EPSLO 3: Formulate decisions based on nursing, judgment and collaboration with the inter-professional team to achieve quality patient outcomes.

EPSLO 3: Formulate decisions based on nursing, judgment and collaboration with the inter-professional team to achieve quality patient outcomes.

In your Journal summarize personal and professional achievements and accomplishments that you have completed throughout the baccalaureate nursing program at EC that refer to EPSLO 3: Formulate decisions based on nursing, judgment and collaboration with the inter-professional team to achieve quality patient outcomes.

Attach a minimum of at least two examples of your work that supports EPSLO 3 noted above. Save your Journal entry as your Self-Appraisal for each module in your word document. The professor will request that you submit your journal entries for informal feedback at the end of each module. A Title page of this assignment with a summary of accomplishments (no more than 2 pages in length) is required with attached files as supportive evidence for each EPSLO. A minimum of one or two examples is required to support each EPSLO.

* please incorporate some of the information from the attachment.

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Leadership Characteristics and Style

Running head: LEADERSHIP ACTIVITY / M7A1 6

LEADERSHIP ACTIVITY / M7A1 9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Leadership Characteristics and Style

As to leadership characteristics, Bradberry’s (2019) definition states “Leadership is a process of social influence which maximizes the efforts of others toward the achievement of a greater good”. The author dismisses the assumption of “greater good” due to the fact that throughout history and even in the current state of affairs, as it applies to the process of social influence, some leaders have do not necessarily work towards achievement of the “great good”. Indeed, in many cases social influence is used for selfish objectives and gains. However, some traits or characteristics of leadership that are considered good by Brian Tracy (2020) are vision, honesty, humility, courage, integrity, focus, and strategic planning. Both Bradley (2019) and Tracy (2020), do not make mention any special qualities for leadership such as social status, age, gender etc., other than you have these traits or characteristics.

According to Frandsen (2014), in nursing there are 5 types or leadership styles; Servant, Transformational, Authoritarian or Autocratic, Democratic, and Laissez-faire. Servant leadership is characterized by making sure that the needs of the team are satisfied with the entire team having input in decisions. Transformational leadership uses motivation, inspiration and a collaborative approach to decision making as well. Authoritarian or Autocratic leadership is hierarchical and uses an approach where the leader makes all the decisions without input from the team. Democratic leadership uses the approach of teamwork combined with and responsibilities on the part of team members as to the work that is done. The Laissez-faire type leadership style uses a hands-off approach with little to no leadership (Frandsen, 2014).

 

 

Leadership Style and Meeting 1

At Meeting 1, which was a virtual town hall hosted by the New York State Nurses Association on March 18, 2020, the major focus was on the ramifications of the COVID-19 on nurses and other health care workers (HCW). For the most part, the authoritarian style of leadership was used because information from people such as front line nurses and elected leaders were disseminated. However, there were aspects of transactional leadership because despite it al, there was we will survive messaging although the statistical data was sobering. Democratic leadership as far as information dissemination was also used because we were reminded of our responsibilities based on our position in leadership (nurse manager, charge nurse etc.) and were able to call in with questions and comments on information received.

Leadership Style and Meeting 2

The Clinical Outreach meeting held on March 25.2020 was a COVID-19 update as it relates to the optimization of the use of personal protective equipment (PPE). This meeting was hosted by the organization and featured leaders from the National Center for Immunization and Respiratory Diseases and the Centers for Disease Control and Prevention and held through the use of COCA CALLS/WEBINARS. In this clinical outreach meeting, strategies were discussed on the use of PPE and related equipment. This meeting used the transformational and democratic leadership styles because it was a discussion where nurses, physicians, pharmacists, veterinarians, physician assistants, and other clinicians were able provide input as well as ask questions. Although the meeting was informative it was also interactive. The transformational aspects of leadership equate with the fact that it was aimed at inspiring hope.

 

Leadership Style and Meeting 3

Meeting 3 was also held using COCA CALLS WEBINARS and was another clinical outreach activity. This time the topic was coronavirus or COVID-19 and adults with chronic disease. Leadership from organizations such as the CDC lead the discussion which was attended by emergency health care workers from physicians – Certified Nursing Assistants. Again, the leadership styles used was a combination of authoritarian, democratic, and transformational. As with the other two meetings, the major focus was providing and disseminating directives, questions being allowed to be asked, and transformational because of the focus on hope and the ability to change the situation.

Communication Process

The communication process used by the leaders of each meeting can be summarized as using the Situation Background Assessment Recommendation model or tool. In each presentation of information, the current situation was clearly stated, a background of how the situation was arrived at, the assessment of the situation means and how it affects the team individually and as a whole, and finally recommendations on how to address the situation of lack of PPE, staff etc., the politics of affecting the issue was provided. According to the Joint Commission (2013), SBAR is a easy to use, but effective tool for effective communication between people.

Leadership Style and Healthcare Issues Addressed

The leadership styles used by the healthcare professionals from the national organizations were effective in that the information was provided in a clear, concise manner which allowed the listeners to get an accurate view of the current situation regarding the coronavirus or COVID-19 as it also called. The group of healthcare professionals who attending the meeting got most of their questions answered either through the presentations and discussions of information provided. The NYSNA emphasized the importance of nurses being unified in standing up for our rights to have the proper equipment so that we can do our job which is as always, helping to save patients’ lives and bring comfort and assistance for healing. The elected officials and officials from organizations like the CDC have confirmed the situation of the current ramifications of not being prepared. Brochures and information on other websites were provided as additional information on this distressing topic.

Reflection

Running head: LEADERSHIP ACTIVITY / M7A1 1

LEADERSHIP ACTIVITY / M7A1 5

The focus on COVID-19 by each meeting was appropriate. Hearing from the front line nurses was especially enlightening because it demonstrated the ability to survive this pandemic using nursing knowledge and commitment to the ethical values of nursing practice, which in this case is beneficence and altruism because were are risking our lives in the truest sense of the word each time we go to work. However, meeting with my colleagues to engage in receiving knowledge about COVID-19 and the current strategies to used against it was empowering!!!! Although the ramifications of this novel virus are tremendous and tragic in the same instance, I am confident that the HCWs who attended these meetings feel better prepared to deal with this dilemma more effectively.

     
 

 

Organization sponsoring meeting

Meeting one

 

 

NYSNA

Meeting two

 

Clinician outreach and communication activity (CDC)

 

 

Meeting three

 

Clinician outreach and communication activity (CDC)

 

 

Meeting Name and Date Virtual Town Hall: Capital Region healthcare crisis/ and 03/18/2020 COVID-19 Update: Optimization Strategies for Healthcare Personal Protective Equipment (PPE) and Wednesday March 25.2020 Clinical Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

Thursday, April 2, 2020

Meeting Purpose COVID-19: what are the latest updates to keep our communities safe?

Preparedness: Hear from frontline nurses about the protocols and protections that are in place to prevent the spread of Coronavirus.

Will enough nurses be there to answer the call? Hear how understaffing impacts patient care in a time of healthcare crisis.

· Patient and Nurse Safety: What are hospitals doing to prevent violence in our community hospitals?

 

During this COCA Call, presenters will provide a COVID-19 update and discuss strategies for healthcare facilities to optimize personal protective equipment (PPE) supplies such as eye protection, isolation gowns, facemasks, and N95 respirators. For clinicians to provide an overview of the clinical characteristics of COVID-19 patients, including case presentations of critically ill adults and clinical management challenges, and summarize recently published guidelines on clinical management of critically ill adults
Meeting Setting, identify if virtual or in person Virtual Town Hall COCA CALLS/WEBINARS COCA CALLS

WEBINARS

Health care issue Update for COVID 19, Facility Preparedness, Will enough nurses be there to answer the call? and Patient and Nurse Safety: COVID-19 Update: Optimization Strategies for Healthcare Personal Protective Equipment (PPE) Clinical Management of Critically Ill Adults with Coronavirus Disease 2019 (COVID-19)

 

Meeting Leader, title, and responsibility Assembly members Phil Steck and Pat Fahy will co-host this important virtual town hall meeting addressing COVID-19 Nancy Messonnier, MD Director, National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention LCDR Grace D. Appiah, MD, MS (USPHS) COVID-19 Health System-Worker Safety Task Force Clinical Team Centers for Disease Control and Prevention Michael Bell, MD Deputy Director of Division of Healthcare Quality Promotion Centers for Disease Control and Prevention David T. Kuhar, MD COVID-19 Hospital Infection Prevention Team Lead Centers for Disease Control and Prevention David T. Kuhar, MD COVID-19 Hospital Infection Prevention Team Lead Centers for Disease Control and Prevention CAPT Tim Uyeki, MD Clinical Team Lead COVID-19 Response Centers for Disease Control and Prevention Michael Bundesmann, MD, FCCP Medical Director of Respiratory Therapy Pulmonary and Critical Care Medicine, EvergreenHealth Kirkland, WA

Waleed Alhazzani, MD, MSc, FRCPC Associate Professor, Department of Medicine, McMaster University Hamilton, Ontario, Canada

 

 

Attendees and their role Nurses · Physicians, Nurses,

· Pharmacists

· Veterinarians

· Physician Assistants

· Health Educators

· Other Clinicians

 

Emergency health care professionals

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Bradley, T. (March 29, 2019). What makes a leader? SUCCESS Magazine. Retrieved from https://www.success.com/what-makes-a-leader/

Brian, T. (2020). The 7 leadership qualities: attributes & characteristics of good leaders. Brian Tracy International. Retrieved from https://www.briantracy.com/blog/leadership- success/the-seven-leadership-qualities-of-great-leaders-strategic-planning/

Frandsen, (2014). Nursing leadership, management and leadership styles. American Association of Nurse Assessment Coordination, 1-10. Retrieved from https://www.aanac.org/docs/white-papers/2013-nursing-leadership—management- leadership-styles.pdf?sfvrsn=2

Joint Commission, The. (11, 19, 2013). SBAR – a powerful tool to help improve communication! [Blog] Retrieved from https://www.jointcommission.org/en/resources/news-and-multimedia/blogs/at-home- with-the-joint-commission/2013/11/sbar—a-powerful-tool-to-help-improve- communication/

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The cost of health care has been a hot topic for a long time, especially as prices have been going up.

Peer initial posting:

Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice focuses on the stabilization of the health care market after the removal of some “structural underpinnings” in 2017. The cost for health insurance rose steeply from 2017 to 2018 with the average premium going up by over 10% for most states (Rau, 2018). A portion of the price increase was driven by insurance monopolies, so, with no competition, insurance companies had no fear about raising premiums while reducing coverage.

The cost of health care has been a hot topic for a long time, especially as prices have been going up. The cost to insure a single person in 2018 has become similar to the average cost of family coverage 20 years ago (NCSL, 2018). For many people, the question of health care is how much is a person willing to pay for their health on average, which becomes problematic very quickly as the averages can be relatively easily skewed. Even for people who receive health insurance through work, the average cost of insurance premiums is $5,714 and additional out-of-pocket costs, which bring up the average spending on health to 11.7% of total income per year (NCSL, 2018). While there is good news for the public at large at the reduced costs for 2019 insurance plans, there are still many problems with health insurance. Insurances only cover certain providers, hospitals, or services, and for people with established providers, this may mean finding a new provider or paying more for their insurance, and those are only options if there is even an insurance company that works with that provider. Overall, I am not optimistic about a system where the cost of a service can be difficult to obtain and the response of most customers is basically “at this point, I’ll take whatever I can get” (Rau, 2018).

Link:    https://www.npr.org/sections/health-shots/2018/11/23/667466242/many-who-buy-aca-health-plans-for-2019-find-lower-prices-and-more-choice

References

Rau, J. (2018)  Many Who Buy ACA Health Plans For 2019 Find Lower Prices And More Choice Retrieved from https://www.npr.org/sections/health-shots/2018/11/23/667466242/many-who-buy-aca-health-plans-for-2019-find-lower-prices-and-more-choice

NCSL (2018) Health Insurance: Premiums and Increases Retrieved from https://www.ncsl.org/research/health/health-insurance-premiums.aspx

INSTRUCTIONS

Review the initial postings from your peers. Click on the link provided in the initial response to read/listen to the story. Respond to one peer according to the following prompts and the grading rubric.

  1.  What are your overall thoughts about this posting/topic?
  2. Do your share common or differing thoughts from the other student? Explain.
  3. Your post must be supported with at least one source of literature (can use required readings) but must also incorporate at least one source in addition to those provided to receive full points. The date of publishing should be within the past 2 years. APA Style 7th edition.

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I need an ARNP protocol and a Business proposal for a professional portfolio as part of an assignment.

I need an ARNP protocol and a Business proposal for a professional portfolio as part of an assignment. Attached is my resume and my cover letter. I am applying for a position as Adult Nurse Practitioner. Please see my cover letter so you can do the proposal and ARNP protocol base on that.

The following link is a web site that my professor provided as a guide for the Business proposal  https://www.nurse.org.nz/examples-of-np-job-descriptions-business-case-proposals.html

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