Multigenerational nursing

Please, respond to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

Some of the challenges of having different generations in the workplace include a difference in education, particularly vocational training, and a difference in communication style. As current practices are studied and re-evaluated, traditional practices may be replaced by those that are more recently researched and are evidence-based. Veteran nurses may believe it is a waste of resources to change a practice that has been in place for so long and, in their view, has yielded adequate results.  Similarly, younger generations may readily dismiss suggestions and viewpoints from veteran nurses in favor of the new practices learned in school without considering that years of clinical experience can be just as valuable. This disconnect between nurses of differing generations may be rooted in a difference of communication style. For example, Baby Boomer nurses were trained to only voice their opinions when asked, whereas Millennial nurses’ were taught to speak up any time they have a problem with, or idea for, new practices; this difference in communication may lead the Baby Boomer nurse to regard the Millennial nurse as impertinent and disrespectful of authority instead of realizing that new nurse is actually trying to improve the patient experience (Phillips, 2016, p.198).

In my experience, some veteran workers can be set in their ways to a fault, even if there is clear evidence that practices they are accustomed to are simply not the best practices anymore. This is not to say that middle-aged or younger workers cannot share this attribute, however the veteran workers sometimes use their field experience as a rationale to ignore current research findings and continue using practices they deem appropriate. Also, as an employee that is frequently on the team that rolls out new technology and equipment, I feel that veteran workers take more time to warm up to change and can be somewhat hostile to a younger person, such as myself, training them.

As far as accommodations, we have certain older employees that will not perform job-necessary duties because of back issues, knee issues, or other medical issues in the same vein. As a result, these employees rarely get assigned total care patients, making the younger staff resentful because they feel they, literally, do all the heavy lifting while these older employees are routinely assigned the less acute patients. To a certain extent, allowances should be made for older workers, including nurses. After a lifetime of caring for patients, it is reasonable to deduce that the joints, particularly knees and back, can be irreparably damaged from repeated use. However, in my opinion if an employee is unable to perform the duties required of their job title, they should be doing a different job. It is not fair that one group of nurses consistently gets less acute patients, thereby doing half the work, but still receiving the same benefits as those nurses that pick up the slack. A potential solution would be for the nurses with physical limitations to shift to a position that utilizes their experience but is less physically demanding; such positions include resource nurse, case manager, or patient care coordinator. If this were fiscally feasible, the unit would be able to retain the wealth of knowledge provided by these seasoned nurses and still have room to hire new nurses that can help distribute the patient loads more equitably.

            Life expectancy in the United States has increased over the past few decades and older people are generally healthier than their predecessors, however the incidence of chronic conditions has also increased in this time frame (Tabloski, 2014, p.8). This indicates that there are more people to care for and these patients are more likely to have multiple comorbidities. This trend has the potential to put an enormous strain, economically and physically, on an already overburdened health care system and nurses, particularly bedside nurses, will bear the brunt of this (Tabloski, 2014, p.13). It is important that nurses engage in primary and secondary prevention with this population, including education related to diet, exercise, and proper medication utilization (Tabloski, 2014, p.13). By encouraging older patients to take an active role in preservation of function and overall health, nurses empower these patients to help decrease their risk for chronic conditions, like hypertension, and injury (Tabloski, 2014, p.13). Also, nurses must be educated on specific attributes of the older population, such as increased sensitivity to certain medications, decreased sensory perception, and increased susceptibility to mental health issues, such as depression, that may affect their physical health or motivation to maintain a healthy lifestyle.le

Do supplements and complementary alternatives to medicine (CAM) in older adult women influence osteoporosis prevention? 

I have attached the articles I used to research the PICO question as well as my annotated bibliographies. I attached the poster template and the project rubric (only poster for this assignment)

Assignment Content    Due Monday Week 6. Week 6 assignments are due on the last day of the course without extension.

Select a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility).

Create a 525- to -700 word memo or 7- to 9-slide presentation on mobile and wearable technology and the potential uses of collecting that data. Analyze legal and regulatory implications of collecting and using such data.

Format your citations according to APA guidelines. Cite three peer-reviewed references. Turnitin match is less than 25%.

Submit your assignment. For additional help, check out the ULTRA: Access your assignments page.

Your poster presentation should have the following components: 

Title Page

This should be the title of the project along with a listing of the authors of the project with identifying information (i.e.: Valparaiso University, College of Nursing).

PICOT Question

What is the PICOT question being answered by the project? Provide some background information about why this is important.

Review of the Literature

Outline the method for finding evidence. What key terms were identified in the literature search? How were articles chosen and critiqued? What criteria were used to determine inclusion in the review? Who critiqued the articles?

Synthesis of Research Findings

Make some comparisons across the evidence. What levels of evidence are present? What kinds of samples and designs were used by the researchers? Do the researchers measure the variables in the same manner? What were the overall findings in relationship to the PICOT question? 

Decision to Change Practice

What is the decision for practice based on the research in light of the PICOT question?

If there is sufficient evidence for practice:

Best Practice 

Describe the policy that has been created for this project.

Implementation/Evaluation

Describe a process for implementing the change (who would be involved, how much time, etc).  Identify an indicator and describe how that would be measured to show if the outcome improves.

If there is not sufficient evidence for determining practice:

Bridging the Gap

Describe what action needs to be taken to create evidence to answer the research question. For instance, does a study need to be developed or does an intervention need to be piloted. 

Generating New Knowledge

Describe the manner in which the research question could be answered. If a study is indicated, then discuss the sample, design, data collection instruments, and procedure that would be used to gather data.  

Assignment Instructions and Details:

The instructor will assign one discussion question per week. By Week 1, Day 3, respond to the assigned discussion question and submit your responses in the Discussion Area.

Respond to the assigned questions using the lessons and vocabulary found in the reading. Support your answers with examples and research. Your responses should clarify your understanding of the topic. They should be your own, original, and free from plagiarism. Follow the APA format for writing style, spelling and grammar, and citation of sources.

Discussion Question 1: Risk Management and Natural Disasters

1.What type of disaster is your local hospital likely to face? 

2.Has this occurred in the past?

3. Was the hospital prepared to respond appropriately?

4. As a risk manager, what questions might you have about the hospital’s response plan?