NR 500 Week 7 Assignment: Cultivating Healthful Environments
Chamberlain University NR 500 Week 7 Assignment: Cultivating Healthful Environments– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 500 Week 7 Assignment: Cultivating Healthful Environments assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 500 Week 7 Assignment: Cultivating Healthful Environments
Whether one passes or fails an academic assignment such as the Chamberlain University NR 500 Week 7 Assignment: Cultivating Healthful Environments depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 500 Week 7 Assignment: Cultivating Healthful Environments
The introduction for the Chamberlain University NR 500 Week 7 Assignment: Cultivating Healthful Environments is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 500 Week 7 Assignment: Cultivating Healthful Environments
After the introduction, move into the main part of the NR 500 Week 7 Assignment: Cultivating Healthful Environments assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 500 Week 7 Assignment: Cultivating Healthful Environments
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 500 Week 7 Assignment: Cultivating Healthful Environments
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Assignment
Reflect on an experience in which you were directly involved or witnessed incivility in the workplace. Provide a brief synopsis of the situation. How did this make you feel? How did you respond? What were the consequences of this situation? Provide an example of how this negatively affected the work environment and outcomes. How could the situation have been prevented? Discuss strategies that would support a healthy work environment.
Sample Answer for NR 500 Week 7 Assignment: Cultivating Healthful Environments
Mosadeghrad (2014) suggest that a variety of factors influence the quality of services provided by nurses in their routine practice. The incidents of incivility could be a major reason in this list. Therefore, it is extremely critical to further assess this issue so that adequate policy measures can be drafted to address this issue. According to Brown and Cummings (2013), there could be different names ad terms but incivility, violence, and bullying is often witnessed by practicing nurses. Therefore, the code of conduct for nursing has seen many revisions in light of this issue, as stated by Simpson (2016). The objective of this paper is to examine the incidents and issue of incivility against nurses and how to deal it effectively without braking the decorum. It also helps the healthcare professionals as well as the management to create a better environment for service delivery.
Issue of Incivility
Several academic researchers have defined the cases of incivility in nursing in different ways. According to American Nurses Association (2015), incivility refers to the act of behaving rudely and without curtesy with the hospital staff. For example, if an individual spreads rumors with the intention to create panic in the hospital complex. In another case, a colleague may refuse to support another to create nuisance in the hospital environment. According to Mosadeghrad (2014), since nurses work in an extremely stressful environment where situations swing between life and death, this incivility becomes an integral part of the business. Even with the best of efforts, the incidents cannot be completely eliminated.
Apart from this, there are many risks and hazards associated with the profession of nursing. Therefore, the nurses as well as patients could be extremely tired and frustrated and lead into behaviors that are classified as incivility. Equipped with these assumptions and knowledge, Lachman (2014) suggests that we need both, primary as well as secondary interventions to address this issue. With the help of primary interventions, the incidents can be prevented while secondary interventions are used to bring down the frequency of such incidents.
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NR 500 Week 7 Discussion: Healthful Environments
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Due to incivility, the relationship between nurses and patients, or fellow nurses may get impacted severely. As a result, there could be many conflicts that hamper the day to day work. The seminal paper by Wood (2016) suggests that due to incivility, the performance of nurses could go down significantly. As a result, the overall healthcare services become of low quality. Having learnt these massive impacts of incivility in the healthcare environment, it is extremely importance to find a solution to this problem so that the healthcare professionals may work in a normal manner.
Importance to Nursing
Lachman (2014) argues that the incidents of incivility in the healthcare environment have been increasing in the last few years, and it has brought down the quality of healthcare services. The nurses as well as patients, both have to bear the brunt of it. As the situation worsens on day by day basis, the sector would find it hard to maintain the quality, allocate resources intelligently, and maintain the desired level of patient outcomes. Due to the bad behavior that nurses see around them, they often end up either leaving their job or the industry altogether. Therefore, the turnover rate of nurses also becomes higher. Incivility makes the healthcare environment extremely stressful and impacts the psychology of nurses (Chamberlain College of Nursing, 2017). When nurses face constant conflicts, stressed environment, sleep deprivation, or embarrassment at workplace, they lack motivation to work at their full efficiency (Wood, 2016). Due to this increased activity, the nurses may also fall sick and remain absent from work. For a family nursing practitioner, such issues could trigger negative emotions. Brown and Cummings (2013) further elaborate on the ways in which negative emotions could impact the performance of family nurse practitioners.
Due to incivility and the associated poor performance, the nurses often receive bad ratings in performance appraisal. Such ratings often discourage them and the performance level and commitment further reduces. The emotional impact due to incivility could come out in the form of anger, isolation, or fear etc. (American Nurses Association, 2015).
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Incivility has other effects also, such as causing damage to the staff nurses. Gradually, increase in the incident of mistreatments provokes the people engaged with the matter and makes the situation intense. Simpson (2016) accepts that there are chances that nurses could get physically injured in the environment of violence. Such conditions take place when one person does not trust another person leading to misunderstandings, arguments and self-interest.
Storytelling
Initially, I had no idea about Incivility and its effects. It is when I started my career in nursing I came to know about Incivility in detail. I faced certain challenges in the start while dealing with the cases of patient’s family incivility. Though the subject of the topic is similar still the cases differ and so the way to handle them. During my job, I realized that the members of nurse team and physicians’ team can coordinate and work closely with each other. They together made a strong team and delivered a recognizable service to the patients admitted at a hospital provision.
I encountered many instants where everything could turn out as a huge fight. But the physicians and the nurses looking after that matter somehow managed to handle it smoothly. The matter was regarding the family patient who was supposed to move to the general ward from the ward of intense precaution. Whereas the one group was confident about the decision, another group was still in doubt. The physicians were sure that the patient is in a condition where he can have cared but the nurses were not sure and needed the help of physicians to deal with it (McCormack & McCance, 2017).
There are some ethics to be followed in Nursing out of which one is to treat with respects to other professionals working with you. There is a major reason behind it. Take an example, if the patient is in a critical condition and professionals tend to have different opinions during operation can lead to the patient into danger. Therefore, professionals need to understand the sensitivity of the situation and act accordingly in the operation theatre. Admiring of each other’s opinion is required for the patients’ safety. As such, the respect of the ideas from both parties involves ensuring that the patients were well cared for.
Creating a Healthful Environment
The health organizations are regulated effectively through implementing the certain strategy like a flow of effective communication. The first strategy that should be employed for the creation of a healthful environment is ensuring that there is effective communication. On this, Lachman (2014) states that effective communication can be a key to solve any disputes or misunderstandings in a healthcare center or anywhere. opines that communication will help in the resolution of possible issues that may occur in the healthcare profession. Additionally, it also keeps the members concerned informed on activities taking place.
Another strategy explained is coordination. The hospitality is all about caring and goes under manpower. Hence, all the people concerned with each other need to coordinate with each other for smooth operations. Understanding its importance, Brown and Cummings (2013) concludes that if organization aims to achieve the success they should know keep the team spirit allow which is always ready to come front to help each other. Such environment is a boom when it comes to providing training to new employees.
The third strategy is employees engagement. Though the leaders are tending to know for effective decision making due to the experience they acquired, they show involve other unit members in decision making. Also, everyone differs and so does their thought, one can never know when the great idea can come from. The practice of engaging everyone in the course motivates everyone making them feel important. Hence, they also feel appreciated and give their best in every work they take into account. Through research, Mosadeghrad (2014), stated that engaging everyone is a stepping stone to achieve company’s vision and mission involvement in decision making. Involving others in the process of decision making is filled with advantages like the transparency of activities, exchange of ideas, and elimination of disputes and so on.
Practice Application
My role is the family nurse and my responsibilities at work include managing the illness of the patient taken admission in the healthcare and carrying out the physical tests as per procedure. I have been also honored with the task of specialty diagnosis which is meant to looking after the family members for their health for their entire life. We often get a call for meetings between employers and employees. During the meeting, we discuss the activities, critical condition and everything related to patients. The meetings bring clarity among everyone about tasks, its goal and etc. Also, the feeling of engagement motivates us to work effectively.
NR 500 Week 7 Assignment: Cultivating Healthful Environments Conclusion
Through this paper, we get to know about the role and responsibilities of a practitioner of the family nurse. They have curtained aligned tasks to be performed for maintaining the standards set by hospitals in regard to caring of patients. Additionally, they have to go through certain situations like among the members of the unit. Incivility refers to an offensive and bad-mannered behavior which often give rise to a corrupt culture. It affects the people working in an organization and indirectly affects their working pattern. Hence, healthy environment is very important for smooth working. It can be achieved through various well-defined strategies mainly employee engagement and effective communication. Communicating with each member and asking for their opinion for decision making brings the number of benefits to an organization.
References
American Nurses Association. (2015). Incivility, bullying, and workplace violence. American Nurses Association.
Brown, P., & Cummings, G. (2013). Factors influencing intentions to stay and retention of nurse managers: a systematic review. Journal of Nursing Management, 21(3), 459-472.
Chamberlain College of Nursing. (2017). Mission, philosophy, program outcomes. Retrieved fromhttps://www.chamberlain.edu/docs/default-source/academics-admissions/catalog.pdf
Lachman, V. D. (2014). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Medsurg nursing, 23(1), 56.
McCormack, B. & McCance, T. (2017). Person-centred practice in nursing and health care. Theory and practice (2nd ed.). Oxford: Wiley Blackwell.
Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77.
Simpson, K. R. (2016). Incivility, bullying, and workplace violence: new recommendations for nurses and their employeeers from the American Nurses Association. MCN: The American Journal of Maternal/Child Nursing, 41(1), 68.
Wood, R. M. W. (2016). Workplace bullying between registered nurses: Occurrence and perceived effects on work productivity (Doctoral dissertation, Villanova University).
Sample Answer 2 for NR 500 Week 7 Assignment: Cultivating Healthful Environments
According to the American Association of Critical-Care Nurses (AACN), a healthy work environment is characterized by six standards, such as skilled communication, effective decision making, true collaboration, meaningful recognition, appropriate staffing, and authentic leadership (Halm, 2019). Nurse leaders play a significant role in ensuring that all the six standards are met to promote quality outcomes for both the nursing staff and patients. Several strategies are thus adopted by nurse leaders to promote and sustain a positive work environment. Such strategies include promoting a safe place for staff members to voice their concerns and ideas; making sure that values and expectations are clear; keeping the environments simple; keeping the work area uncluttered and orderly; and recognizing volunteerism.
Recently, the Covid-19 pandemic has led to several issues which compromise the work environment of healthcare personnel, if not well mitigated (Raso, Fitzpatrick, & Masick, 2020). For example, with appropriate planning, hospitals have been able to acquire adequate resources, such as appropriate staffing and the availability of enough PPEs for staff members, to promote a safe and healthy working environment. However, nurses working in remote settings have raised concerns regarding inadequate staffing, and mandatory overtime, which creates an unhealthy work environment, leading to increased nurse pressure, injury rates, fatigue, and compromised provision of safe care.
The American Nurses Association has outlined seven bills of rights for RNs to promote the art of negotiation in enhancing a safe and healthy work environment (Scruth, Garcia, & Buchner, 2018). Nurses are thus required to freely and acquiescently advocate for themselves and their patients, through communication and collaboration, to promote a healthy work environment. This helps them avoid the feeling of victimization, devalued, and unmotivated, hence promoting service provision.
References
Halm, M. (2019). The influence of appropriate staffing and healthy work environments on patient and nurse outcomes. American Journal of Critical Care, 28(2), 152-156. https://doi.org/10.4037/ajcc2019938
Raso, R., Fitzpatrick, J. J., & Masick, K. (2020). Clinical nurses’ perceptions of authentic nurse leadership and healthy work environment. JONA: The Journal of Nursing Administration, 50(9), 489-494. DOI: 10.1097/NNA.0000000000000921
Scruth, E. A., Garcia, S., & Buchner, L. (2018). Work-life quality, healthy work environments, and nurse retention. Clinical Nurse Specialist, 32(3), 111-113. DOI: 10.1097/NUR.0000000000000376
Sample Answer 3 for NR 500 Week 7 Assignment: Cultivating Healthful Environments
Nurse practitioners (NPs) in Alabama have a reduced scope of practice. This means NPs are restricted to at least one practice element and require a career-long formal collaborative agreement with a physician. In Alabama, all collaborative practice agreements between an NP and a physician are approved by the Joint Committee of the Alabama Board of Medical Examiners (ABME) and the Alabama Board of Nursing (Hart et al., 2020). Besides, NPs in Alabama are acknowledged only based on their collaborative relationship with a qualified Alabama physician. NPs also have a restricted prescriptive authority. This means that for NPs to prescribe legend drugs, the drug type, dose, quantity, and number of refills must be authorized in the approved protocol signed by the collaborating physician (Hayes et al., 2023). Moreover, the prescribed medication must be on the list of medicines recommended by the joint committee and adopted by the ABME and the Board of Nursing. NPs must have a Qualified Alabama Controlled Substances Registration Certificate (QACSC) to prescribe Schedules III-V controlled substances.
NPs in Alabama face multiple barriers to independent practice. For instance, if the mandated collaborative relationship is disbanded, the NP ceases being recognized, even with advanced education and national certification. Unfortunately, NPs in Alabama are not issued with licenses. They are only certified and recognized in a collaborative relationship with a physician (Hart et al., 2020). According to the Alabama legislation, the NP-Physician collaboration requires professional oversight and direction as mandated by the rules and regulations of the ABME and the Board of Nursing. Furthermore, the agreement must comprise practice sites, prescription orders, and quality assurance (Mason et al., 2021). However, the collaboration does not necessitate direct, on-site supervision of the activities of the NP by the collaborating physician. The restricted practice in Alabama greatly inhibits the NP role. This is because, without a collaborative relationship, they are just recognized as registered nurses. They cannot practice to their full training and education and cannot carry out roles that nurses in states with full practice conduct independently.
References
Hart, L., Ferguson, R., & Amiri, A. (2020). Full scope of practice for Alabama nurse practitioners: Act now. The Journal for Nurse Practitioners, 16(2), 100-104. https://doi.org/10.1016/j.nurpra.2019.10.016
Hayes, W., Baker, N. R., Benson, P., & O’Keefe, L. C. (2023). The State of Advanced Practice Registered Nursing in Alabama. Journal of Nursing Regulation, 13(4), 44-53. https://doi.org/10.1016/S2155-8256(23)00030-3
Mason, D., Dickson, E., McLemore, M., And Perez, G. (2021) Policy and Politics in Nursing and Healthcare. 8th Edition. Elsevier Publishing. ISBN: 9780323554985
Sample Answer 4 for NR 500 Week 7 Assignment: Cultivating Healthful Environments
In the media, many programs depict people fighting or arguing with each other and using profanity as normal behavior in America. Unfortunately, this type of behavior is displayed in many workplace settings and may result in devastating circumstances of great bodily harm or death. Hospitals are not immune to these poor behavioural choices by employees, recently in June 2017 a physician who had been fired from a New York hospital due to sexual harassment became upset with his co-workers and returned to the workplace and killed a coworker and wounded five others before fatally shooting himself (Fasick & Rodgers, New York Post 7/1/2017). Because the above circumstances are viewed as normal, it makes it a little difficult to identify negative behaviors related to incivility in the workplace. Sometime I do not provide direct patient care, my position allows me to watch and listen to nurses as they perform various tasks to provide patient care. Once I witnessed a physician speaking in a loud tone to a nurse at the nurse’s station regarding his patient who was a physician and a friend. He was asking about several medications and procedures that were not done and about the physician the admitting physician. The nurse remained calm during the entire interrogation and only nodding in the affirmative when she agreed with the physician. After five minutes of the verbal interrogation, another physician came to her aid and tried to calm the physician down by explaining the normal procedures when admitting a patient. It seemed to work and the nurse was able to regain her composure and continue her job of providing nursing care. Although there were many nurses at the nursing station, no one came to her aid or consoled her after the incident, and it was just another day on the job. I felt sad for her because no one should be treated this way and I responded by letting her know that she acted very professional during the entire process but should let the nurse manager know or write a report of this physician’s behavior.
The nurse stated that she would let the nurse manager know, but felt that nothing would be done to the physician to correct this behavior in the future. The nurse felt somewhat ashamed because it was done at the nurse’s station, in clear view of many nurses and other healthcare providers, but responded as if this was the normal behavior for this particular physician. It also appeared by the talk from the other nurses at the nursing station that this was the normal behavior for this physician and they must accept it.
I am not sure if this situation could have been prevented but the nurse could have felt better about herself if some of the other nurses would have asked the physician to lower the tone of his voice. This type of communication would have shown her that they supported her and the physician was not practicing professionalism in the workplace. In addition, the nurse manager must be more supportive of her staff to report such behaviors to the hospitals administrators so this type of situations does not become routine. Nurses must also feel confident with inter-professional communication so they could speak up and let physicians know that they will report them when they demonstrate this type of behavior. More work in needed to support nurses in the healthcare setting to feel comfortable working within their specialty and working with others.
References
http://nypost.com/2017/07/01/hospital-gunman-promised-to-come-back-and-shoot-former-co-worker
Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39–42
Morris, K. (2012). Lateral violence in the workplace: Fact or fiction? Ohio Nurses Review, 87(1), 6–7