Assignment: Cultivating Healthful Environments

Assignment: Cultivating Healthful Environments

A Sample Answer For the Assignment: Assignment: Cultivating Healthful Environments

Title: Assignment: Cultivating Healthful Environments

Assignment Cultivating Healthful Environments

Quality is the most important thing in the healthcare system. It is a key component to the right to health and the basis for equity and dignity for humanity. Quality is strongly linked to the environment where healthcare is delivered (Almost et al., 2016). Several factors have an impact on the quality of healthcare services and incivility is considered one of them. Therefore, it is important to thoroughly discuss the issue to ensure that healthcare providers and other patient advocates grab the exact concept around it and how it can be solved. Nursing is a profession dedicated to helping others; however, some healthcare environments can alter its meaning (Almost et al., 2016). The purpose of this paper is to provide an in-depth analysis of incivility in nursing care, its impact on healthcare, and how to cultivate a healthy nursing environment.

Incivility is defined differently by various authors, however, the definitions reflect a common idea. According to the American Nurses Association (2020), incivility is a rude and disrespectful behavior committed by individuals that are against organizational norms and has an ambiguous intent to harm.  On the other hand, Layne, Anderson, and Henderson (2019) define incivility as a deviant behavior in the workplace. Examples of incivility include taking in an unprofessional language, spreading unnecessary rumors, gossiping, intentionally ignoring someone, or interrupting a colleague during a meeting. Incivility is an issue because it might create an environment where staff members do not support one another making the healthcare delivery process very complicated (American Nurses Association, 2020). Based on the fact that nurses work in a stressful environment, and that the situation is between death and life, incivility becomes a significant issue in the system.

Normally, the elements of this issue are often observed in the hospital environment, and it is very difficult, almost impossible, to eliminate incivility at the workplace. Due to many risks and stressful situations associated with nursing, both the providers and patients may feel frustrated, which may lead to them acting differently (Phillips, Stalter, Winegardner, Wiggs, & Jauch, 2018). With this kind of understanding, it is possible to reduce this issue by implementing both primary and secondary interventions. Additionally, incivility is an issue because it might create disagreements between healthcare providers and patients, or between healthcare providers themselves leading to conflict. Addressing this issue is one of the ways of ensuring quality care (Layne et al., 2019). Nurses will harmoniously with patients and within themselves when incivility is addressed appropriately.

Importance to Nursing

Incivility is a common issue in nursing and has been increasing over the years. It can impact negatively the working environment, people, and quality of care. This makes it an important issue in the nursing arena. When the situation sets in, the providers and the patients may first bear the outcome.  However, when it gets worse, the organization finds it difficult to obtain the quality of healthcare resulting in undesirable patient outcomes (Layne et al., 2019). The importance of incivility related to nursing, therefore, manifests itself when it bothers nursing operations and patient outcomes in the healthcare setting. Incivility can have adverse impacts on individuals, for instance, victims who experience rude or disrespectful behaviors often lose interest in their jobs.

Additionally, they may appear mentally disturbed, show up to work late, and even quit their job when the situation persists. Phillips et al. (2018) assert that such individuals may also experience a feeling of stress and humiliation. The authors stated further that employees in all industries have indicated that public humiliation often makes them feel small and impacted negatively by their self-esteem.  Furthermore, incivility may make some nurses fall sick due to stress and a feeling of low self-esteem. It also impacts negatively on their performance making nurses receive bad ratings in the performance appraisal. Such ratings along with those negative experiences reduce their level of commitment further. Other emotional impacts on individuals due to incivility include isolation, anger, and fear.

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Reflecting on the impacts of incivility on individuals, it is clear that the situation also has a significant influence on microsystem work environments. For instance, if the staff is not happy, they might not work in collaboration, which reduces the

quality of healthcare. Phillips et al. (2018) define clinical microsystems as a small group of professionals who work together regularly, or as needed, to provide care to discrete populations of patients. Incivility breaks the bond between these professionals making the microsystem operations impossible. It compromises communication and trust in a microsystem workplace environment. Lack of closed-loop communication and trust can lead to strain in the workplace. The strain in the workplace is known to influence teamwork behaviors such as coordination and monitoring. Such strain is likely to diminish microsystem workplace environment performance and efficiency (American Nurses Association, 2020). Therefore, incivility impacts negatively on the nursing profession, by inducing bad experience on nurses, healthcare performance, and microsystem environments. Proper strategies can be designed and implemented to prevent incivility in nursing care.

Storytelling

I first encountered the incidence of incivility at my workplace when a team of nurses and clinicians working together has disagreements. One of the nurses was unnecessarily spreading a rumor that a clinician was giving fake prescriptions to patients, which was not the case. The physician was very furious upon hearing this developing story. The normal care coordination could not go on well as the workplace environment turned in a conflict arena. There was no effective communication between the teams and performance of work on that day was negatively impacted as the two openly exchanged words and could even involve in a fight. Both the clinician and the nurse were angry at each other. The clinician looked stressed and low self-esteemed. The managers from both teams had to come in to solve the conflict before it got worse. However, because they could not get along and it was impossible for them working in collaboration. The nurse had to switch her shift with another nurse for sometimes until they shall have agreed with each other.

Creating a Healthful Environment

The creation of a healthy environment is the key to successful healthcare delivery. The first strategy for a healthy environment is the establishment of effective communication. Healthcare is about teamwork, which involves constant communication to share, discuss, and pass information. Furthermore, effective communication may help solve disputes or disagreements among the collaborative teams (Almost et al., 2016). Communication enables the establishment of a therapeutic relationship between the provider and the patient which makes a workplace better for care delivery. The second strategy includes employee engagement.  Inclusivity in the decision-making process and leadership activities is the best way to keep everyone motivated.

People have different ideas and opinions and would like them to be heard. Engaging employees in a decision-making process and other organizational events make them poses the sense of the owner. It makes them feel wanted and important, which, in turn, boosts their self-esteem (Phillips et al., 2018). The third strategy is to promote coordination among teams because that is what healthcare is about. Healthcare is a process between various departments and units, hence, effective coordination will result in quality patient outcomes. It makes operations run smoothly and in the end, the organization can achieve its goals.

Practice Application

The selected specialty track is the executive MSN. A nurse executive is a nursing administration leader working in the management and administrative aspect of patient care. Areas of focus or in this specialty track include collaborating with other professionals to develop partnerships and networks (Tanaka, Taketomi, Yonemitsu, & Kawamoto, 2016). Nurse executive work in hospitals, community health agencies, and healthcare organizations. To be a nurse executive, one must obtain a master’s degree in nursing to ensure that the candidate is prepared in a fast-paced administrator role. Some of the roles of an executive nurse include designing and managing patient care, shaping health care policies at the facility or organization. Creating and managing budgets, and Supporting the team to provide optimal patient care among other things (Tanaka et al., 2016). Skills needed in this specialty track include leadership, communication and relationship management, and business skills.

To ensure a healthy working environment, it will be necessary to comply with the organizational rules and regulations which include respect for all. It is also important to work within the ethical responsibilities of a nurse (Layne et al., 2019). Nursing ethics promotes behaviors that encourage a healthy working environment to prevent incivility and other undesirable traits. These along with effective communication and coordination will help achieve a healthy workplace environment.

Assignment: Cultivating Healthful Environments Conclusion

Quality and the healthcare environment are strongly connected. Incivility is among the impediments of quality healthcare. It has a negative influence on the individuals, healthcare process and the microsystem work environment. Effective coordination, communication, and inclusivity are some of the strategies to create a healthy working environment. A nurse executive is a nursing administration leader working in the management and administrative aspect of patient care. Skills needed in this specialty track include leadership, communication and relationship management, and business skills. I would cultivate a healthy work environment by adhering to the organizational rules and observing nursing ethics.

Incivility and Healthful Environment

Incivility is one of the problems which affect the healthcare environment negatively. While some nurses get involved directly in incivility, others experience it as it happens between other staff members. Even though it is a common phenomenon, it sometimes gets overlooked. Incivility has been shown to lead to toxic working environments and poor working conditions. Incivility may take different forms, such as bullying, disruptive conduct, unfair conduct, subtle harassment, and rudeness (Green, 2019). Therefore, the purpose of this assignment is to reflect on an experience of incivility at the workplace.

Some time ago, I experienced a first-hand act of incivility. We were always encouraged in the facility to inquire from colleagues and the senior staff members if there was anything unclear or when in doubt. Therefore, as a way of avoiding medication errors, I approached one of the senior nursing staff to help confirm the details of a medication of I was supposed to administer to a patient in terms of dosage and route. To my surprise, the nurse reacted angrily and rudely, shouting that it was a show of incompetence. The nurse even criticized me in front of others, shouting that my skills were short and that I could not handle the simplest of tasks.

The situation made me feel bad, disrespected, and demoralized. The comments of incompetence and half-baked skills cut into me and bruised my self-esteem. I thought for a while about my competence and ability concerning the skills. I don’t think I did anything wrong to warrant such a dress-down. I was only trying to be extra careful so that I don’t commit any medication errors which can lead to adverse outcomes.

Even though the situation made me feel bad, I contained my anger and walked away from the scene. I did not want to create any commotion as patients were close by. I spoke with another staff member who helped countercheck the medication details. The nurse also indicated that the reaction by the senior nurse was inappropriate and uncalled for and that I did well not to respond violently. I made efforts to meet the nurse leader to hold further discussions regarding the matter and how best to handle such situations in the future.

The situation had various consequences. One of the consequences was a strained relationship between myself and the senior nurse. Since I didn’t like how the nurse addressed me, the situation made our working relationship to get sour. Again, the nurse leader was also willing to come in and mediate to ensure the working relationship was restored. Indeed, mediation is known to be one of the most strategies for resolving conflicts (Kohlhoffer-Mizser, 2019).  The situation also had negative impacts on the work environment and the outcomes. For example, other junior nurses were more withdrawn and never willing to inquire and consult the senior nurses. There is also a potential impact on the outcomes since there are higher chances of making mistakes, such as medication-related errors, when there is no consultation.

The situation could have been prevented by constantly reminding the staff to be gentle and avoid rudeness as much as possible. Talking gently to others helps avert conflicts that could have been caused by rudeness. Various strategies can be used to support a healthy work environment. One of the strategies is encouraging open communication. Open communication helps individuals pass across the intended information and message, preventing conflicts and promoting a healthy environment (Kim et al.,2018). The other strategy is offering support for each other in the work environment. Support ensures that everyone feels comfortable in the work environment, creating a healthy environment.

Assignment: Cultivating Healthful Environments Conclusion

Workplace incivility has various negative impacts on the staff and the work environment. Therefore, appropriate ways should be used to avoid it. This assignment has described a case of workplace incivility and its impacts.

Assignment: Cultivating Healthful Environments References

Green, C. A. (2019). Workplace incivility: nurse leaders as change agents. Nursing Management, 50(1), 51–53. Doi: 10.1097/01.NUMA.0000550455.99449.6b

Kim, K. J., Yoo, M. S., & Seo, E. J. (2018). Exploring the influence of nursing work environment and patient safety culture on missed nursing care in Korea. Asian Nursing Research, 12(2), 121-126. https://doi.org/10.1016/j.anr.2018.04.003

Kohlhoffer-Mizser, C. (2019). Conflict management-resolution based on trust?. Ekonomicko-Manazerske Spektrum, 13(1), 72-82. Doi: 10.26552/ems.2019.1.72-82

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Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

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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.

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Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource