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Leadership and Teams Discussion As an employee of a federal organization, I have gone through many changes over the years an inpatient nurse. Being the chair of a Nursing Shared Governance for my unit has given myself and other nurses from all units and areas to be empowered by having a voice when it comes to decision-making. This includes policy changes. There are a couple of experiences I have had as a team member that impacted change at my organization but one that sticks out the most is a change made to our charting system. When I first started out as a new nurse over five years ago, our charting system only listed a patient's life-sustaining treatment (LST) in the order sets, which was not easily accessible. To find the LST, you would have to click on the tab that showed the orders; it wouldn’t just show up as soon as you clicked on a patient. There were too many mouse clicks and again, not easily accessible, especially in an emergent situation. During one of the Shared Governance meetings, we brought up this issue on how it took longer to access the code status than it should, especially if needed in an emergency or if there was a discrepancy with it. The discrepancy being that there are two active orders of a patient being a “Full Code” or “Do Not Resuscitate or DNR”. This eventually led to this change of it popping up in bold letters in a yellow box when you open a patient's chart. It involved many healthcare professionals, such as social work, internal medicine doctors, nurses, educational personnel, and many others. If there was a discrepancy with a LST, it would pop up in the yellow box in bold and say, “ACTION NEEDED – Discrepancy with LST order” and we could call the doctor right away and ask them to fix it. This change led to a decrease in the delay of emergency care, improved communication between interdisciplinary teams, and improved the process when a patient came into the ED on their life sustaining treatment. Samuriwo (2022) wrote, “Meaningful change arises when things are understood as they are experienced, and people have a theory of action that reflect their own reality and praxis.” I feel this really relates to what it means to be a part of a nursing shared governance because our experiences of being on the floor can better an organization through policies and procedures. Looking back on this situation, it took a lot of time for it to go through the process to be approved due to schedule conflicts when it came to meetings, primarily being short staffed and not having anyone to cover on the floor for nurses or being busy on the floor and not being able to attend. Being able to step away from the floor would have improved this project. It led to our manager and assisted nurse managers stepping in and willing to watch our patients in order to support us and our future projects.

Week 7 Discussion You will need to download the following items to complete this discussion: Article from the escape room activity: Relationship between nurse burnout, patient and organizational outcomes: Systematic reviewDownload Article from the escape room activity: Relationship between nurse burnout, patient and organizational outcomes: Systematic review Appraisal Tool: Johns Hopkins Evidence-Based Practice Model (Appendix E)Download Appraisal Tool: Johns Hopkins Evidence-Based Practice Model (Appendix E) Complete the following sections of the appraisal form and attach to your initial post: Article Information (Page 1) Article appraisal workflow (Page 1) - select Quantitative (this is a systematic review for quantitative leveling of multiple research studies) Section I-B (Page 4) - answer each question Review one of your fellow student's appraisals and provide feedback. Were any of their answers different from yours? Do you have any recommendations for parts of the article you would ask them to review again? Explain why. (Refer to page 201 of your textbook).

PowerPoint slide with 10-12 slides and last page APA 7 formatted references. Topic is PTSD for men, how they handle it, and the supplements they can take for it, etc. 4-5 bullet points on each page.

For this Assignment, you will work with a patient with a musculoskeletal condition that you examined during the last three weeks. You will complete your third Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information as well as reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, previous medical history (PMH), socio-economic, cultural background, etc. In this week’s Learning Resources, please review the Focused Note resources for guidance on writing Focused Notes.To prepare: Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this assignment. Select a patient that you examined during the last three weeks based on musculoskeletal conditions. With this patient in mind, address the following in a Focused Note: Assignment: Subjective: What details did the patient provide regarding her personal and medical history? Objective: What observations did you make during the physical assessment? Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why? Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently in a similar patient evaluation? TOPIC: The patient diagnoses is GOUT, for a 56 year old Male patient. Base the focused note on this patient information. I have attached the template.

During my time working in the infection prevention department at a correctional facility, our team experienced a major organizational change after a sudden outbreak of a contagious disease, specifically tuberculosis. The previous infection control protocols were found to be outdated and ineffective. There has been a 269% increase in the number of TB cases reported among those who are incarcerated (Walter et al., 2021). The department administrators responded by requiring our department to undergo a reorganization that included improved documentation procedures, new workflows, and improved collaboration between departments. This change deeply affected our team, which consisted of nurses, medical assistants, physicians, mental health professionals, correctional officers, and other administrative staff. Alongside other nurses, I helped identify changes in patient symptoms and tracked how those patients were navigated throughout the facility. Physicians were responsible for overseeing medical management and treatment plans. Correctional officers ensured safety and compliance during isolation procedures. Each discipline contributed a different perspective, making the response more comprehensive and effective. Communication is the absolute cornerstone of organizational change. According to Clancy & Clancy (2024), safe patient care and organizational excellence are facilitated by effective communication, which is essential in the healthcare industry. In this case, regular huddles or interdisciplinary briefings could have offered real-time updates, which would have helped to minimize errors. These briefings would have allowed each team member to voice concerns, clarify their roles, and share crucial patient information. Errida & Lotfi (2021) emphasize that organizations constantly work to modify and adjust their operations in response to changing conditions. Encouraging open dialogue and feedback in these sessions could have also helped identify system inefficiencies and proactively address potential issues before they escalated. Looking back, earlier engagement from everyone involved during the planning phase could have significantly improved the overall process. For example, engagement from correctional officers, mental health professionals, and frontline nursing staff early on might have led to the development of more comprehensive isolation protocols. Their unique perspectives could have enhanced the balance between maintaining facility security and addressing the psychological well-being of incarcerated individuals. Furthermore, early input from diverse team members may have highlighted potential challenges, reduced resistance to change, and allowed for creative problem-solving that reflects both clinical best practices and institutional realities.

Explore the Impact of the Social Determinants of Health on Wellness Instructions Background In this research paper assignment, you will delve into the dimension of wellness that you chose as part of your Wellbeing Action Plan in Module 1—physical, emotional, intellectual, social, spiritual, environmental, occupational, or financial—and explore how Social Determinants of Health (SDoH) impact this dimension. Social determinants include factors such as housing, access to healthcare, the built environment, transportation, education, employment, food security, community and social connections, and economic status. Understanding the interplay between these determinants and wellness dimensions is crucial as they significantly contribute to personal health outcomes and overall quality of life, including life expectancy. Instructions Consider the dimension of wellness that you chose as part of your Wellbeing Action Plan in Module 1. Discuss relevant data and statistics pertaining to your chosen dimension and its relationship to social determinants of health. Evaluate how social determinants positively or negatively influence outcomes in your chosen dimension and summarize expert recommendations for achieving balance and wellness in this dimension. Make sure to provide examples of best practices that have effectively improved or maintained wellness within your chosen dimension. Structure your paper in the following way: Introduction Introduce the chosen dimension of wellness and its significance to you and your wellbeing. Briefly explain the concept of Social Determinants of Health (SDoH). Clearly state the purpose and scope of the paper. Literature Review Summarize relevant research findings and data related to your chosen dimension and SDoH. Discuss key statistics and evidence supporting your analysis. Impact of SDoH on chosen Dimension Evaluate how social determinants influence health outcomes in your chosen dimension. Provide examples to illustrate your points. Expert Recommendations Summarize expert recommendations for addressing social determinants and achieving wellness in your chosen dimension. Discuss strategies and interventions proposed by experts. Best Practices and Examples Provide examples of successful best practices that have improved or maintained wellness within your chosen dimension. Discuss how these practices can be applied in personal or community settings. Conclusion Summarize the key findings and insights discussed in the paper. Reiterate the importance of understanding the impact of social determinants on wellness. Provide final thoughts or recommendations for future research or action. Submission Guidelines Formatting: This assignment must be 3-4 pages in length (excluding the title and reference page). Use headings and subheadings to organize your paper effectively. Page formatting should follow APA formatting. Submit your assignment in Microsoft Word (*.docx) file format. References: Provide a comprehensive overview of your chosen dimension supported by at least five (5) credible sources. You can use SAMSHA’s Creating a Healthier Life: A Step-By-Step Guide to Wellness (provided in Assignment 2)as one of your sources. Citations and references should follow APA formatting.

2 page essay with citations . Please describe how doppler is used and works on Ultrasound imaging . book we are using is Understanding Ultrasound physics by edelman 4th edition .

INSTRUCTIONS 1 An effective leader must possess the skills, emotional intelligence, and knowledge base to influence and convince the members of the organization to not only adopt, but to become advocates for the change that the leader seeks to implement. In order for one to develop the leadership skills that are required to affect change within the organization, one must become familiar with a variety of approaches previously utilized by successful leaders and managers in organizational transformation. For this assignment, utilize the Rasmussen Business Library resource to research a business case study of an organization going through strategic change. Then research two leadership strategies that have been used to successfully drive organizational change during the past 10 years. Once you have located these strategies, write a paper analyzing the effectiveness of each strategy, and relate how effective management strategy alone may well be challenged to achieve desired change without effective leadership. In your analysis, address the following: Identify and research two leadership strategies. Develop a description of the leadership strategies. Formulate an overview of how the strategy is used and rate its effectiveness. Argue whether the strategy is still relevant and effective in present day organizations. Why or Why not? Describe how management alone will fall short of achieving desired organizational change without all levels of leadership effectively operating in their rolls. Please identify these strategies from references found in the Rasmussen College Library. Assignment Requirements are as follows: The body of the paper should be 2-3 pages. The paper should include an APA formatted cover page and reference page. The paper should include at least two peer-reviewed sources, such as journal articles from the Rasmussen Library. The paper should be proofread for correct spelling, grammar, and punctuation.

INSTRUCTIONS 2 Gaining an understanding of the various models of leadership theory is critical in order to understand what skills and abilities are needed to influence the desired change in an organization. Research at least two organizations that have had similar issues and successes during a change management process. For this assignment, write a 2-3 page analysis of the problems and the change models that were implemented to address each organization's problems. Next, you will compare and contrast the change models used. Assignment Requirements are as follows: Provide an overview of the issues that each organization faced. Include an example of at least three similarities and three differences between each change model. The paper should include an APA formatted cover page and reference page. The paper should include at least two peer-reviewed sources, such as journal articles from the Rasmussen Library.

Read the section titled "Reflective Practice: Pants on Fire" from the chapter "Health Policy, Politics, and Professional Ethics" and address the questions below. How do you judge Palin's quote below, as an effective strategy to oppose Democrats' plans for health care reform or unethical scaremongering? "And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama's death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil." Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties? Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act? Reading: Reflective practice: Pants on fire Sarah Palin is famous for urging her supporters to oppose Democratic plans for health care using the scare tactic of death panels. She said the Democrats plan to reduce health care costs by simply refusing to pay for care: And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil. In fact, there was no panel in any version of the health care bills in Congress to judge a person’s level of productivity in society to determine whether they are worthy of health care. The truth is that the proposed health bill would have allowed Medicare, for the first time, to pay for optional doctors’ appointments for patients to discuss living wills and other end-of-life issues with their physicians. PolitiFact awarded Palin with the 2009 Lie of the Year for the death panel claim and it made the list of FactCheck’s “whoppers,” but the political impact of her statement is hard to overstate. In 2011, the Obama administration even deleted all references to end-of-life planning in a new Medicare regulation when opponents interpreted the move as a back-door effort to allow such planning. So even in the regulations, Palin achieved her goal (Holan, 2009). 1. How do you judge Palin’s quote? Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering? 2. Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, political party loyalties? 3. Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? (The answer is yes; it may indeed be the right thing to do.) Remember, politics is about relationships, and relationships cannot prosper when one party insists that the other party must agree with them on every (or even any) issue. It is not wrong to compromise; compromise is part of the give and take of relationships, and it is part of the give and take of politics. What is critical is knowing when it is possible to compromise without sacrificing personal integrity. This prompts the question of whether it can be acceptable to distort an issue to manipulate public opinion or to win the support of a particular piece of legislation. It is usually, however, possible to frame a discussion in a manner that is more acceptable to a certain constituency without lying in this manner. For example, in the health care arena, one can use words that appeal to known values, words such as tradition and legitimate authority (words that tend to appeal to conservatives), and words such as autonomous and experimental (words that tend to appeal to liberals). Knowing the target audience and framing the issue in words that will help them listen (or at least not harden their opposition) is smart, not unethical. Any professional group has a duty to push forward laws and policies that protect or advance the best interests of those whom they serve. And any citizen, particularly a knowledgeable one, has a civic duty to speak out for the common good.