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October 2, 2025

Sustainability and Social Responsibility Analysis

  1. Describe the sustainability practices of a business or organization that you frequently engage with.
    (You can usually find this information online by searching for the name of the business or organization, along with “sustainability strategy” or “environmental goals.”)
  2. How do you think the business or organization is greenwashing? Explain.
  3. How is the business or organization being socially responsible? Explain.

Sustainability and Social Responsibility Analysis

Sustainability and Social Responsibility Analysis

Questions:

  • What sustainability practices does the business or organization implement?,

  • How do these practices impact the environment or community?,

  • In what ways might the business or organization be engaging in greenwashing?,

  • What evidence suggests that some sustainability claims are exaggerated or misleading?,

  • How is the business or organization demonstrating social responsibility?,

  • What initiatives show commitment to employees, community, or ethical practices?,

  • How do sustainability and social responsibility efforts align with the organization’s core mission?,

  • How effective are these efforts in creating tangible environmental or social benefits?,

  • How could the organization improve transparency and accountability in its sustainability efforts?,

  • What lessons can consumers or other businesses learn from this organization’s approach?


Comprehensive General Answer

Sustainability Practices
The business I frequently engage with is Starbucks, a global coffee retailer. Starbucks has implemented several sustainability practices to reduce environmental impact and promote responsible sourcing. These include:

  • Ethical Sourcing: Starbucks sources coffee through its Coffee and Farmer Equity (C.A.F.E.) Practices program, which promotes environmentally friendly farming, fair labor practices, and quality standards.

  • Waste Reduction: Initiatives include offering reusable cups, encouraging recycling, and reducing single-use plastics.

  • Energy Efficiency: Starbucks invests in energy-efficient store designs, LED lighting, and water-saving equipment.

  • Climate Goals: The company has pledged to become resource-positive, aiming to reduce carbon emissions, water usage, and waste by 2030.

Greenwashing Concerns
While Starbucks markets itself as environmentally conscious, some critics argue that the company engages in greenwashing:

  • Plastic Use: Despite promoting reusable cups, most customers still use single-use cups, and Starbucks continues to produce large amounts of disposable packaging.

  • Carbon Claims: Sustainability claims about carbon neutrality are often tied to offset programs, which may not directly reduce emissions at the source.

  • Marketing vs. Reality: Sustainability messaging can sometimes overemphasize small improvements while broader environmental impacts, like global supply chain emissions, remain substantial.

Social Responsibility
Starbucks demonstrates social responsibility in multiple ways:

  • Employee Benefits: The company provides healthcare, stock options, and tuition assistance to employees, promoting well-being and professional development.

  • Community Engagement: Starbucks supports local communities through grants, volunteer programs, and partnerships with nonprofit organizations.

  • Diversity and Inclusion: Initiatives include equity programs, inclusive hiring practices, and anti-discrimination policies.

  • Ethical Sourcing: Beyond environmental benefits, C.A.F.E. Practices ensure fair wages and working conditions for coffee farmers, supporting economic sustainability in sourcing regions.

Conclusion
Starbucks shows a commitment to both sustainability and social responsibility through environmental initiatives, ethical sourcing, and employee/community support. However, greenwashing concerns highlight the importance of transparency and measurable impact. To improve credibility, the company could provide more detailed reporting on the effectiveness of its sustainability programs and work toward tangible reductions in environmental footprint. Sustainability and Social Responsibility Analysis

October 2, 2025
October 2, 2025

Medicare NP Payment Calculations

Health Insurance Calculations – Medicare Non-Physician Provider

Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare.

Use the attached document to complete

WK8 INFO HP-214

Medicare NP Payment Calculations

 

Health Insurance Calculations – Medicare Non-Physician Provider

Please review the lecture information prior to completing this task. This scenario is for a non-physician provider, such as an N.P. or P.A., who contracts with Medicare. More information is available to you in Chapter 9 of your text.

Analyze a scenario to determine monetary responsibility for a visit.

Fill in the blanks in the following payment situations:

Scenario 1

Calculate the following amounts for an NP who bills Medicare as an incident to a supervising physician (billed under the physician’s NPI).

Submitted charge $75

Medicare allowed amount (MPFS) $60

Nurse practitioner allowed amount (100% of MPFS) $

Medicare payment (80 percent of the allowed amount) $

Coinsurance amount (20% allowed amount) $

Provider write-off $

Scenario 2

Calculate the following amounts for an NP who bills Medicare under their own NPI.

Submitted charge $75

Medicare allowed amount (MPFS) $60

Nurse practitioner allowed amount $

(80% of office charge or 85% of MPFS whichever is lower)

Medicare payment (80% of the allowed amount) $

Coinsurance amount $

Provider write-off $ Medicare NP Payment Calculations

  • For Scenario 1, what is the nurse practitioner allowed amount (100% of MPFS)?,

  • What is the Medicare payment (80% of the allowed amount) for Scenario 1?,

  • What is the coinsurance amount (20% of allowed amount) for Scenario 1?,

  • What is the provider write-off for Scenario 1?,

  • For Scenario 2, what is the nurse practitioner allowed amount (80% of office charge or 85% of MPFS, whichever is lower)?,

  • What is the Medicare payment (80% of the allowed amount) for Scenario 2?,

  • What is the coinsurance amount for Scenario 2?,

  • What is the provider write-off for Scenario 2?,

  • How do the calculations differ when billing “incident to” versus under the NP’s own NPI?,

  • How do these calculations affect patient responsibility and provider reimbursement?


Comprehensive General Answer

Scenario 1 – NP Billed “Incident to” Physician

  • Submitted charge: $75

  • Medicare allowed amount (MPFS): $60

  • Nurse practitioner allowed amount (100% of MPFS): $60

  • Medicare payment (80% of allowed amount): 0.8 × $60 = $48

  • Coinsurance amount (20% of allowed amount): 0.2 × $60 = $12

  • Provider write-off: Submitted charge − allowed amount = $75 − $60 = $15

Explanation: When billing “incident to,” the NP is reimbursed at 100% of the MPFS. Medicare pays 80% of the allowed amount, the patient is responsible for the remaining 20%, and the provider cannot collect the difference between the submitted charge and the allowed amount (write-off).


Scenario 2 – NP Billed Under Own NPI

  • Submitted charge: $75

  • Medicare allowed amount (MPFS): $60

  • Nurse practitioner allowed amount (80% of office charge or 85% of

October 2, 2025
October 2, 2025

Course Feedback Reflection

All students are requested to complete this survey. It provides valuable information to meet your needs better, improve our courses, and provide a better overall student experience – one of the Three Pillars of Excellence upon which the University of Arkansas Grantham is built. If you have not yet completed your survey (these are needed for every course), please do so now. It is needed for the Discussion prompt.;

Course Feedback Reflection

Share what you feel is the most valuable suggestion for improvement. Share what you are comfortable sharing about your course learning experience. Ensure you place this suggestion in the survey comment section.Course Feedback Reflection

  • Have you completed the end-of-course survey?,

  • What do you feel is the most valuable suggestion for improving this course?,

  • What aspects of your course learning experience would you like to share?,

  • Where should you place your suggestion within the survey?,

  • How has this course contributed to your learning and professional development?,

  • What specific changes or improvements would enhance the student experience in this course?,

  • How do you feel the course met your expectations and learning objectives?,

  • How can the feedback you provide help improve future course offerings?,

  • Are there resources or support that you found particularly helpful during the course?,

  • How can the course structure, assignments, or instruction be improved for clarity or engagement?


Comprehensive General Answer

Reflection on Course Experience and Survey Feedback

Completing the end-of-course survey is an important opportunity to provide feedback that can improve both the course and the overall student experience at the University of Arkansas Grantham. The survey allows students to voice their perspectives and contribute to the university’s goal of delivering high-quality, effective learning experiences.

Most Valuable Suggestion for Improvement
One of the most valuable suggestions for improvement is to increase interactive opportunities during the course, such as more real-time discussions, case studies, or practical exercises. These activities help students apply theoretical knowledge in a simulated environment and enhance understanding of complex topics. Including additional examples or scenario-based assignments could also support diverse learning styles and deepen comprehension.

Course Learning Experience
Throughout this course, I appreciated the balance between technical instruction and professional skill development. Assignments, discussions, and resources provided a clear pathway for building both subject matter expertise and soft skills, which are essential for employment success. I found that structured feedback from instructors and the availability of tutoring services were particularly helpful in reinforcing my understanding of key concepts.

Placement of Suggestion
My suggestion for improvement has been entered in the comment section of the survey, as requested. This ensures that my feedback is recorded formally and considered during course evaluations and future revisions.

Contribution to Professional Development
The course has contributed to my professional development by enhancing both my technical competencies and employability skills. Assignments such as mock interviews and discussion responses helped build confidence, communication skills, and critical thinking. Overall, the course structure and content effectively supported my growth as a student and as a future professional.

October 2, 2025
October 2, 2025

Mock Interview Reflection

During this certificate program, you have spent a considerable amount of time working on employment strategies. You likely decided to return to school because you know education is the best path to employment. Employers are looking for employees with solid skill sets, the ability to learn, and the soft skills to be good employees.

The skillset comes with the courses, the ability to learn is shown by passing the courses and mastering the soft skills we have both included in coursework and exemplified by our actions. Soft skills are those things that make good employees. Soft skills in medical coding are personal and interpersonal skills that help medical coders perform effectively in their roles beyond technical coding knowledge. Reflect on some of these soft skills that speak to you:

Mock Interview Reflection

· Attention to detail

· Communication skills

· Time management

· Patience and Persistence

· Adaptability

· Confidentiality and Ethics

· Teamwork and Collaboration

Good employees arrive to work on time, work hard during paid hours, treat everyone with dignity and respect, and are honest and trustworthy.

Assignment Instructions

Mock Interview: When you’re ready to do your mock interview, select the Live Tutoring link on the course menu and follow this video tutorial,  Interview Practice – Career Services (01:44).

· Be sure to use the voice chat Mock Interview Reflection

· Ask to do a practice interview for a medical billing and coding position

· There is no need to schedule this, just log in to Tutor.com whenever you’re ready to complete the practice interview

Write a reflection on this entire process and submit it to the assignment drop box. This reflection should be one to two pages long and address points that were listed above as the soft skillset. College writing should always have a proper sentence structure, grammar, and spelling.

  • What was your overall experience completing the mock interview?,

  • How did you demonstrate attention to detail during the interview?,

  • How did your communication skills impact your performance?,

  • How did time management patience and persistence play a role in your interview?,

  • How did adaptability confidentiality and ethics come into play during the interview?,

  • How did teamwork and collaboration skills influence your responses or engagement?,

  • What did you learn about your strengths and areas for improvement through the mock interview process?,

  • How will this experience prepare you for a real medical billing and coding interview?,

  • How did the mock interview reinforce the importance of soft skills in employment?,

  • How will you apply these insights to future job-seeking or professional development efforts?

October 2, 2025
October 2, 2025

Maryland’s Hospital Rate Setting Policy

  1. Select a state health policy reform innovation
  2. Discuss the rationale for the policy, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. ethical outcome based on evidence.
  3. Examples of state innovations include Maryland’s hospital rate setting, Vermont’s single payer system, and Massachusetts’ health reform
  • What is the rationale behind Maryland’s hospital rate setting policy?,

  • How was this policy adopted in Maryland?,

  • What is the funding structure of Maryland’s hospital rate setting system?,

  • What impact has this policy had on healthcare outcomes in Maryland?,

  • What ethical considerations are associated with Maryland’s hospital rate setting policy?,

  • How does Maryland’s hospital rate setting policy compare to other states’ approaches?

Maryland's Hospital Rate Setting PolicyComprehensive General Answer

Rationale for the Policy

Maryland’s hospital rate setting policy was established to control escalating healthcare costs, ensure equitable access to care, and maintain hospital financial stability. The policy aimed to eliminate cost-shifting between payers and promote efficiency within the healthcare system. By setting uniform rates for all payers, Maryland sought to create a more predictable and transparent healthcare pricing structure.

Adoption of the Policy

The policy was adopted through state legislation and was initially implemented in the 1970s. A significant milestone was the 1977 Medicare waiver, which granted Maryland the authority to set rates for Medicare and Medicaid, establishing an “all-payer” system. This approach allowed Maryland to negotiate rates with hospitals and insurers collectively, rather than individually. In 2010, Maryland became the first state to implement a hospital global budgeting program, which expanded to all 46 of the state’s acute care hospitals in 2014. Mathematica

Funding Structure

The funding structure of Maryland’s hospital rate setting system is based on a global budget for each hospital. Hospitals receive fixed annual budgets that cover all operating expenses, including salaries, equipment, and supplies. These budgets are negotiated with the Maryland Health Services Cost Review Commission (HSCRC) and are adjusted for inflation and other factors. The primary sources of funding are Medicare, Medicaid, and private insurers, all of which reimburse hospitals at the same rate for services rendered. CliffsNotes 

Impact on Healthcare Outcomes

The implementation of the hospital rate setting policy in Maryland has led to several positive outcomes: Maryland’s Hospital Rate Setting Policy

  • Cost Control: Maryland has experienced slower growth in hospital expenditures compared to the national average.

  • Access to Care: The policy has contributed to broader access to healthcare services across the state.

  • Quality Improvement: Hospitals have been incentivized to improve care quality to meet budgetary constraints.

However, challenges remain, including ensuring that hospitals maintain financial viability under fixed budgets and addressing disparities in care quality. PMC

Ethical Considerations

Ethical considerations associated with Maryland’s hospital rate setting policy include:

  • Equity: Ensuring that all populations, regardless of insurance status, have access to quality care.

  • Transparency: Maintaining clear communication about how rates are set and how funds are allocated.

  • Accountability: Holding hospitals accountable for both financial performance and patient outcomes.

These considerations are crucial to maintaining public trust and the effectiveness of the policy.

Comparison to Other States

Maryland’s approach to hospital rate setting is unique in the United States. While other states have explored similar models, Maryland’s long-standing system provides a comprehensive framework for cost control and quality improvement. Other states have faced challenges in implementing such systems due to political, financial, and administrative barriers. HealthCare Price Source

October 2, 2025
October 2, 2025

Colleague Response Guidelines

1) Read a selection of your colleagues’ posts and respond to at least two of your colleagues on two different days by answering your colleague’s questions about the Personal Legislative Agenda. Your responses should provide clarification, guidance, and/or support on the question described by your colleague.

Colleague Response Guidelines

2) Respond to at least two colleagues on two different days in one or more of the following ways:

  • Ask a probing question, substantiated with additional background information, evidence, or research.
  • Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
  • Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
  • Validate an idea with your own experience and additional research.
  • Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
  • Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.Colleague Response Guidelines
  • How should you respond to at least two colleagues on two different days regarding their Personal Legislative Agenda questions?,

  • In what ways can you respond to colleagues’ posts (probing question, insight alternative perspective validation suggestion or expansion)?,

  • How should responses provide clarification guidance or support to your colleague’s questions?,

  • How can you substantiate your responses with additional background, evidence or research?,

  • How can you expand or contrast your colleagues’ postings using classroom readings or external research?,

  • What strategies can ensure your responses contribute meaningfully to discussion and learning?


Comprehensive General Answer

Responding to Colleagues
When engaging with colleagues on discussion posts regarding the Personal Legislative Agenda, it is important to respond to at least two colleagues on two different days. Responses should focus on addressing questions posed by the colleague and providing clarification, guidance, or support. This ensures an interactive discussion rather than a single, static reply.

Effective Response Methods
Responses can take multiple forms to enrich the discussion and promote critical thinking:

  1. Ask a Probing Question: Encourage deeper reflection by asking thoughtful questions that push your colleague to expand their ideas. For example, inquire about potential challenges in implementing their legislative priorities or how specific policies align with broader healthcare trends.

  2. Share an Insight: Reflect on the colleague’s post and synthesize the information with your own understanding or experience, offering new perspectives. This demonstrates active engagement and critical thinking.

  3. Offer an Alternative Perspective: Use classroom readings, scholarly articles, or Walden Library resources to provide evidence-based alternative viewpoints. Presenting contrasting perspectives respectfully promotes robust dialogue.

  4. Validate an Idea: Affirm ideas or positions shared by colleagues, providing support through your experience or additional research. Validation reinforces constructive dialogue and builds confidence.

  5. Make a Suggestion: Offer practical recommendations or strategies informed by evidence to enhance your colleague’s ideas or legislative agenda approach.

  6. Expand the Discussion: Build on colleagues’ postings by integrating related concepts, evidence, or contrasting perspectives. Expanding the conversation encourages deeper learning and the application of research to practice.

Substantiating Responses
Always support your responses with evidence from course readings, peer-reviewed literature, or reputable external sources. This strengthens credibility and models the use of evidence-based reasoning. Include citations where appropriate to maintain academic rigor.

Contribution to Learning
Effective responses contribute meaningfully by promoting dialogue, encouraging reflection, and supporting knowledge synthesis. By engaging thoughtfully and substantively, responses help colleagues refine their legislative agendas, consider new perspectives, and strengthen critical thinking skills.

October 2, 2025
October 2, 2025

Safe Medication Administration Reflection

The purpose of this reflection is to help students recognize and understand the importance of safe medication administration practices and provide a heightened awareness of the outcomes when an error has occurred.

Course outcomes: This assignment enables the student to meet the following course outcomes:

CO2: Identify characteristics of professional behavior, including emotional intelligence, communication, and conflict resolution. (POs 3, 5, and 6)

Safe Medication Administration Reflection

CO3: Demonstrate information literacy and the ability to utilize resources. (POs 3, 5, and 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 75 points

Preparing the assignment:

Follow these guidelines when completing this assignment. The paper should be 2-3 pages excluding the title page. Speak with your faculty member if you have questions.

1. Click on the video link “Nurse Gwen Cox Learns from Her Patient Safety Mistake.” https://www.youtube.com/watch?v=2ZVO4qqpiH4

2. As you watch the video, imagine you are Gwen Cox, RN, or consider someone you love deeply as that patient.

3. Think about how the medication error occurred, beginning in the med room, to the bedside, to the event that occurred after the medication was administered. Then think about the long-term consequences for both the nurse, Gwen, and her patient.

 

Preparing for the written assignment:

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Summary of Video (30 points/40%)

a. How does Gwen Cox define the nurse-patient relationship?

b. While in the medication room, which of the rights of medication administration was impacted?

c. What external factors led to the error?

d. What event provided evidence of a medication error?

Safe Medication Administration Reflection

e. What steps were taken to correct the error?

f. What was Gwen Cox’s reaction to the medication administration error?

2. Reflect on the content of the video (40 points/53%)

a. How can one error help change processes?

b. Describe how this video will impact you as a student nurse and a future registered nurse.

c. As a future nurse, how would you describe what the nurse-patient relationship should be?

d. Summarize how one error can improve patient safety.

e. Explain the steps you would follow to report a medication error.

f. How would you react to a medication error such as the one that Gwen Cox committed?

3. APA Style and Organization (5 points/6%)

a. Uses current APA format (title page and double spacing only required)

b. Grammar and mechanics are free of errors.

 

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts being evaluated.

NR-103 Safe Medication Administration Reflection Guidelines

 

NR103 Safe Medication Administration Reflection Guidelines Jul 2025 rev1.1 © 2025 Chamberlain University. All Rights Reserved. 1

 

Grading Rubric

Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

 

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not Completed
Summary of Video

(30 points/40%)

30 points 26 points 23 points 11 points 0 points
Required criteria

1. How does Gwen Cox define the nurse-patient relationship?

2. While in the medication room, which of the rights of medication administration was impacted?

3. What external factors led to the error?

4. What event provided evidence of a medication error?

5. What steps were taken to correct the error?

6. What was Gwen Cox’s reaction to the medication administration error?

Includes 6 requirements for section.

 

Includes 5 requirements for section. Includes 4

requirements for the section.

Includes 3 requirements for the section. Includes less than 3 requirements per section.
Reflection

(40 points/53%)

40 points 34 points 30 points 15 points 0 points
Required Criteria

1. How can one error help change processes?

2. Describe how this video will impact you as a student nurse and a future registered nurse.

3. As a future nurse, how would you describe what the nurse-patient relationship should be?

4. Summarize how one error can improve patient safety.

5. Explain the steps you would follow to report a medication error.

6. How would you react to a medication error such as the one that Gwen Cox committed?

Includes 6 requirements for the section. Includes 5 requirements for the section. Includes 4 requirements for the section. Includes 3 requirements for the section. Includes less than 3 requirements for the section.
APA Style and Organization

(5 points/7%)

5 points 4 points 0 points
Required criteria

1. Uses current APA format (title page and double spacing only required).

1. Grammar and mechanics are free of errors.

Includes 2 requirements for section. Includes 1 requirement for the section. No requirements for this section presented
Total Points Possible = 75 points
  • How does Gwen Cox define the nurse-patient relationship?,

  • While in the medication room which of the rights of medication administration was impacted?,

  • What external factors led to the error?,

  • What event provided evidence of a medication error?,

  • What steps were taken to correct the error?,

  • What was Gwen Cox’s reaction to the medication administration error?,

  • How can one error help change processes?,

October 2, 2025
October 2, 2025

Personal Leadership Philosophy

· Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

· Reflect on the leadership behaviors presented in the three resources that you selected for review.

· Reflect on your results of the CliftonStrengths Assessment*, and consider how the results relate to your leadership traits.

*not required to submit CliftonStrengths Assessment

The Assignment (2-3 pages):

Personal Leadership Philosophy

Personal Leadership Philosophies

Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your personal leadership philosophy should include the following:

· A description of your core values.

· A personal mission and vision statement.

· An analysis of your CliftonStrengths Assessment summarizing the results of your profile

· A description of two key behaviors that you wish to strengthen.

· A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.

· Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2.

 

 

Personal Leadership Philosophy

 

 

My discussion post

Completing the StrengthsFinder assessment provided valuable insight into my natural talents and leadership traits. My top five signature themes are Achiever, Relator, Learner, Responsibility, and Strategic. These themes highlight a strong internal drive for accomplishment, an emphasis on building meaningful relationships, a dedication to continuous learning, accountability for outcomes, and an ability to think critically about optionsm and pathways forward. Together, they reflect a leadership style that balances productivity with empathy and foresight.

Two core values that align closely with the results are integrity and lifelong learning. Integrity is tied to my Responsibility theme, as I naturally feel accountable to follow through on commitments and uphold trust. Lifelong learning reflects my Learner theme, as I am motivated to expand my knowledge and grow both personally and professionally.

Two strengths I recognize from my results are my work ethic (Achiever) and my ability to build strong connections (Relator). These strengths support my leadership in the ICU setting, where consistent performance and meaningful teamwork are essential for positive patient outcomes. My Achiever theme pushes me to set daily goals and maintain momentum, while my Relator theme helps me foster trust and collaboration among colleagues.

Two characteristics I would like to strengthen are my strategic foresight and balance between achievement and self-care. While my Strategic theme enables me to see multiple pathways, I would like to refine my ability to communicate those strategies more effectively to my team. Additionally, my Achiever theme often drives me to push forward relentlessly, which can risk burnout. Strengthening balance and resilience will ensure I can sustain long-term success as both a nurse and a leader.

Overall, the StrengthsFinder results affirmed many aspects of my leadership style while also pointing out areas for growth that will help me continue to develop as an advanced practice nurse.

References

Gallup. (2024).  CliftonStrengths for students: Top 5 report. Gallup Press. https://www.gallup.com/cliftonstrengths/en/home.aspx

Bowers, A., & Bartleet, M. (2022). Strengths-based leadership in nursing: Building resilience and engagement through CliftonStrengths.  Journal of Nursing Management, 30(6), 1512–1519. https://doi.org/10.1111/jonm.13593

Sull, D., Sull, C., & Zweig, B. (2022). Toxic culture is driving the great resignation.  MIT Sloan Management Review, 63(3), 1–9. https://sloanreview.mit.edu/article/toxic-culture-is-driving-the-great-resignation/

Zanchetta, M. S., Schwind, J. K., & Aksenchuk, K. (2021). Fostering self-leadership and strengths use in nurses through reflective practice.  Journal of Clinical Nursing, 30(17–18), 2531–2543.  https://doi.org/10.1111/jocn.15783

Response 1

Hello Anthony,

Thank you for laying out how you build connections in the unit. To strengthen that even more, consider formalizing peer coaching for nurses for a brief weekly check-in focused on one skill, one metric, and one follow-up, and close each shift with a minute after-action huddle to ask “what help? What should we change tomorrow?” Those small, repeatable efforts will provide good intentions into reliable habits and keep learning visible. As a strong nurse leader, it is essential to practice initiating, participating in, and advocating for knowledge translation across all settings (Chan et al., 2023).

Applying these efforts to leadership involves utilizing the achiever skill to define daily wins and maintain momentum, and employing responsibility skills to assign accountable owners and timelines, so that people look to you for direction and guidance (Rath, 2007). By utilizing relator skills, you can lead a huddle to address concerns and amplify support, as you are already excellent at developing relationships with those you are already familiar with (Rath, 2007). According to Chan et al. (2023), the authors emphasize that evidence-based practice is the current best practice, and utilizing a complex systems lens and transformational leadership can enhance the connection between research and proactive leadership skills.

Response 2

Thank you, Anthony, for providing your StrengthsFinder results and your insightful reflection. Your themes of Achiever, Relator, Learner, Responsibility, and Strategic exemplify a comprehensive leadership foundation that harmonizes productivity, collaboration, and strategic foresight. I concur with your acknowledgment of the significance of enhancing strategic foresight and sustaining equilibrium for resilience.

A suggestion to enhance your strategic theme is to engage in deliberate communication while outlining options for your team. Research indicates that effective leaders not only formulate strategies but also convert them into actionable and collective visions that motivate team members (Broome & Marshall, 2021). Consider utilizing structured communication tools, such as SBAR (Situation, Background, Assessment, Recommendation), to convey strategies clearly and succinctly in critical clinical environments.

Your Achiever theme signifies a strong drive for accomplishment, which is an invaluable asset; however, as you mentioned, it may also heighten the risk of burnout. A strategy to enhance this domain is the implementation of reflective leadership—intentionally pausing to assess priorities and delegate as necessary. Research indicates that leaders who harmonize self-care with productivity cultivate healthier work environments and enhance overall team performance (Shanafelt & Noseworthy, 2017). Implementing resilience practices, such as mindfulness and regular debriefings with colleagues, can safeguard your energy while maintaining optimal performance levels.

Your Relator and Learner themes present opportunities for transformative impact. Mentoring junior staff enhances relationships while exemplifying lifelong learning. This corresponds with evidence indicating that leaders who mentor and invest in employee development improve team engagement and retention (Boamah et al., 2018).

Your results reflect a leadership style rooted in integrity, development, and foresight. By enhancing the communication of strategic insights and prioritizing equilibrium, you can augment your influence as a nurse leader while preserving personal well-being.

  • Identify two to three scholarly resources that evaluate the impact of leadership behaviors in creating healthy work environments,

  • Reflect on the leadership behaviors presented in the selected resources,

  • Reflect on your CliftonStrengths Assessment results and relate them to leadership traits,

  • Describe your core values personal mission and vision statement,

  • Describe two key behaviors to strengthen and develop a plan to improve them and achieve your personal vision

October 2, 2025
October 2, 2025

Critical Appraisal Assignment

· Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.

· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

· Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Critical Appraisal Assignment

Part 3A: Critical Appraisal of Research Critical Appraisal Assignment

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

  • Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template,

  • Choose a total of four peer-reviewed articles related to your clinical topic of interest from Modules 2 and 3,

  • Ensure that both unfiltered and filtered studies are represented in your article selection,

  • Based on your appraisal, write a 1–2-page critical appraisal suggesting a best practice that emerges from the research,

  • Briefly explain and justify the best practice proposal with APA citations from the reviewed research

October 1, 2025
October 1, 2025

Family of Origin Paper

Students will write about their family of origin. The finished assignment will adhere closely to APA formatting guidelines. The paper must be saved as a Microsoft WORD file. Other formats will not be accepted. The family paper is a required course assignment worth up to 100 points. Remember to use collegiate-level language, punctuation, grammar, and spelling. Spell check and edit the final draft before submitting it! Please refer to the course Syllabus and the Moodle classroom for additional information.

The following types of information should be included using these five headings within the family paper:

(a) FAMILY OF ORIGIN – Identify members of the family of origin. Providing only the first names of family members is acceptable. Include general descriptions, birth order, nick names, and personality styles. If appropriate, identify extended family members and their influence upon you and the family.

Family of Origin Paper

(b) FAMILY ROLES – Include a discussion of each family member’s role, including your own. Refer to the six general roles identified by Wegscheider (1981).

(c) BEHAVIORAL PATTERNS, FAMILY DYNAMICS, RELATIONAL PATTERNS – Describe behavioral patterns between family members. Describe the typical, dynamic and relational patterns between you and other family members. For example, identify any obvious triangles, sibling constellations, levels of functioning, special needs, boundaries, enmeshments, and so forth. What type of resources were available and/or accessed by the family of origin? What type of resources were available but not accessed by the family of origin? Why or why not?

(d) SIGNIFICANT LIFE EVENTS AND LESSONS – Describe significant events that impacted you and your family. Discuss family traditions, behaviors, values, beliefs, “life-lessons” that your family of origin passed on to you. Are there any behaviors, values, beliefs, or traditions that you currently endorse but your family of origin rejects or disagrees with? If so, how does this impact family members and/or family relationships?

(e) SELF-DESCRIPTION AND FAMILY INFLUENCE – Describe yourself as you were growing up and the impact that your family had on you. Relate individuals and family dynamics to your own personality and style development. Speculate about how might your life today be different without the family and/or how might your life today be with a different family group.

Grading Rubric

Name of Student ________ (type your name here)______________________

_____ of 10 points: The length of paper should be 4-to-6 pages of typed content (not counting the cover-sheet, instructions page, and rubric). The content of the family paper should be double-spaced and in 12-point Times New Roman font. Margins should be set at 1inch. Adhere closely to APA formatting with a running head on all pages, section headings, etc. You will not need to include a bibliography with this assignment unless sources and/or quoted materials are used within the body of the paper. A bibliography will not be counted in the required length of the paper. Be sure to type your name on the instructions and grading rubric pages. Spell check and edit before submitting the final draft! Ensure collegiate-level spelling, grammar, and punctuation is followed.

____Family of Origin Paper _ of 10 points: The WORD document is saved as ONE file. Multiple files will not be accepted. The correct page order should be as follows – (1) cover-sheet, (2) family paper, (3) instructions page, and (4) grading rubric. The cover-sheet should be the first page of the WORD document; it should be double-spaced, 12-point Times New Roman Font. The content on the cover-sheet should include the student’s first and last name, the title, call-numbers of the class, semester and year, and the title of the assignment. At the end of the family paper, include the instructions page and grading rubric. Be sure to type your name on the instructions and grading rubric pages as instructed. Otherwise, do not modify the instructions and grading rubric pages.

HEADINGS / SECTIONS:

_____ of 15 points: Family of Origin (see instructions)

_____ of 15 points: Family Roles (see instructions)

_____ of 15 points: Behavioral Patterns, Family Dynamics, Relational Patterns (see instructions)

_____ of 15 points: Significant Life Events and Lessons (see instructions)

_____ of 15 points: Self-Description and Family Influence (see instructions)

_____ of 5 points: Family Paper turned in on time using the appropriate uploading tool.

_____ Total Points (100 possible)

_____ Total Points Deducted for Late Submissions (10 points will be deducted on the first day it is late; 4 additional points will be deducted each day after the first day)

  • What members make up your family of origin and how can you describe them in terms of birth order nicknames and personality styles?,

  • What roles did each family member, including yourself take on according to Wegscheider’s (1981) six general roles?,

  • What were the behavioral patterns, family dynamics and relational patterns present in your family of origin including resources accessed or not accessed?,

  • What significant life events traditions beliefs and lessons shaped your family and are there any values you endorse now that differ from your family’s?,

  • How would you describe yourself growing up how did your family influence you and how might your life be different with another family group?