You need to write 3000 words adopting a case study approach that facilitates the critical analysis and evaluation of leadership demonstrated in the safe and effective delivery of evidence based care.

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UPDATED TASK TO DO (3,000 words)
You need to write 3000 words adopting a case study approach that facilitates the critical analysis and evaluation of leadership demonstrated in the safe and effective delivery of evidence based care.
SCENARIO
Susan is a patient on a rehabilitation unit. She has a diagnosis of schizoaffective disorder and borderline personality disorder. She often experiences mood swings and constant feelings of paranoia and being watched. She copes with these feelings by occasional self-harm and can sometimes be aggressive and disturbed, when bothered by paranoid feelings and a raised mood.
The past 72 hours have been particularly disturbed for Susan. She has expressed concerns that both staff and patients are plotting to poison her food, and she has made indeterminate threats to “retaliate” if she feels she has been poisoned.
You receive a phone call from Susan’s sister, who lives in a different city. Susan is visiting with her 12 year old nephew and would like to visit that evening. Susan is very fond of her nephew and often talks of him and spends her limited money on buying him gifts.
Staffing levels are adequate but low on the ward that evening and several other patients are quite unwell and agitated. Outline a management plan for this situation.
Case studies are adapted from, Callaghan P, Playle J and Cooper L (eds) (2009) Mental Health Nursing Skills, Oxford, UK: Oxford University Press.
 
With sample practice experience, analyse and evaluate your management and leadership skills and those of nurses/clinicians around you in the safe and effective delivery of evidence based care by:
 
(a) Critically review and appraise appropriate evidence and relevant scientific theory to evaluate clinical risk and promote safe decision making when caring for people with complex needs.
 
(b) Critically evaluate the application of leadership and management theories in promoting professional values and standards in relationship – centred care.
 
(c) Critically analyse and apply leadership and management skills in ensuring high quality innovative and evidence – based care.
 
Task 1 Guidance to Follow below:
From the scenario above you are required to complete a 3,000 word task in which you will critically evaluate the leadership demonstrated when delivering safe and effective evidence based care.
 
With sample practice experience, demonstrate your ability to analyse and evaluate your management and leadership skills and those of nurses/clinicians around you in the safe and effective delivery of evidence based care by:
 
You should include the following elements:
(1.) Critically examines the application of leadership and management theories, protocols and guidelines in promoting and maintaining professional values with reference to current and seminal literature/evidence considering:
(a) leadership and management theories and relevant guidelines
(b) protocols and policies
(c) Consider alternative approaches with reference to current and seminal literature/evidence.
 
(2) Critically examines appropriate evidence and relevant scientific theory to evaluate clinical risk and promote safe decision making when caring for people with complex needs.
(a) Examines appropriate evidence and relevant scientific theory to evaluate clinical risk and promote safe decision making when caring for people with complex needs.
(b) Evaluate your role in this situation and how this impacted upon the service user, his/ her carer, and the outcome.
(c) Consider what could have been done differently, if anything.
 
 
(3) Critically examines appropriate theory that is related to the development of a therapeutic and professional relationship when delivering evidence based care
(a) Examines appropriate theory that is related to the development of a therapeutic and professional relationship when delivering evidence based care
(b) Consider how effective leadership and management could have or did have an impact on the service user and his/her carer in the safe and effective delivery of evidence based care.
(c) Reflect upon and discuss how the actions of nurses/clinicians involved the service user and contributed to their recovery/care.
(d) Evaluate the management of and minimisation of risk, including positive risk taking in the management of complex issues highlighted in your case study.
(e) Reflect upon and discuss how this case study may inform your future practice and additional learning actions needed to aid your development as a nurse.
 
Please note:
The tasks above must be supported by a wide range of relevant seminal and contemporary literature, NOT just textbooks. It should be referenced using the appropriate and recent references and in APA referencing style.
You should avoid using bullet points – use well-structured sentences to express your ideas
Increase critical analysis in your work – Avoid stating things as fact without evidence Use literature not just to back up ideas but to explore different perspectives
Evaluate the literature rather than just describing it.
 

 
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Building Trust and Ethical Decision-Making in an Organization

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Building Trust and Ethical Decision-Making in an Organization
 
 
Student’s Name
 
 
Instructor
 
Course
 
Date
 
 
 
 
 
Introduction
For every business to excel, all stakeholders must work together. Managers alone cannot drive a company to success. They have to engage and involve the employees and other players in the decision-making process. Also, feedback by the customers keeps on track and enables the respective players to satisfy customer needs appropriately. Most importantly, managers must start by building trust in their organizations. It allows the employees to accept responsibilities and conduct their duties without any doubt. As a result, they offer quality services to the customers. Also, ethical decision-making is a crucial driver for businesses. It is the responsibility of managers to ensure the smooth running of the organization. However, it can only be achieved if they can allow subordinate staff and other employees to get involved in the decision-making process. Primarily, managers should encourage ethical decision-making in the organization. Meadows Regional Medical Center (MRMC) is a communal health center stationed at Vidalia, USA. It offers numerous pharmaceutical services to consumers. It offers pediatrics radiology, cancer care, heart care, and orthopedics, among other services. Having served as an employee in the company for three years, I understand the extent to which managers try to build trust in the organization. Additionally, I acknowledge how ethical decision-making is encouraged in the organization. Therefore, this report focuses on the former and the latter.
The extent to which Managers Try to Build Trust in the Organization
Research by Podsakoff, MacKenzie, and Podsakoff (2016, p. 172) indicates that companies with high levels of trust experience low employee turnover, excellent employee morale, and productive workforce. Therefore, it is vital for a company to build trust both internally (among the employees) and externally (with the customers). High trust organization has three main characteristics- that is, they are driven by respect, credibility, and fair treatment. Managers in MRMC encourages the employees to remain ethical in business practices. Also, they respect individual employees’ contribution during the organizational decision-making process. Notably, high trust in the company helps to impact cooperative and tolerant cultures, a strong sense of shared determination, and the spirit of working together to support the drive. Managers in MRMC have moved into an extra mile in the attempt to build high trust in the organization.
First, the managers have been encouraging dialogue and multilateral communications among the coworkers, and between leaders and the employees. Through one on one interaction between them and employees, it has enhanced trust among them. The workers are in a position to air their grievances and contentment about the company (Trittin & Schoeneborn, 2017, p. 315). Thus, the problems that are affecting the employees easily reach the top leaders. It ensures that immediate measures to resolve the issues are taken. This progress, in turn, leads to increased productivity as their morale is raised knowing that they are highly regarded. As a result, they feel to be part and parcel of the company, and if the company fails, they fail too. To avoid misleading information, managers should be open to their counterparts. Workers, therefore, respect their managers and trust among them is strengthened. The MRMC managers share ideas with their coworkers and thus establishing helpful links that enhance the organization’s performance. They create a good picture of the institution and hence assure them of their stand to avoid speculations hence ensuring strong ties.
Second, MRMC managers recognize and reward employees’ achievements adequately. They appreciate and acknowledge their hard work. Through this strategy, the managers give workers chances to shine internally and externally. They present good works to the other stakeholders and in meetings. By doing so, they offer the teamwork as their own because they trust the employees. Credit is extended to motivate the workers for an excellent performance.  Rewards are motivational, and the workers feel recognized; therefore, they reciprocate by being loyal (Howard et al., 2016, p. 1054). They undertake their duties and responsibilities as expected. It ensures that the relationship between them is strengthened and a sense of fairness, recognition, and belonging inculcated. The employees in MRMC benefit through the apprenticeship program and tuition assistance. Professional development and job training. The employees are given sick days, bereavement leave, vacation, and paid time off and paid holiday. Also, they award the employee’s performance bonus. Therefore, MRMC workers are highly regarded. Trust between them and the managers is maintained to the latter.

 
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IMPROVING SERVICE QUALITY THROUGH EFFECTIVE PRACTICE COLLABORATION

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IMPROVING SERVICE QUALITY THROUGH EFFECTIVE PRACTICE COLLABORATION
Scenario
As a Nurse, you have proposed a service improvement idea as a result of series of incident in which some residents (service users) in your workplace were rushed down to the A&E on different occasions and the issue always be the dehydration which was as a result of residents were not given enough fluid, most especially those that needed help to be able to drink. Also, no proper recording was made to show when last a resident was given drink, who are those that needs help to drink so that it can be monitored. Majority of the residents’ fluid intake chart showed there is no proper record for this. When patient did not have enough drink, this is going to lead to some serious disease and some physical health problems “such as not peeing or having very dark yellow pee, dry skin, feeling dizzy etc. This can be preventable by implementing the BLUE CARD SYSTEM where the cards is displayed on the service users’ doors especially those residents who need assistance in drinking and fluid intake will be recorded appropriately. This service improvement will allow Nurses and carers to assess the dehydration status of patients and will also enable the nurse to know who need assistance in their drinks, when last drink was given, ensure fluid intake given at appropriate time, improve resident fluid intake, improve fluid intake record in order to prevent avoidable incidents due to lack of fluid intake record.
 
TASKS TO DO (3000 Words)
Please show where each section has been implemented by putting number against each answer.
This task is to help you understand the practice of Service Improvement, your role as a leader within your teams and to appreciate that often the best way to achieve this is through effective interprofessional collaboration. It is also to help you develop into practitioners who actively seek to improve their service, are receptive to new ideas and can use a variety of tools and techniques to bring about improvement.
In relation to the scenario above, provide critical appraise/evaluation/justification of the following with a good recent and appropriate references
(1) First an Introduction with references to policies, professional requirements and primary research. Discuss critically:
(a) Why is collaborative working important
(b) Why is service improvement important
(c) Why is leadership important with some reference to policies, professional requirements and primary research
 
(2) Critically reflect on practice issues- especially those relating to improving the service user’s experience through more effective interprofessional collaboration You may wish to use a model of reflection to structure this.
(a.) Reflect on the process of planning the project
(b) Identify the learning and skills you have gained from the experience
(c) Write an account of the episode upon which you reflected
(d) Reflect on how this has contributed to your personal and professional development towards becoming a capable interprofessional (collaborative) worker through the development of an action plan.
(e) Reflect on Listening to or shadowing service users, carers and staff. What do they complain about? Are there gaps or repetition in communication for example
(f) Reflect on your leadership approach and others’ performance as collaborative workers
(g) Reflect on processes or systems within your services
(h) Reviewing feedback on teamwork and communication, for example on patientopinion.co.uk
 
(3) Critically discuss the importance of service user centred practice (i.e. that the experience of the service user should be at the centre of everything we do).
 
(4) (a) Evaluate how the service / practice could be improved to build the rationale for your chosen service improvement plan.
(b) Briefly reflect upon your own and others performance and / or workplace processes / systems.
 
(5) Discuss in relation to the scenario – HOW HAS IT MADE YOU THINK ABOUT YOUR ROLE AS A COLLABORATIVE WORKER WHO CAN PROVIDE EFFECTIVE SERVICES  – Remember It is very important to work collaboratively with other member of staff to achieve the implementation and let them know the importance of the implementation. Other can give support of this.
 
(6) HOW WAS YOUR EXPERIENCE OF INTERPROFESSIONAL LEARING INFULENCED YOUR ATTITUDES TO PRACTICE? – I have learnt the importance of inter professional, how to work with other professional and how different professional are important  and how to respect each other , to work collaboratively to deliver good  and quality care for the patients.
 
(7) (a) Critically analyse models of leadership and skills to select and use appropriately within an interprofessional context to ensure positive engagement with all stakeholders and facilitate a positive change within a service context. Consider at least 2 leadership models in depth not just describe several as follows:
(b) Use examples of good and poor collaborative working in practice and the leadership styles you saw.
(c) Reflect on personal skills and attributes you have or need to gain to be the collaborative worker and leader you want to be.
 
(8)(a) Critically evaluate approaches to service delivery through engaging with practice based experiences;
(b) Critically evaluate issues concerning service improvement and service delivery.
(c) Evaluate principles of service improvement
 
(9) (a) Justify and employ appropriate strategies for improving the quality of practice which contributes to the development and delivery of safe and effective services for service users and carers.
(b) Proposed enhancement of the service which are feasible and likely to result in service improvement for the benefit of users of service.
(c) Discuss how the service can be sustainably improved.
 
(10) Using a variety of approaches, reflect upon your learning and critically appraise your own performance as a collaborative worker; using the Interprofessional Capability Framework, identify key issues in your personal and professional development for your transition from student to an effective collaborative worker within evolving and complex health, social and educational services.
 
(11) Self-analysis of your development as an interprofessional collaborative worker incorporating leadership skills required for effective collaborative practice.
 
 

 
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Mental Health Stigma (3,000 words)

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Mental Health Stigma (3,000 words)
Please do not use blog/thesis. I want writing from Journal & Research Articles only and with recent References
 

  1. What is Stigma in relations to mental health (with at least 4 references)

 

  1. (a) Define and explain Public Stigma (with at least 4 references)

(b) Identify and explain each factor (minimum 10) associated with Public Stigma as a barrier to help-seeking for mental health services (with at least 10 references)
(c) What are influence of the factors identify in 2(b) as a barrier when seeking mental health services amongst Black, Asian and Minority Ethnic (with at least 10 references)
 

  1. (a) Define and explain Self – Stigma (with at least 4 references)

(b) Identify and explain each factor (minimum 10) associated with Self- stigma as a barrier to help-seeking for mental health services (with at least 10 references)
(c) What are influence of the factors identify in 2(b) as a barrier when seeking mental health services amongst Black, Asian and Minority Ethnic (with at least 10 references)
 

  1. (a) Which of the Stigma type (Public or Self Stigma) act as a barrier over others to seeking mental health services amongst Black, Asian and Minority Ethnic (BAME) community members. (with at least 10 references)

(b) Why is it so (with at least 10 references)
 

  1. Conclusion with regards Which of the Stigma type (Public or Self Stigma) act as a barrier over others to seeking mental health services amongst Black, Asian and Minority Ethnic (BAME) (with at least 10 references)

 

  1. Recommendation for intervention to reduce the Stigma type (Public or Self Stigma) which act as a barrier over others to seeking mental health services amongst Black, Asian and Minority Ethnic (BAME) (with at least 10 references)
 
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