Tuesday, March 22, 2011

Go online and discuss an example of conflict you experienced at work. How was it handled? Were sound conflict resolution tactics used. What would you do differently if you were a nurse manager?

A conflict at work that I experienced is when my nurse manager called me in and accused me of unauthorized overtime. I was so confused and shocked because I had not had unauthorized overtime. I worked my scheduled hours, and then my nurse manager had asked me to pick up extra hours because she had fired too many nurses and there were not enough nurses to cover all the shifts. When she called me to accuse me, she caught me off guard because she called the day after I had worked a night shift and woke me up out of my sleep. I denied the unauthorized overtime, but my nurse manager continued to yell at me. I got up out of bed and calculated all of my hours for the week. I showed it out on paper how I had no been over. I went into work to show her. She already knew that she was wrong in accusing me. She attempted to apologize to me, but it was more of just saying that I should not work so many hours next time.

I was the nurse manager I would not accuse people without looking over all of the facts. I would not accuse someone of unauthorized overtime that I had asked them to do. My current nurse manager just is trying to prove to other people that she is in power. I want to be more of a team mate and a resource to my employees.

Friday, March 4, 2011

motivation

Motivation is everything! It is why people do anything. Nothing would get down without a motivating reason. There are so many ways/reasons of motivation. Many instances I am motivated by time-due dates, wanting to be doing something else so I have to do the task. One time I really felt unmotivated because of a manager's actions. I was doing what I thought was above and beyond at my job. All the other people I worked with always talked about how great of a job I did and how they liked working with me. Then I got called in by my manager. She informed me that she did not think I was doing a good job and was not doing very much around the work place. I was shocked. I initially tried to do even better than I was, to prove to my boss how good of an employee I was. But I just kept getting told that I was not very good by my manager. This was not motivating at all. It felt like no matter how hard I tried to please her, she was unhappy. It would have been more motivating to me if she had said some positive comments to me.

Wednesday, February 23, 2011

Personal career development plan

In your reflective journal, thoughtfully record a personal career development plan.

I have been involved my my career development plan for quite a few years now. First I graduated from BYU with a degree in home and family living. next i graduated with my associates. Then part of my career plan I have continued on and will be finishing my BSN this April.

I do not know that I have many career goals. It it happens, getting a masters would be great. Is it my number one goal? No. I want to have a family. I want to be at home raising my kids. If nursing fits into that great, if it doesn't, I think I will have gone with my greater priority.

Even if I am not working as a nurse, I will always keep my license active.

Monday, February 21, 2011

money and health care

How do you think economics (money) is affecting our health care system today?

My first thought is that money does affect our health system: In every way. First of all, it takes money to function. No health care is free and SOMEONE has to pay for it. So how much money is available will make a difference. If not enough people are putting in to the health care system, (ie paying for their health care benefits) then the system will start to fail because a few people will be having to cover the charges for everyone. Secondly, I think that people will always pay for health care. Maybe not everyone, because "everyone" does not pay right now, but health care is something enough people want that money will be going in to it.

Health care facilities will budget to try to maximize the amount of profit they can make. Facilities will always be looking for ways to cut back or save a dollar. Some people dislike that. But I think that doing that is business in general, not just in health care. Every business wants to maximize their profit and minimize their expenses. For example, at my facility, sometimes I wish they would provide another nurse on the floor, but because we are keeping within a certain budget, management does not allow for another nurse.

Down to every aspect of health care- money is important and I think runs the show.

Monday, February 7, 2011

Attitude Towards Change

I think my attitude towards change is similar to the general population. If it is a change for the better, I like it. If it is a change for the worse, I do not like it.

Change can be hard. I would generally say that I am a creature of habit and I like to do things a certain way. For example, I always wash my hands before I wash my face at night. ALWAYS. That is something I don't ever plan on changing. I like that habit. There are other things that I might be more willing to change though. I think that I do make changes though for a couple of reasons. One is that I am dis-satisfied with my situation or results so I decide on my own that there needs to be a change. The other way I make changes is if someone is either suggesting or imposing a change on me. For example, at my work there have been some changes made. If I had not been told that I had to make that change, I do not think I would have.

Change is inevitable. I think without even knowing it, we change. I am a very different person than when I started the nursing program almost 3 years ago. And some of those things were not conscious changes, they just happened over time. But when I look back, I can see how different I am now.

Friday, February 4, 2011

Types of Power

In the book it talks about different strategies for building a person power base. It is important to build a power base when in management positions because that is how your further your goals. Here are five ways to increase my power base at my work place.

1. Maintain Personal Energy: To be a good leader I need to take time for myself and make sure I am well rested. Taking time also means making personal relationships with others. This helps create resources for the future.
2. Present a Powerful Picture to Others: The saying fake it till you make it comes to mind. Dress and act the part. This gives the idea that your are assertive and in control.
3. Pay the Entry Fee: You have to work harder, stay longer, and do more than others. They do their share of the hard work or unpleasant work such and working on holidays and weekends without complaining. Hard work is the key.
4. Determine the Powerful in the Organization: Learn the names and faces of people you work with. Once you identify the powerful, look for similarities you have with them, not your differences.
5. Learn the Language and Symbols of the Organization: Every workplace has its own culture and way of doing things. It is your responsibility to become familiar with it.


This is just the beginning of the list! I think the most important of these is to be a hard worker. I am a firm believer that hard work always will pay off in the end.

Tuesday, February 1, 2011

Ethical and Legal Responsibilities and the Role of the Nurse

Ethical and Legal Responsibilities and the Role of the Nurse

The nurse is responsible to uphold ethics. I took a class that was devoted completely to nursing and ethics because it is such an important topic. Nurses must up hold certain legal obligations. For example, if I witness abuse, I am legally and ethically obligated to report it. The hard thing about ethics is that sometimes it becomes a personal choice. Different people believe different ways on how they want to act. When I took my ethics class there were a lot of debates about what was "right" or "wrong." Ethical issues come up in health care because it deals with human lives.

Some nurses would argue that ethical and legal issues are one in the same. Others view them as separate issues. I see them at separate issues. There are certain things that I do because I am obligated to do them by law. If it was just up to my personal ethicial feelings, I may not do those things. For example, I feel really strongly about quality of life. If a patient codes and is not going to have what I think is a good quality of life, I would think not do resuscitate. But if they have not made an advanced directive about if they want to be resuscitated or not, I am legally obligated to resuscitate them.

Tuesday, January 18, 2011

Lesson 2

Think about how theories of leadership and management impact nursing leadership and management roles.

Leadership in nursing is no different than leadership and management theories in general. The same theories apply. They may have slightly different applications, but the main ideas stay. For example, these were listed as a general decision making model.

Set objectives
identify the problem
Search for alternatives
Evaluate alternatives
Choose alternative
Implement solution
Follow up and control

When you really look at these steps, it is very similar to decision making in nursing-ADPIE

Assessment
diagnosis
Plan
Implementation
Evaluation

no matter what I call these steps, I am using them at school, and work as a nurse, and with my family.


Saturday, January 15, 2011