (9th ed.). Retrieved from ovidsp.tx.ovid.com

Review the Institute of Medicine’s 2010 report “The Future of Nursing: Leading Change, Advancing Health.” Write a 750-1,000 word paper discussing the influence of the IOM report on nursing practice. Include the following:

1. Summarize the four messages outlined in the IOM report and explain why these are significant to nursing practice.
2. Discuss the direct influence the IOM report has on nursing education and nursing leadership. Describe the benefits and opportunities for BSN-prepared nurses.
3. Explain why it is important that a nurse’s role and education evolve to meet the needs of an aging and increasingly diverse population.
4. Discuss the significance of professional development, or lifelong learning, and its relevance in caring for diverse populations across the life span and within the health-illness continuum.
5. Discuss how nurses can assist in effectively managing patient care within an evolving health care system.

Assignment: The Impact of Intrinsic Motivation

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

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.

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.

To-Do Checklist

• Prepare:
  • Review the assignment instructions and rubric.
  • Read the following article: Policies and Procedures for Healthcare Organizations: A Risk Management Perspective.
  • If you are unfamiliar with health care policies, many hospitals and organizations have their policies posted online. Take some time to review how they are written:
    • Hospital Policies from the Washington Department of Health.
    • Human Resources: Policies and Handbooks from Johns Hopkins.
    • Policies and Guidelines from Mercy Hospital.
    • Online Terms of Use from Ochsner.
    • Policies and Procedures from NYC Health and Hospitals.
    • HIPAA Privacy and Security Plan [PDF] from Axis Community Health.

Policy Analysis

Introduction

Organizational policy alignment and adherence to laws and regulations is critical for overall corporate compliance and to decrease organizational risks (patient falls, medication errors, cyber hacks and PHI data breaches, infection control, et cetera). In this assignment, you will select, evaluate, and update one health care provider’s policy related to a significant regulatory risk to the health care organization.

Instructions 

Select one of two options:

Option A

If you work for a hospital or health care organization you may select a policy that is of interest to you then follow these assignment instructions:

• Imagine you are a health care administrator at your current employer. Analyze the policy you selected, taking into consideration any recent changes. Evaluate what information and where that information would need to be updated. Propose revisions that are based on current identified standards and/or new guidelines that you have researched in the text or identified in other high-quality sources (that is, journals, government websites, and the like). Analyze the significance of the selected policy updates as it relates to potential litigation. (Why did the policy need updating? What threats do these changes help avoid?) Summarize your perspective on the revisions as well as any additional changes that should be considered. Present your work as an executive summary suitable for distribution to your organization’s board members.

Option B

If you do not work in the industry or do not have access to a health care policy, use the  Hahnemann Falls Policy to complete this assignment. Then follow these assignment instructions:

• As you can see, this policy was written in 2012. Now, imagine you are a health care administrator working at the health care organization where this policy originates from. Analyze the policy, taking into consideration the changes in HIPAA and PHI since 2012. Evaluate what information and where that information would need to be updated for a current revision of this document. Locate the areas where you would update or add information to this 2012 version. Propose revisions that are based on current identified standards and/or new guidelines that you have researched in the text or identified in other high-quality sources (that is, journals, government websites, and the like). Analyze the significance of the selected policy updates as it relates to potential litigation. (Why did the policy need updating? What threats do these changes help avoid?) Summarize your perspective on the revisions as well as any additional changes that should be considered. Present your work as an executive summary suitable for distribution to your organization’s board members.

Your paper should be 3–5 pages long and should include a title page and references for a total of 5–7 pages.

Grading Criteria

The grading criteria for this executive summary is as follows. It must include the elements listed below, so be sure to address each point. You may also want to review the performance-level descriptions for each criterion in the scoring guide to see how your work will be assessed:

1. Analyze a problematic or dated health care policy, explaining its primary purpose and effectiveness.
2. Determine the issues the selected policy poses as it is written and any related ramifications.
3. Research the changes needed to update and align the policy with current standards and guidelines.
4. Propose revisions that are based on current identified standards and/or new guidelines.
5. Analyze the significance of the selected policy updates as it relates to potential litigation.
6. Summarize personal perspective on the revisions as well as any additional changes that should be considered.
7. Meet clarity, writing mechanics, and formatting requirements.