Journal Entry 300- 600 words
Based on the readings in the text and the supplemental article for this module, what factors do you believe have the biggest influence on a person’s gender identity or sexual orientation? You may choose biological or environmental factors or a combination of the two. Discuss the factors in a short journal entry and give a real or hypothetical example of how they apply in real life. Devote one section to stating your opinion and describing how it is supported by the text or reading material, and devote one section to your real or hypothetical example. For example, you might state that you believe sexual orientation is primarily determined by genes and support that with text material in your first section. In your second section, you could then share an example of a family you know with at least one gay person in each generation. The post phd Isaac Newton first appeared on Nursing School Essays.

reflective essay on person-centred communication in nursingOrder Descriptionreflective essay on person-centred communication in nursingthere will be a scenario you can change on it in way that will help you to write. an reflect on it. try to use the up-dated references.From the module descriptionA five thousand word processed assignment on theoretical ethical professional and practical perspectives associated with person centred communication skills andapproachesYou must complete a five thousand word assignment which illustrates your knowledge and understanding of the communication process including its application toclinical practice. The assignment will include exploration and discussion of theoretical concepts practice models and approaches as well as relevant ethicalconsiderations including the awareness of self. Reference to and relevance for your clinical context and client groups will be expected. The work must be supportedthroughout by appropriate references and/or relevant sources of evidence. The discussion must be based upon sound evidence relevant to personal practice andexperience as well as a range of literature sources including appropriate research.You will need to discuss your ability to adapt models skills and strategies to best fit with your clients needs the context and your own role as a practitioner. Inaddition you will need to discuss your awareness of personal professional and organisational barriers and/or hindrances to the development of the person centredapproach in practice. Also you will need to support your discussion with sources of evidence such as models and/or approaches that identifies and explores strategiesfor sustaining new developments and change in personal and professional practice.NOTEBelow I have outline guidelines for your essay. This is not an exhaustive list of what you should include in your essay it is some of the points you should considerwhen writing your essay and a suggested structure to use.I have listed my ideas for what can be included in each section. This is not to suggest the order in which to include information or subheadings for sections of theessay.IntroductionFor the introduction you should identify the area of practice in which you work and the use of person centred communication (PCC) within this field.Discuss the importance of communication in nursing. Why do nurses need to communicate with patients and colleagues more effectively? Consider this in relation to theevidence on communication in nursing. Are nurses effective communicators? Do they communicate sufficiently with patients?What are the positive aspects of PCC How does it enhance patient care? Relate this to evidence of its application and effectiveness.Relate the reasons to the literature local and national policy. The Code of Conduct for nurses our accountability and duty of care to our patients.Person Centred communicationWhat is communication models of communication: linear and transactional models. Relating this to how we communicate as nurses in the clinical settingWhat is person centred communication? Describe the skills needed to communicate effectively in a caring environment.Describe the skills and attributes of PCC. Warmth empathy unconditional positive regard genuineness and trust.Consider self-awareness what self-awareness is and why it is important in being person centred as well as being important for reflective practice. Relate this toliterature on self-awareness and reflection.Describe the basis of PCC theories and perspective that underlie the approachEffective listening skills (summarising reflection of content and feelings paraphrasing and summarising)The Use of SOLER and/or SURETY. Consider these two approaches comparing them the critique of SOLER by (Stickley 2011 Williams and Stickley 2010)Consider thelimitations in applying these models within the nursing field where the conditions are not always optimalCritically analyse the above approaches. For example can we really give people unconditional positive regard? Are there other theories and ideas of human motivationand development?Is there empirical evidence to support the theory and the skills?What is the evidence for the effectiveness of PCC?Describe the barriers to using PCC in healthcare. This could include discussions of the physical environment and whether this provides adequate time and confidentialareas to talk with patients/ families and staff.What is the culture of nursing? Sometimes nursing emphasises the tasks and clinical skills and spending time with people is not seen as so valuable. Discuss this inrelation to the literature on nursing.The local contextGive a brief description of your area of practice. Describe the context in which you communicate with patients families or other staff.Using person centred skills in practice (Reflective account)Describe an incident in which you have applied PCC in practice. The incident does not have to be a major clinical incident the important issue is that it allows youto discuss the use of PCC.In using a reflective approach what is the evidence for using reflection in nursing practice?Is reflection recommended by our professional bodies educational institutions and health organisations?What was the incident?What skills did you use?Did it facilitate better quality care with a patient / family member?Did it help deal with an emotional issue for staff?Discuss it in relation to the literature on PCC. In relating the situation to the literature you should consider the evidence base for the approaches you are using.You should also bring in literature on PCC related to your own specialised field of practice. If you work in midwifery for example you should use literature onusing PCC in this field. If you work in mental health what does the literature say about using PCC in mental health.Can it be described in relation to the approaches of Egan Roger Heron or another model of communicationEgDeveloping rapport with a person and identifying an issue to work onDeveloping a goal with the personHelping the person find a way towards their goal.OrIdentifying which categories of intervention you used in your situation.EGAuthoritativePrescriptiveInformativeConfrontingFacilitativeCatharticCatalyticSupportiveThis should finish with a brief summary about what you have learned from discussing and applying PCC in practiceConclusionThis should discuss implementing a more person centred approach in your area of work. What would be the benefits? Can you think of any negatives?What would be the barriers in your workplace what could be done to overcome these barriers.For example: training changes in the ways of working and culture education.Theoretical contentPerson centred models and approaches such as the six categories of interventions (Heron 2001) and the three staged helping approach (Egan 2006). Professionalethical and legal aspects of communication skills in practice.Demonstrate the application of enhanced self-awareness through self-appraisal and reflection on actionConcepts of support supervision and developmentResearch evidence regarding effective styles of communicationThe application of person centred communication skillsThe communication skills processThe application and principles of intentionality of person centred communication skillsReflective and analytical skill developmentThe Integration of ethical professional and legal issues in practicePractical support supervision and developmentThe application of approaches and/or skills to specialist areas of practiceif you can use these references if available it will helpReading ListBach S and Grant A. 2009 Communication and Interpersonal Skills for Nurses Exeter Learning Matters LtdDonnelly E. and Neville L. 2008 Communication and Interpersonal Skills (Health and Social Care: Knowledge and Skills) Newton Abbot Reflect Press LtdHargie O. (Ed) 2006 The Handbook of Communication Skills Hove RoutledgeHough M. (2006) Counselling Skills and Theory London Hodder and StoughtonMoss B. 2007 Communication Skills for Health and Social Care London SageYou can use these references also as they are the most up-dated refernces:1- Morrisey J. Callaghan P. 2011 Communication skills for mental health nurses. Berkghire McGran Hill Open university2- Bach S. Gant A. 2011 communication and interpersonal skills in nursing 2nd editionexetes:learning mattersthis is the scenario:One day during morning shift. One mother came from home carrying her 5 days old term baby. Firstly she attend nursing station of low dependency. She called the staffnurse who was working with her assigned babies. The nurse came to see the baby as in the beginning she asked the mother to put her baby under warmer. The mother puther baby. She told the nurse that her baby is yellowish in colour as he has jaundice. The nurse called the doctor to examine the baby and in the same time she examinedhim. He was totally dark yellowish in colour and he was not breathing at all. The staff nurse informed the doctor for the second time. He told her to take the babyimmediately to intermediate-dependency (ID). The nurse told the mother that she will shift the baby to another dependency. She shifted him along with his mother andput him under the warmer. The doctor immediately came. I attend to help the doctor with another staff nurses. We asked the mother to stay outside the dependency so shewill not get panic and she response by nodding her head and she stayed out. Ambubagging intubation intraventricular cannulation arterial line insertion and bloodsample collection done. The mother was crying outside ID as she did not know what happened for her baby. After finishing the procedure the baby had put insideintensive phototherapy machine as a prophylactic therapy and endotracheal tube (ETT) connected to ventilator in isolation room. One of the senior staff assigned forthat baby. The doctor told me that he wants to speak to the parents. I took them to the seminar room in our ward. I close the door with my presence and the doctor.Most of chairs were arranged. I kept one chair for the doctor in front of parents chairs. I sat on a chair beside. The doctor start to take history from them. Heinformed them about the procedures done with explanation of reasons of implementing them by using simple and understandable words without using medical terms in orderto reduce their fears. After finishing both the doctor and father left. I took permission from the other to sit. I sat in front of her with maintaining eye contactmost of the time. I asked her about what did she observe in the baby and what feelings she experienced. She expressed her feelings. I touch her hands and showed herthat I understand her feelings of fear as he is her baby and not to feel mistaken by herself. I asked her about the reasons she is thinking it is the cause. Sheidentified that she is not having enough milk and she is not having enough milk and she is not exposing her baby to the sun as he needed in this age I replied thatless milk and unexposed to sun are the reasons. Finally I closed our discussion by summarizing of key points that already we discussed together. Then we left. Afterlaboratory results came the doctor advice for complete blood exchange. It was done by an expert doctor but those interventions did not help the baby so much as hepassed away the next day.

 

Recall the long-term care system within your community (San Diego) you identified for your previous interview and contact them to schedule an interview with their Chief Information Officer or Director of Information Technology. Let them know that you are a student and the scope of your assignment indicating that your will not take longer than one hour of their time.Review any materials and/or website for this organization/agency as well as the following questions for your interview. Identify at least three more questions of your own to include in the interview. Be certain to prove the answers to these questions to be sure you get the depth and breadth of answers you are seeking.Interview Questions:1. Tell me about your position how long you have held this position and your background.2. How would you compare the use of Information Systems in Long-Term Care compared to other aspects of the healthcare industry?3. What software technology do you use for managing the health information of your patients/residents/clients?4. How do you manage protected health information and HIPAA in your organization?5. Do your patients have any access to their own health information (patient portal apps jump drives etc)?6. How do you manage the billing and reimbursement processes within your information systems?7. How large is your department and what positions are in the department?8. What do you see the biggest challenges to be for Information System management in long-term care?Submit your assignment by listing the Questions Asked in bold followed by the Responses from your interview. Prepare 1-2 closing paragraphs for this assignment that detail your opinions based upon your readings and the responses from your interview.Points Possible: 30LEVEL 115 points questions all addressed with comprehensive responses5 points inclusion on three additional questions posed by the student5 points 1-2 closing paragraphs with students opinions based upon the readings and interview responses.2 points for demonstrating familiarity with the organization3 points writing guidelines

 

DB04 Transitional ManagerOrder DescriptionAfter you read Module5_DB4_Instructions then read the textbook PDF called TextBook_Module5_Intro.pdf. This pdf discussionswhat case studies and other info for module 5. You only need to focus on part of it that talks about Dennis Hightower Walt DisneysTransitional Manager case study and the readings. Once you read that then you can start with reading the other PDFs before to start onthe discussion board post assignment.Module 5 Discussion Board 4 Post Below.In the case Dennis Hightower Walt Disneys Transitional Manager you are introduced to how Hightower knit together a federationof independent country operations and created an effective center linking local subsidiaries to the center. As noted in the case theprocess was extremely complex and placed immense demands on Hightower. Specifically it required him to demonstrate intensivemanagement of relationships appropriate position of people careful delegation of responsibility and active nurturing of a healthywork environment. As you reflect on the overall change in company culture; respond to the following prompts as you prepare your DBthread for this assignment:1. Evaluate the pacing and sequencing of Hightowers actions from 88 to 942. How would you evaluate his approach to bringing about change in his organization? Compare his approach with that of Jack Welch.3. What should Hightower do about the apparel business?4. What are some of the challenges of building a transnational organization?I have uploaded the readings from the book Jick T. D. & Peiperl M. A. (2011). Managing change. The readings areTextbook Module 5 (page 405)Walt Disneys Dennis Hightower: Taking Charge WD_TakingCharge.pdf (page 410)Dennis Hightower: Walt Disneys Transitional Manager WD_TransitionalManager.pdf (page 415)Bob Knowlings Change Manual Change_Manual.pdf (page 423)The rubric states the following:0 to 15 points1. All key components of the Discussion Board Forum prompt are addressed in the thread.0 to 35 pointsMajor points are supported by the following:1. Reading & Study materials;2. Pertinent conceptual or personal examples;3. Thoughtful analysis (considering assumptions analyzing implications and comparing/contrasting concepts);4. Citations in current APA format; and 550 words minimum5. Integration of at least 2 peer-reviewed articles not from the readings

 

Paper Order or Assignment Requirements
Water Quality a Local and Global IssueVarious health risks surround water supply and water quality and there are often geographical differences in these risks. In this Discussion you consider the environmental health implications of water for populations around the world as well as the risks that come with recreational water use. Your Instructor uses the Module 4 Discussion Rubric to grade this Discussion.Discuss with your colleagues a recreational water concern such as polluted swimming beaches watercraft hazards or drowning. Some things you may consider as you discuss this topic: Provide an example of a specific recreational water use situation that has presented a public health problem and suggest possible prevention measures and solutions. How many people might be impacted by this problem and are there specific demographics associated with the risks? What are the challenges and barriers to implementing these solutions? Be sure to provide the supporting resources for the examples that you bring up.