Mhp Nursing Shared Governance Essay Example for Free

Mhp Nursing Shared Governance Essay What is Shared Decision Making †¢ Point of Service Decision Making where staff who perform the work participate in decision making affecting their environment †¢ A 30 year old decision making model meant to give equal voice to nurses †¢ A decentralized style of management that creates an environment of empowerment Shared Decision Making A Journey Not a Destination We TO They Why Shared Decision Making †¢ Essential to achieving the best patient outcomes by giving nurses control of their practice – they know best! †¢ Recognizes the power already present in a role and allows that power to be expressed legitimately †¢ Builds autonomy into the profession Shared Decision Making – The Process A dynamic process that is centered on 4 critical principles of fully empowered organizations: Partnership Accountability Equity Ownership Operational Definitions †¢ Partnership – nursing staff and leadership work together at the unit and system level to move practice forward and achieve the best outcomes †¢ Accountability staff and managers share ownership for the outcomes of our work and are answerable to our colleagues, the institution and the community we serve Operational Definitions †¢ Equity – Integrating roles to achieve outcomes; everyone contributes within the scope of their role as part of the team †¢ Ownership – Everyone must realize that success is linked to how well they do their jobs Shared Decision Making Our Model Professional Advancement Council Administrative Council Safety First C rd oo ina tin g Quality Safety Council Cou ncil Unit Patient Research Evidence Based Nursing Practice Council Great Place to Work Professional Nurse Council Family Community Clinical Excellence Councils Coo Education Council rdin atin g Cou ncil Think of yourself as a Patient APN Council Research Council Financial Strength CCHS Shared Decision Making Councils †¢ Quality Safety Council †¢ Research Evidence Based Nursing Practice Council †¢ Education Council †¢ Professional Nurse Council †¢ Coordinating Council Education Council ï‚ § Collaborates with unit and system councils to identify educational needs, develop educational priorities with appropriate time lines and determine resources for all education impacting the Department of Patient Care Services ï‚ § Disseminates approved educational strategies to unit leaders and support staff ï‚ § Develops and maintains a communication network between unit and systems councils Research Evidence Based Nursing Practice Council ï‚ § Promotes the spirit of inquiry in clinical nursing practice ï‚ § Evaluates the literature in order to use best practices to transform clinical practice at the point-of-care Quality Safety Council ï‚ § Provides planned, systematic and collaborative approaches to oversee and direct quality and safety relating to the nursing process, functions and services provided. ï‚ § The council’s scope includes performance improvement and safety measures throughout the Department of Patient Care Services Professional Nurse Council ï‚ § Works to enhance the professional image of nursing within CCHS and the community ï‚ § Supports the spirit of the professional advancement program ï‚ § Identifies and supports implementation of recruitment and retention strategies Coordinating Council ï‚ § Provides overall coordination of the systems councils. ï‚ § Reviews the system strategic plan and adopts the plan for the Department of Patient Care Services and the nursing Shared Decision Making structure. ï‚ § Serves as the portal for other departments or disciplines requiring assistance with the Shared Decision Making structure of nursing. Problem Solving The Old Way †¢ Problem identified by staff and communicated to manager †¢ Manager may or may not have asked for feedback about solutions †¢ Manager made final decision or had final authority for approving a solution Problem Solving The New Way †¢ Staff identify issues and communicate them to the unit council †¢ Unit council formulates a response and communicates this to staff †¢ Staff provide feedback via the comment form. How Does The New Way Work †¢ Unit Council: ï‚ § Collects Data ï‚ § Develops a proposed plan using evidenced based practice ï‚ § Develops a time line ï‚ § Presents Plan for Feedback (Open Comment) ï‚ § Revises Plan Based Upon Feedback ï‚ § Forewards plan to system council, as needed How Does The New Way Work †¢ Unit Council: ï‚ § ï‚ § ï‚ § ï‚ § Implements Plan Evaluates Outcome Report Results to Unit Staff Seeks staff feedback, formally and informally on council’s performance How Does It Work Problem Solving Methodology †¢ Identify an Issue or a Problem †¢ Gather Data †¢ Design a Solution †¢ Obtain Feedback †¢ Finalize a Proposal †¢ Implement †¢ Evaluate †¢ Report Increased Incidence of Pressure Sores Problem Unit Problem: Unit Council Problem Solving Model Results: Positive Outcomes System Level Practice Research Problem Coordinating Operations Education Problem Solving Model Results: Positive Outcomes Nurse Manager’s Role †¢ Create a climate that is actively supportive and not just tolerant of shared decision making †¢ Facilitate a leaning environment for staff growth and comfort with shared decision making †¢ Support â€Å"release time† for staff to participate in shared decision making activities Nurse Manager’s Role †¢ Share with staff your knowledge of leadership and help staff to minimize implementation barriers †¢ Commit to the â€Å"New Way† Role of Unit Based Council Chair †¢ †¢ †¢ †¢ †¢ †¢ †¢ †¢ Set meetings Develop the agenda Move council to consensus Ensure members participate (per charter) Facilitate group assignments Ensure consensus for decision making Call emergency meetings, as needed Mentor Chair-elect Benefits of Shared Decision Making †¢ Increased Staff Nurse Satisfaction (increased autonomy, increased control over practice, improved communication between nurses, physicians and administration) †¢ Improved Nursing Retention ($90,000 to replace an RN 2006 Advisory Board) †¢ Improved Patient Safety Outcomes Benefits of Shared Decision Making †¢ Improved collaboration and team Building †¢ Improved quality of care and clinical effectiveness †¢ Increased staff confidence, personal and professional growth †¢ Development of new knowledge and skills †¢ Increased professionalism and accountability Requirements for success†¦. †¢ Place the Patient First and focus on providing the best care possible †¢ Trust and respect is essential †¢ Communicate openly and honestly †¢ Embrace change and strive for improvement †¢ Staff and managers hold each other accountable. †¢ Organizational support of accountability in the performance appraisal process Final Thought Shared decision making is a journey, not an event. It is not achieved overnight, and there is no conclusion – no point when it is fully in place. It only provides a foundation for further growth. Tim Porter-O’Grady

The Qualities of the Houyhnhnm’s Civilization in Gullivers Travels Ess

In part 4 of Gulliver’s Travels, Gulliver is abandoned on an island by his crew. As Gulliver begins to explore his surroundings, a group of savages attack him. These savages appear to be human, however they behave like wild animals. Gulliver is rescued by a couple of horses. The horses are called â€Å"Houyhnhnms† are rational creatures which are capable of speech and thought. The horses refer to these human-like creatures as â€Å"Yahoos† and treat them as wild animals incapable of reasoning. Gulliver is very surprised how the Houyhnhnms speak to each other, while the Houyhnhnms are equally surprised at the appearance and behavior of Gulliver. The horses lead Gulliver back to their base where they proceed to find out more about him. Gulliver also describes them and how they converse with each other. Gulliver pays close attention to their language and eventually learns how to speak with them. He asks them questions about their culture and learns about their socie ty. He tells them about his society and how horses are treated and how the humans are far superior to the horses. Gulliver is treated very well by the Houyhnhnms. Gulliver spends a lot of time with one horse in particular. Gulliver refers to this horse as his master. Gulliver tells his master of his life and his native land which is England. Gulliver talks about his crew and their lives and troubles. Many of Gulliver’s crew were lost at sea and they were replaced by criminals and men who were desperate for work. In describing these men, Gulliver shows his master what human nature is like. Gulliver has a hard time explaining the crimes and motives of men and their actions because his master does not understand dishonesty and treachery. Gulliver talks about why humans wage wars aga... ... of the Houyhnhnm and their pursuit of knowledge allow them to live in perfect happiness. They are not selfish or greedy and are perfectly honest. If humanity were to strive towards gaining these qualities which the Houyhnhnm possess, humans would be more likely to create a better society. Humanity has created governments in order to promote justice, peace and prosperity. The Houyhnhnm created a similar government to help them maintain their virtuous society. Humanity must place a large importance on virtue in order to make human society better. Humanity is very different from this land of horses. The horses seem to lack any emotion and are incapable of joy and sorrow. Humans often allow emotions to guide their decision-making process. The Houyhnhnm allow only reason to guide them. Humans should try to replicate this pattern to create better effects for society.

Religion †god’s Essay

There are eight dimensions of religiosity framed by Kendler which defines religiosity as a system of belief. These include general religiosity which included sensing one’s place within the universe and daily experience; social religiosity or in relation to others; involved God or the living or experiencing God’s presence; forgiveness is a virtue associated with being religious, God as judge is related to involved God but taken on the context of â€Å"God as authority† and notion of judgment and punishment which are attributions of divinity; unvengefulness is taken as the opposite of forgiveness referring to a pendulum swing from religiosity to fanaticism; finally, thankfulness is construed as coping scale reflecting the two ends of gratitude and anger at life and God (Kendler et al. , 2003). But nonetheless, the point of view used remained sociological and not religious as a mystic would for example introspect or meditate on the nature of suicidal act but the attribution of religiosity is important in understanding the class of individual and social group behavior patterns. For the purpose of this study, the mystical experience is assumed to be true but the Heisenberg’s uncertainty theory would make it impossible to fully describe the experience first hand. A conception and faith in an almighty force in the universe, thankfulness and communion with God could be taken as internal processes while forgiveness, unvengefulness and belonging to a religious group as social dimensions. Research on suicide showed importance of social networks particularly the primary groups in significantly reducing suicidal situations and hence its ideation, it would be difficult to differentiate social religiosity with other groupings, e. g. school science club. Hence, the author tends to regard religious experience in the level of personal understanding. Fear and love of God – the all powerful are still outward manifestations that is why it reflects strongly in group organizations and which have been institutionalized as in organized religions and churches. Looking at religiosity on psychological point of view symbolism and introspective evaluation techniques are relevant at least in trying to understand the internal dynamism of such an important belief. While it is not the wish of the researcher to go into theological discourse on the existence of one God almighty, it would be important in this research to have a glimpse on how such a belief is being reinforcement both at the social and individual or personal level. While there are a lot of accounts on mystical experiences, these experiences are not unique to purely religious experience but are even associated with use of hallucinogenic substances in some exotic religious rituals. Communion with nature or being one with nature is another area of vague divide between religious beliefs. We therefore view religion in two levels as a system of shared beliefs and as an experience. For the purpose, understanding suicide in the religious context, we take the personal view and relate the importance of such practice in the conception of self and in relation to other beings. Mind, body, and otherness: A tri-disciplinary approach in evaluating suicide syndrome Based from the review of the three disciplines, we can now combine the elements useful in evaluating a dangerous syndrome. From sociology we borrow the systematic approach to the study of groups while giving to value formation and its possible relationship with the notion of will. Value formation and exercise of will are considered human attributes. Is this natural or learned? This is clearly domain of psychology. Symbolic interactionism is one of the trends in thinking in sociology which parallel concerns in developmental psychology, that of the role of cognition in human behavior and how products of cognition are shared with others. Furthermore we limit the conceptualization of suicide into manageable numbers of variables including values, group organization, self perception, will and cognition, value and meaning of life. Taken together these variables could constitute what may be considered the psychosocial senses which enable us humans to relate self with the universe and in extreme cases, to severe such a psychosocial tie as in the case of suicide.

The Church Of The Roman Empire - 2027 Words

The early church was hated by the society and government of the Roman Empire for various reasons, such as the refusal of Christians to sacrifice to the gods. The Empire went through many phases of demanding that the Christians sacrifice which meant denying their faith or be killed. The earliest attacks claimed the lives of many of the apostles.This text is the story, from around 160 AD, of the martyrdom of Polycarp, the Bishop of the church in Smyrna, a city in Asia Minor (modern Izmir in Turkey) devoted to Roman worship. The account is in the form of a letter from eye-witnesses to other churches in the area. It is the earliest chronicle of a martyrdom outside the New Testament.Polycarp was an old man, at least 86, and probably the last surviving person to have known an apostle, having been a disciple of St. John. This was one reason he was greatly revered as a teacher and church leader. One interesting feature of the letter is that the writer is very conscious of how Polycarpâ€℠¢s death followed the pattern of Christ’s. As you read it, look for parallels between this story and the Easter story in the gospels. We are writing to you, brothers, with an account of the martyrs, especially the blessed Polycarp, whose death brought to the persecution to a close. Almost all the events that led up to it reveal it to be another martyrdom in the divine pattern that we see in the Gospel. For he waited for his betrayal, just like the Lord did, so that we might follow him, in looking outShow MoreRelatedThe Christian Church Of The Roman Empire931 Words   |  4 Pagesunderstand how the Christian church filled the vacuum left by the passing of the Roman Empire we must first determine two things; which Christian church filled the void and what were they filling? 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