NR 500 Week 7: Incivility and Healthful Environments
Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced nursing practice. Scholarly information obtained from credible sources as well as professional communication are required. Application of information to professional experiences promotes the analysis and use of principles, knowledge, and information learned and related to real-life professional situations. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Examine roles and competencies of advanced practice nurses essential to performing as leaders and advocates of holistic, safe, and quality care (CO1)
- Apply concepts of person-centered care to nursing practice situations (CO2)
- Analyze essential skills needed to lead within the context of complex systems (CO3)
- Explore the process of scholarship engagement to improve health and healthcare outcomes in various settings (CO4)
Due Date
A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0 for any portion of the discussion not posted by that time). Week 8 discussion closes on Saturday at 11:59pm MT.
NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Saturday.
A zero is the lowest score that a student can be assigned.
Faculty may submit any collaborative discussion posting to Turnitin in order to verify originality.
Total Points Possible: 75
Requirements:
NR 500 Week 7 Discussion Criteria
I. Application of Course Knowledge: of Course Knowledge:
The student post contributes unique perspectives or insights gleaned from personal experience or examples from the healthcare field. The student must accurately and fully discuss the topic for the week in addition to providing personal or professional examples. The student must completely answer the entire initial question.
II. Engagement in Meaningful Dialogue: I. The student responds to a student peer and course faculty to further dialogue.
a. Peer Response: The student responds substantively to at least one topic-related post by a student peer. A substantive post adds content or insights or asks a question that will add to the learning experience and/or generate discussion.
- A post of “I agree” with a repeat of the other student’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
- The peer response must occur on a separate day from the initial posting.
- The peer response must occur before Sunday, 11:59 p.m. MT.
- The peer response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply.
Faculty Response: The student responds substantively to at least one question by course faculty. The faculty question may be directed to the student, to another student, or to the entire class.
- A post of “I agree” with a repeat of the faculty’s post does not count as a substantive post. A collection of shallow posts does not equal a substantive post.
- The faculty response must occur on a separate day from the initial posting.
- Responses to the faculty member must occur by Sunday, 11:59 p.m. MT.
- This response does not require a scholarly citation and reference unless the information is paraphrased and/or direct quotes are used, in which APA style standards then apply.
III. Integration of Evidence: The student post provides support from a minimum of one scholarly in-text citation with a matching reference AND assigned readings OR online lessons, per discussion topic per week.
- What is a scholarly resource? A scholarly resource is one that comes from a professional, peer-reviewed publication (e.g., journals and government reports such as those from the FDA or CDC).
- Contains references for sources cited
- Written by a professional or scholar in the field and indicates credentials of the author(s)
- Is no more than 5 years old for clinical or research article
- What is not considered a scholarly resource?
- Newspaper articles and layperson literature (e.g., Readers Digest, Healthy Life Magazine, Food, and Fitness)
- Information from Wikipedia or any wiki
- Textbooks
- Website homepages
- The weekly lesson
- Articles in healthcare and nursing-oriented trade magazines, such as Nursing Made Incredibly Easy and RNMagazine (Source: What is a scholarly article.docx; Created 06/09 CK/CL Revised: 02/17/11, 09/02/11 nlh/clm)
- Can the lesson for the week be used as a scholarly source?
- Information from the weekly lesson can be cited in a posting; however, it is not to be the sole source used in the post.
- Are resources provided from CU acceptable sources (e.g., the readings for the week)?
- Not as a sole source within the post. The textbook and/or assigned (required) articles for the week can be used, but another outside source must be cited for full credit. Textbooks are not considered scholarly sources for the purpose of discussions.
- Are websites acceptable as scholarly resources for discussions?
- Yes, if they are documents or data cited from credible websites. Credible websites usually end in .gov or .edu; however, some .org sites that belong to professional associations (e.g., American Heart Association, National League for Nursing, American Diabetes Association) are also considered credible websites. Websites ending with .com are not to be used as scholarly resources
IV. Professionalism in Communication: The post presents information in logical, meaningful, and understandable sequence, and is clearly relevant to the discussion topic. Grammar, spelling, and/or punctuation are accurate.
V. Wednesday Participation Requirement: The student provides a substantive response to the graded discussion question(s) or topic(s), posted by the course faculty (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.
VI. Total Participation Requirement: The student provides at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.
Sample Discussion Post
Fortunately, I’ve not been in a situation personally, but I oversaw our home health office a day when our director had taken a PTO day. 2 of our office staff got into a heated argument, resulting in termination of one of the staff members. Termination of employment was not done on the spot, so to speak, however was a result of this member’s ongoing attitude and general work ethic. I remember feeling anxious about this situation and trying to keep myself calm. I also became angry because this staff member has been known to known to start arguments and “call people out” during inopportune times. I proceeded to de escalate the situation by asking that one staff member to leave, since it was the end of the day, and the other that this discussion would continue with the director present. I then contacted the director and explained the situation as well as filing a complaint against the staff member.
In the time that said staff member had worked for our agency, there has been rising anxiety levels, “walking on eggshells” if you will, pitting other staff members against one another. At one point during staff member employment, another staff member was fired because of the same situation that occurred above. There was also manipulation and situations where things were being done on the business side that should not have been done. As a result of this, the morale was low in the office, there was a lot of tension and a lot of emotions running high. This situation should have been handled a lot sooner than it did, I believe it did not happen because there was a change in director’s positions during this time, giving the staff member time to regroup and attack again. When this situation started to escalate again, and when I say situation, I’m talking about ongoing events, not an isolated event, this person should’ve been given some intervention or courses on business communication and dealing with conflict. There is a “write up” policy, 3 strikes and your out, I believe at strike 1, there should’ve been intervention. This person was not easy to talk to and would get defensive with suggestions, I am sure it was not easy with the director trying to discuss this with the person. Too little, too late perhaps as the staff member was terminated, I will say that the office morale is more positive and confident, it is calm, the anxiety levels are low, people feel comfortable in their roles, and there is a camaraderie, if you will, that was not present before.
Strategies for a healthier work environment could be weekly discussion about bullying, incivility, and stress in the workplace. I feel the more exposure bullying gets; the more people may be receptive to acknowledging that it exists. There are the annual training sessions that’s part of the requirements that talks about bullying and reporting; I feel it needs to go beyond that annual training. I like the BE AWARE and Care that is discussed by Edmunson et al. (2017) as it states exactly what exposure we need. Posters could be hung in offices of this mnemonic. Developing trusting relationships with staff may also encourage them to open up about bullying that may be going on.
Reference
Edmonson, C., Bolick, B., & Lee, J. (2017). A moral imperative for nurse leaders: Addressing incivility and bullying in health care. Nurse Leader, 15(1), 40–44. https://doi.org/10.1016/j.mnl.2016.07.012.
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