April 2018 – Page 16 – mystudenthelp

Leadership week 2 response 1 – Systems Theory and the Difference Between Open and Closed Systems

Essay 1 Page

Subject area Nursing Academic Level Master

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Please respond to Angelas post in one of the following ways Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings

The Infrastructure of an Organization: A Systems Theory View

Interactional theory is based on the premise that leadership behavior is generally determined by the relationship between the leader’s personality and the specific situation.

Systems Theory and the Difference Between Open and Closed Systems

Closed system models consider the external environment to be stable and predictable, and they assume that it does not intervene in or cause problems for the functioning of an organization, therefore closed system models do not depend on the external environment, they are enclosed and sealed off from the outside world. An open system within the organization depends on its supporting environment for continued inputs.

Description of Problem Identified in Your Current Organization

Leadership effectiveness requires the ability to use the problem-solving process: and maintain group effectiveness, communicate well, demonstrate leader fairness, competence, dependability, and creativity. In my current organization we recently had a staffing crisis, staffing retention posed a huge problem. Changes are needed in how the unit is managed and organized, the orientation process needs to be completely changed and reorganized. Instead of problems solving and coming up with a new way to retain staff, more work was put on to the current nursing staff to cover the shortage, which in return seasoned staff began to get burned out and quite therefore adding to the already staffing crisis.

Explain the Problem from a Closed-System Perspective

The current situation was currently dealt with from a closed system perspective, the management staff did not look to the organization itself to help with the issue, all of the issues were dealt with internally, the nursing float pool from the main hospital campus was not utilized, a new orientation model was not implemented, so this still remains a huge issue in the retaining of the new staff.

Describe how the Problem Could be Addressed by open-system perspective

In an open system the organization adapts its functioning in response to negative feedback and external information signals through series of iterative adjustments that will allow the system to evolve. The negative feedback that has been given to the management staff should be used as basis of problem solving, looking at other orientation models and concepts from other areas that are similar to ours, and simply by showing staff and getting the staff involved in the changes would help to show that they are trying to improve the unit.

References

Marquis, B., & Huston, C. (2017). Leadership Roles and Management Functions in Nursing Theory and Application (9th ed.) Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins

Meyer, R., & O’Brien-Pallas, L. (2010, July 30). Nursing Services Delivery Theory: an open system approach. Journal of Advanced

Nursing. Retrieved from http://onlinelibrary.wiley.com.ezp.waldenulibrary.org/doi/10.1111/j.1365

2648.2010.05449.x/epdf

Leadership reflection week 2 – Differentiate between closed and open systems

Type of document Essay 1 Page

Subject area Nursing Academic Level Master

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Differentiate between closed and open systems

Analyze how goals, objectives, policies, procedures, and standards support an organization’s mission and values

Evaluate a department or unit within a health care organization using the components of systems theory

Leadership reflection – Evaluate the influence of mission, vision, and values on actions within an organization Differentiate between organizational culture and climate

Essay 1 Page Subject area Nursing Academic Level Master

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Evaluate the influence of mission, vision, and values on actions within an organization

Differentiate between organizational culture and climate

Essentials of Evidence Based Practice – Literature Searches

Type of document Essay 1 Page Subject area Nursing Academic Level Master

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Please respond to Monicas post in one of the following ways Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional sources.

Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings

This is what Monica responded too

COLLAPSE

Literature Searches

An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.

For this Discussion, you will practice searching the literature to find evidence on a specific topic.

To prepare:

Choose a simple search term(s) relating to a topic of your PICOT question.

Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,” and in the multimedia presentation “Hierarchy of Evidence Pyramid,” found in this week’s Learning Resources.

Review the information on the Walden Library’s website, “Levels of evidence.” Take a few minutes to explore the different types of databases available for each level of evidence and focus on the meaning of filtered and non-filtered resources.

Conduct a literature search in the Walden Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.

Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice

2 days ago Monica Hevron

RE: Discussion – Week 2

COLLAPSE

Main Post

Summary of Search

The topic I want to research is the value of 12 hour shifts on patient safety. I am interested in finding out how longer shifts on nurses affect the safety of patients. The search term I used was “12-hour shifts” and “patient safety”.

While searching this topic in the Cochrane Database, I entered the search terms which provided 0 results. I changed up my terms to “nurse staffing” and “patient safety” and that yielded one article.

While searching for unfiltered information, I used the CINAHL and Medline databases with the same terms, “12-hour shifts” and “patient safety”. This search yielded a total of 65 articles.

In terms of background information, I did a search on my own to find out the views of the American Nurses Association (ANA). The ANA (2014) has offered up a position statement encouraging nurses and employers to consider work assignments to reduce risks and create a safe culture.

Types of Information

The filtered resources found in the Cochrane Database contains systematic reviews, critically-appraised topics, and critically-appraised individual articles (Walden University Library, 2012). Polit and Beck (2017) describe systematic reviews as a pivotal aspect of EBP with a “bottom line” summary of the best evidence to use.

The unfiltered resources found in the CINAHL and Medline databases yielded the most articles. Randomized controlled trials, cohort studies, and case-controlled studies are found in this kind of search (Walden University Library, 2012). Polit and Beck (2017) confirm that randomized controlled trials (RCTs) are effective for researching healthcare interventions.

Background information and expert opinions can come from several different resources such as textbooks and conferences (Walden University Library, 2012). These sources are not always backed by research studies.

Useful Tips

Some tips I found useful were to be flexible with the search terms. If you do not yield a good batch of articles, consider changing up your phrases. Make use of the connectors “AND” and “OR”.

References

American Nurses Association. (2014). Addressing nursing fatigue to promote safety and health:

Joint responsibility of registered nurses and employers to reduce risk. Retrieved from: http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/Positions-and-

Resolutions/ANAPositionStatements/Position-Statements-Alphabetically/Addressing-Nurse-Fatigue

Polit, D.F., and Beck C.T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Walden University Library. (2012). Levels of evidence. Retrieved from:

https://academicguides.waldenu.edu/c.php?g=80240&p=523225

Essential of Evidence Based Practice – PICO Question

Type of document Essay 1 Page Subject area Nursing Academic Level Master

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Please respond to Julia post in one of the following ways Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional sources.

Make a suggestion based on additional evidence drawn from readings, or after synthesizing multiple postings

2 days ago Julia Moore

RE: Discussion – Week 2

COLLAPSE

Discussion Board 2

PICO Question

In the forensic psychiatry patient population, how does the “forensic” label affect the therapeutic relationship, care, and compassion from nurses in comparison to the patient who is non-forensic?

Research Results

Following are my results in researching this topic using the levels of evidence pyramid found on the Walden library website. The first three levels use filtered resources, which are “resources that appraise the quality of studies and often make recommendations for practice” (Walden University Library, 2012, table 3).

For the level one research, systematic reviews, I chose the Cochrane Database of Systematic Reviews and my search topic was forensic psychiatric nursing. Only one article popped up and it was totally irrelevant to my PICO question.

For level two, critically appraised topics, I searched the National Guideline Clearinghouse with the same search topic. This time four articles came up but only one was relevant to my topic.

For level three, critically-appraised individual articles, I used the Evidence-Based Nursing search engine using the same topic and was presented with three articles, and again, only one was relevant.

An un-filtered search, you are searching primary, unfiltered literature, that the researcher needs to review for validity and reliability (Walden University Library, 2012).

In searching for a randomized control trial article, I used the CINAHL Plus with full-text database. I narrowed the search to randomized control trials only and used the topic psychiatric forensic nursing. Only one article popped up and was totally unrelated to my topic.

For a cohort study, I used Medline with full text. This time for my search I typed in “forensic psychiatric nursing and cohort studies” and expanded the search to include any of the terms within the whole text. This one got great results with 365,023 articles found.

Finally, for case-controlled studies, I again used Medline with the same expanders. This time I entered “forensic psychiatric nursing and case studies and case-controlled studies”. I received 3,737,341 articles.

In comparing the articles, I selected, I found the articles from the top three levels to be more detailed and informative, however, there were very little articles to choose from. These articles appear to be more valid and at the end, they offered ways to implement or recommended changes to practice. The bottom levels gave me many more articles to choose from, but with each, it took some time to make sure the article was valid. “In some scales, Level 1 evidence is the strongest evidence and in others, Level 5 is the strongest. Some levels of evidence scales are based only on the research design and others provide levels identified by the judgment of the quality of the study itself” (Thompson, 2017, para. 11).

I would recommend putting expanders in the search to include full text and any keyword from the search phrase. “Keywords are the search terms that you use to describe the topic you want to retrieve. The database will word-match your keywords against the text of the article, and deliver results that match what you enter” (Walden University Library, 2018, para. 1). Once I did this, I received thousands of articles to choose from.

References

Thompson, C. J. (2017). What does “levels pf evidence” mean in evidence-based practice? Retrieved from https://nursingeducationexpert.com/levels-of-evidence/

Walden University Library. (2012). Levels of evidence. Retrieved from http://academicguides.waldenu.edu/c.php?g=80240&p=523225

Walden University Library. (2018). Find items in databases with keyword search. Retrieved from https://academicguides.waldenu.edu/foundationscoursedocs/SearchingRetrieving

This is what Julia is responding to Literature Searches

For this Discussion, you will practice searching the literature to find evidence on a specific topic.

To prepare:

Choose a simple search term(s) relating to a topic of your PICOT question.

Research Methods- Applying Methods

Type of document Essay 7 Pages Subject area Business Academic Level Master

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Assignment Task

The assignment requires you to:

identify an area of potential research
specify clear objectives of the research
identify an appropriate methodology that may be used to achieve the objectives
identify strengths and weaknesses associated with the chosen methodology

These tasks are similar to what you will have to undertake for your dissertation. If you have already formulated some dissertation ideas, then you can apply them in this assignment.

The task has four clear areas with word limits for each. The sections below give more guidance on what should be included. Please also look at the marking criteria below for each section.

Assignment Details and Instructions

Use the following section headings:

Section 1: Rationale for research in this area (250 WORDS)

State the overall aim of the research. Then explain the context of why this research topic may be of particular significance and importance to you or others engaged in your professional area. Explain briefly the links with research in other related areas. Identify and explain briefly any links with relevant academic concepts and theories.

Section 2: Specific Objectives (150 WORDS)

State in more specific terms what you will be trying to achieve. Identify clearly the objectives of the proposed research. This may also include any specific hypotheses that you wish to test.

Section 3: Research Methodology (1400 WORDS)

In this section, you will explain the methodology you propose to apply in order to achieve your stated objectives.

You should address the following:

The research design you intend to adopt e.g. secondary/primary research; quantitative analysis / qualitative analysis; sampling technique. You should outline the main reasons for adopting this approach including a brief critical review of three journal articles that adopts a similar design to that which you are proposing.
The philosophical underpinning of this approach.
How you propose to gather evidence/data (methods for data collection)
How you propose to analyze the evidence/data (methods for data analysis)

Section 4: Research problems / potential weaknesses (200 WORDS)

Identify and explain the main problem(s) you think you will encounter throughout the research process and the potential weakness of any conclusions that you draw. This might include firms not being prepared to release sensitive information; a difficulty in identifying/gaining access to a representative sample of the population; a time constraint that may limit the amount of data you will be able to collect; concerns about the validity and reliability of the data collected.

Course Project Part 1 – EBP – Identifying a Researchable Problem

Type of document Research Paper 4 Pages Subject area Nursing Academic Level Master Style APA references 9

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Course Project: Part 1—Identifying a Researchable Problem

One of the most challenging aspects of EBP is to actually identify the answerable question.

—Karen Sue Davies

Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions.

To prepare:

Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.

Review the section beginning on page 71 of the course text, titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem.

Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.

Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.

Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?

Note: Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question.

Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

To complete:

Write a 3- to 4-page paper that includes the following:

A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice

The 5 questions you have generated and a description of how you analyzed them for feasibility

Your preliminary PICOT question and a description of each PICOT variable relevant to your question

At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections

Leadership discussion week 5 – Group Process

Type of document Essay 1 Page Subject area Nursing Academic Level Master

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Post a description of a group with which you have been or are currently involved. Assess where the group is in terms of the four stages of group formation. If you are reflecting on a past experience, explain if your group moved through all four stages. Describe the task or group-building role you typically play, or played, in this group. Then, explain what strategies you, as a leader, can apply to better facilitate the group process and address any problematic individual roles in the group.

Please use some of the weeks readings as references this is the weeks material

Week 5: Group Process

Effective group work is essential for helping a health care organization achieve its objectives and meet patients’ needs. In Week 4, you examined the process of planning for and implementing change, and began to assess the competencies necessary to facilitate such an effort. This week, you consider how to work with groups to execute planned change.

During Week 5, you examine group process theory and consider stages of group formation as well as the characteristics of effective groups. You are encouraged to think about how the unique context of health care creates a particular demand for productive group interactions and assess your own strengths and needs for improvement in this regard.

Learning Objectives

Students will:

Assess stages of group formation in relation to a specific group

Analyze group task and group-building roles

Analyze the characteristics of and conditions for optimal group performance

Assess the role of management/leadership in facilitating team development

Photo Credit: cosmin4000/iStock/Getty Images Plus

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 19 “Organizational, Interpersonal, and Group Communication”

Chapter 19 covers many aspects of the communication process, including group communication. As you read this chapter, focus on the stages of group development (forming, storming, norming, performing) and group dynamics (group task roles, group building and maintenance roles, problematic roles). Consider how you can apply these concepts as you engage in group work.

Adams, S. L., & Anantatmula, V. (2010). Social and behavioral influences on team process. Project Management Journal, 41(4), 89–98. Retrieved from the Walden Library databases.

In this article, the authors report on the effects of individual behaviors on project teams and provide a model that identifies the progress of social and behavioral development. For each stage, the authors provide recommendations for managing team members.

Chun, J. S., & Choi, J. N. (2014). Members’ needs, intragroup conflict, and group performance. The Journal Of Applied Psychology, 99(3), 437–450. doi:10.1037/a0036363

This study theorizes and empirically investigates the relationships among the psychological needs of group members, intragroup conflict, and group performance.

Haynes, J., & Strickler, J. (2014). TeamSTEPPS makes strides for better communication. Nursing,44(1), 62–63. doi:10.1097/01.NURSE.0000438725.66087.89

Teamwork and communication are the focus of this article and include the use of the TeamStepps model for Quality Improvement.

Hogg, M. A., Van Knippenberg, D., & Rast, D. E., III. (2012). Intergroup leadership in organizations: Leading across group and organizational boundaries. Academy of Management Review, 37(2), 232–255. Retrieved from the Walden Library databases.

The authors of this article introduce a theory on intergroup leadership that is based on social theory and intergroup relations. This theory purports that intergroup performance relies on a leader’s capacity to create intergroup relational identities.

Kaufman, B. (2012). Anatomy of dysfunctional working relationships. Business Strategy Series, 13(2), 102–106. Retrieved from the Walden Library databases.

Kaufman examines the impact of dysfunctional working relationships in an organization. She provides managers with tips that will allow them to identify early warning signs of dysfunctional behavior and to minimize its effects in the workplace.

Mind Tools. (2012). Forming, storming, norming and performing: Helping new teams perform effectively, quickly. Retrieved from http://www.mindtools.com/pages/article/newLDR_86.htm

This web article discusses stages of team development and provides strategies for moving through the early stages effectively.

Mind Tools. (2009). Team charters. Retrieved from http://www.mindtools.com/pages/article/newTMM_95.htm

This web page features helpful information about team charters. Before you begin work on the Week 7 Assignment, you may find it helpful to create a charter that can guide your group’s work together.

Ortega, A., Sánchez-Manzanares, M., Gil, F., & Rico, R. (2013). Enhancing team learning in nursing teams through beliefs about interpersonal context. Journal Of Advanced Nursing, 69(1), 102–111. doi:10.1111/j.1365-2648.2012.05996.x

This article examines the relationship between team-level learning and performance in nursing teams, and the role of beliefs about the interpersonal context in this relationship.

Table Group. (n.d.). Retrieved July 24, 2012, from http://www.tablegroup.com/

Patrick Lencioni is recognized worldwide for his work on teams. Under the Patrick Lencioni link, download and read articles related to addressing team dysfunctions.

Optional Resources

Marquis, B. L., & Huston, C. J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

Chapter 16, “Socializing and Educating Staff for Team Building in a Learning Organization”

Discussion: Groups

The dynamic and increasingly complex world of health care often requires nurses to work collaboratively on interprofessional teams. In the group environment, individuals with unique skills and expertise come together to focus on a common goal; however, groups must become cohesive before they can become effective.

Your experiences working with groups—whether you perceive them as positive, negative, or neutral—can be used to facilitate insight and development. Healthcare, with its focus on interprofessional teamwork and collaboration, offers ample opportunities and an imperative for continuous learning.

For this Discussion, you focus on strategies for facilitating the group process.

To prepare:

Review the information in this week’s Learning Resources regarding the stages of group formation, problematic roles individuals play in groups, nd strategies for facilitating and maintaining positive group collaboration. In particular, review Learning Exercise 19.14 of the course text.

Reflect on various groups with which you have been or are currently involved. Select one specific group to analyze for the purposes of this Discussion. Identify the purpose or task that the group is or was meant to perform.

Consider the four stages of group formation (forming, storming, norming, and performing). How would you describe the progression between stages? Is there a stage in which you believe your group is or was “stuck”?

Consider the task or group-building role you normally play in a group setting. How could you apply the information from the Learning Resources to improve your group participation and facilitation, as well as the functioning of the group as a whole?

In addition, think about which individuals within your group (including yourself) may fall into problematic roles such as the Dominator, the Aggressor, or the Blocker. How have you and your group members addressed the enactment of these roles and its impact on interactions? With information from the Learning Resources in mind, what strategies would you apply now or going forward?

Looking Inside a Local MCO (Managed Care Organization)

Type of document Essay 2 Pages Subject area Healthcare Academic Level Undergraduate

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Assignment

Choose a MCO that operates within your state (Washington, DC) or local community. In a 2 page paper, take a closer look at the MCO you have chosen and determine which MCO model best represents this organization and supply a definition of that model based on the description in your text. In addition:

-Outline the historical perspective of your organization.

-Summarize the medical/organizational structure.

-Explain the model of governance.

Please provide specific, referenced examples in your essay.

Week 2 Written Assignment Grading Rubric

Points

Length of essay- Points 1

Applying your new knowledge of Managed Care to researching what MCOs are available in your area. -Points 4

Total Points- 5

Required Text and Resources:

Title: Managed Care: What It Is and How It Works Author: Peter R. Kongstvedt Publisher: Jones and Bartlett Publishers, Inc. Ed/Year: 3rd/2009 ISBN-13: 9780763759117

Please read Chapter 2 to help with this assignment.

“CC MUSIC” CONSULTANCY REPORT

Type of document Essay 9 Pages Subject area Art Academic Level Master

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The Task:

You are a consultant who has been employed to advise CC Music on the effective implementation of strategic changes. You are required to produce the following:

Part A:Analysis Business Process Models and strategy analysis

In this section you should develop

A series of at least two Business Process Models to capture the existing and your proposed business processes for CC Music. The models should follow the BPMN notation (see for example, http://www.omg.org/bpmn/Documents/Introduction_to_BPMN.pdf). It is recommended that you use Microsoft Visio to create the models although you may if you prefer use Word, PowerPoint or appropriate alternatives.
Strategic analysis for CC Music. You should use at least one recognised analysis technique such as SWOT, PESTLE etc

Part B: Open Source Software Comparison Table

In this section, you should conduct research into a suitable software solution for CC Music. You should decide on the set of characteristics which you will use to evaluate the software and your research should consider 4-5 alternatives in detail. This section should be presented as a table.

Part C: Report

In this section, you should write a report which provides an overview of the current situation for CC Music together with a roadmap outlining how the proposed changes to the business can be achieved to the benefit of the business. This should draw on your analysis in Part A, include your recommendation for software in Part B, and provide recommendations for ensuring that the strategy is effectively implemented, including consideration of the challenges ahead.

This section, should follow standard report structure:

Title Page Contents Introduction – Main Section Conclusions and Recommendations – References.

Part D: Reflection on your contribution to the online discussion and wiki

In this section you should submit a 350 word reflective summary, accompanied by your own self-assessment of your contribution to the online elements throughout the module, using the table labelled Reflection Self-Assessment Pro forma in Appendix A (copy and paste it into your assignment document). The reflective report should include your detailed reflection, supported with evidence (pasted URLs) from the online discussion and wiki, detailed below:

You should use appropriate theories, frameworks, models, that we have covered in the module, to inform and justify your recommendations.