Rkot1 Oraganizational Systems and Quality Leadership

RKOT 1 Organizational Systems and Quality Leadership Western Governor’s University Leadership Strategies Leadership is, first and foremost, a stance—an attitude. A leader faces the problem and says what we can do to address it. Leaders take responsibility for problems. (L 101: So You Want to Be a Leader in Health Care ) Two strategies a nurse might use as an informal leader on an interdisciplinary team are form a clearer picture of the real situation and start looking for ideas of how to solve the problem. L 101: So You Want to Be a Leader in Health Care ) As a nurse on an interdisciplinary team you could start by gathering information regarding the situation to form a clearer picture. Often time’s members of the team only look at what is affecting their individual work flow. As a leader a nurse should put the patient at the center of the picture and investigate how the roles of the individual team members affect the patient as a whole. People often look only at how a situation will affect them and their workflow and do not look at the situation as a whole.Instead of just complaining about a situation the can take a leadership role by gathering information from all members of the team and piecing this information together as to form a clearer picture of the situation. To become an effective leader the nurse must not only gather the information to form a clearer picture but also work with the team to look for and offer ideas to solve the problem. As a leader, a nurse would not just join in on the complaining.Once the information is gathered and the problem is clearly identified; to be a true leader, the nurse would look for creative solutions possibly initiating changes in workflow to alleviate the problem. A leader goes the extra step to implement change. Active Involvement Two ways a nurse can take an active, contributing role within the interdisciplinary team are identifying quality issues or concerns and ensuring there is open active com munication between members of the team as well as the patient.As a nurse you should be a strong patient advocate. During interdisciplinary rounds you should bring up concerns that may affect patient care. If there is uncertainty regarding the scheduled treatments or procedures and timing of those interventions the nurse should advocate for the patient in order for the patient to receive the best possible care. Nurses must ensure patient safety by asking questions if they are no sure as to whether the right procedure or treatment is being ordered or carried out.It is the nurse’s job, while overseeing the care of the patient, to report any unsafe or potentially unsafe acts in order to advocate for the patient and develop best practices. As an advocate for the patient you should also speak up if the patient has unmet needs such as inadequate pain control or if timing of procedures prevents patients from obtaining uninterrupted sleep. The nurse can also take an active role in the interdisciplinary team by ensuring there is open two way communication between members of the treatment team and also the patient.Patients are generally more compliant with treatment plans when they have active participation in the development of the treatment plan. An example of open communication and team work make be the nurse coordinating with therapy in order to ensure the patient is medicated prior to undergoing therapy in order to increase participation by the patient and therefore allowing the patient to become more engaged in their treatment secession. Teams work more efficiently when they have open communication.The nurse can lead the team by ensuring that all members communicate and are on the same patient in regards to patient’s care plan and goals. By ensuring the lines of communication or kept open and aligning workflow the ultimate winner is the patient due to better coordination of care. Culture of Safety Psychological safety, active leadership, transparency and fairness are four characteristics used to create a culture of safety. (PS106 Introduction to the Culture of Safety) There are many ways that you can promote a culture on safety in your workplace.When someone initially starts a position they are often assigned a buddy or preceptor. In order to create a culture of psychological safety people need to know they can speak up without being judged. One organization has taken steps to stand up to doctor’s if they are being derogatory to nurses or other staff. The nurses can actually call a code in which people stop their work follow and physically stand behind the nurse if she feels she is being spoken to in an inappropriate or unprofessional manner. Spirit on the spot is another example of creating an environment of psychological safety.By enabling anyone to report when someone is caught doing something right such as stopping to give directions to a visitor when someone appears lost it creates a positive environment to work. Act ive Leadership can be observed in organizations that have open forums in which leaders meet with front line staff and encourage questions regarding workflow or any ideas or suggestions for improvement. Monthly leadership rounding is where leaders walk around on units and stop to speak with the staff asking how their day is going and if there is anything that their leader can do to make a difference in their work environment.This is an excellent example of active leadership. These leaders come to the staff one on one and encourage open discussion. Transparency occurs when there is a system in which when errors are reported or near misses are reported action is taken to investigate the error or near miss and change is initiated that will decrease the likelihood of the error reoccurring. An example of transparency occurred within an organization by the change in national patient safety standards requiring two patient identifiers when working with a patient.To create an environment of f airness an organization needs to act when errors are caused by system errors. Nurses often find system errors when procedures are changed or modified. People too often just thing of how the change will affect their own discipline and not how it will affect patient care or the system as a whole. The staff needs to know that if a change is implemented that creates errors instead of decreasing errors they will be able to speak up and a new course of action will be taken.An example of culture of safety occurred when my hospital first implement EMR’s. The order sets were written where inpatient and observation could both be ordered on a patient at the time of admission. The utilization nurse felt comfortable addressing the issue with her leader and was encouraged to speak with not only her leader but also administration regarding the possible conflict in orders. The nurse was rewarded for speaking up and the organization quickly worked to determine the best way to change the order sets in order to avoid the conflicting orders.The organization then took steps to be transparent by admitting there was an error in the original order sets and doing educational seminars for the admit staff, physicians, nurses and coders regarding the conflict in orders. If there had not been a culture of safety and the nurse had not spoken up the error in orders may have continued for months resulting in incorrect or non payment for the facility and errors in co-pays for the patients. REFERENCES L 101: So You Want to Be a Leader in Health Care . (n. d. ). Retrieved March 8, 2013, from Institute for Healthcare Improvement: http://app. hi. org/lms/lessonpageworkflow. aspx? CatalogGuid=6cb1c614-884b-43ef-9abd-d90849f183d4&CourseGuid=c1164ba8-5af1-438b-8a1f-d409911a4948&LessonGuid=b9a441cc-d2af-4211-8ba8-5359c06a8cb6 PS106 Introduction to the Culture of Safety. (n. d. ). Retrieved March 8, 2013, from Institute for Healthcare Improvement: http://app. ihi. org/lms/lessonpageworkflow. as px? CatalogGuid=6cb1c614-884b-43ef-9abd-d90849f183d4&CourseGuid=789d9cbb-7dd3-4fe9-8df2-e0c63725b350&LessonGuid=4b250d37-cf44-4561-b830-53ed5865c6b8

punk history essays

punk history essays Punk began over in britin in the 1960 what most of us know to be the "Hippy ara". Britin was not as america at the time, peace, love, and happy ness. Britan's bums dresses in mohaks and leather gakets with a ragy look full of hatred had a message to send to every one. they did this through music. started a revolution in the music buisness. over in britin a man by the name of mike walse a son of a phamus poet, ran away from home and lived in the streates with all the other puncks. him as his father was very artistic and started a band called the punck rockers. They played small giges in lockal back allies and parties, and there music took off every one wanted to see these rebeluse teenagers play there loud some times screaming music. They never made alot of money because they never once made some one pay to see them. Soon all over britin punks were creating bads and this started the punk revolution. punck barily survied through the 70's and 80's but took of in the 90's with bands like blink 182 and saves the day, dbs, afi, face to face. so all in all punk music is old school but will never die and will continue to adapt to changing times but the old school bangers will never be forgoton ...

Advantages of a Boarding School Education

Advantages of a Boarding School Education Boarding schools have long been praised for offering students small class sizes, close alliances between students and teachers, and rigorous academics. But the long term benefits of attening boarding school were not always so clear. Until now ... thanks to a thorough study carried out by The Association of Boarding Schools (TABS), an association that works with more than 300 boarding schools around the world, there is evidence that supports the advantages of a boarding school education for students over public and private day schools. The TABS  study surveyed more than 1,000 boarding school students and alumni and compared them to 1,100 public school students and 600 private day school students. The results suggest that boarding school students are better prepared for college than students who attend private day schools and public schools and that boarding school students also make faster progress in their careers. The reasons for these results may be a direct result of essentially being immersed in an academic environment full time. TABS has been working diligently to support boarding schools, and recently launched the Ready for More? Campaign. That campaign, along with the results of the survey paint an enticing picture for boarding school experiences. Academics and Student Life The study conducted by The Association of Boarding Schools found that 54% boarding school students report being highly satisfied with their academic experience, as compared to 42% of students who attend private day schools and 40% of students who attend public schools.   Check out these statistics from the TABS Study on what boarding school students say about their school environment, as compared to Private and Public School Students: 75% of boarding school students report that their peers are motivated, as compared to 71% of private day school students, and 49% of public school students.  91% of boarding school students feel their school is challenging academically, as compared to 70% of private day school students and 50% of public school students.  90% of boarding school students report that their teachers are high quality, whereas only 62% of private day and 51% of public school students would rate their teachers as high quality. College Preparation In addition, boarding school students reported that they are better prepared for college than students from public or private day schools. The study carried out by The Association of Boarding Schools found that 87% of boarding school students reported that they were very well prepared to take on college academics, as compared to 71% of students from private day schools and 39% of students from public schools. In addition, 78% of students at boarding schools said that the daily life at boarding schools helped prepare them for other aspects of college life, such as exercising independence, handling their time well, and doing well with college social demands. In contrast, only 36% of private day school students and 23% of public school students reported that they were ready to tackle college life with success. Benefits Extending Beyond College Interestingly, the study showed that the benefits of having attended boarding school extended well into adult life. For example, boarding school alumni/ae tended to attend graduate school in greater numbers: 50% of them earned advanced degrees, as compared to 36% of private day school alumni/ae and 21% of public school graduates. And once they earned their degrees, graduates of boarding schools earned top positions in management to a greater extent than their colleagues- 44% did so, as compared to 33% of private day school grads and 27% of public school graduates. By the end of their careers, 52% of boarding school alumni had achieved top positions, as compared to 39% of private day school graduates and 27% of public school graduates. Boarding school alumni say in remarkable numbers that they enjoyed their experience at school, and, in fact, an overwhelming number- 90%say that they would repeat it. It is clear from the survey that boarding schools offer not only top academics but also lifelong benefits and a close-knit community that students and alumni enjoy for a lifetime. While many parents choose boarding school mainly for its educational value- in the TABS study, the promise of a good education was the primary reason parents chose boarding schools for their children- it is clear from the survey that the schools offer much more than just the experience in the classroom. They also offer students the ability to exercise independence, work closely with their teachers, and enjoy friendships that often last a lifetime. Edited by  Stacy Jagodowski

Customer service phrases that will help in any tough situation

Customer service phrases that will help in any tough situation Customer service is  important in any company. They are the front-runners  for customer interaction and satisfaction. With that being said, customers judge a company based on their interaction experience either through phone, email, or face to face.   Depending  on how well it goes customers  can decide  whether or not they want to continue business with these companies. With these tips on how to handle customers in tough situations, you are bound to help them feel valued and heard. Your customer service will be unforgettable!Source [ SlickText ]

Global warming Research Paper Example | Topics and Well Written Essays - 3000 words

Global warming - Research Paper Example The author has rightly presented that global warming refers to climate change that represents an increase in the average temperature of the Earth. It is defined as â€Å"increase in the earth’s atmospheric and oceanic temperatures widely predicted to occur due to an increase in the Greenhouse Effect caused especially by pollution†. The definition explains the climate change, which is increase in average temperature of the planet. The climate change is linked with the Greenhouse Effect. The effect will be discussed in detail later, but the major element causing the effect is the amount of greenhouse gases present in the atmosphere. Carbon dioxide is the major component of the greenhouse gases. Therefore, a link can be drawn between climate change and the amount of carbon dioxide in the atmosphere. This relation was first discovered in a study explaining the Ice Ages. The outcome of the study suggested that the lower level of carbon dioxide gas might explain the Ice Ages. The major contributing scientists in establishing this relationship and predicting global warming were Arrhenius and Chamberlin. Arrhenius was the first to calculate the magnitude of the effect on global temperature in 1896 and bought up the possibility of future warming. The calculations were done mainly to explain Ice Ages and the possibility of global warming was not stressed upon. Furthermore, the idea was not widely accepted by scientists. This idea was revived in 1938, but was not widely accepted till early 1960s. ... It is, therefore, important that we know the cost of our lifestyle and the direction we are heading towards. 1.2 The issue is of prime importance as it relates to our home, earth. The degradation of the environment will ultimately affect us or our next generations in particular. The magnitude of the effect is increasing at an alarming rate and its consequences are beyond our wildest imagination. The issue came into limelight with rising sea level and in particular the melting of the polar caps. As we discover more we realize its importance. Every system on earth is interlinked and its consequences are widespread. Currently, the measures taken are inadequate and not at an international level. Any change in atmosphere or our environment affects complete earth and we all become sufferers for our collective actions. The world needs to unite to solve this issue and an international policy must be made to fight against global warming. Survival has always been the most important priority fo r any living organisms. The issue relates to the survival of our kind, but it is not given due importance which it deserves. 1.3 Without the atmosphere, the earth would be much colder, when related to the distance of our planet from the sun (Postma 2). In simple, earth is much warmer than it should be because of its atmosphere. It was first discovered by Tyndall in 1859 that gases can trap heat rays (Reville 1). The most important of these was simple water vapor. Carbon dioxide, though in very less quantity was also found to be very effective. This effect was later called â€Å"Greenhouse Effect†. The question arises; is Greenhouse Effect the main cause for global warming? This question forms the basis for this research paper and after

Tax reform debate Essay Example | Topics and Well Written Essays - 750 words

Tax reform debate - Essay Example g all the economic woes that the Bush administration left have opted to extend the past administration’s tax cuts, in an effort to stimulate the economy and to fully recover from the effects of the great recession. This move is quite ironic as the 2 Presidents came from the opposing camps of Republicans and Democrats. Though they have pushed for the same tax agenda, Democrats positions are said to be Keynesian influenced, while Republicans are influenced by supply side theory, which they say is the complete opposite of Keynesians. Originally, it was the Democrats who were pushing for the tax cuts. Kennedy and Johnson’s administration in 1960’s pushed for tax cuts. However in recent history, the scenario was reversed Reagan and Bush both belonging to Republican have implemented tax cuts (Chuck). 1.On the positive note, the tax cut helped to stimulate the economy as people with low income were able to buy more than usual. Under Bush administration’s Economic Growth and Tax Relief Reconciliation Act of 2001 (EGTRRA), the child tax credit was increased 100% ; estate and gift taxes were repealed and income tax rates were reduced. 2. On the negative side, critics argued that tax cuts have benefitted mostly the 5% of the US population who are paying about $470 Billion of the total income tax revenue, while the next 20% of the population pays about a total of $260 billion and the 3rd who comprised the 25% of the population pays about $120 billion and the bottom earners who comprised the majority 50% of the population pays a total amount of $35 billion collectively (David,2005) .By merely looking at the figures, its simple to see that tax cuts indeed benefitted the elite 5% of America’s population. 3. Consequently, tax cuts dramatically lessens government budget and increases public deficit and national government’s debt. Concretely the tax cuts under Bush administration have hurt badly the health sector. Americare reported that due to dwindling

BUS503 - Org. Change and Transformation Mod 5 Case Assignment Essay

BUS503 - Org. Change and Transformation Mod 5 Case Assignment - Essay Example Bahe (2005) tells us that the average employee responds to each change in the following way, disbelief and denial, anger and blame, reluctant acceptance, and the final stage. In each of these stages the employees are very needy and need to be kept informed. Unfortunately today, change happens so fast that the employee often only has time to get through this process and then start again making change a time consuming process for managers as well (Sherman, 2009). The possible sources of resistance from the structural point of view are many. Bahe (2005), tells us that there are six sources of resistance that are typical of most organizations. Those are identified as structural inertia, limited focus of change, group inertia, perceived threat to expertise, and threat to established resource allocations. Structural inertia is the process of actually running the business, policies and procedures etc. The idea is to keep the company moving forward so the question is, is there a threat to that? The focus of change, we have all seen. This happens when no everyone makes the change. For example, one department decides to go on and do it the way they always have even though the rest of the departments have changed. It might even take a little while to discover. When group inertia happens, there is usually a specialized group that attempts to stop the change such as a union. There is of course the perceived threat to expertise. If we make this change will my knowledge not be important any more, will a robot be doing my job? Power relationships are what leadership is all about. It can be good power or bad power but everyone needs certain amount of power to get the job done. It is not unusual for a leader to have spent some time building up different kinds of power in his position. If that is possibly going to be affected there is then huge resistance and a lot of that will come from managers.