Reflective Journal Week 13

1. What did you actually learned from the unit.

From this unit I learned a lot about bargaining and how the process works. I also learned a lot about conflict and good ways to resolve conflict. The bargaining portion of this week was confusing at first, but once I  understood what I  was trying to do  I  felt a little more comfortable. We were given a background on a union we were apart of that was bargaining with the organization for higher wages and insurance coverage. We learned what it would take to come to an agreement, how net gain was calculated along with loss and increased cost to the employer. It was an interesting assignment. With conflict we watched the Guardian. This was a good movie, I had never seen it before. Through watching it I  learned that effective conflict resolution comes from communication, listening, respect, and being humble. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activity was to discuss collective bargaining and conflict. It was interesting to see everyone’s different scenarios and calculations with their bargaining. It’s crazy to see how situations like that are actually handled. With conflict we read everyone’s definitions of conflict and communication styles. We were all on the same page and felt the same way about how conflict is resolved and how different communication styles work and should be handled. Nothing changed my mind, if anything I  learned more from my teammates as I read their posts. 

3. How you will utilize the information learned in your nursing practice.

The bargaining, I’m not sure where I’ll utilize that currently in my practice, but the conflict resolution is extremely important. Understanding other people and learning how to effectively work with them can be difficult and can often result in conflict. When it does you have to be able to recognize the cause of the conflict and be willing to work to resolve it so you can work better together. For me personally, I want to apply more assertive communication and always make sure I  am willing to listen to the ideas of others and try to find a common ground with those I  struggle with. 

4. You personal feelings about the material covered.

This material was good to learn and I  enjoyed learning about it. It’s helpful to know how about conflict, how to recognize it, and work to resolve it. As a nurse you work with a number of different people who are all going to have various backgrounds and personalities. We have to understand how to work with each other effectively, even in times of conflict. 

Reflective Journal Week 11

1. What did you actually learned from the unit.

This unit was a little more difficult, I don’t know if it’s because I was trying to do two weeks in one or what, but I struggled understanding a little bit. Anyway, I learned a bit about strategic planning. I learned that strategic planning is having a long term goal then, a lot of short term plans over certain amounts of time made in order to accomplish the long term goal. It’s important to have data, research, and tiny wins throughout the process of reaching that long term goal. The plan needs to be effective and backed by extensive research and data to support where you’re going. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

This team activity was very confusing to be honest. We were given a small background and had to create our own strategic plan as a team for a given location. We had to decide what a hospital needed and what the area needed. How would we grow this organization, how would be provide necessary areas to the community that would help us to be successful and also meet the needs of the community. Figuring out what we wanted to kind of do as a team wasn’t so bad, but accessing the map and the collaboration was difficult and hard to understand. We weren’t sure where things needed to be placed on the map or exactly what was being looked for from us. 

3. How you will utilize the information learned in your nursing practice.

I feel like this information is very specific to being apart of different leadership groups within an organization if that makes sense. Starting out as a new nurse I’m don’t feel that I’ll be as involved in strategic planning for an organization. It might affect me and where I work, but until i’m in a higher leadership position or administration, I won’t be directly involved with the strategic planning. 

4. You personal feelings about the material covered.

Personally, I feel that this material was just okay. I was having a hard time understanding the information then applying it to where I  am at currently. I guess it’s good information to know as far as how organizations work and how things are progressed, but for right now I  don’t see how I  am directly involved. 

Week 10 Reflective Journal

1. What did you actually learned from the unit.

This weeks material was eye opening! Reading the material, listening to the lecture, and watching the video “Who Stole My Cheese” helped me to understand how I handle change and better ways to accept/implement change. I learned that when it comes to change, I am more like Haw. At first I am hesitant and resistant to change. I am a creature of habit and a perfectionist, so when I find a certain way of doing something I don’t like to switch it up. When change needs to happen, it takes me some time to accept it and be willing to support it. Once I change my mindset and give change a chance the transition is easier and smoother than I anticipated.  

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The only team activity this week was the discussion about the cheese video. It was interesting to see who everyone more closely related to. Sometimes I wonder if maybe we don’t give ourselves as much credit as we deserve. I mean maybe we accept change easier than we think? Or maybe not? We had 4 people relate closest to Haw and only one person related more closely to Scurry. 

3. How you will utilize the information learned in your nursing practice.

Healthcare is always changing, so it’s important that I learn to embrace change and adapt for the better. There will be times where a change is made that I don’t necessarily like, but I’ll have to try the change and get used to it. It’s helpful to go over this information because If I am ever in a position where I am responsible for making changes, I  need to be able to do so effectively. Making sure the change produces desired outcomes, ensuring I have a team who agrees with the change and can help to incorporate it, and presenting the change to others in a way that makes them want to “buy-in” as well. Recognizing times where I need to be firm with the change in order to make it stick, even if it means eliminating those who hold back the process of the change.  

4. You personal feelings about the material covered.

I  enjoyed this week. I was really able to relate to the information, learn, and grow from it. I  was able to identify how I deal with change and understand why/how to better handle change. It was good to hear examples of having to make changes in the workplace, how to carry out the process, and what to do when you have staff that don’t agree with the changes. 

Budget Interview

For the budget interview, I chose to interview Peter Felis of the Felis-Dickson team with Berkhsire Hathaway. He is the head of a real-estate team for residential housing. Him and his partner are in charge of the budget for their team that is provided by the company. Their budget goes towards fliers, signs, printouts, lawn posts, business travel, and much more of the accessories they need in order to build their own business. 

Here are some of the questions I asked him: 

1. What happens when a budget is exceeded?
When the budget is exceeded, whatever is left over has to come out of our own pockets. Since my partner and I are in charge, it comes from our pockets not the rest of our teams. We then try determine why the monthly budget was exceeded and work to correct the problem for the next month.

2. How do you incorporate different scenarios into your budget?
We look at the past history for each and every department and calculate costs based off of that information.

3. How do you decide what expenses to exclude from your budget?
We include all business expenses from offices supplies to business travel. Anything like gifts for clients or client lunches, has to come out of our pocket. 

4. How often do you evaluate your budget?
Monthly

5. Who is included in creating/evaluating a budget?
Managing partners/CFO/department managers.

6. What do you typically look at first when cutting back on a budget?
We focus on every department and see where cutbacks can be taken.

7. Are there some areas you feel better about going over budget on?
Marketing and advertising

It was interesting to see how even real estate agents have a budget that they abide by. I learned that there’s a lot that goes into creating a budget, helping others understand the budget, and adjusting different areas in the budget to make it work for what they need at the current time. The budget typically stays the same, but depending on what they need and resources they have, the limits toward certain areas may not always stay the same each month. Talking with him made working with a budget sound more simple, but If it were me I  still think I  would be intimidated and it would take me some time to figure out how to be most effective with a budget. 

Reflective Journal Week 9

1. What did you actually learned from the unit.

From this unit, I most enjoyed learning about the career development. I struggle with my “ultimate career goal” because to be honest I am not really sure where I want to be or what I want to do. I learned that it doesn’t have to be some big huge thing and that there are a lot of options out there. Like the nurse Sean talked about in the recording, I didn’t realize a goal could even be becoming a charge nurse, a nurse supervisor, or something like that. Like that nurse, I  don’t want to be at the bedside forever. I’ve just always thought gosh my options are PA, NP, or possibly med school…. where else could I have a goal to go? That was my thought process until the lecture. It’s important to think about these things and to really think about what you want. It’s okay for me to have a goal to gain experience and learn for a few years. Shadowing, research, and making connections can help me to figure out where I want to be. I want to move on, I want to do more, I just need to get more comfortable with where I’m at currently and explore options through shadowing. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

I  was a little confused about how to do the team activity at first, but through communication with my teammates I was able to understand what was going on. It was a crazy week this week with work and life so I was a little slow to contribute, but my team helped me to understand and I  was able to help with the assignment. The group assignment didn’t really give me an opinion on anything other than wow staffing is a hard job. I did love the discussions though. It was really interesting to see the different scheduling/staffing options and what each persons unit does differently.  

3. How you will utilize the information learned in your nursing practice.

From what I’ve learned I’ll better be able to navigate my career goals. Even if I am not sure yet where I want to end up, I can still make a 5 year or less plan to figure out how I am going to help myself figure it out. Once I figure out my ultimate career goal then I know how to research, plan, and figure out what it takes to get there. 

After learning about staffing, I have a greater appreciation for my manager and the scheduler. It’s hard to accommodate individual needs and fill unit needs at the same time, all within a specific budget. I can further my knowledge on the topic by reaching out to my manager and getting to know more incase I  am ever in the position to staff and fill spots. I want to be a charge nurse one day so it’s important that I have an idea of staffing and what it requires. 

4. You personal feelings about the material covered.

I enjoyed the material. It was a good subject to discuss and I feel that I learned a lot and realized the importance of having a plan with an end goal. Again, it was cool to see everyone’s different experiences with their jobs and how different units are run. 

Journal Week 8

1. What did you actually learned from the unit.

This week we focused a lot on the future of nursing and the direction that the nursing profession is headed in. I learned the goals for nursing in the future and that there isn’t as much diversity in nursing as you’d think. The biggest goal is for nurses to be seen as leaders more who are capable of facilitating change in healthcare. Nurses have a lot of value, and it’s important that they’re seen that way. Another goal is to push nurses to get higher education. We already see this going into effect, as facilities are requiring all nurses to have a BSN in nursing. Another big goal is to push for advanced practice nurses to be able to care for patients independently. Looking at diversity in nursing, there aren’t a lot of males compared to females. The industry should encourage more males to join the nursing field. More funding and resources should be made to increase diversity. I also learned that while we are not at a shortage now, in the future there will be a great shortage of nurses. Not because there isn’t interest in the field, but because nursing schools don’t have the means to provide the education to as many that apply. This is also due to not enough nurses getting a masters or PhD in nursing to teach in universities or programs. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The only team activity this week was the discussion. In the discussion we were asked to answer questions discussing the future of nursing, goals, whether we think those goals are attainable, and if we agreed with the plan to achieve those goals. Everyone in my group agreed that the goals were a good thing and are more than capable of being achieved. It will take some time and effort, but the future of nursing is definitely going in a positive direction. We all had the same ideas and I wouldn’t say my opinion was changed in any way. If anything it was enhanced. 

3. How you will utilize the information learned in your nursing practice.

Learning this information and being aware,  I  can help by doing my part in pushing for these goals to be met. Encouraging nurses to continue with their education and making sure I go on for higher education. Stepping up and being a leader in situations is important and is something I  can do and encourage others to do as well. Contributing to change starts with exemplifying it myself then promoting the change to others. 

4. You personal feelings about the material covered.

 I  was genuinely interested in the information covered this week. It was all good stuff to learn and know. The videos were long, but I learned a lot listening to Dr. Rosa Maria Gonzales-Guarda. Nurses are a critical part in the healthcare system and we have the ability to create a lasting impact. 

Reflective Journal Week 7

1. What did you actually learned from the unit.

This unit I learned a lot about budgeting! It’s definitely something that is difficult and makes me feel overwhelmed. I learned how to read a budget sheet. When I first looked at the med/surg budget sheet that was given to us, I was so confused and had no idea what I  was looking at. As I watched the videos mapping out what was what I became a little more comfortable dissecting the sheets. It’s still difficult to analyze and see where you can make adjustments, but I  think that’s something that just comes with practice. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activities for this week included creating questions for an interview and a discussion about budgeting. For the most part in the discussion I noticed my teammates were on the same page I was. It was nice to read everyone’s thoughts and explanations because I feel like it helped me better understand the situation. I think some of them understood it better than I did so it was helpful to see what they had to say. With creating the questions, there wasn’t anything to really have an opinion on. We all came up with some great questions that will help us to better learn and understand the budgeting process in the workplace.  

3. How you will utilize the information learned in your nursing practice.

This information will be extremely helpful in my nursing practice if I am ever asked to help with or required to adjust a budget. I will have a better understanding of what a unit budget may look like and how to read it. If I have a coworker that is ever in the position, I  can be a resource of help to them with a budget. 

4. You personal feelings about the material covered.

The material is difficult, but definitely something good to learn and go over. I honestly didn’t really think about having to adjust budgeting as a nurse, just patient care. As nurses move into leadership roles this is something that is a real part of the job, so it’s important that we have a basic knowledge. I’m really happy that the lecture videos went over the format of the given budget because at first I  seriously had no idea what I  was looking at. 

Firing/Discipline Interview

For this interview, I chose to interview a man named Chris Williams the owner of a restaurant chain known as JCWs. Chris is a very hands on, involved, business guy who does his best to visit each of his restaurants a few times a week. He is smart and particular in the way he runs things, so it was interesting to see his point of view on firing/disciplining employees. 

1. What is the most common reason you face for which you must fire an employee? 

The most common reason he comes across is consistent poor performance and not upholding the standards necessary to run the restaurant. 

2. Do you believe in a three strike system? 

He does believe in second chances, depending on the issue at hand. In his business, everything depends on how his restaurant is run and functioning, so three strikes is a little much. Two warnings are sufficient enough to understand the job that needs to be done so he will meet with the individual discuss the issue and take the time to understand their thoughts. If he has to come to them a third time about the same issue it’s a problem and that employee is terminated. 

3. How big of a factor is timeliness and/or no shows when making a decision on keeping or moving on from an employee?

Those are huge factors that come into play for him. The restaurant functions well when each person does their specified part. If someone is constantly late or doesn’t show up it affects customer service and the overall function of the restaurant system. 

4. Has an employee ever gotten violent with you following termination?

Thankfully, no. 

5. How do you prepare for a firing/disciplining situation?

I make sure I have all of my facts straight and prepare what I want to talk to the individual about. During a non-busy time of the day I meet with that individual privately and discuss the issue. 

Those are just five of the ten questions I asked Chris. The biggest thing I learned from him is that although it’s difficult and uncomfortable to fire/discipline an employee, it’s necessary at times in order to maintain and successful business. There’s only so much you can do when you’ve gone over expectations and requirements with an employee, yet they still continue to make the same mistake. At that point, it’s more important to look at the way those mistakes are affecting the overall company and those within it. So you may feel bad, but at times it has to be done for the best of both parties. 

Week 6 Journal

1. What did you actually learned from the unit.

From this unit I learned what the ethics committee was and how to utilize it. The ethics committee is there to assist with decisions that are near impossible to make. It is there to protect patients and healthcare professionals. It consists of third party highly educated individuals and sometimes allows guests in to witness the process. I also learned about various ethical situations that I hadn’t thought of before. It was interesting to to the internet search on nursing ethical issues. The one I found involved knowing what to do with a patient who was knowingly spreading HIV without disclosing to sex partners. Nurses can’t disclose for them due to HIPPA, but it is definitely a situation that causes you to wonder what you can/should do. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

In regard to the discussion about the dialysis treatment, my opinion was not changed. My entire team agreed that the dialysis did not benefit the patient and should be discontinued. Treating the patient with dialysis would in fact have caused more harm and wouldn’t of changed the status of the patient. Although my opinion wasn’t changed, I was able to gain more insight as I read the responses of my teammates. With the discipline questions, we were able to come up with great questions, and I didn’t disagree with any of them. 

3. How you will utilize the information learned in your nursing practice.

In my nursing practice I will know that if I am ever faced with an ethical decision that is not possible to make, I can raise concern and turn to the ethics committee. However, there will be times where I have to make tough decisions and have to respect the rights/wishes of some of my patients even when I do not agree with something they are doing. There will be ethical situations in my career and I feel I am more prepared to handle them. 

4. You personal feelings about the material covered.

I  enjoyed learning about the material. These aren’t things that I have ever experienced, so it’s important for me to know and understand what they look like and what I can do. Learning everything about the ethics committee is important because I’ll bet there are a number of people who don’t know who they are and what they consist of. The material made me really think and challenge my thoughts. The internet search, the movie, and discussion about the dialysis, all brought everything together and helped me to picture an actual situation and what I would do. 

Performance Appraisal Interview

For this interview I chose to interview a man named Jeff Ogier, who manages Cascade Collision. He seems like a very easy going guy who is down to earth with his employees, but at the same time he upholds company policy and does so in a professional manner. The first thing I noticed and liked about him is that he is very honest and upfront with his employees. Everything is clear cut and lined out. At his company everyone works as a team to get jobs done which requires making sure everyone knows and does their part. He performs his performance interviews after the first 90 days of initial hire and then annually after that. I don’t mind the idea of annually, as long as there are little “check-ins” in between. I  feel like annually things are forgotten, and it’s just a long time to evaluate performance. Here are a couple questions I asked with some answers I really liked: 

1. How do you let a new employee know that they need to improve?
Verbal communication. Remind them of expectations. Help them come up with a plan and time frame to achieve desired results.

2. What do you say to an employee that is struggling with their work?
You seem to be struggling. What can I do to help get you back on track.

5. Do you explain the performance criteria to your employees during the performance appraisal?
Yes. We have a form that we go through together. I ask them how they feel they are doing in certain areas and then I tell them how I feel they are doing.

7. Do you use peer evaluations?
Yes. Everyone works together as a team. And everyone’s performance is measured daily and posted for the whole team to see. So everyone knows how they are all performing.

Do you take an employee’s outside of work circumstances into consideration if necessary when evaluating performance?
Yes. Outside circumstances have a great influence on behavior in the workplace.

I  enjoyed learning from his point of view because it is very team oriented like nursing. He approaches struggling employees with a willingness to help out wherever he can. He holds everyone to a standard and utilizes team members to help each other improve and uphold standards. He also takes into account outside life because it really does reflect on one’s work whether they see it or not. It’s important to understand what people are going through in order to know how to help them.

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