Capstone (20 hours)

1) Minimum 6 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

            Part 1: Minimum 2 pages
            Part 2: minimum 2 pages
            Part 3: minimum 2 pages

    Submit 1 document per part

2)¨******APA norms
          All paragraphs must be narrative and cited in the text- each paragraph
          Bulleted responses are not accepted
          Don’t write in the first person 
          Don’t copy and paste the questions.
          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Q 1. Nursing is XXXXX
Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 
Part 1.doc 
Part 1:  Restructuring in depth

You are the supervisor at a home health agency. There are 22 RNs in your span of control. In a meeting today, John Dao, the CNO, tells you that your span of control needs adjustment to be effective. Therefore, the CNO has decided to flatten the organization an decentralize the department. To accomplish this, he plans to designate three of your staff as shift coordinators. These shift coordinators will schedule patient visits for all the staff on their shift and be accountable for the staff that they supervisor. The CNO believes that this restructuring will give you more time for implementing a continuous quality improvement program and promoting staff development.
Although you are glad to have the opportunity to begin these new projects, you are somewhat unclear about the role expectations of the new shift coordinators and how this will change your job description. In fact,you worry tha this is just a precursor to the elimination of your position. Will these shift coordinators report to you? If so, will you ave direct line authority or staff authority? Who should be responsible for evaluating the performance of he staff nurses now? Who will handle employee disciplinary problems? How involved should the shift coordinators be in strategic planning or determining next year’s budget? What types of management training will be needed by the shift coordinators to prepare for their new role? Are you the most appropriate person to train them?
There is a great potential for conflict here
1. Make a list of 10 questions that you would want to ask the CNO at your next meeting to clarify role expectations. 
2. Discuss tools and skills that you have learning that could make this role change less traumatic for all involved.

Part 2: Power, politics, and Collective Bargaining on Organizational Climate

List and support your reasons for or against striking.

You are a staff nurse in the ICU in one of your city’s two hospitals. You have worked at this hospital for 5 years and transferred to the ICU 2 years ago. You love nursing but are sometimes frustrated in your job due to a short supply of nurses, excessive overtime demands, and the stress of working with such critically ill patients.

The hospital has a closed shop, so union dues are deducted from your pay even though you are not actively involved in the union. The present union contract is up for renegotiation, and union and management have been unable to agree on many issues. When management made its last offer, the new contract was rejected by the nurses. Now that the old contract has expired, nurses are free to strike if they vote to do so. 

You had voted for accepting the management offer; you have two children to support, and it would be devastating to be without work for a long time. Last night, the nurses voted on whether to return to the bargaining table and try to renegotiate with management or to go out on strike. Again, you voted for no strike. You have just heard from your friend that the strike vote won. Now, you must decide if you are going to support your striking colleagues or cross the picket line and return to work tomorrow. Your friends are pressuring you to support their cause. You know that the union will provide some financial compensation during the strike but believe that it will not be adequate for you to support yourself and your children. Yo agree with union assertions that the organization has overworked and underpaid you and that it has been generally unresponsive to nursing needs. On the other hand, you believe that your first obligation is your children.


Using a problem-solving and decision making skills model 
1. How you would approach solving this difficult decision. 
2. Describe how you arrived at your decision. 
3. How many alternatives did you generate? 
4. If you were financially stable without a family would your decision have been the same?


Part 3: Power, politics, and Collective Bargaining on Organizational Climate
This week’s graded topic relates to the following Course Outcome (CO).
 Plan clinical practice activities that integrate professional nursing standards in accordance with the Nursing Code of Ethics and the American Nurses’ Association standards of practice (CO5).
The ethical guidelines provided by the American Nurses Association’s Code of Ethics can help nurses in the face of an ethical dilemma. The Code consists of nine provisions which outline  statements of the obligations of nurses, and the interpretative statements which provide more specific guidance in the application of the provisions to nursing practice.

1. Which of the provision(s) do you believe is (are) more important to your daily practice? Explain your answer.

2. How do you integrate the ANA Code of Ethics in your daily practice?

3. Have you been faced with a situation in which you had to make an ethical decision? How did you resolve the ethical issue?

4. What is the purpose of the Code of Ethics? 

5. Which of the provisions you believe is

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