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week6 re

#1

 

I chose to discuss situation where a nurse manager was held legally responsible for their actions based on assignment, delegation, and supervision. In the case of Johnson v. Missouri State Board of Nursing (2004), Teresa Johnson was a nurse manager who was held legally responsible for failing to ensure proper staffing, supervision, and delegation at a nursing home which resulted in multiple resident deaths.

Nurse managers have a important role in maintaining adequate staffing, safe care environments, ensuring appropriate assignments, and supervising them appropriately. They need to ensure nurses have enough experience to be able to care for certain patients safely when making their assignments and delegating certain tasks, and they need to supervise in case someone needs help and to prevent harm from occurring. Knowing something has occurred but continuing to no change or monitor safely led to unmet professionally standards and harm to patients. Nurses in these situations should advocate for themselves and their patients, and nurse leaders should listen and make changes to maintain a safe environment. Nurses and leaders both have a large deal of responsibility, and communication and change can lead to safe and positive work environments. The nurse manager failed to ensure that tasks were assigned to staff members who were competent and prepared to provide safe care. This lack of proper delegation and supervision contributed to inadequate patient care and adverse outcomes, including multiple resident deaths. Two things I would incorporate is use of a nurse educator, as utilizing travel agency nurses can bridge the gap of short staffing but the nurse educator is a good tool to help ensure nurses are appropriately trained and can also lend a hand when needed. Another I would use is debriefs for open communication. If nurses notice something that needs changed, they have an opportunity to discuss it with the team as a whole to promote positive and safe change. 

Johnson v. Missouri state board of nursing, Justia Law. (n.d.). https://law.justia.com/cases/missouri/court-of-appeals/2004/wd62429-2.htm

#2

 

Delegation allows nurses to manage workloads efficiently and ensure patient care needs are met, but it must comply with legal and professional standards. One real scenario that comes to mind, that occured at my previous facility, left a patient needing to be transferred to the critical care unit due a delegated task to an unlicensed assistive personnel (UAP) by a registered nurse (RN). The RN delegate a med pass to a UAP which lead the nurse leaders getting involved due to a negligence claim. The RN did not abide by the five rights of delegation which led to patient harm and legal issues. The role of the nurse leaders, in this case, includes conducting a root cause analysis (RCA), asses competency, provide training, and in severe cases initiate disciplinary action. Nurses have legal accountability, ethical responsibility, and professional repercussions from wrongfully delegating tasks. Nurse leaders, on the other hand, have organizational accountability, oversight responsibility, and legal exposure. Both the nurse and the nurse leader will be impacted by this event. The nurse is directly impacted while the nurse leader is indirectly impacted. 

The nurse who delegated the task broke several rights of Delegation. The nurse broke right task, right person, and right supervision/evaluation. First of all the UAP is not a licensed personnel and cannot medicare patients. Adherence to the five rights of delegation serves as a guiding framework that ensures tasks carried out safely(Tooman, 2024). The National Council of State Boards of Nursing (NCSBN) Guidelines offers the five rights of delegation and best practices. Along with the NCSBN, nurses can use their State's Nurse Practice Act (NPA) which outlines legal accountability for delegation

    Education week 2 assignment

     

    Skin Condition Brochure

    Prior to beginning work on this assignment, read Chapter 8 from our textbook, and review the following resources:

    For this assignment, you will choose one of the topics from the list below. Based on your chosen topic, research the condition, and create a two-sided informational brochure that can be distributed to clientele, using this brochure template.

    • Long-term skin color changes (e.g., yellow, bronze, blue/bruised)
    • Infections (e.g., herpes, warts, fungal infections, dermatitis, cellulitis, folliculitis, acne, boils, etc.)
    • Carcinoma (e.g., basal cell carcinoma, malignant melanoma, squamous cell carcinoma)
    • Burns
    • Decubitus ulcers (bed sores)

     Include the following topics in your brochure:

    • Discuss the cause of the disorder or damage.
    • Describe the changes seen in the skin when the disorder or damage occurs.
    • Analyze the causes, risk factors, and prevention.
    • Evaluate tests and treatments (e.g., modern medicine and/or complementary and alternative medicine [CAM]).
    • Explain the environmental factors that can induce or exacerbate the assigned condition.

    The content in your Skin Condition Brochure Download Skin Condition Brochuremust be summarized in your own words, not copied and pasted from your research sources. You may include hyperlinks to other information in your brochure. You may use up to three images per side to add visual interest and convey the information. Be sure to include citations and references in APA StyleLinks to an external site. for sourced information and images used.The Skin Condition Brochure assignment

      541 slp4

       

      Integration of Instructional Technology

      • one agenda (1 page)
      • a PowerPoint presentation (15 slides)
      • and one handout (2-pages)

      Chapter 8: Media Literacy: 21st Century Literacy Skills (p. 133 – 152) Chapter 11: Power Down or Power Up? (p. 186 – 194) Jacobs, H. H. (2010). Curriculum 21: Essential education for a changing world. Alexandria, VA: Association for Supervision & Curriculum Development (ASCD).Herold, B. (2016). Technology in education: An overview. Education Week online. Retrieved from http://www.edweek.org/ew/issues/technology-in-education/Introduction (p. 1 – 14) Pitler, H., Kuhn, M., and Hubbell, E. R. (2012). Using technology with classroom instruction that works. Alexandria, VA: ASCD.Scherer, M. (2011). Transforming education with technology. Educational Leadership, 68(5), 16-21. 

        Principals of Entrepreneurship

        Please answer the questions below.  Responses should be thorough, none of these questions should be answered with just one word or one sentence.  Share your thoughts in your responses.

        1. What commonalities do the top five countries have that put them in the lead for entrepreneurial ventures? 

        2. How would you explain the concept of an entrepreneurial vision to your college roommate who is a history major? 

        3. Identify five disruptive technologies and the industries that these technologies impact. 

        4. In thinking about the future, and your own experiences, what opportunities are there for disruptive technologies in one or two familiar industries?

        5. What is the difference between an entrepreneurial mindset and entrepreneurial spirit?

          Funding Your Ministry: Skills

          For this assignment, you must identify 1 of the 6 critical skills for fundraising from People
          Raising that you would find the most challenging to master. Use the textbooks and outside
          sources to help you describe a plan to improve and develop that skill.
          Be sure to cite at least 2 references in current APA format in addition to the course textbooks and
          the Bible. This assignment should be at least 3 pages not including title, abstract, and reference pages. 

            The Impact of Future Trends

             

            This course has highlighted the significance of HRM strategies in leading business and organizational success. As you conclude this course, consider the HRM strategies you will use as future trends emerge and reflect on how the modern workplace has evolved.

            In this discussion, you will evaluate how these future trends could impact HR and how they can be applied to enhance real-world HR practices. In your initial post, address the following prompts:

            • How can future HRM trends be applied to enhance real-world HR practices? Provide specific examples of how these trends can be implemented in your job or a job you are interested in.
            • What emerging trends and technologies do you believe will impact these systems the most?
            • Reflect on how the knowledge gained in this course has prepared you for future HR roles.
            • Explore resources and certifications available for HR professionals to continue their development.

            Support your arguments with evidence from the course materials, readings, or external sources. Make your arguments more compelling by sharing concrete examples to illustrate your points. Finally, relate your response to broader course themes or real-world applications.

              Fundamentals of Oral Communications Persuasive Speech-Keystone Assessment (VIDEO)

               

              Instructions: 

              Students must deliver a persuasive speech to convince their audience to consider their stance on a particular issue or argument. 

              The speech must be 5-7 minutes in length

              The students must also provide a written outline for their speech. 

              Conduct research on your topic using the library databases to find evidence (i.e. explanations, examples, illustrations, statistics, analogies, quotations from relevant authorities) to support your position on the topic. Use the persuasive speech worksheet and the outline to develop your speech. Include at least 5 academic sources from the LIRN database to support your position. 

              This is an in-person assignment. It represents 25% of your grade. Please make sure to submit all necessary documents:

              1. Prep worksheet

              2. Outline

              3. Written Speech with at least 5 Library References

              4. Visual Aids

              Students will be evaluated on the following: 

              • Central message: The main point/thesis/"bottom line"/"take-away" of a presentation. A clear central message is easy to identify; a compelling central message is also vivid and memorable. 

              • Delivery techniques: Posture, gestures, eye contact, and use of the voice. Delivery techniques enhance the effectiveness of the presentation when the speaker stands and moves with authority, looks more often at the audience than at his/her speaking materials/notes, uses the voice expressively, and uses few vocal fillers ("um," "uh," "like," "you know," etc.). 

              • Language: Vocabulary, terminology, and sentence structure. Language that supports the effectiveness of a presentation is appropriate to the topic and audience, grammatical, clear, and free from bias. Language that enhances the effectiveness of a presentation is also vivid, imaginative, and expressive. 

              • Organization: The grouping and sequencing of ideas and supporting material in a presentation. An organizational pattern that supports the effectiveness of a presentation typically includes an introduction, one or more identifiable sections in the body of the speech, and a conclusion. An organizational pattern that enhances the effectiveness of the presentation reflects a purposeful choice among possible alternatives, such as a chronological pattern, a problem-solution pattern, an analysis-of-parts pattern, etc., that makes the content of the presentation easier to follow and more likely to accomplish its purpose. 

              • Supporting material: Outlines, Explanations, examples, illustrations, statistics, analogies, quotations from relevant authorities, and other kinds of information or analysis that supports the principal ideas of the presentation. Supporting material is generally credible when it is relevant and derived from reliable and appropriate sources. Supporting material is highly credible when it is also vivid and varied across the types listed above (e.g., a mix of examples, statistics, and references to authorities). Supporting material may also serve the purpose of establishing the speaker’s credibility. 

                Thread Response 8

                  

                · At least 400 words

                · Must support the assertions with broad references to the class sources in APA format.

                · Draw from the sources broadly and cite per APA.

                · The narrative should include numerous references to the class content.

                Reply from Sheli Chambers

                This course provided a comprehensive exploration of adult learning theory, active learning approaches, and the cultivation of higher-order thinking. Through critical engagement with Svinicki and McKeachie’s  Teaching Tips and Merriam and Baumgartner’s  Learning in Adulthood, I developed a deeper understanding of both the cognitive and socio-cultural dimensions of learning. Key areas of focus included constructivist perspectives, self-directed learning, transformative learning theory, motivation, metacognition, diversity and inclusivity in learning environments, and assessment strategies that promote critical thinking. The readings encouraged both practical application and theoretical critique, enabling a nuanced approach to developing a teaching philosophy grounded in research while adaptable to diverse learner needs. This integration of theory and practice reinforced that teaching requires continual reflection, flexibility, and responsiveness to learner diversity.

                Constructivism emphasizes that learners build knowledge actively rather than passively receiving information (Merriam & Baumgartner, 2020). This aligns with my belief that teaching should create conditions for learners to make meaning through interaction, problem-solving, and reflection. However, I critique purely constructivist models for sometimes neglecting the role of direct instruction in establishing foundational knowledge. In my philosophy, constructivism is most powerful when balanced with explicit guidance, particularly for complex or unfamiliar concepts.

                Self-directed learning (SDL) is central to adult education, as it respects autonomy and leverages intrinsic motivation (Merriam & Baumgartner, 2020). I plan to incorporate structured opportunities for SDL in my practice, but recognize the need for scaffolding, especially for learners unaccustomed to self-regulation. This balance ensures autonomy without abandonment, supporting learners in developing independence while still feeling guided and supported throughout their learning journey.

                Mezirow’s transformative learning theory underscores the power of critical reflection to shift perspectives (Merriam & Baumgartner, 2020). In my philosophy, fostering transformative learning requires not only challenging assumptions but also creating a psychologically safe environment to support identity reconstruction. I see potential in combining transformative approaches with active learning strategies to sustain engagement during cognitive dissonance, ensuring that discomfort becomes a catalyst for growth rather than a barrier to participation.

                Drawing from Svinicki and McKeachie (2014), motivation is maximized when learners believe they can succeed (expectancy) and see value in the task. This insight reinforces my commitment to designing learning experiences that are relevant, challenging, and achievable. I would critique the limited attention in some motivational frameworks to systemic inequities that affect learners’ expectancy beliefs. Without acknowledging these contextual influences, motivational strategies risk overlooking the structural barriers many learners face.

                Metacognitive awareness empowers learners to monitor and adjust their strategies (Svinicki & McKeachie, 2014). My philosophy includes explicit instruction on metacognitive skills, enabling learners to take ownership of their progress. However, I recognize the challenge of embedding these skills meaningfully without creating additional cognitive overload. As such, I intend to integrate metacognition gradually and contextually, connecting it directly to learning activities rather than treating it as an add-on.

                Active learning fosters engagement through doing, discussing, and reflecting (Svinicki & McKeachie, 2014). I particularly value problem-based learning for developing higher-order thinking and real-world application. The critique lies in its sometimes uneven outcomes, especially if group dynamics or prior knowledge are imbalanced. To address this, my approach will emphasize intentional group formation, clear roles, and reflective debriefing to maximize equitable participation and learning outcomes.

                Merriam and Baumgartner (2020) highlight that learning is embedded in cultural, historical, and experiential contexts. This compels me to adopt culturally responsive teaching practices that honor learners lived experiences as legitimate sources of knowledge. A purely cognitive focus risks marginalizing these crucial dimensions, so I aim to create spaces where learners’ cultural narratives are not just acknowledged but actively integrated into course content and dialogue.

                Effective feedback is timely, specific, and oriented toward growth (Svinicki & McKeachie, 2014). My philosophy emphasizes feedback not just as evaluation but as dialogue—encouraging learners to respond, question, and iterate. I critique one-way feedback processes that reinforce hierarchical learning relationships and instead advocate for feedback loops that position learners as co-constructors of improvement strategies.

                Critical thinking is both a goal and a process that requires deliberate practice in questioning assumptions and evaluating evidence (Svinicki & McKeachie, 2014). Embedding critical thinking into all aspects of learning aligns with my goal of preparing learners for complexity beyond the classroom. In doing so, I also acknowledge that critical thinking should extend to examining the structures and systems that shape knowledge production itself.

                Based on these insights, I plan to make three key changes in my learning endeavors. First, I will intentionally engage in structured reflection to deepen my awareness. Second, I will evaluate how each learning task connects to my long-term goals, thereby increasing my intrinsic motivation. Third, I will seek out diverse viewpoints and challenge my assumptions more systematically, applying transformative learning principles to foster my growth. These shifts reflect a more intentional, self-aware, and critically engaged approach to my learning practice.

                This course also raised important questions for me. How can transformative learning be facilitated without alienating learners who resist challenging deeply held beliefs? In what ways can self-directed learning be equitably implemented for learners from educationally disadvantaged backgrounds? How can culturally responsive teaching move beyond inclusion toward genuine co-construction of knowledge with learners? These questions underscore the ongoing tension between theory and practice and the need for adaptive, context-sensitive approaches to adult education.

                This class reinforced that effective teaching is both an art and a science, requiring attention to research-based strategies, contextual realities, and learner autonomy. My philosophy is now shaped by the integration of constructivist principles, motivation theory, transformative learning, and active engagement—tempered by critical awareness of the limitations and challenges inherent in each. As both a learner and educator, I remain committed to evolving this philosophy through reflective practice, continual learning, and collaborative inquiry.

                References

                Merriam, S. B., & Baumgartner, L. M. (2022).  Learning in adulthood: A comprehensive guide (4th ed.). Jossey-Bass.

                Svinicki, M. D., & McKeachie, W. J. (2011).  Teaching tips: Strategies, research, and theory for college and university teachers (13th ed.). Cengage Learning.

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