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NURS 4020:Leadership Competencies in Nursing and Healthcare

Week 1
Leadership Theories and Personal Identification of Style and Strengths

Resources

Media

Course Media: Laureate Education, Inc. (Executive Producer). (2010).Leadership competencies in nursing and healthcare.Baltimore: Author.
“Leadership in Nursing and Healthcare,” featuring Dr. Kenneth J. Rempher, Dr. Diane Mancino, Dr. Don Arthur, Dr. David Nash, Dr. Cecilia K. Wooden, and Dr. Leslie Mancuso

Required Readings

Course Text: Sullivan, E. J., & Decker, P. J. (2013).Effective leadership and management in nursing(8th ed.). Upper Saddle River: Pearson Prentice Hall.
Chapter 4, “Leading, Managing, Following”

Course Text: American Nursing Association. (2010).Nursing: Scope & standards of practice.Silver Springs, MD: Nursesbooks.org. Retrieved from.waldenulibrary.org/limited/ANA.htm”>http://ezp.waldenulibrary.org/limited/ANA.htm

Course Text: Fowler, M. (2008).Guide to the Code of Ethics for Nurses: Interpretation and application.Silver Springs, MD: Nursesbooks.org. Retrieved from
.waldenulibrary.org/limited/ANA.htm”>http://ezp.waldenulibrary.org/limited/ANA.htm

Articles:
Jackson, J. R., Clements P. T., Averill J. B., & Zimbro K. (2009). Patterns of knowing: Proposing a theory for nursing leadership.Nursing Economic$,27(3), 149-159.
Kerfoot, K. M. (2009). Denial and immunity to change: It starts with the leader.Nursing Economic$,27(6), 422-423.

Optional Resources are listed in the Week 1 Learning Resources.

Threaded Discussion

Leadership Theory and Health Care

Reflect on the information presented this week and on your own work environment. Then, respond to the following:
Which theory of leadership do you think is most effective in today’s health care environment? Why?
How does ANA’s Nursing: Scope & Standards of Practice influence nursing leadership?

Support your response with references from the professional nursing literature.

Post your response by Day 3of this week. Respond by Day 7to at least twoof your colleagues’ postings. See the Week 1 Discussion area for details.

Application

Leadership Theory Paper

Throughout this degree program, you have been exposed to many great leaders in nursing and health care. Reflect on the leadership demonstrated by individuals such as Dr. Maggi McClure, Dr. Diane Mancino, Dr. Karen Drenkard, Ms. Joan Marren, Dr. Leslie Mancuso, Maria Manna, and Dr. Kenneth Rempher. Great leaders share common characteristics. As you have heard in this week’s media presentation, leadership skills can be learned and developed. The first step in developing leadership skills is increasing your self-awareness of your leadership qualities and abilities. In order to be an effective leader, you must find a style, or styles, that meet both your needs and those of the institution. Complete at least one of the following assessment inventories.
Gallup Strength Finders
Myers-Briggs
DiSC

Review your assessment results, and determine your leadership style, strengths, and growing edges. Consider how your leadership strengths are demonstrated in your nursing practice. Then, review the list of leaders presented below.
Winston Churchill
Margaret Thatcher
Eleanor Roosevelt
John F. Kennedy
Martin Luther King, Jr.
Mahatma Ghandi
Rudy Guiliani
Abraham Lincoln
César Chavéz
Mao Tse Tung
Lillian Wald
Mother Teresa

Select one person from the list. Research that individual, and write a 2–3 page summary of the selected leader’s leadership style and specific leadership characteristics demonstrated. Include in your summary any strengths or characteristics you have in common with the leader you selected. Also include how your identified strengths demonstrate mastery of ANA’sNursing:Scope & Standards of Practice, Standard of Professional Performance: Standard 12: Leadership as evidenced in your nursing practice.

Due byDay 7. See the Week 1 Application area for complete instructions.

Virtual
Practicum
Team
Discussion

Practicum Activities: Identify a Change Project
This week introduced the concepts of leadership and leadership theories. In addition, the media presentation and textbook readings discussed the difference between leadership and management. As you begin your practicum this week discuss with your manager possible change projects needed in the agency. Observe your manager and other leaders at your location. Identify how management and leadership activities contribute to successful change initiatives. Informally discuss options with your manager
Please address the following:
What did you see as the difference between a leadership activities and a management activities?
How do management and leadership activities contribute to the success of change initiatives
What change projects are needed in your agency at this time.

Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7

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What are some possible implications of these differences for various stakeholders (e.g., nursing administration, patients, and community)? What does this mean for nursing’s role within each organization?

Large…small…

Urban…rural…

For profit…non–profit…

Acute care…primary care

Teaching organization…research facility

Myriad characteristics influence the experiences of patients, nurses, and others in any health care setting. In addition to the factors noted above, the mission, vision, and values that guide an organization, as well as an institution’s commitments to patient care, teaching, and/or research, warrant significant consideration.

As a nurse leader–manager, it is helpful to look at all of these aspects, especially as they relate to strategic planning and the sustainability of the organization. To that end, for this Discussion you compare multiple aspects of two organizations and consider the implications for nursing. In addition, you will apply a Strategic Planning tool, such as SWOT or Balanced Scorecard, or Six Sigma principles to establish one realistic goal or objective consistent with the mission of the organization.

To Prepare

Review the information in the Learning Resources regarding strategic planning; types of organizations; organizational commitments to patient care, teaching, and/or research; and the mission, vision, and values of organizations.
Using the Internet, research various health care organizations (including those with which you are already familiar) that differ in focus, commitment, and mission, vision, and values. For the purposes of this Discussion, select two organizations with significant differences.
Compare information about the two organizations. Based on the information presented in the Learning Resources, how do they differ?
What are some possible implications of these differences for various stakeholders (e.g., nursing administration, patients, and community)? What does this mean for nursing’s role within each organization?
Identify a goal or objective based on a strategic planning tool, such as SWOT or Balanced Scorecard, or Six Sigma consistent with the mission of the organization.
By Day 3
Post and Contrast two differing health care organization’s mission, vision, and values, and describe at least two potential implications of these distinctions for stakeholders of each organization. Explain how this informs the focus for nursing, noting the role that nursing administration plays in supporting and fulfilling the mission, vision, and values, and organizational strategies. Write a goal or objective, based on a strategic planning tool, such as SWOT, Balanced Scorecard, or Six Sigma consistent with the mission of one of the organizations.

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How do assessment, diagnosis, and treatment work together in the field of abnormal psychology? What is the role of each process?

Complete a timeline of the historical events that show the progression of the treatment of mental illness, based on the historical perspectives discussed in Chapter 1 of Abnormal Psychology in a Changing World. You should have between 5-8 events.

Event 1
Event 2
Event 3
Event 4
Event 5
Event 6
Event 7
Event 8
Matching

Review the contemporary perspectives of abnormal behavior listed in Ch. 2 of Abnormal Psychology in a Changing World.

Match the contemporary perspective on the right with the main tenet (idea/proposition) on the left by typing the corresponding letter of the matched perspective in the middle column. Each perspective may be used more than once.

Main Tenet (Idea/Proposition) Answer Contemporary Perspective of Abnormal Psychology
1. Unconscious conflicts manifest in symptoms of mental illness. A. Biological Perspective
2. Psychotropic medications seek to treat mental illness by acting on neurotransmitters that may be malfunctioning. B. Psychological Perspective – Psychodynamic Models
3. Manipulation of information may cause cognitive distortions. These errors in thinking produce maladaptive behaviors based on a distorted belief that was produced by an activating event. C. Psychological Perspective – Learning Models
4. Mental illness is a product of learned behavior that is maladaptive. D. Psychological Perspectives – Humanistic Models
5. The interactions of biological, psychological, and sociocultural factors contribute to abnormal behavior. E. Psychological Perspectives – Cognitive Models
6. Genetic factors, defects in neurotransmitter functioning, and underlying brain abnormalities, contribute to mental illness. F. Sociocultural Perspective
7. Our childhood experiences contribute to the development of mental illness. G. Biopsychosocial Perspective
8. Abnormal behavior is caused by societal failures, and is a description of behavior that deviates from social norms.
9. A malfunction in the physiology of the body produces symptoms of mental illness.
10. Abnormal behavior manifests from a distorted concept of the self.

Short-Answer

Respond to the following questions in 50 to 75 words each.

How do assessment, diagnosis, and treatment work together in the field of abnormal psychology? What is the role of each process?
How do you know when a behavior is deemed a mental illness?

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How well does the organization you researched manifest cultural competence?The organization’s role in education on mental health and wellness and the diverse populations it serves.

Assessment of an Organization
This assignment is a culmination of the work you began in Unit 4, when you were called on to select an organization in your community that provides counseling services to one or more diverse populations (for example, a community mental health clinic, college counseling center, or school) and arrange for an interview by phone or in person. Having collected information in order to assess the role of the organization and its staff in prevention, education, consultation, intervention, and advocacy, and if the agency itself reflects a multicultural environment, it is now time to gather your findings and create your paper.
Address the following in a 5–8 page paper, referring to the data you gather in the interview, your text and course readings, and at least two peer-reviewed articles:

Describe the organization, including the following:
The organization and the diverse populations it serves, including the cost for services. Who is eligible for services? For example, could an illegal immigrant receive services? Someone without health insurance? Is it accessible to public transportation?
The organization’s role in prevention with respect to mental health and the diverse populations it serves. For example, does the organization provide public service announcements, screenings for depression, et cetera?
The organization’s role in education on mental health and wellness and the diverse populations it serves. For example, does the organization provide education for clients? To community organizations? To the general public? And if so, in what forms and which staff are responsible?
The organization’s role with respect to intervention and the diverse populations it serves. For example, is counseling provided to individuals, couples, families, groups? Is the counseling staff diverse? How do the cultural characteristics of the counselors compare to those of the clients? Do the counselors receive training on culturally competent practice at the organization?
The organization’s role with respect to consultation and the diverse populations it serves. For example, do the staff offer consultation services to other professionals in the community, such as medical personnel, law enforcement, school personnel?
The organization’s role with respect to advocacy for the diverse populations it serves. For example, do the staff or organization advocate for diverse populations relative to mental health issues at the community level? At the national level? With respect to public policy?
Identify and discuss a public policy relevant to this organization and population.
Consider the basic principles of social justice and the ways in which mental health agencies demonstrate cultural competence presented in Chapter 4 of the Sue and Sue text.
How well does the organization you researched manifest cultural competence?
Where would you place this organization on the continuum of cultural competence?
Imagine you are hired on as a counselor with this organization upon graduation.
What would you see as your role in advocating for and enhancing the cultural proficiency of the organization?
What two or three changes with respect to the cultural competence of the organization would you most want to see as a counselor at this organization, and why?

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WHAT TWO KINDS OF JURISDICTION ARE BOTH NECESSARY FOR A STATE COURT TO HAVE JURISDICTION OVER A CASE?

Question 1 0 / 40 points What two kinds of jurisdiction are BOTH necessary for a state court to have jurisdiction over a case? Describe each briefly in your own words. Demonstrate your understanding by providing specific examples (either actual or hypothetical). Question 2 0 / 20 points Karen an Overland Park KS resident suffers from multiple sclerosis and experiences significant pain and discomfort at times. To help treat her Karen’s doctor has prescribed medical marijuana. In an effort to save money Karen now grows marijuana in her basement sometimes asking her 21-year-old nephew Mike to help her with the production. As a thank you for his help Karen lets Mike take some of the marijuana to share with his friends. Assume for the purposes of this scenario that the Kansas legislature has recently passed a law legalizing the use of marijuana for both medicinal and recreational purposes. Recreational marijuana use continues to be illegal in Missouri and other surrounding states. At the federal level the Controlled Substances Act (CSA) makes it illegal to manufacture distribute dispense or possess with the intent to manufacture distribute or dispense controlled substances including marijuana. The U.S. federal government has legally discovered Karen and Mike’s activities and plans to prosecute both of them under the CSA. What will be Karen’s and Mike’s best defense? What rule of law will impact the court’s decision? Will Karen or Mike or both be found guilty or innocent? Your goal should be to write approximately 2-3 paragraphs. TRUE/FALSE Question 3 2 / 2 points Courts always interpret statutes by following the plain meaning of their words. True False Question 4 2 / 2 points Minor criminal cases and civil disputes are decided in the appellate courts. True False Question 5 2 / 2 points The stakeholder theory of corporate social responsibility holds that rather than merely striving to maximize profits for its shareholders a corporation should balance the interests of shareholders against the interests of other corporate stakeholders such as employees suppliers customers and the community. True False Question 6 2 / 2 points Profit maximization is a deontological theory. True False Question 7 2 / 2 points The “critical legal studies” movement regards law as the product of political calculation and class biases of lawmakers. True False Question 8 2 / 2 points Today discrimination on the basis of gender receives more strict scrutiny than discrimination on the basis of race. True False Question 9 2 / 2 points Interrogatories are a form of discovery requiring a party to file written answers to questions submitted to that party. True False Question 10 2 / 2 points The doctrine of standing to sue requires that in order to be able to mount a civil suit a plaintiff must have some direct and considerable stake in the outcome of the suit. True False Question 11 2 / 2 points State and federal declaratory judgment statutes do not allow parties to determine their rights and duties when their controversy has not advanced to the point where harm has occurred and legal relief may be necessary. True False Question 12 2 / 2 points The doctrine of stare decisis states that like cases should be decided alike.

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