Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.

Nursing is in the midst of many changes. In this assessment you will consider how you can be a driving force to bring about needed change within the field of nursing.

Collaborative interprofessional groups are at the heart of resolving contemporary nursing issues. The work of groups and teams is based on strong decision-making and problem-solving skills, led by effective and engaged leaders. Nurses leading collaborative teams are critical for resolving a number of issues such as errors in medications, accidents involving patients, and unsafe shortcuts.

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Nurses truly are expert problem-solvers. Tucker and Edmondson (2002) found that nurses utilized problem-solving skills so often that it had become a routine aspect of a nurse’s day. However, nurses must be able to maximize their problem-solving skills in order to lead health care teams in addressing challenges, identifying evidence-based solutions, and implementing those solutions.

Reference
Tucker, A. L., & Edmondson, A. C. (2002). Managing routine exceptions: A model of nurse problem solving behavior. Advances in Health Care Management, 3, 87–113.

Preparation
To prepare for this assessment, you will need to think about changes you feel are needed to address a problem either within nursing as a professional field or within the organization where you work. Narrow down your options by considering which change would best be undertaken by an interprofessional team. Some examples for you to consider might include:

The use of mobile and portable technology to support patients.
Using evidence-based practice (EBP) to improve patient care.
Increasing patient safety and quality of care.
The use of medical technology such as genes and stem cells, or robots in the OR.
Addressing the nursing shortage now and into the future.
Improving the work environment (providing calm, supportive spaces for nurses; improved dialog between health care professionals).
Better safety for nurses at work (violence, spreading diseases, physical injury).
Substance abuse by health care professionals.
Or you can narrow the scope to an issue within your own organization:

Developing a mobility program for an inpatient unit.
Implementing “smart” technology to assist in patient monitoring.
Creating a mentoring program to attract and retain nurses.
Implementing protocols for infection control and/or treatment of an epidemic.
Developing a plan to eliminate physical violence and verbal abuse in the workplace.
Other.
Once you have selected an issue to address, look for scholarly and professional articles that focus on the problem, the needed change, and how interprofessional teams can work together to drive change.

Requirements
Lately you have noticed the need for changes within your organization that would advance the field of nursing. You have decided to develop a proposal and submit it to executive leadership. Format this assessment as a professional proposal. You may want to look at how proposals are drafted within your organization and follow that format. You will still need a references page; follow APA guidelines for in-text citations and references.

Address the following in your proposal:

Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
Describe possible evidence-based interventions for the problem.
Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
Describe strategies to overcome barriers and resistance to change.
Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
Identify other health care professionals to enlist as team members to help drive change in the organization.
Your completed assessment should be 4–6 pages in length, not including title page and references page. Support your statements and intervention plan with references to and citations for at least four scholarly or professional resources.

Additional Requirements
Include a title page and references page.
Reference at least four current scholarly or professional resources.
Use APA format for citations and references.
Use Times New Roman font, 12 point.
Double space.

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

QUESTION

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

THIS IS A DISCUSSION RESPONSE NO MORE THAN 200 WORDS IN-TEXT CITATIONS APA STYLE.

Pain is referred to as an emotional or sensory response of the body to both impending and real damage to its tissues. Pain has different manifestations associated with the injuries to tissues, for example, hyperalgesia, which is an overstated noxious stimulus-response. Once an injury occurs, nerve cell endings called nociceptors, respond to the unpleasant stimuli by conveying the rapid and urgent signal that something is wrong. This message triggers a nociception process, in which chemicals are released and in turns increases the pain signal (Huether & McCance, 2017). During, chronic pain spontaneous, Allodynia, or hyperalgesia occur from alterations in the central or peripheral nervous systems (Huether & McCance, 2017). Referred or visceral pain is pain perceived in an area other than that in which the noxious stimulation takes place that is often perceived in somatic nerve and spinal nerve root distribution (Huether & McCance, 2017).

Differences and Similarities between Acute, Referred, and Chronic Pain

Acute pain is immediate pain resulting from mishaps or physical trauma. Acute pain acts as an alert to indicate to the affected person that there is damage to the body somewhere. Chronic pain is long-term and enduring in nature. The pain, therefore, persists even after healing of the affected tissues. Therefore, unlike acute pain which warns of damage, the chronic pain does not pass any significant message. On the other hand, referred pain affects a tissue which is not its actual source (Alzheimer’s Association, 2016). Therefore, unlike the acute and chronic pain, one may not tell which tissues are being or already damaged. The similarities between these types of pain are the fact that they cause discomforts which can translate into physiological effects. These pains can be to some extent be alleviated with some form of pain relievers.

Behavior and Gender in Relation to Pain

Gender is one factor that plays a role in the treatment for acute, chronic and referred pain. Women report more frequent, severe and persistent pain levels when compared to men (Alzheimer’s Association, 2016). Women are more likely to experience pain during childbirth and mensuration. Therefore, this will have an impact on the diagnosis and treatment of pain since women are better at describing the sensation. On the other hand, behaviors like usage or drugs like heroin, tobacco, and even alcohol consumption may tamper with the pain sensors; hence a reduced awareness of pain, therefore, interferes with the diagnosis and even treatment (McPhee & Hammer, 2019).

The pain sensation is a usual bodily response to disease or even injuries which result from processes in the nociceptive system. Pain has a crucial protective function biologically, with complex phases, and can be affected by gender and behavior.

References

Alzheimer’s Association. (2016). Help end Alzheimer’s. Retrieved, from http://www.alz.org/

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.

McPhee, S. J., & Hammer, G. D. (2019). Pathophysiology of disease: An introduction to clinical

medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical

(n.d.). Acute Pain vs. Chronic Pain. Retrieved from https://my.clevelandclinic.org/health/articles/12051-acute-vs-chronic-pain

Writing and Pronunciation—Endocrinology and Neurology Departments

By the due date assigned, you will write the final 2 reports, referring to the departments of Endocrinology and Neurology and use them as your script for your Week 5 Oral Report. Your writing section for this assignment will include 2 paragraphs for each department.

In order to earn the maximum credit for the written report you need to incorporate at least 10 medical terms for each department, using them in a manner that demonstrates your knowledge of their meaning.

• Include the major or most common diseases or conditions seen in each department.
• Include at least three of the principal procedures that are relevant to each department.
• Highlight pertinent laboratory and radiological diagnostic services relevant to each department.
• Limit your analysis of each department to two paragraphs.

For your Oral Report this week, read your Written Report aloud and record it.