This document of HCA 250 Week 2 Stress Illness in the Workplace Matrix comprises:
Use the following table to describe the relationship between stress and health in the workplace and to identify ways to reduce stress in the workplace. If you use additional sources, include citations consistent with APA guidelines.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part, and you can expect your grade to suffer accordingly.
Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in, and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12-point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting a hard copy, be sure to use white paper and print it out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
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The Occupational Safety and Health Administration (OSHA), a division of the United States Department of Labor, describes violence in the workplace as “any act or threat of physical violence, harassment, intimidation, or other threatening disruptive behavior that occurs at the work site” (Occupational Safety and Health Administration.gov, n.d.). Violence in the workplace can range from a threat to verbal abuse or can be serious, resulting in a physical assault or even death; it affects employees, patients, customer, and clients.
It is reported that approximately 2 million American workers have experienced some type of violence in the workplace and many more cases are not reported. (OSHA, n.d.). This issue has been become a highly discussed topic and has become a growing concern for health care industry leaders because all employees should be guaranteed a safe and healthy workplace environment. However, Antai-Otong (2001) reveals that 35% of all female deaths occur in the workplace and is the number one cause of mortality for females who are employed “and the second leading cause of death” for employed males according to a report released in 1995 by United States Bureau of Labor Statistics.
This paper will explore the physical, cognitive, emotional and behavioral reactions to stress, explore three professions at risk for workplace violence, discuss the purpose of using the Critical Incident Stress Debriefing (CIS) Management Tool and the expected outcomes from the utilization of this tool and lastly, take a look at whether or not this tool is useful in decreasing stress and coping with workplace violence.
Perceptions to violence in the workplace and stressful situations will differ from person to person and is dependent on the individuals’ reactions to the event. Martin (1993) states that some physical reactions related to stress include: nausea, tremors or shakes, upset stomach, profuse sweating, chills, diarrhea, rapid heart rate, muscle aches, sleep disturbances, and dry mouth.
Martin (1993) goes on to state that cognitive reactions reported by employees as a result of stress take into account symptoms of confusion, decreased attention span, while other individuals experience calculation difficulties, memory problems, intrusive thoughts, distressful dreams and disruption in logical thinking. The emotional reactions listed by Martin (1993) incorporate feelings of grief, anger, anticipatory anxiety, denial, fear, survivor guilt, depression, hopelessness, of being overwhelmed, worried to the most severe reaction of wishing one’s own death because the burden of the stress is too heavy to bear.
Lastly, behavioral reactions reported by employees as a result of stress related incidents include withdrawal from people around them including loves ones and suspiciousness of others, increased or decreased appetite, increased smoking and/or alcohol intake, excessive or inappropriate sense of humor, behavior in which an individual is abnormally silent or presents with some form of unusual behavior.
The reactions described by Martin that can be potentially experienced by health care professionals, as a result of stress related incidents in the workplace have serious implications that will undoubtedly not only affect their ability to effectively deliver high, quality health care, but will also affect their ability to make clear, logical decisions because their judgment is temporarily impaired due to the crisis or event.
Hegney, Tuckett, Parker, & Eley (n.d.) state that nurses, especially those that work in psychiatric settings, are among the most common profession associated with violence in the workplace across the globe. This may be because the main source of workplace violence stems from encounters with patients and family members, as well as visitors and other nurses (Hegney et al., n.d.
). The website OSHA.gov (n.d.) reports that higher-risk workers may also include customer service agents that deal with the public, many times during the most stressful time of their lives. These health care professionals are many times ill-equipped to deal with the intense emotions displayed by the patient or family members when they present to the facility or organization. However, an article by Lundstrom, Graneheim, Eisemann, Richter, & Astrom (2005) argues that the professions with one of the highest exposure to workplace violence are those caregivers who are working with individuals with some form of a learning disability.
In fact, studies have shown that health care professionals emotional reactions in response to the difficult behavior of a patient they are treating, has been identified as a source of stress for these individuals (Lundstrom et al., 2005). Regardless of the health care profession one is employed research has proven that a perceived experience of strain at work and strain that is work related can be linked to burnout.
The signs and symptoms related to burnout include but are not limited to low morale, absenteeism and increased job turnover (Lundstrom et al., 2005). In order to prevent stress and violence in the workplace it is important for health care leaders and organizations to identify risk factors that will help prevent these events from taking place and take precautions that will help professionals deal with the symptoms that can lead to burnout and increased employee turnover.
The critical incident stress debriefing (CISD) is described “as a preventative health-promotion model that can be used to minimize adverse outcomes following a violent or traumatic event” is part of “the larger critical incident stress management (CISM) model” whose primary goal is to proactively address psychological trauma or symptoms related to post-traumatic stress disorder (PTSD) (Antai-Otong, 2001). This comprehensive program uses a number of crisis intervention procedures in order to help facilitate healing and a feeling of psychological closure as it relates to the incident or traumatic event.
Antai-Otong (2001) believes that when someone experiences a violent or traumatic incident the emotions that stem from these situations are often times beyond an individual’s ability to cope and mobilize resources that can help. The overall expectation of the CISD program is to be able to provide emotional support, encourage the person to speak for themselves, give them an opportunity to tell their side of the story, discuss their thoughts, feelings and reaction to the incident, provide them with an outlet and the resources for individuals to deal with any physical or emotional symptoms.
Health care leaders and professionals also use the CISD program as an opportunity to educate employees about managing stress more effectively and lastly to provide reassurance and closure to the incident. The critical incident stress debriefing management tool has mixed reviews; there are several researchers that have reported positive outcomes while other researchers have stated there was minimal improvement (Antai-Otong, 2001).
In my opinion the immediate emotional support offered by the CISD program and the willingness of the program to address physical and mental conditions related to the incident is beneficial. In addition, the educational component that helps employees deal with normal stress is a great preventative measure that should help facilitate a healthier work environment for everyone.
Violence in the workplace is an inevitable and a seemingly unavoidable situation and according to Antai-Otong (2001) is currently at epidemic levels. It threatens the safety and well-being of employees, patients and customers alike. Health care leaders and organizations must continue to develop and support the CISD program because it offers healthcare professionals a way in which to deal with and openly address the physical, emotional, cognitive and behavioral issues that are associated with workplace violence.
Martin (1993) believes all hospitals should implement this type of program because it gives health care professionals “a way to nurture ourselves.” Finally, the CISD program is beneficial management tool that will continue to increase awareness and teach employees how to handle stressful situations in the workplace, which may in fact prevent the violent event from ever occurring. It is my belief that preventing workplace violence and reducing stress is the key to a safe and healthy work environment.
Antai-Otong, D. (2001). Critical incident stress debriefing: a health promotion model for workplace violence. Perspectives in Psychiatric Care, 37(4), 125. Retrieved from: https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsgao&AN=edsgcl.81890142&site=eds-live&scope=site
Hegney, D., Tuckett, A., Parker, D., Eley, R. M. (n.d.). Workplace violence: Differences in Perceptions of nursing work between those exposed and those not exposed: A cross-sector analysis to complete the assignment Dealing with Stress and Violence in the Workplace. Retrieved from: https://lc-ugrad3.gcu.edu/learningPlatform/content/content.html?operation=viewContent&contentId=a43f9fcb-23cf-4bf9-bf4b-29b1b2e2a328
Lundtrom, M., Graneheim, U. H., Eisemann, M., Richter, J., & Astrom, S. (2005). Influence of work climate for experiences of strain. Learning Disability Practice, 8(10), 32-38. Retrieved from: https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edsswe&AN=edsswe.oai.DiVA.org.umu.6760&site=eds-live&scope=site
Martin, K. R. (1993). Pulling Together to Cope with Stress. Nursing, 23(5), 38-41. Retrieved from: https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=4897039&site=eds-live&scope=site
Occupational Safety and Health Administration.gov. (n.d.). Workplace Violence. Retrieved from: https://www.osha.gov/SLTC/workplaceviolence/index.html
The ACA was meant to provide quality healthcare coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint:
Your PowerPoint presentation should include/address:
M2 Assignment PLG – BSHCA – 4 RN-BSN – 2
M2 Assignment CLO – 4, 6
Assignment Dropbox
Start by reading and following these instructions:
The following specifications are required for this assignment:
Length: 9-14 slides; answers must thoroughly address the questions in a clear, concise manner
Structure: Include a title slide and reference slide in APA format. These do not count towards the minimum slide count for this assignment. Your presentation must include an objectives slide. Be sure to fully explain all slides in the Speaker Notes.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.
Format: Save your assignment as a Microsoft PowerPoint document (.pptx)
Filename: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)
Total
Score of Undergrad PowerPoint Assignment Rubric v1,
/ 100
Overall Score
Level 1
0 points minimum
Level 2
60 points minimum
Level 3
70 points minimum
Level 4
100 points minimum
Detail and explain the differences between informed consent and implied consent. What are the best ways to prove consent? Your initial post must be 200-250 words. Respond to at least two of your classmates’ postings
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized.
Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12-point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication is so very important. There are multiple ways to communicate with me:
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In this paperwork of HCA 340 Week 3 Discussion Question 1 Health Insurance Benefits you will find the answers on the next questions:
Managers need to understand the impact on the financial viability of a health service organization for providing care to the uninsured or underinsured. Review the following case scenario and answer the discussion questions.
Joe Smith is a 27- year-old Caucasian male who works two part-time jobs for two different construction companies. Joe has been having dizzy spells off and on for the past two months. While driving to work one day, he loses consciousness and is involved in a motor vehicle accident. Joe is admitted to your not-for-profit hospital with a broken leg and multiple lacerations.
Answer the following questions:
1. Does Mr. Smith fit the typical profile for an uninsured person in the United States? Justify your answer.
2. How will your hospital most likely be reimbursed for Mr. Smith
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument
HCA 459 Week 1 DQ 1 Organizational Survival Strategies.
DocHCA 459 Week 1 DQ 2 The Challenge of Change.
DocHCA 459 Week 1 The Health Care Scene Contemporary Trends.
PptxHCA 459 Week 2 DQ 1 Policy and Planning Constraints.
DocHCA 459 Week 2 DQ 2 The Control Process.docHCA 459 Week 2 Senior Project Summary.
DocxHCA 459 Week 3 DQ 1 Strategic Planning and Budgeting.
DocHCA 459 Week 3 DQ 2 Committees and Teams.
DocHCA 459 Week 3 Senior Project Progress Report.
DocxHCA 459 Week 4 DQ 1 Case Study Authority and Leadership.
DocHCA 459 Week 4 DQ 2 Motivation and Conflict Resolution.
DocHCA 459 Week 5 DQ 1 Communication Challenges.
DocHCA 459 Week 5 DQ 2 The Health Professional as Manager.
DocHCA 459 Week 5 Senior Project. pptx
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part, and you can expect your grade to suffer accordingly.
Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in, and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12-point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting a hard copy, be sure to use white paper and print it out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Communication is so very important. There are multiple ways to communicate with me:
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Select either Option A or Option B and indicate in your post which option you have selected. In any organization, regardless of the industry, some level of conflict and/or office bickering is inevitable and may have a damaging impact on productivity and motivation or morale.
However, it is the responsibility of the manager to ensure that conflict is avoided whenever possible and, when it does occur, it is handled in an appropriate and respectful manner. With this in mind, listen to the podcast, Stop the Medical Office Bickering, and respond to your selected option.
Option A: Case Study: A Matter of Motivation: The Delayed PromotionReview the details of the case above from your course text, and respond to the following questions:
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part, and you can expect your grade to suffer accordingly.
Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in, and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12-point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting a hard copy, be sure to use white paper and print it out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Communication is so very important. There are multiple ways to communicate with me:
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This chapter presents a review of the existing literature on the chosen area of research from the credible and reliable sources. All the articles for the sole purpose of this literature review has been taken from the GCU library to explain the previous studies on the correlational study of transformational leadership style and patient satisfaction within African American patients at urban academic medical centers.
Jamsari bin Atan (2019) with his fellows conduct a study in the context of identifying the role of transformational leadership style in perspective of organization performance. Patient satisfaction can be only achieved when the employees of the organization are working effectively and competitively. This researched study us quantitative in nature which collect data through survey method. The study covers three industries and data is collected from the leaders and employees and customers which is further analyzed with help of statistical tools such as SPSS. The findings of the research indicate that there is a considerable relationship among transformational leadership style and organizational performance.
Moreover, this study also highlighted that transformational leadership contributes to employee competency which further ensure the satisfaction of clients or customers like patients. When satisfaction of clients or customers are fulfilled than it also indicates effective performance of organization. This research study indicates that the transformational leadership style positively influences the employee competency which leads to productivity and organizational performance these in turn ensures the customer or client satisfaction (Jamsari, 2019).
Another considerable research in this regard is carry out by Muhammad Shahid khan et al, (2018) to explore the role of transformation leadership style in the context of effective human capital. The role of human capital can’t be ignored if an organization wants to ensure its customer and clients satisfaction that’s why this research paper also aim to analyze the role of transformational leadership in the context of building and developing effective human capital. This research paper utilized a mixed method approach to carry out this research, data is collected with the help of questionnaire and interview tool. This data is further analyzed with the help of AMOS and NVivo software.
The findings of this research show that there is a positive relationship between transformational leadership style and human capital effectiveness. This research is done on the healthcare industry and the results suggested that healthcare system should follow the transformational leadership style which will enhance their employee’s productivity this in turn will ensure the patient satisfaction within healthcare centers (Muhammad Shahid et al, 2018).
In patient satisfaction the role played by nursing being a transformational leader is also very important in this regard, and this was covered in a research done by Rahman et al, (2019). The main purpose of this research study was to analyze the role of nurse in the context of patient satisfaction in medical units. Nurse is an important unit of healthcare system and in the context of present advanced world they are required to play a role of transformational leader in their work.
Because of playing this attending role being a transformational leader they help in filling the gap existed in communication among clinical nurses and physicians. When the nurses are playing their role by having with the physician while attending at the bedside of a patient it enhances the patient satisfaction and create a positive environment for patients (Rahman et al, 2019).
Although, transformational leadership style role is very important for patient satisfaction but there are some factors which affects the patient satisfaction and should be a point of concern for the transformation leaders of healthcare system. In this regard a research is conducted by Jinming Fang et al, (2019), in which the basic aim is to analyze the factors which affects the patient satisfaction. Along with this the paper aims to identify some key factors which can improve the health policy by ensuring the patient satisfaction. For data gathering the questionnaire survey method was used and recorded the response from selected population of the research study.
The methods used for data analysis are chi-square, binary logistic regression, and gamma coefficient. The findings of this research indicate that the most important factor which influence the patient satisfaction are “attitude of medical staff’s service, medical staff services technology and convenience of hospital. Therefore, in analyzing the role of transformational leadership in the context of patient satisfaction these three factors should be considerable, by following these three factors the transformational leadership of healthcare system can ensure the patient satisfaction (Jinming et al, 2019).
Another same work done in this regard by Yilmaz (2018), the main theme of this research work is to evaluate the level of patient satisfaction from nursing care and this will be linked in the perspective of being a transformation leader. This study was descriptive cross sectional in nature, which is conducted in a hospital with the help of individual characteristics form along with using the Newcastle Nursing Care Satisfaction Scale. The research mainly focuses patients who have received an inpatient treatment within hospital. The findings of this research study indicate that nursing care satisfaction level about patients are determined at the medium level. This shows the need of being transformation leadership style to ensure the patient satisfaction above the level (Yilmaz, 2018).
Boamah et al, (2018) work very specifically on role of transformational leadership in patient safety, his topic of research is very closed to this research study. Boamah analyze the effect of transformational leadership on the patient safety outcomes and also on job satisfaction. They believe that healthcare system requires an effective leadership style at each level, under this assumption he gathered data with the help of random sampling and done a cross-sectional survey and data is further testes by structural equation modeling. The results of this research paper indicate that there is a strong positive impact of transformational leadership on the patient satisfaction. So, in this regard we can say that managers, medical staff and other stakeholders should practice transformational leadership in order to enhance the patient satisfaction (Boamah et al, 2018).
Another aspect of the correlation of transformational leadership and patient satisfaction is identified by Bednarova et al, (2018) by working on the characteristics of leadership style of head nurses and its influence on patient satisfaction. Nurses are considered as key stakeholder of the healthcare system in providing quality services. Therefore, the role of head nurses is more vital in this regard, because it effects the other employees and environment.
This research paper mainly focuses that area by finding the difference existed in assessment of transformational leadership style of head nurses by junior nurses and their perception about this. Further, this difference is analyzed in the context of its impact on patient satisfaction. The data is collected with the help of Multifactor leadership questionnaire and survey method. This collected data is further analyzed through standard statistical methods, and results states that there is a positive influence of transformational leadership style of head nurses on the patient satisfaction (Bednarova et al, 2018).
Leadership styles also put influences on the nurse’s quality and care system and this assumption is researched by Aladeen (2019). The main purpose of his research is to analyzed leadership styles of managers in the context of nurses which further influences the nursing care quality within the healthcare system. This research is quantitative in nature and data is collected through questionnaires from the medical and other staff of the healthcare system along with nurses.
The results of this research indicate that there is a positive correlation existed among transformational leadership style and the nurses care quality. Accordingly, to the findings of research the nurses care quality further satisfies the patient satisfaction, so the transformational leadership style is correlated with the patient satisfaction (Aladeen, 2019).
Another interesting work is done by Winans (2009) related to the transformational leadership style in the perspective of taking new life practices. The main idea of this research paper is that transformational leadership is important in enhancing the performance of healthcare system and its providers.
Because the transformational leadership mainly focuses on the complacent and work for quality enhancement within the competitive environment. Along with this it also suggests some new ways for developing, planning, implementing, organizing team members, evaluating the results and developing a responsibility of urgency. These all things positive influences the healthcare system and its providers which in turns ensures the patient satisfaction.
Skendzel et al, (2019) along with his fellows conducted a research study on the topic of transformational leadership theory in the context of improving patient satisfaction and also the provider satisfaction. The main theme of his research is to study the applications of transformational leadership style in ensuring the patient satisfaction and also the provider satisfaction along with this the author also worked on the path-goal theory applications for the patient satisfaction.
The results of this study also prove the positive correlation existed among the transformational leadership style and patient satisfaction (Skendzel et al, 2019).
This chapter presents the current literature on the concerned topic. As the transformational leadership does not directly lead to the satisfaction level of the patients but it is a step by step by which the care and healthcare service providers under the transformational leadership of their leaders work collaboratively to attain the organizational goals that in turn leads to the great satisfaction level of the patients.
A phone interview was conducted with a Health Care Administrator staff from MedStar Washington Hospital in Washington, DC. MedStar Washington Hospital Center (MWHC) is the largest not for profit healthcare organization in the District of Columbia, and is a valued member of Medstar. It is the flagship hospital of Columbia, Maryland based MedStar Health. It is nationally recognized for their diagnosis and treatment of cardiovascular diseases.
Also, its mission statement is to deliver exceptional patient-first health care, and the vision statement states they want to be a trusted leader caring for patients and advancing health. This paper will document the results of an inclusive interview that was conducted with MWHC President with several thoughtful answeres to multiple questions such as the most significant economic challenge, changes resulting from the problem, and the staff reactions to the challenges.
MWHC confronted numerous financial challenges during the tenure of President John Sullivan. He came aboard during the worst economic stresses, monetary crisis facing the hospital center, and in addition, laid off approximately 1000 associates from numerous departments between the years of 2011-2017 due to budgetary restraints. He indicated that MWHC is still facing new challenges daily.
Also, President Sullivan was willing to conduct a face-to-face interview to speak about the significant challenges facing the hospital center in 2017-2018. His email address is john.sullivan@whc.org. He indicated that there were over 50,000 women, men, and children who depend on MedStar Family Choice for healthcare services through Medicaid. The District of Columbia Department of Healthcare Finance excluded MWHC from the managed care contract award after five years of service to District residents. The healthcare plan was the choice of district residents which provided them access to high-quality healthcare inspite of the their financial situation. Enrollment in the program has grown dramatically compared to the other two Medicaid health care plans.
MWHC serves thirty-five percent of the residents in Washington, DC. The latest financial setback damaged the 2018 fiscal budget significantly, and currently there are over 120 positions which are in the over budget category. There is a four percent drop in admissions and an eight percent drop in inpatient surgeries. Also, there is Medicaid reductions, a new Medicare rule which reclassifies higher paying inpatient admissions and the implementation of a new medical record keeping system which is needed. Obama Care Shuttering Hospitals and Free Clinics (2015), indicated that smaller hospitals in poorer areas, which have a high concentration of Medicaid patients, are already beginning to shut their doors. In a December 14 article for WND, Paul Bremmer reported that in 2013, 18 acute-care hospitals in the United States closed, and “at least 12 more hospitals have closed this year in rural areas alone,” with more to come.
Interventional changes
In the current healthcare environment, there are growing partnerships between physician groups and hospital. Approximately six established prominent radiation oncology groups have partnered with MedStar. There will be training offered for other clinical employees due to a new policy being put in place because interventional radiology oncology employees are not credentialed to register new patients.
Another area of change is the MedStar Health contribution to employee’s 403 (b) plan. The hospital will no longer contribute six dollars to every dollar when an employee invests in the program. Also, former employees cannot withdraw any funds on their plans due to the hospital’s financial strains. The employee can contact Fidelity Investments and have their payments transferred to a Roth accounts if desired.
The third are of change is that employees will get pay raises of one percent until the hospital solidfy a plan to escape financial difficulty. Executive managers, front-line managers, and hourly associates are affected by this decision, and there is currently a hiring freeze on vacant positions. This mean everyone will have to double up on shift work and make the best of a difficult situation.
Employee Reactions
President Sullivan indicated that a large proportion of change initiatives is extremely unsuccessful in organizations. A recent town hall meeting was held about the newest changes at the center. The leading cause of change is employee resistance and acceptance. The recent town hall meeting addressed the upcoming changes and was attended by almost every employee. Employees morale and disappointment were heard loud and clear. Younger employees are aggravated, and overheard conversations that some staff have already started searching for other jobs in other health care facilities which consisted in state and out of state. Older employees feel helpless but confident that the recent changes will help the organization overcome their financial hurdle, and will attempt to ride it out until retirement.
Evaluation of changes made at WHC
Today’s organizations are increasingly implementing assessment tools for instance as staff development plans (Beausaert et al., 2011). The power of this tool lies in supporting
employees continuing professional development (CPD), and includes all training and education undertaken by an employer to improve the occupational knowledge, skills, and abilities of employment. Also, there is a process consisting of orientation, in-service education and continuing education for employees. There is a process consisting of orientation, in-service education and continuing education for employees. Below in Figure 1 displays a development plan that can be utilized for each staff to assist with the change transition,
MWHC staff plans to center their developmental plan around computer training which will be funded by their parent company known as MedStar Health, and issued by all Human Resources Departments throughout the organization. Mkoka, Mahiti, Kiwara, Mwangu, Goicolea, & Hurtig (2015) stated, “Other researchers have commented on the need to establish a positive working environment, keep communication open, provide opportunities for career advancement and recognize and reward hard-working health workers, (p. 2)”.
There are many health care organizations in the process of implementing change due to budget constraints, and unfortunately, organizational change will affect some staff negatively, and staff will have to try and work with their organization and keep the lines of communication open with their supervisors. Healthcare facilities are still not where they should be in processes and financially, but they are much better than they were a few decades ago. With technology on the rise, and advancement in systems, processes and medicine are still climbing slowly. Some healthcare organizations are in better shape than others, but the politicians need to focus more of U.S. Healthcare while eliminating some of the other concerns that are not so important if healthcare financially is to be improved. One day eventually, healthcare will get to where they need to be, and delivering quality services to the communities with highly skilled professional staff will improve drastically eventually.
Beausaert, S. A., Segers, M. S. R., Gijselaers, W. H. (2017). Vocations and Learning, 4(3), 231-252.
Mkoka, D. A., Mahiti, G. R., Kiwara, A., Mwangu, M., Goicolea, I., & Hurtig, A. (2015). Once the government employs you, it forgets you”: Health workers’ and managers’ perspectives on factors influencing working conditions for provision of maternal health care services in a rural district of Tanzania. Human Resources For Health, 13(1), 1-13. doi:10.1186/s12960-015-0076-5
ObamaCare Shuttering Hospitals and Free Clinics. (2015). New American (08856540), 31(2), 7.
Complete the Heritage Assessment Tool on pages 365-367 of the text. The questions will give you insight into your own ethnic, cultural, and religious heritage. In a two-to-three page, double-spaced paper (excluding title and reference pages), describe your ethnic, cultural, and religious background. Then, answer the following questions:
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HCS316 Culture Diversity and Health & Illness HW 5
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized.
Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Communication is so very important. There are multiple ways to communicate with me:
Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
Prepare this assignment according to the guidelines in the APA Style Guide in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric before beginning the assignment to familiarize yourself with the expectations for successful completion.
Mike and Joanne are the parents of James and Samuel, identical twins born eight years ago. James is currently suffering from acute glomerulonephritis and kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection.
The spread of the A streptococcus infection led to subsequent kidney failure. James’ condition was acute enough to warrant immediate treatment. Usually, cases of acute glomerulonephritis caused by strep infection tend to improve independently or with an antibiotic.
However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.
The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God.
Mike and Joanne had been moved by a sermon their pastor had given a week ago and witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke.
They thought it more prudent to take James immediately to a faith-healing service instead of putting James through multiple rounds of dialysis. Yet Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, hoping that James would be healed by then.
Two days later, the family returned and was forced to place James on dialysis as his condition had deteriorated. Mike felt perplexed and tormented by his decision not to treat James earlier. Had he not enough faith? Was God punishing him or James?
To make matters worse, James’ kidneys had deteriorated such that his dialysis was now not temporary, and he needed a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their kidneys to James, but they were not compatible donors.
Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.
James’ nephrologist called to schedule a private appointment with Mike and Joanne. James was stable and given regular dialysis but would require a kidney transplant within the year.
Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match but, as of yet, had not been considered—James’ brother Samuel.
Mike pauses and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time. Perhaps this is where the real testing of his faith will come in. “This time around, it is a matter of life and death, what could require greater faith than that?” Mike reasons.