NURS421 Describe your acculturation experience as a new graduate to the culture of the nursing profession. How is it similar or different from the acculturation experience of a new nursing colleague who joined your team within the past year?

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NURS421

Describe your acculturation experience as a new graduate to the culture of the nursing profession. How is it similar or different from the acculturation experience of a new nursing colleague who joined your team within the past year?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Read the Module 1: Lecture Materials & Resources early in the week to help you respond to the discussion questions and to complete your assignment(s).

Required Textbook Readings

Ritter, L.A., Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and Bartlett Learning.

ISBN: 9781284021028

Chapters 1 and 13

  • NUS415null

Share the health policy you found during your Internet search that is directly related to your practice area. How does this policy impact your practice?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 23:59 ET Thursday, and comment on the posts of two classmates by 23:59 ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Module 1: Nursing and Public Policy

Read and watch the lecture resources & materials below early in the week to help you respond to the discussion questions and to complete your assignment(s).

Read

  1. Mason, Gardner, Outlaw & O’Grady text:
    Chapters 1, 3, 4, 5, 6, 7, and 9

Watch

  1. Burdick, J. (2016). Political Process Theory and Collective Action for Social Justice. Available at Political Process Theory and Collective Action for Social Change by John Burdick (Links to an external site.)Political Process Theory and Collective Action for Social Change by John Burdick
  2. Lavin, R. (2014). Health Policy for Nurses. Available at Health Policy for Nurses (Links to an external site.)Health Policy for Nurses

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Online Materials & Resources

  1. Robert, S. A. & Booske, B. C. (2011). US opinions on health determinants and social policy as health policy. American Journal of Public Health, 101(9), 1655-1663
  2. White, P., Olsan, T. H., Bianchi, C., Glessner, T., & Mapstone, P. (2011). Legislative: Searching for health policy information on the Internet: An essential advocacy skill. The Online Journal of Nursing Issues, 15(2) available at http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/Columns/Legislative/Health-Policy-Information-on-the-Internet.html (Links to an external site.)Links to an external site.
  3. Falk, N. (2014). A health policy resource guide for nurses. Journal of Continuing Education for Nursing, 45(5), 203-204

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

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BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

The PMHNP administers the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

The Assignment

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

  • Decision #1
    • Which decision did you select?
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
  • Decision #2
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
  • Decision #3
    • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

Also include how ethical considerations might impact your treatment plan and communication with clients.

 Elder abuse. Include physical, emotional, sexual, etc. How, as an APRN, can you screen for and address elder abuse? What types of health promotion concepts can be used to help advocate for the personal safety of our elders? Are there screening tools available? In what unconventional locations within your community might an elder screening be performed?

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Please include at least three scholarly sources within your initial post.

Elder abuse. Include physical, emotional, sexual, etc. How, as an APRN, can you screen for and address elder abuse? What types of health promotion concepts can be used to help advocate for the personal safety of our elders? Are there screening tools available? In what unconventional locations within your community might an elder screening be performed?

RUBRIC:

 

Discussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100

HRMN300 Assignment 1 Details

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HRMN300 Assignment 1 – Summer 2020

 

Please read all directions below before starting your assignment. You may find it helpful to print a copy and cross off or highlight as you complete each expectation. Good luck!

 

 

Instructions:

  • Please submit your assignment as a MS word document only (no PDF’s will be accepted) as an attachment in your assignments folder.
  • Your assignment cannot be accepted via messages, email or conferences.
  • You must submit to the assignment drop box by the due date stated in the syllabus for credit. A missing assignment will be assigned a 0. Late assignments will not be accepted, even one minute late. This is typically an indicator of procrastination.
  • Respond to all four questions below on a new, MS word document. PDF files will not be accepted!
  • Develop each answer to the fullest extent possible, discussing the nuances of each topic and presenting your arguments logically. In addition, include citations from outside resources to support your arguments.
    • Each answer should be robust and developed in-depth. A common error is to write something that may be true but does not answer the question. Be sure you answer the specific question asked in each case.
    • You are expected to demonstrate critical thinking skills, as well as an understanding of the issues identified. Some questions may also require personal reflection and practical application. These also require references. Your responses will be evaluated for content as well as grammar and punctuation.
    • PLEASE do not copy or quote anything. If you do this you will lose points. All writing must be your original work. Sources are just that, a reference. Once you locate the information, read and interpret the data. What does it mean to you? Type your own thoughts and own words. Then, include in-text citations to support your ideas. This is not a research paper.

 

FORMAT:

  • Include an APA style Cover Page with Name, Date, and Title of Assignment. Be sure to use an APA style running head and page numbers.
  • Include the original question and the question number. For each part of each question 1A. 1B etc. put your responses directly under each part of each individual question. This makes the relationship between each part of the question and each part of your answer much clearer and more reliably evaluated. Points will be deducted for not doing this.
  • Each response should be written in complete sentences, double-spaced and spell-checked. Use 12-point Times New Roman font with 1-inch margins on all sides. Include page numbers according to APA formatting guidelines.
  • In addition, you will want to include citations in APA format at the end of each answer.
  • Also provide and APA style reference list at the end of the paper that includes all the references used to answer the questions. References should not be older than 5 years.

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Question 1: (three references for part A, three for part B)

 

  1. Discuss the evolution of the HR role from administrative to strategic.
  2. What factors were involved in this transition?
  3. Why is it important for HR to be involved in the organizational strategic planning process?
  4. What types of skills are needed by HR professionals today and why are they important (name at least 3)?
  5. How are they different from the skills needed 20 or 30 years ago?

 

 

  1. Reflect on the HR function in your current organization or an organization you have worked for.
  2. Evaluate the HR role in the organization and discuss the alignment between HR priorities and the organizational strategy (do not name the organization).
  3. Did you see evidence of a strategic focus? Why or why not?

 

 

Question 2: (three references for part A, three for part B)

  1. Discuss how an organization’s diversity strategy can support the business strategy. Provide at least three specific examples and explain why and how they support organizational success.

 

Example 1

 

Example 2

 

Example 3

 

  1. Consider the organization you work at currently, or one you have worked at in the past

 

  1. Evaluate the diversity program. How was it effective was it and why, and how did support the strategic goals of the organization?

 

  1. If it was not effective, explain what factors made it ineffective.

 

 

Question 3: ((Minimum of one reference for each part)

Some organizations follow a lengthy, complex selection process, whereas in other organizations the process may be more streamlined. Some may view the longer and more complex selection process to be more valid.

  1. What are the advantages and disadvantages of using a lengthier process? Consider the perspectives of both the job seekers and the organization and the tradeoffs between efficiency and effectiveness.

 

  1. What are the advantages and disadvantages of using a more streamlined one? Consider the perspectives of both the job seekers and the organization and the tradeoffs between efficiency and effectiveness.

 

  1. As a job seeker, what process would you prefer to follow and why?

 

  1. Consider the selection process for an organization where you were ultimately hired. How would you describe the process from a candidate perspective?  Do you believe it was effective? Why or why not?

 

Question 4: (Minimum of one reference for each part)

 

  1. Why is retention such a major focus for human resource managers?

 

  1. How does focusing on retention add strategic value to the organization?

 

  1. How would you go about developing a retention program for your organization?

 

  1. What might be some of your biggest challenges?

 

  1. What type of metrics would you need to obtain and what methods would you use to obtain this data?