A 49-year-old female is discussing age-related changes with the nurse practitioner. She states that she is having irregular periods and “hot flashes.”
instructions: It is a discussion post, APA format, 1 page in length is fine. Must have 3 references.
Solve one of the following Learning Exercises from Huston’s Leadership Roles and Management Functions in Nursing, 11th edition.
List which Learning Exercise you are solving at the start of your analysis and provide a brief summary of the case. Be sure to apply an appropriate problem-solving/decision-making model (Traditional Problem-Solving Process, Managerial Decision-Making Model, The Nursing Process, or the Integrated Ethical Problem-Solving Model) in determining what you should do. Justify your decision with supporting evidence
Module 11 Written Assignment – Best Practice
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Module 11 Content
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Write a 1-2 page paper about some of the Best Practices you have learned about during this course. How will these practices improve patient's outcomes? You must use APA and have at least three references less than three years old to support your choices.
Submit your completed assignment by following the directions linked below. Please check the
Course Calendar for specific due dates.
Save your assignment as a Microsoft Word document.
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Case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed.
In APA format and at least three pages, answer the following questions:
What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
In your opinion, what part does intuition play in clinical judgment? How do you think you'll be able to develop nursing intuition?
Identify an article that is at least five years old. Summarize the statistical findings and discuss the significant it has on nursing.
Due 10/13/23 @ 1600 EST
Respond by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively.
using APA, at least 2 scholarly references
WORKPLACE ENVIRONMENT ASSESSMENT
I recently conducted a Work Environment Assessment to evaluate workplace civility in the acute psychiatric inpatient unit. The results of the assessment painted a mixed picture. On the positive side, most staff members consistently exhibited professionalism and respect in their interactions with colleagues and patients. Team collaboration during shift handoffs and interdisciplinary meetings was generally effective and respectful.
.However, the assessment also revealed challenges. There were instances of incivility during high-stress situations, such as patient crises or when dealing with challenging patients. Communication breakdowns occurred when staff members were overwhelmed, leading to frustration and occasional conflicts. Some employees expressed concerns about a lack of adequate resources, contributing to heightened tensions ((Abt et al.,2021)
.Overall, the workplace in the psychiatric inpatient unit could be characterized as moderately civil. While there were numerous examples of professionalism and respect, the high-stress nature of the environment occasionally led to lapses in civility. In my personal experience, I encountered incivility during a team debriefing following a challenging patient case. The charge nurse became frustrated with a staff member she believed had not followed protocol during the crisis, leading to a heated argument in front of the team.
This situation needed urgent action to stop any further deterioration. The parties could speak freely and with less hostility because of this one-to-one discussion. The clinical supervisor subsequently mediated the process, delving into the underlying issues to devise an alternative means of communication between the two parties. The latter included conflict resolution/communication training that was introduced in advance. An acute psychiatric inpatient unit is a high-stress healthcare setting where it is essential to deal with incivility simultaneously to maintain a therapeutic and civil working environment (Mabona et al.,2022).
References
Abt, M., Lequin, P., Bobo, M., Vispo Cid Perrottet, T., Pasquier, J., & Ortoleva Bucher, C. (2021). The scope of nursing practice in a psychiatric unit: A time and motion study. Journal of Psychiatric and Mental Health Nursing, 29(2), 297–306. https://doi.org/10.1111/jpm.12790Links to an external site.
Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00684-2Links to an external site.
Mabona, J. F., Van Rooyen, D., & Ten Ham-Baloyi, W. (2022). Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health SA Gesondheid, 27. https://doi.org/10.4102/hsag.v27i0.1788
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Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights.
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