** The 2 papers attached are to be used to create a final product. You will need to take those two and add an additional answer so as to come from 3 perspectives.

Use the two papers attached and collaboratively answer the following:

Directions

1. Go to http://iriscenter.com.
2. Click on Behavior and Classroom Management.
3. Click on Case Studies and then click on Norms and Expectations.  I encourage you to print this out.
4. Read and complete 2 case studies LEVEL A CASE 2 LEVEL B CASE 1
5. Read the Star Sheets for this material. These sheets summarize the research and how to’s that address the case material.  In other words, these pages teach you what you need to know in order to do this assignment.  Each case tells you what concepts you need to apply under, Possible strategies.  You should also refer to what you learned in the readings and material for this course. You should follow APA to give credit for ideas as you compose your solutions.Your paper should have the following parts for each case:
   • Introduction to the case in your own words
   • Summary of each problem or question to be addressed
   • A response based on what the star sheets taught you and the other readings and materials for the course.  Be sure to give credit for ideas but put your answers in your own words.  DO NOT COPY FROM THE STAR SHEETS.  You can use (star sheet, p. xx) as a format.
   • A response based on what texts have to say on the topic.  DO NOT COPY.  Use your own words.  You can use (Author, date, p. xx) as a format.
   • A response based on what Dr. Mac has to say on the topic.  DO NOT COPY. Use your own words.  You can use (Dr. Mac, topic you read, page number is available)
   • You can also talk about what other sources said.
   • Repeat the above for each question or problem presented in the case.Running head: CASE STUDY 1 GROUP ASSIGNMENT 1

      

     CASE STUDY 1 GROUP ASSIGNMENT 8

      

      

      

      

      

      

      

      

      

      

      

     Case Study 1 Group Assignment

      

      

      

      

      

      

      

      

      

      

     Case Study Summary

      

     Level A * Case 2

      

     Mr. English, a 4th grade Language Arts teacher, has 23 students. Of those 23 students, 4 students leave halfway through Mr. English’s writing lesson, to receive morning special education Language Arts services. The students return 20 minutes before it is time for lunch and miss portions of the writing activities in his class. The special education teacher attempts to cover as many of the 4th grade writing skills, but Mr. English has noticed the students are falling further behind. Even though the students are receiving Language Arts services, from the special education teacher, when they return to class, Mr. English does not include the 4 students in his daily writing lessons. The students become increasingly disruptive, much to Mr. English’s frustration, which results in him having to spend the last half of each writing lesson attempting to quiet down the 4 disruptive students. Mr. English’s goals for the next 4 weeks are to increase the quantity and quality of writing time and decrease the misbehavior of those 4 students.

     Summary of Problem

     From reading the case study, the major issue is that the students have nothing to work on when they return to class. The students become bored and will begin to be disruptive, which will affect the remaining students who are completing their writing activity. Since Mr. English does not include the 4 students in his daily writing lessons, they are missing out on concrete writing practice, which will affect their grade.

     Response

     The STAR sheet states that rules and procedures are connected in numerous ways. Rules are the teacher’s expectations of the students and procedures are the routines of accomplishing a classroom task (STAR sheet, p. 11). Rules are expectations that are to be followed within a procedure. Procedures guide students to meet those expectations that are within the rules and both must be practiced and continuously revisited, when needed. A teacher’s reaction to a disruptive student can either support or undermine those rules and expectations so it is imperative that the teacher react in a way that does not embarrass the student or is condescending because it could cause the student(s) to lose respect for the teacher (STAR sheet, p. 12). Mr. English should’ve created and implemented procedures for the 4 students when they return to class. The STAR sheet (p.12) also states that the teacher should respond to student behavior, that are not compliance with the rules and procedures, on a consistent basis. From the case study, it does not give the impression that Mr. English was readdressing those rules and procedures about how the students should conduct themselves upon entering the classroom and during the last 20 minutes before lunch. Dr. McIntyre (2015) suggests “self-management” as a method to correct an action. For example, Mr. English should’ve asked the students what should they currently be working on, in a positive tone. Due to Mr. English’s frustration, he would need to keep that in mind.

     If Mr. English established what the expectations are for his students, who enter later in the class period, then he is not consistent with them. If a teacher is inconsistent with their expectations of the students, the student may forget those expectations or feel as if those expectations no longer apply to them (STAR sheet, p.15) as cited in (Evertson, Emmer, & Worsham,2003). Hathaway (2015) states that students become more confident with consistent expectations. The students are more confident and engaged, which allows teachers to easily recognize positive behavior and make corrections to problem behaviors in a less disruptive manner. Hathaway (2015) suggests tracking students’ behavior daily and applying rewards and consequences. This can motivate the students toward acting in a more positive manner and make improvements, where needed. Tracking students’ behavior can be as simple as a points system towards a reward such as homework pass, purchasing something from the school store, or extra credit. Students will become more accountable towards their behavior.

     Mr. English may have to revisit his expectations and adjust them, where needed, for those 4 students. STAR sheet (p.17) states that the teacher should involve the students in the planning and implementation process of certain expectations. Mr. English should inform the students the reason for the change in procedure. The same procedures that Mr. English had for those 4 students, in the beginning of the year, may need to be tweaked or completely revised because they are not on the same pace as the remainder of the class. Expectations and establish the norms of the classroom go hand in hand. Since Mr. English is not reminding those students of his expectations, it interrupts the established classroom norms, which creates the culture of the classroom. Norms inform students of how they are expected to conduct themselves. Norms are created through established rules and procedures. According to the University of Vermont Center on Disability & Community Inclusion (n.d.) when students contribute to composing class norms, they are more likely to feel a level of ownership, participate in instruction, and engage in a more respectable and cooperative manner. If Mr. English provides work for the students or remind them of the work that they need to complete, it will remind them of the expectations and procedures of his classroom, which can reestablish those norms.

      

      

     Case Study Summary

      

     Level B * Case 1

      

     Mr. Washington, a 5th grade teacher, discovered, at the end of the grading period, that his student, Shandra, has a low grade in his class. Mr. Washington spoke with Shandra’s Title I math teacher, who informed him that she is doing well in tutoring. Shandra’s tutor also informed Mr. Washington that in tutoring, Shandra talks with her Title I peers about her mathematical thinking. Mr. Washington’s math period consists of lecturing and then independent seat work. Mr. Washington realized that he will need to change his math period to include collaboration so he plans to include partner work in his math instruction. In Mr. Washington’s Science period, he includes partner work with the expectations that student conversations cannot begin until he gives permission, must be on topic, and volume should be low enough that the rest of the class cannot hear. Since this procedure has worked in his Science period, he decides to implement it in Math period. Mr. Washington’s goals for Shandra is to increase her conversation with peers about her mathematical thinking and increase her grade. The goals that he set for himself are to increase his use of partner work in math instruction and his assistance with students vocalizing their mathematical thinking.

      

     Summary of Problem

     After reading the case study, the first problem that stood out was that Mr. Washington didn’t realize that Shandra was struggling in his math class until the end of the grading period. Low grades on assignments should’ve given Mr. Washington an indication that Shandra had difficulties in his class. Another problem is that Mr. Washington only spoke to Shandra’s Title I math tutor when he noticed that Shandra was struggling. There should be consistent conversations with Mr. Washington and Shandra’s tutor throughout the grading period to ensure that both her teacher and tutor are on the same page. Since Shandra’s tutor informed Mr. Washington that she was doing well in class, he would’ve came up with the idea to include student collaborations during the current grading period, which would’ve improved her grade in his class.

      

     Response

     After reading the STAR sheet, Mr. Washington did not hold up his end of the bargain in communicating to Shandra his expectations. Mr. Washington’s goal is to increase his assistance with students vocalizing their mathematic thinking. STAR sheet (p.9) as cited in (Brophy, 1998; Good & Brophy, 2000) states that when a teacher provides less feedback, fewer or inappropriate feedback, or showing less acceptance in the student’s ideas, then the teacher is communicating to the student that they have low expectations of them. The expectations that teachers place upon their students affect the student’s performance (STAR sheet, p.9) as cited in (Wong, 1998). Mr. Washington should’ve monitored Shandra’s progress and provided detailed feedback on her work (STAR sheet, p.9). Mr. Washington should’ve provided immediate feedback to Shandra so that she knew the quality of work that was expected of her and if she was on track with mastering it. Reynolds (2013) states that feedback should be sensitive to the individual needs of the student.

     Once Mr. Washington noticed that Shandra was struggling, his feedback should have been tailored towards pushing Shandra towards a higher level of achievement, but not be discouraging. Rhode, Jenson, and Reavis (1992) state that “it is insufficient for teachers to record unsatisfactory scores and grades week after week and then to conclude at the end of the year that the students were unsuccessful” (p. 94, para.1). Two of Mr. Washington’s goals are to increase Shandra’s conversation with peers about her mathematical thinking and increase his use of partner work in math instruction. Dr. McIntyre (n.d.) states that cooperative learning increases student achievement, encourages positive self-concept, and increases respect for others. Cooperative learning provides face to face interaction with students, increase individual accountability for completing their assigned duties, a division of labor, and development of interpersonal skills. In cooperative learning, students collaborate with their peers and can gain other perspectives on the content, which can increase their understanding. Mr. Washington’s lack of collaboration with Shandra’s tutor was a form of negligence on her academic success. Loop (n.d.) states that teacher collaboration increases the likelihood of student success and helps with teacher effectiveness. Mr. Washington should have collaborated with Shandra’s tutor, earlier, so that he would know what strategies were used in her tutoring sessions that were effective.

      

      

      

     Reference

     Hathaway on December 2, 2015, E. (2015, December 2). The Value of Consistent Expectation. Retrieved June 19, 2017, from https://www.kickboardforschools.com/blog/post/the-value-of-consistent-expectations

      

     Loop, E. (n.d.). The Advantages of Collaboration in Education. Retrieved June 19, 2017, from http://oureverydaylife.com/advantages-collaboration-education-19763.html

      

     McIntyre, T., Ph.D. (n.d.). Competitive vs. Cooperative Learning Formats. Retrieved June 19, 2017, from http://www.behavioradvisor.com/CoopLearning.html

      

     McIntyre, T., Ph.D. (2015, July 23). Promoting Self Control (in the kids & us). Retrieved June 19, 2017, from http://www.behavioradvisor.com/promoting-self-control-in-the-kids-us/

      

     Reynolds, L. (2013, June 11). Giving Student Feedback: 20 Tips to Do It Right. Retrieved June 19, 2017, from http://www.opencolleges.edu.au/informed/features/giving-student-feedback/

      

     Rhode, G., Ph.D., Jenson, W. R., Ph.D., & Reavis, H. K., Ed.D. (1992). The Tough Kid Book: Practical Classroom Management Strategies. Longmont, CO: Sopris West Inc.

      

     The University of Vermont Center on Disability & Community Inclusion. (n.d.). Class Norms. Retrieved June 19, 2017, from https://www.uvm.edu/~wfox/ClassNorms.html

Must go off the attached papers below. Must be in APA format 3 pages long, at least 2-3 insite citation and 3 references. 

Barbara schedules a meeting with a core group of clinic managers. The purpose of the meeting is to review the strategic plan and to gather additional feedback from the managers. Barbara is aware of the importance of diversity within the organization. Diversity and inclusion is particularly important because of the population served by UCCO facilities. However, she realizes during the meeting that there may be some issues with diversity and culture. Furthermore, how diversity and culture impact team performance. Several managers made comments regarding distribution of work and employee perspectives based on stereotypes. She also found out that there are many personality conflicts and issues with subordination. Barbara encountered the conflict and degradation comments, first-hand during the meeting.  For this project assignment on UCCO complete a minimum of a 3 page report to address management of change with strategic planning and with the following concepts:

•What is the role of executives in the process of change management and strategic planning? How do issues with diversity and culture relate to change management?

•Why is diversity inclusion important? What are the benefits? Specifically address UCCO purpose for diversity.

•Discuss how working with others can help with respect for diversity and respect for diverse perspectives.

•What are the challenges and benefits of employing a diverse workforce?

•What should Barbara’s plan be for encouraging teamwork among a diverse workforce and ensuring that employees make meaningful and valuable contributions to team projects and tasks. Incorporate Barbara’s personal experience with the team of clinic managers.

Discuss the role of executives in the process of change management and strategic planning, as well as issues with diversity and culture related to change management; with examples and supportive references.

Discuss plan for encouraging teamwork among a diverse workforce and ensuring that employees make meaningful and valuable contributions to team projects and tasks. Incorporated Barbara’s personal experience with the team of clinic managers and provided examples and supportive references.

Module 04 Project – Ethical Considerations

Krista Kim

Rasmussen College

Author Note

This paper is being submitted on January 28th, 2018, for Kim Sanders’s H490/HSA4922 Section 01 Healthcare Management Capstone – Online Plus – 2018 Winter Quarter

Was the nursing manager legally compliant with to protect patient information? Explain the legal risks and support with federal legislations and professional expectations, such as HIPAA and professional codes of ethics

It is essential for medical practitioners to protect the patient information despite their age or religion. The nurse manager verbally warned the nurses and staff involved in the case verbally. I think that the nurse manager legally complied with protecting patient information. However, I think that the burse could have applied a different approach to the nurses. The nurse posted the issue on her social media page using a clinic-owned computer which is a breach of confidentiality. There are certain consequences of the breach of patient confidentiality which include mistrust, lawsuit and disciplinary action. Information of patients should not be publicized and if such happens, legal action should be considered. It is also noted that the staff productivity is affected by the use of personal cell phones and clinical equipment is often used for social media. The same case applies to the nurse who posted a comment about the patient on her social media page using a clinical-owned computer. Therefore, the nurse manager could not only give the nurses and the staff verbal warning but could also take more actions on them so as to reduce and eradicate such cases from happening again.

Legally, nurses are bound to protect patient health information. This is also demonstrated by the HIPAA law which protects and keeps confidential personal information of patients. In addition, they also set limits and conditions on the use of patient’s information and disclosure without patient authorization. Health practitioners who breach confidentiality risk for lawsuit damages and criminal charges. As stated by HIPAA law, when a law stated by the HIPAA is violated, a fine of $100 to $1.5 million is applied. In addition to that, the health practitioner risk for sanctions or loss of license (Scott, 2000). It is a HIPAA violation for nurses to gossip about patients to friends and workers and hence it can cost a practice a significant fine. Therefore, it is advisable for employees to avoid sharing any patient information with anyone. In addition to that, it is a violation to post any patient’s information on social media. This is a breach of patient’s privacy and may lead to legal consequences such as fine (Scott, 2000).

What bearing does the age and religious requests have on the patient’s case? Are there medical and ethical laws that supersede the parent’s requests? 

Patient being 13 years old, the parents made it clear to the staff that they are not willing to give consent to any procedure involving blood products or transfusion. However, when the patient gains consciousness, the patient tells the nurse that any care should apply to her since she is afraid of dying. Patients should be treated with respect and understanding. It is an ethical dilemma when patients reject blood transfusion even unto death whereas it is the duty of the medical practitioner to provide optimal treatment. As much as parents in certain religions prevent their children from having a blood transfusion, children have a right to decide on what should be done in critical conditions in most cases in emergency situations (Carroll, 2018).

It is believed that any decision taken by parents or guardians is targeted in safeguarding the best interest of the child’s welfare. However, it’s a health practitioner’s legal and ethical obligation rests with the child patient and not the wishes of the parents. Children under the age of 16 years can legally give consent on the issues that they understand (Carroll, 2018).

What is the role and importance of communication among UCCO facilities, particularly in reference to compliance and ethical standards? 

Communication is the building block of successful organizations. It is important to note that communication promotes motivation, it is a source of information, it helps in socializing, it helps in altering individuals’ attitudes, it helps in controlling processes, and creating a workforce that is able to communicate effectively. Communication will help health practitioners in ensuring that they adhere to the set standards. The nurses can be able to communicate on what is needed from them and hence act as what is stipulated (Tompkins, 2015).

What are the ethical and professional factors of using social media? 

Social media has a negative effect on many health organizations since some health practitioners may breach confidentiality. Health organizations use of social media may affect the security of patient information, and patient consent among others. Therefore, many healthcare professionals have come up with guidelines for use of social media. The guidelines may include. Disciplinary actions for the inappropriate use of social media, policies on the use of organizational email addresses and graphics, and employee access to the internet and/or to social networking site among others (Chretien, & Kind, 2013). In most cases, healthcare organizations have policies that forbid the use of work email addresses on social media and separating personal and professional activities. Healthcare organizations also sign HIPAA authorization before any information on patients is posted on social media. The American Medical Association (AMA) provided guidelines for the ethical use of social media by health practitioners in 2010 (Chretien, & Kind, 2013). They include maintaining patient confidentiality and provision of accurate and truthful information. It also provided privacy settings that may fail to provide complete protection and anything that the practitioner’s post may be permanently on the social media.

Were the reactions to the patient’s case illegal, or just unethical? How does this align with UCCO’s mission, values, and strategic action plans? How does it compare to your own personal beliefs and values?

It was not ethical for reactions of the staff and nurse to the patient’s case. It is not illegal to share patient’s information with the fellow staff in some circumstances however the way things were done was unethical. Their mission is to provide quality healthcare to patients, it was important for the nurse to do their work without exposing the issue to the public since it proves that there is no confidentiality. Such cases have resulted in a decreased quality of patient care. I believe that it is the responsibility of the top management to ensure that employees adhere to the set rules and policies and work towards achieving the goals and objectives of the company. Therefore, the management of the organization such as the nursing manager should ensure that they work towards what is set. For example, the nursing manager could use other measures other than verbal warning so as to eradicate such issues from happening.

References

Carroll, A. (2018). Business & society : ethics, sustainability, and stakeholder management. Boston, MA: Cengage Learning.

Chretien, K. C., & Kind, T. (2013). Social Media and Clinical Care. Circulation, 127(13), 1413-1421.

Koenig, H. G., King, D., & Carson, V. B. (2012). Handbook of religion and health. Oup Usa.

Scott, C. (2000). Is Too Much Privacy Bad for Your Health–An Introduction to the Law, Ethics, and HIPAA Rule on Medical Privacy. Ga. St. UL Rev., 17, 481.

Tompkins, P. (2015). Practicing communication ethics : development, discernment, and decision-making. London New York: Routledge.