Discussion 1: Social Technologies in the Workplace
As a nurse manager it is imperative to understand how social technologies can impact productivity peer-to-peer relationships and patient safety within the workplace. Collaborating with HR to understand policies and the organizations expectations related to the use of social technologies allows nurse managers to more effectively and appropriately integrate todays social platforms while mitigating the occurrence of inappropriate behaviors.
For this weeks Discussion your Instructor will assign you to one of the scenarios below. You will then use that scenario to investigate the social ethical and legal ramifications of social technologies.
Scenario One: You have recently been promoted to charge nurse for the day shift in your department. As a result of this promotion your former peers are now reporting directly to you. You have been working in your setting for five years and consider many of these peers to be your friends. The way that one of your friends posts on social media sites has always bothered you. Many times her comments are inappropriate discussing her negative feelings about ignorant superiors and annoying patients. You also know that she frequently accesses these sites for extended periods of time while patients are waiting to be helped. Now that she reports directly to you how do you address this? If your workplace does not have a formal policy on social media use how can you adapt her behaviors to align with the expectations of nursing professionalism?
Scenario Two: It has been a little over a year since you accepted your nurse management position at a local pediatrics office. Since then you have observed that many nurses seem uneasy when they work with one of your top physicians. You wonder why so many nurses are hesitant to work with such an experienced physician particularly since most of your families rave about her dedication and caring nature toward their children. One day while taking careful observation of your staff you watch a nurse take out a patient chart and begin to text. The nurse becomes visibly upset as she sees you approach. When you question her about her behavior she confides that the physician asks all nurses to text patient test results to her. The nurse admits that she feels uncomfortable sending private information via text message and only did so after multiple requests and increasing pressure from the physician. According to ethical and legal guidelines who is at fault for this error in judgment? Since the nurse is the employee who sent the information should action be taken against her against the physician or against both parties?
Scenario Three: A physician in your setting is an avid user of social media. On many of his personal pages which include blogs about his various outdoor hobbies he plasters pictures of himself and his friends out drinking. He also tends to post extreme comments about politics and the economy. Many in your setting joke with him about the intensity of his social life to which he always comments Work hard play hard. Though his actions are not hurting the morale of the setting and his posts are always before or after work hours should anything be said to this physician? In the future could your setting experience any ramifications because of his presence in social media?
Scenario Four: The environment in your critical care unit has always been somewhat hectic. However over the last few months the morale in your unit has noticeably deteriorated. You learn that nurses have begun to share mass e-mail chains complaining about unfair scheduling treatment. As the nurse manager you have always tried your best to schedule staff fairly and even allow them to switch their shifts when personal problems arise. Since your effort to talk with staff individually does not seem to be working you decide to hold a town hall meeting to openly discuss these issues. As you prepare the meeting announcement you notice e-mails from your hospital administrator chief operating officer and director of human resources. All are wondering why their inboxes have been inundated with e-mails from upset nurses in your unit. How do you respond to these e-mails? Furthermore how should you address this situation to improve the morale of your unit?
To prepare
Review this weeks Learning Resources focusing on the appropriate and inappropriate use of social technologies in the workplace.
Conduct further research on the social ethical and legal issues that result from inappropriate use of social technologies both inside and outside work hours.
For example what laws protect the privacy and free speech of employees? How can workplaces legally safeguard themselves from various social technology issues such as defamation misrepresentation or misuse by individual employees? Of what legal ramifications such as patient privacy and confidentiality laws should managers be aware?
Reflect on the scenario to which you have been assigned.
How might employee use of social technologies impact the rest of the setting? How might it impact the care given to patients?
As the nursing manager who oversees the employee(s) what strategies (if any) would you employ to effectively address this situation?
Consider the social technology policies of your past or present workplace.
With regard to employee use of social media do you believe the workplace policy is effective? Why or why not? As a nurse manager could you use this policy to effectively address the behaviors in your assigned scenario?
Note: Before you submit your initial post replace the subject line (Week 11 Discussion) with Review of Case Study ___ identifying the number of the case study you were assigned.
Post an explanation of the possible social ethical and/or legal ramifications of your assigned scenario. Explain the policy your current or past workplace has on the use of social technologies and how effective you believe the policy is. If your workplace does not have a policy explain what the accepted practices or expectations are for your setting. Has lack of policy led to any problems? Support your responses by referencing authentic examples from the workplace and this weeks Learning Resources as appropriate.
Read a selection of your colleagues responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question substantiated with additional background information evidence or research.
Share an insight from having read a colleagues posting synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional research.
Required Readings
Manion J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco CA: Jossey-Bass.
Chapter 7 Coaching and Developing Others (pp. 339341)
Review the scripting model on these pages. In this chapter Manion discusses motivation and explains how leaders can make the most of it through coaching. She explains the leaders role the coaching role and the difference between coaching and being a coach.
Alichnie C. (2012). Social media and nursing. Pennsylvania Nurse 67(1) 310.
Retrieved from the Walden Library databases.
This article discusses the use of social media in nursing. The author determines that social media can be a means to an end if its used wisely professionally and within legal and ethical boundaries.
Barrett A. Piatek C. Korber S. & Padula C. (2009). Lessons learned from a lateral violence and team-building intervention. Nursing Administration Quarterly 33(4) 342351.
Retrieved from the Walden Library databases.
This study focuses on nurse interaction in relation to lateral violence. The authors conclude that the key to a cohesive work environment is a nurse leader who is able to drive and sustain change.
Barton S. A. Alamri M. S. Cella D. Cherry K. L. Curll K. Hallman B. D. et al. (2011). Dissolving clique behavior. Nursing Management 42(8) 3237.
Retrieved from the Walden Library databases.
This article addresses clique behavior in health care settings. The argument is that the current economic climate encourages regression in health care workers.
Brinkert R. (2010). A literature review of conflict communication causes costs benefits and interventions in nursing. Journal of Nursing Management 18(2) 145156.
Retrieved from the Walden Library databases.
The author assesses the effects of conflict communication on nursing. The study concludes that conflict will always be a part of nursing but that it can be mitigated if nurse managers use employee-effective intervention methods.
Cronquist R. & Spector N. (2011). Nurses and social media: Regulatory concerns and guidelines. Journal of Nursing Regulation 2(3) 3740.
Retrieved from the Walden Library databases.
Cronquist and Spectors article provides nurses with social media guidelines. They also give the reader examples of what happens when social media is used outside of professional legal and ethical boundaries.
Greenlund L. (2011). ED violence: Occupational hazard? Nursing Management 42(7) 2832.
Retrieved from the Walden Library databases.
This article analyzes the effects of workplace violence on hospitals productivity. Because workplace violence can be costly the author provides prevention methods.
Hader R. (2009). Tweetingnot just for the birds. Nursing Management 40(12) 6.
Retrieved from the Walden Library databases.
This article focuses on what nurse leaders should do about social media in the workplace. New leadership challenges have risen because of this form of communication. Nurse leaders need to ensure that their employees are not violating a patients rights to privacy.
Issues & answers. Social media: Implications for nursing: Nursing Practice Statement NP 85. (2011). Ohio Nurses Review 86(2) 67.
Retrieved from the Walden Library databases
This article informs the reader about the laws and rules that apply to nursing and social media. The authors take a stance on the use of social media and list its benefits and drawbacks.
Kuhns K. A. (2012). Social media and professional nursing: Friend or foe? Pennsylvania Nurse 67(1) 48.
Retrieved from the Walden Library databases.
Kuhns article introduces the reader to the many different types of social media and argues that there is more to social media than Facebook and Twitter. The article then goes on to discuss the pros and cons of the use of social media in the workplace.
Macleod L. (2011). Avoiding group think: A manages challenge. Nursing Management 42(10) 4448.
Retrieved from the Walden Library databases.
Macleods article focuses on the increasing costs of health care. He says that changes need to happen both within and outside of health care settings for this change to be sustainable.
Robinson M.-A. (2012). Closing perspectives: Navigating the world of social media. Alberta RN 67(6) 42.
Retrieved from the Walden Library databases.
Robinsons article addresses the hesitation that many organizations have with social networking. While there are professional benefits there are also risks and new challenges.
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Gerontology 301 Quiz
T and F
1.More recently nutrition programs have begun offering medical nutrition therapy for older adults who are nutritionally at risk or malnourished.
2.Home-delivered meal programs have shown that recipients have more physical limitations are less socially isolated and have similar incomes than those who attend congregate meal programs
3.Lack of private transportation makes shopping assistance an important serviceunder the Older Americans Act program.
4.Home-delivered meals in most communities are provided by government agencies funded under the OAA.
5.The Seniors Farmer Market program provides coupons to low-income elders aged 60 and older with incomes not greater than 185% of the federal poverty rate.
6.Older adults who lack an understanding about what constitutes a legal problem or how laws originate may not be able to identify that a legal remedy exists when problems occur
7.Under the OAA legislation congregate meal programs were required to provide at least one hot meal five or more days a week in a congregate setting adult day program or multigenerational site including in rural areas and where it is deemed feasible.
8.Home-delivered meal participants are a more frail and at-risk population than those who attend congregate meal programs.
9.Elder abuse includes physical psychological and financial abuse as well as neglect
10.Supplemental Food Program (CSFP) is a service in place that assists low-income older adults over 60 years of age.
11.Personal care tasks commonly referred to as activities of daily living (ADLs) include tasks such as bathing and grooming toileting dressing and eating.
12.Home-management activities or instrumental activities of daily living (IADLs) include tasks such as shopping and preparing meals doing housework and handling personal finances.
13.Chronic conditions vary across different populations of older adults. Older women are more likely than older men to suffer from chronic arthritis hypertension incontinence and asthma
14.The older population is at one point or another affected by one or more chronic conditions regardless of race and ethnicity
15.The disparities in health can be associated to the social economic status of the different groups rather than on their ethnic or racial status.
1 point each x 15 = 15 points
Multiple Choices
1.For both the congregate and home-delivered programs the following is true EXCEPT
a)Services must be targeted at persons with the greatest social and economic need
b)Attentionshould be given to low-income older persons including low-income minority older persons
c)Older persons with limited English proficiency
d)Older persons residing in urban areas
2. Perthe CDC the top 5 chronic conditions for Hispanics are:
a) cancer heart disease unintentional injuries stroke and diabetes
b)chronic liver disease cirrhosiscancer unintentional injuries and diabetes
c) chronic lower respiratory diseaseAlzheimer’s diseasecancer unintentional injuries and cancer
3.The following is true;
a)As the percentage of persons in the oldest-old category increases the need for home-delivered meals may increase.
b)Changes in the delivery of health care have an impact on nutrition programs.
c)Programs will be challenged to serve the underserved population in an era of shrinking public and private dollars
d)A and C
e)All the above
4.In accordance with the Older Americans Act eachTitle III Nutritional program the program must provide the following Except:
a)Meals must have aminimum of one third of the recommended daily allowances
b)Meals must be prepared with the advice of dietitians.
c)Services should includenutrition screening nutrition education nutrition assessment and counseling.
d)Participantsmustlive independently.
5.Perthe CDC the top 5 chronic conditions for African Americans are:
a) Heart disease cancer stroke diabetes and unintentional injuries.
b) Kidney disease heart disease chronic lower respiratory disease diabetes and unintentional injuries
c) Heart disease cancer stroke Alzheimers disease and unintentional injuries.
d) Kidney disease heart disease Alzheimers disease diabetes and unintentional injuries
6.The Senior Farmers Market Nutrition Program
a)Was established through the 2008 Farm Billto increase the consumption of agricultural commodities
b)The purpose of the SFMNP is to provide fresh nutritious locally grown fruits vegetables herbs and honey from farmers markets and roadside stands
c)The programisaiding in the development and expansion of domestic farmers markets and roadside stands
d)All the above
7. Title III Part F: Disease Prevention and Health Promotion Services of the Older Americans Actis designed to enhance the well-being of older adults and includes the following services except
a) Health risk assessments routine health screening Nutrition counseling and education and Alcohol and substance abuse smoking cessation
b) Health risk assessment weight lossstress management smoking cessation routine health screening and physical fitness
c)Physical fitness group exercisemusic therapy art therapydance movements Health risk assessment and Nutrition counseling
d)Home injury control serviceseducationMedication managementInformation about age related diseases
e) All the above services are included there are no exceptions.
8.To ensure food insecure seniors have access to nutritional meals the followingare some recommendations:
a) Enlist the help of local churches to donate non-perishable goods to seniors
b)Contribute monetary donation and time to local food banks to assist with the distribution of meals
c) Educate seniors on the importance of health and wellness
d) All the above
9.The Elder Justice Act (EJA) includes a comprehensive array of initiatives except
a) Mandates the establishment of an advisory council (federal Elder Justice Coordinating Council) to provide recommendations to the Secretary of Health and Human Services regarding the best coordination mechanisms throughout all levels of government to prevent elderly abuse.
B) Requires formation of an advisory board responsible to develop strategic plans to assure elder justice.
C) Background check for those who have direct contact with elders in long term care facilities
D) Creates the Ombudsman program to protect elders in Nursing Homes
10. The Older Americans Act provide services for caregivers. The following is the list of services this title provides except
a)Assistance in gaining access to private pay services
b)Individual counseling
c)Respite care
d)Supplemental services including housing improvement chore provision of medical supplies and services
e)Legal assistance for caregivers grandparents or older individuals who are caregivers for relatives.
f)B and E
2 points each x 10= 20 points
Essay questions
1)Administration on Aging (AoA) has been instrumental in supporting initiatives designed to enhance the well-being of older adults. Discuss these efforts.
2)Discuss the difference among: Food banks Brown Bag-sand Senior Farmers Market.
3)The Elder Justice Act (EJA) subtitle H of the Patient Protection and Affordable Care Act passed into law in 2010 supports initiatives designed to protect vulnerable elders. Please discuss what the initiatives are included in the Patient Protection and Affordable Care Act to enhance services to elders.
4)Title III the largest program under the Older Americans Act authorizescould you explain and discuss what this title covers.
5)If you are a resident in a Nursing Home or in an Assisted Living Facility how can the Office of Long-Term Care Ombudsman help you?
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