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 Instructions: Please fill out whatever is empty in the attachment below and answer the last question in a paragraph

Discussion – Week 1 COLLAPSE Networking Opportunities This week you begin to lay the foundation for your academic and professional success. Your efforts begin with a vision, which includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone. Walden University and the School of Nursing (SON) also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other members of the professional community can also help you to clarify your vision. This week’s Discussion asks you to think about how the Walden mission and vision and the School of Nursing (SON) mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams that can help you along the way, as you begin to design the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success. To Prepare: Review the Walden and the School of Nursing (SON) mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this week’s Learning Resources. Reflect on your professional and academic goals as they relate to your program/specialization. Consider how the information in these resources fit with your own goals and to your becoming a scholar-practitioner. Also consider academic and professional individuals and teams that you may collaborate with in support of your efforts as a student at the University and as a professional within your organization and career. By Day 3 Post a brief post introducing yourself to your colleagues. Include an explanation for how Walden’s vision, mission, goals, and social change initiatives relate to your professional and academic goals and to your becoming a scholar-practitioner. Also include an explanation for how the Walden MSN program outcomes and perspectives relate to your professional and academic goals and to your becoming a scholar-practitioner. Then, post a draft of Part 1 of your Academic Success and Professional Development Plan Template indicating at least two academic and at least two professional individuals or teams that you would like to collaborate with to be successful in your MSN program and as a practicing nurse along with an explanation for your selections. Academic and Professional Success Plan Template Prepared by:   This document is to be used for NURS 6002 Foundations of Graduate Study to complete Assessments 1-6. Just as importantly the document serves to organize your thoughts about planning for your academic and professional success. For specific instructions see the weekly assessment details in the course, or ask your instructor for further guidance.   Week 1 | Part 1: My Academic and Professional Network • Clearly and accurately identify at least two academic individuals or teams to collaborate with to be successful in the MSN program and as a practicing nurse. • Clearly and accurately identify at least two professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse. • Clearly and thoroughly explain in detail why the academic and professional individuals/teams were selected to support success in the MSN program and as a practicing nurse. • Clearly and accurately explain how the academic and professional individuals/teams will support success in the MSN program and as a practicing nurse. Remember to include an introduction paragraph which contains a clear and comprehensive purpose statement which delineates all required criteria, and end the assignment Part with a conclusion paragraph. NETWORK MEMBER 1 Name: Title: Organization: Academic or Professional: Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: Notes:   NETWORK MEMBER 2 Name: Title: Organization: Academic or Professional: Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: Notes:   NETWORK MEMBER 3 Name: Title: Organization: Academic or Professional: Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: Notes:   NETWORK MEMBER 4 Name: Title: Organization: Academic or Professional: Why I selected this individual and/or team and how they will support my success in the MSN program and as a practicing nurse: Notes: See less

  

While arthritis impacts nearly 50 million adults in the United States, it is not a disease that is limited to adulthood. Consider the case of Ashley Russell. At the age of 14 months, Ashley was diagnosed with juvenile rheumatoid arthritis. As a baby, her parents noticed that her knee was always swollen and that she often wanted to be carried instead of walking on her own (Cyr, 2012). After seeking medical care, Ashley’s underlying disorder was discovered. Arthritis in children is not uncommon. According to the CDC (2011), an estimated 294,000 children under age 18 have some form of arthritis or rheumatic condition. Due to the prevalence of the disorder in both children and adults, you must understand the pathophysiology and symptoms of arthritis in order to properly diagnose and prescribe treatment.

To Prepare

· Review Chapter 37 in the Huether and McCance text and Chapter 24 in the McPhee and Hammer text. Identify the pathophysiology of osteoarthritis and rheumatoid arthritis. Consider the similarities and differences of the disorders.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology of the disorders, as well as the diagnosis of and treatment for the disorders.

Post a description of the pathophysiology of osteoarthritis and rheumatoid arthritis, including the similarities and differences between the disorders. Then explain how the factors you selected might impact the pathophysiology of the disorders, as well as the diagnosis of treatment for the disorders. 

Pick any 2

  

Write a Post of 350–400-word reply to each Discussion, include a biblical integration and at least 2 peer-reviewed source citations in current APA format in addition to the text.

Discussion #1

The discussion board for the week asks to evaluate and determine if in charge of a healthcare facility’s human resources, how would one act in the likelihood of a union formation?  The first thing that should be considered is the organization’s current policy on union formation, as well as meeting with leaders within the organization to see if the policy would be amended provided the group seeking representation is able to fully communicate the reasoning for union formation.  After these discussions with the leaders of the organization, this would dictate the appropriate action to take.  As a leader in human resources it would be expected that one would be able to present on any pertinent information regarding union formation to the executive leaders.

The first matter to consider is the group that would like to unionize.  Most often a group wants to unionize in order to bargain on wages and working conditions as they are viewed as unsatisfactory.  It is the belief of this author that if an organization is treating their employees appropriately and operating justly, that there would be no desire to unionize.  The Bible advises all, “for rulers are not a terror to good conduct, but to bad.  Would you have no fear of the one who is in authority?  Then do what is good, and you will receive his approval, for he is God’s servant for your good” (Romans 13:3-4, English Standard Version).  Essentially, if an organization, for profit or not-for-profit is behaving ethically to their stakeholders, employees should not feel the need to seek extra labor protection, however, a good leader should not prevent or stifle the ability for employees to unionize, and should listen to the needs of the group at hand.

Next the leadership would need to know how unions are handled in similar organizations or environments.  Currently as the National Labor Relations Act (NLRA) stands, individuals working in healthcare or in a non-profit setting are allowed to unionize (Kearney, 2010).  Typically, in the healthcare industry, professions are grouped together by similarities for union formation in order to address the specific needs of each group appropriately (Sanders & McCutcheon, 2010).  It would not be appropriate for nurses and housekeeping staff to be represented together. 

The next matter to consider is if the state is a right to work state or not (Lombardi & Pynes, 2011).  It will be imperative that both sides understand what it means to be a right to work state and how that could affect the formation of a union.  This author resides in Virginia which is a right to work state which means a union can be formed but neither the union nor the organization can require of penalize an employee for not being a part of the union.  This may make it difficult for the group wishing to unionize to form as this limits the incentive for union membership. 

As a matter of opinion, this author does not think that healthcare employees should be able to unionize.  It would be the recommendation that the executive leadership listen to the wishes of the group that would like to unionize and address those needs.  It could be handled as simply as re-writing policies, adjusting a benefit, or adapting a work flow process.  The lines in healthcare become blurred with supervisory roles which would lead to complications into recognizing who is included in union membership and who is not.  Most importantly healthcare workers should not be able to strike without notice to the organization as these professions require a duty to serve the community.  A work environment cannot be duplicated every day in the healthcare field, as the patients change, and this is a service industry not a manufacturing industry.

References

Kearney, R. C. (2010). Public sector labor – management relations: Change or status quo? Review of Public Personnel Administration, 30(1), 89-111. doi:10.1177/0734371X09351827. Retrieved from http://journals.sagepub.com.ezproxy.liberty.edu/doi/abs/10.1177/0734371X09351827

Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco, CA: Jossey-Bass. ISBN: 9780470873557.

Sanders, L. G., & McCutcheon, A. W. (2010). Unions in the healthcare industry. Labor Law Journal, 61(3), 142-151. Retrieved from https://search-proquest-com.ezproxy.liberty.edu/docview/848641461?pq-origsite=summon&accountid=12085

Discussion #2

It is interesting that in this assignment we have been tasked to take the position that HR should proactively seek to “reduce the probability or likelihood of union formation.”  The assignment presupposes that having a union in the hospital is bad.  My purpose in this forum is to determine why a union is not good for the hospital and what management should do to prevent one from forming. 

From a management standpoint, unionizing would likely make the hospital less productive financially. In the study by Sanders and McCutcheon (2010), they determined that although proportionally there are fewer unionized workers in healthcare today, unionized workers still command up to an 8% higher wage than non-union workers.  They also determined that non-union wages increased at the same rate as union wages.  Labor unions still have successful bargaining capability and powerful lobbying efforts that have created better standard of living for everyone  (Coombs, Newman, Cebula, & White, 2015).   If wages are still one of the primary motivators for joining a union, the tactic to prevent a union from forming would be to pay employees a wage that is close to or equal to what unionized hospitals pay.  Coombs et al. (2015) explain that this is exactly what hospitals do.  The tactic is called “threat” effect where management pays workers “efficiency” wages to remove, or at least neutralize, the primary incentive for unionizing (Coombs et al., 2015, p. 443). 

Traditionally, unions were formed to increase wages, create safe working conditions, and provide benefits such as insurance, vacation, and retirement pensions (Pynes & Lombardi, 2011).  Safe working conditions and most of these benefits are common place in most industries today.  This is perhaps why there is less interest in hospital unions.  As Sanders and McCutcheon (2010) point out, unions in the service industry have shifted away from traditional roles in manufacturing.  In February 2009, three of the largest nursing unions in the country combined to form the National Nurses United (NNU).  They announced their primary role as protecting rights of nurses including passing the National Nursing Shortage Reform and Patient Advocacy Act (Sanders & McCutcheon, 2010).  One could make a case that much of what nursing unions want today is good for patients and good for healthcare in general.  Nurses want better working conditions including smaller patient to nurse ratios.  Nurses want better wages and a more substantial pension that will make the nursing field more attractive to young people.  These are reforms that will help the nation avoid a nursing shortage and improve safety and quality of care.

Unions do pose several threats to the peace, tranquility, and productive of a hospital.  The most destructive threat is a strike.  Although very costly, strikes are rare.  Because of the critical nature of healthcare in a community and the vulnerability of the healthcare industry, many states prohibit public sector healthcare workers from striking.  Where public sector healthcare workers can strike, there are may restrictions such as a 90-day cooling off period and an additional 10-day notification prior to beginning a strike (Sanders & McCutcheon, 2010).  On 10 June 2010, a large nursing union in Minneapolis-St. Paul held a 24-hour strike in 14 regional hospitals.  Although it lasted only one day, surgeries had to be postponed and 2,800 temporary nurses had to be hired (Sanders & McCutcheon, 2010).  Another downside of unions is that there is potentially greater tension between employers and employees.

Pynes and Lombardi (2011) point out that the most significant factor in influencing a nurse to join a union is “negative perception of their work climate” (p. 374).  Pynes and Lombardi (2011) make several recommendations to create a positive work climate.  Among other things, they suggest performance appraisals, merit pay systems that are equitably managed, and enriching careers by minimizing routine and boring tasks.

This scripture might well be adapted to this discussion if I were to change the word “fathers” to “managers” and “children” to “workers.”  “And, ye fathers, provoke not your children to wrath; but bring them up in the nurture and admonition of the Lord” (Ephesians 6:4, King James version).          

References

Coombs, C. K., Newman, R. J., Cebula, R. J., & White, M. L. (2015). The bargaining power of health care unions and union wage premiums for registered nurses. Journal of Labor Research, 36(4), 442-461. doi:10.1007/s12122-015-9214-z

Pynes, J., & Lombardi, D. N. (2011). Human resources management for health care organizations: a strategic approach (First ed.). San Francisco: Jossey-Bass.

Sanders, L. G., & McCutcheon, A. W. (2010). Unions in the healthcare industry. Labor Law Journal, 61(3), 142.

  

Tutor MUST have a good command of the English language

No In-text citation, please

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

Please do the paper on CLABSI Prevention

The DNP must have a basic understanding of statistical measurements and how they apply within the parameters of data management and analytics. This assignment will allow you to demonstrate your understanding of basic statistical tests and how to choose the appropriate test for the study being performed. You will also discuss the reliability and validity factors associated with the data sources used.

General Requirements:

Use the following information to ensure successful completion of the assignment: Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the Student Success Center. This      assignment uses a rubric. Please review the rubric prior to beginning the      assignment to become familiar with the expectations for successful      completion. You      are required to submit this assignment to LopesWrite. Please refer to the      directions in the Student Success Center.

Directions:

The purpose of this assignment is to write a paper including a comparison table. The table will be provided as an appendix to the final paper.

Using the GCU Library, locate a quantitative, qualitative, and mixed methods article related to your DPI topic. You may reuse articles from Topic 1 assignment.

Using the “Comparative Table Template,” create a table that compares quantitative, qualitative, and mixed methods articles. Provide the table as an appendix to the paper.

Organize the table according to the following. Type      of article. Title      of the article. Type      of analysis: Describe the process of analysis. There can be more than one. Applicability      of test: Describe other analyses that could be used and why? Reliability      and validity: Describe either the reliability and validity measures of      tools used in the study or the techniques used to enhance reliability and      validity in the study.

Write a 1,000 to 1,250 word paper discussing the application of data analysis, reliability and validity, and assorted statistical tests used in health related research. Include the following in your paper: State      the types of study used in each article. Discuss      the types of statistical tests used within each article and why they have      been chosen. Discuss      the applicability of the chosen statistical test and why the statistical      test was chosen. Discuss      the differences between parametric and nonparametric tests and how they      were applied in the articles you chose. Evaluate      how the factors of reliability and validity are accounted for in the      articles (of instruments and surveys or in the design and data collection      conducted). Summarize      how the chosen studies could be applied within the context of your      practice.