Post- Lashanda

Respond to at least two of your colleagues on two different days by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively.

 

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Workplace civility is linked to organizational excellence and creates an environment where employees respect and value one another through cooperation, fair resolution of disputes, teamwork, and non-discriminatory behavior (Department of Veteran Affairs, 2017). Organizational leaders and managers must create an environment that is respectful and inclusive of all people (Clark, 2015; Marshall & Broome, 2017).

Work Environment Assessment

According to the Clark Healthy Workplace Inventory results, my organization is a moderately healthy environment. Why my workplace is civil? The VA understands that civility is a significant determinant not only to employee outcomes ( job satisfaction, stress levels) but also to higher level outcomes directly connected to the organizational mission (quality of patient care, operational costs, ability to retain quality workforce ). The organization continues to create a healthy work environment and measures civility annually through the All Employee Survey (Department of Veteran Affairs, 2017).

Incidence of Incivility

A physician assistant (PA) ordered Versed, and  I was not comfortable giving this medication to my patient. I asked him to explain his rationale for ordering the medication because I knew this drug was not part of the ACLS chest pain protocol and although in pain morphine was the better drug of choice.  The PA pretending to understood my concern and contacted his pharmacist friend who works in our department, but was off duty. The pharmacist became enraged and began to text me with vulgar language and statements, feeling under attack, I  stood up for myself told the pharmacist and the PA I would not be bullied into unsafe practice, and it was my responsibility to advocate appropriately. I shared the messages with the supervising physician, management, and union representative. The pharmacist and PA both issued a formal apology and suspended for two weeks.

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18–23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Department of Veteran Affairs. (2017). Civility, respect, and engagement in the workplace (crew). Retrieved from https://www.va.gov/ncod/crew.asp

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader. New York, NY: Springer Publishing Company.

 

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Concerning Theistic Evolution, including your own conclusion.

Write a three page composition concerning Theistic Evolution, including your own conclusion. Use quotes from at least three other resources. – An artistic literary work exceeding three (3) or more typewritten pages. Must include title page, outline and for any additional resources or quotations use endnotes and/ or footnotes and bibliography A. Title page (see example, page 19) B. Thesis statement/outline/conclusion statement C. Final draft D. End and/or footnotes E. Bibliography

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NURSING ETHICS

I need help with an Ethics Case Study, at least 3–5 typed, double-spaced pages, not including the title page and reference page.  Also needs to access school library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. For additional requirements please review attachment.

 

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NURSING ETHICS was first posted on July 22, 2019 at 10:27 pm.
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“The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures” by Anne Fadiman.

Answer these questions after reading “The Spirit Catches You and You Fall Down: A Hmong Child, Her American Doctors, and the Collision of Two Cultures” by Anne Fadiman. In your paper, please number your answers!!! Imagine that you were Lia’s parents during their numerous visits to the Emergency Department. What types of barriers did the family face when trying to have their daughter treated? What barriers and challenges did the medical teams face? According to Lia’s parents what caused Lia’s illness? What are the treatments for Lia’s illness in Hmong culture? According to Lia’s doctors in Merced, what are the causes of Lia’s illness? What are the treatments for Lia’s illness in Western “biomedical” culture? What would you have done if you were in the shoes of Lia’s health care providers (especially Neil Ernst’s)? Would you have placed Lia in foster care? Why or why not? While there is no correct answer here, to receive full points please be sure that your answer demonstrates your cultural competency and your ability to engage is cultural relativism. Please carefully weigh and discuss the pros and cons of each option. How did the Hmong become refugees? What was their role in the Vietnam War? Other than dealing with the healthcare system, what other difficulties did the Hmong face in the U.S.? Please refer specifically to Ch. 14 “The Melting Pot” in answering this question. Does Horace Miner’s piece on “Body Ritual Among the Nacirema” give us any insights into this? Fadiman reports that the Hmong are sometimes referred to as “the least successful refugees” (p. 199). Keeping in mind your answer to question #5, please discuss some of the reasons why the Hmong have such high unemployment and poverty rates? Do they do better when other indicators are taken into consideration (crime rates, child abuse etc.)? Please apply the concepts of “culture shock,” “ethnocentrism,” and “cultural relativism” to the events in the book. Discuss one example for each concept from the book. Medical anthropologist Arthur Kleinman is quoted by Fadiman as saying: “… the culture of biomedicine is equally powerful. If you can’t see that your own culture has its own set of interests, emotions, and biases, how can you expect to deal successfully with someone else’s culture” (p. 261). Based on the book and what you have learned in this class, please assess this statement. What are the lessons learned from Lia’s case? Referring to the 8 questions on pp. 260-261, please discuss three things you would do differently if you were one of Lia’s health care or social service providers. Each question is worth 10 points. Spelling, grammar, and citations are also worth 10 points.

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