Find the 34th percentile, P34, from the following data 1100 1200…

Question Answered step-by-step Find the 34th percentile, P34, from the following data 1100 1200… Find the 34th percentile, P34, from the following data1100 1200 1400 1600 17002300 2400 2800 2900 30003200 3300 3400 3800 39004300 4400 5000 5300 5400 5600 5900 6000 6200 65006700 7200 7300 7600 77008100 8400 8500 8600 88008900 P34 = __________  I took P/100 x n 34/100*36 =11.22 I am not sure if I did this right and not quite understanding it if you could explain to me better on how to figure out the percentile besides 50%. I am thinking it may be 2800 + 2900 =5700/2 = 2850 but not sure. Please explain and help me.  Math Statistics and Probability MATH 220 Share QuestionEmailCopy link Comments (0)

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i need help answering this question is it better to study major…

Question Answered step-by-step i need help answering this question is it better to study major… i need help answering this question  is it better to study major international languages like English rather than to spend time on minority languages for the sake of regional identity. Do you agree? What would be the benefits and detriments? What would be gained and what would be lost? Write a meaningful answer that fully addresses the question above. Social Science Psychology HUM 250 Share QuestionEmailCopy link Comments (0)

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Please refer to the attached photo for the following questions. The…

Question Please refer to the attached photo for the following questions. The… Please refer to the attached photo for the following questions.The other two photos included are solely for the purpose of providing additional information about the topic. Image transcription textKey Concepts, and Equations ConceptDiscussion Refers to a force that resistmotion between material … Show more… Show moreImage transcription textLaws of frictions a. Static friction is greater than kineticfriction in magnitude. . Friction acts parallel to the surfaces incontact and in a direction oppose motion. Frictio… Show more… Show moreImage transcription textactivity — Gen. Physics 12 — TitaniumFriction For number 1, please showyour complete solution. F… Show more… Show more  Science Physics Share QuestionEmailCopy link Comments (0)

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Analyzethe link below . from Google’s Ngram viewer, showing the…

Question Answered step-by-step Analyzethe link below . from Google’s Ngram viewer, showing the… Analyze the link below. from Google’s Ngram viewer, showing the prevalence of the word “Christmas” in the texts of millions of books published in “American English”  between 1790 and 2008 (the current cut-off of the data set).  How might the evidence of declining relative focus on Christmas from about the end of World War II into the early 1970s  (followed by a long rise of interest since), that the chart seems to indicate, be explained in relation to other specific evidences that we have seen in our survey? https://books.google.com/ngrams/graph?content=Christmas&year_start=1790&year_end=2008&corpus=17&smoothing=3&share=&direct_url=t1%3B%2CChristmas%3B%2Cc0  History World History HIS 3680 Share QuestionEmailCopy link Comments (0)

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Need help answering these questions

Question Answered step-by-step Need help answering these questions Need help answering these questionsImage transcription text1. A cannon is fired off of a 100 m high cliff at an angle of 25″ with a speed of 30 m/’s. a) When will it hitthe ground? b) How far from the base of the cliff will the cannon ball hit the ground? 2. A 12.0 kg box isreleased on a 30″ incline and accelerates down the incline at 0.250 m/s’. Find the force of fr… Show more… Show more  Science Physics MATH SPH4UO Share QuestionEmailCopy link Comments (0)

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How does Allport’s’ lifespan approach compare to Erikson’s lifespan…

Question Answered step-by-step How does Allport’s’ lifespan approach compare to Erikson’s lifespan… How does Allport’s’ lifespan approach compare to Erikson’s lifespan theory of personality? Social Science Psychology PSYCHOLOGY 3020 Share QuestionEmailCopy link Comments (0)

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Technical Object Description choose your own topic (I choose…

Question Answered step-by-step Technical Object Description choose your own topic (I choose… Technical Object Description choose your own topic (I choose Roomba) for this assignment. The subject of your description must be a technical object (e.g., clock radio, digital thermostat, Roomba, CPAP machine, blender, food processor, etc.).  you must accurately describe this object in at least 500 words. research it and take time to learn about what the parts are called, and how the parts work. This might require you to read background information or otherwise inform yourself about the topic. Audience and Content RequirementsYour primary audience would be someone who has little experience with the object that you are describing (e.g., if you select Roomba, then you need to imagine an audience of people who have little experience with the object, perhaps housewives). Regardless of the object, your final paper should be at least 500 words; you must include ALL of the following contents in your description (given in order of how the content should appear in your paper): Introduction (DO NOT label the introduction “introduction” per APA guidelines) Orient your audience by providing a one-sentence definition of the object (first sentence)Preview its various parts (2-3 sentences)Discuss its uses and functions (1-2 sentences) Preview the content of your description (1 sentence) Detailed Description of the Object Describe each part of the object in detail, including its dimensions, materials, principles(s) of operation, function, and relation other parts (2-3 paragraphs)Use the present tense When introducing a new concept or term, you do need to provide a brief definition for a non-technical audience, e.g.:”The bezel, or outer ring connecting to the lugs, allows the wearer to set a different time zone”You will notice in this sentence the definition for the term “bezel” is a subordinate clause and is not its own separate sentence. You can also use parenthesis for definitions in the same sentence. ConclusionRe-state the major use(s) and function(s) of the object to solicit the audience’s support or awareness of the object Note: Do not use the second person POV or personal pronouns in an object description. Document Design and IllustrationsGive careful thought to illustrations and design elements: Use headings and sub-headings throughout the document. Mark the body and conclusion of your document with headings (again, do not mark the introduction per APA guidelines). Use sub-headings to indicate the beginning of each part/component of the object you are describing. Do not write large chunks of text without headings and sub-headings Single-space the textYou must include at least two illustrations.You may create your own, use illustrations from other sources or adapt illustrations from other sources.Make sure you provide source information for all illustrations immediately below each illustration using APA guidelines (see lesson 2.4 for more information). Apply as many of the four basic design principles as possible (Contrast, Repetition, Alignment, Proximity) to enhance the reader’s orientation and understanding of the document.Use serif and sans-serif typefaces for the header and body;Use up to two complementary colors;Place like content in proximity to each other; and,Make sure all of the elements have alignment. Design your document for consistency (grid patterns, margins, justification, white space, indentation, font style and size). Review pages 128-131 in the course textbookRequirementsKeep in mind that your purpose is to describe the object yourself, not rely upon external sources to do the work for you. (Inclusion of cited manufacture specifications will result in a 20-point deduction).Using one of the objects that is not allowed will result in 10-point deduction.Minimum word requirement: 500 words (Failure to meet the minimum word count will result in a 5-point deduction)Make sure to include URLs for citations, as needed (Failure to include working URLs will result in a 5-point deduction)    Health Science Science Nursing ENG 2338 Share QuestionEmailCopy link Comments (0)

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Leading and Management Hillary Hockenberry has been a nurse for 4…

QuestionLeading and Management Hillary Hockenberry has been a nurse for 4…Leading and ManagementHillary Hockenberry has been a nurse for 4 years in a long-term care facility. Recently, the position of unit manager has become available and she is considering applying for it. Peers have encouraged her to con- sider doing so and have commented, “You are a born leader and manager and will do really well in the position.” Hillary Hock- enberry is now asking herself the following questions:• Am I ready for a position like this?• What management skills will I need to be a good unit manager?• What are the rewards and challenges to a management position? She seeks input from both the former unit manager, who is now the assistant director of nursing (ADON), whom she views as a mentor, as well as the preceptor whom she originally worked with as a new graduate.305 1.  The preceptor states, “You’ve got good management skills—they are often inherent in what every nurse does in managing the care of patients.” Discuss what the preceptor means by this statement. 2.   Qualities Examples Inherent in Nursing Practice   Discuss the qualities and behaviors of followership that could be beneficial when moving into a leadership role. 3.  The ADON states, “The biggest challenge of management is juggling the needs of patients with the needs of the organization.” What does the ADON mean by this statement in light of the economic climate and the nursing labor market? Hillary accepts the position, and 6 months into her role as unit manager she was asked to follow up on survey results indicating insufficient staffing to help feed patients at mealtimes, especially the breakfast meal. The majority of residents on the unit need assistance with feeding, from setting up trays to needing to be fed. On the 30-bed unit, the ratio of staff to residents is 1:10 inclusive of licensed and unlicensed personnel. Meals are encouraged to be taken in the dining room, but traditionally, the majority of residents in this unit eat in their rooms. A strategy must be implemented to ensure that feeding/nutritional needs are met for the unit’s residents.4.  One staff member says, “You’ve got the power to change this so do it.” Looking at the sources of power, how should Hillary respond to this statement? 5.  How would each of the following behavioral theories be reflected in the leadership styles and implementation of strategies toward resolution of this problem?a.  Behavioral Theoryb.  Task vs. Relationshipc.   Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Behavioral Dependent on the type of leadership style used by the unit manager:Authoritarian: Autocratic/controlling/ directive (individual “top down” decision making; decision made and “orders” given) on how it is to be implemented, without group input; can be punitive or rewarding depending on situation; efficient method of decision making, and can lead to high-quality/-quantity output.   Emotional Intelligence Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Democratic: Participative; sharing of ideas, planning, and outcomes of a new strategy; less efficient but facilitates creativity and motivation within the staff; outcome tends to be high qualityLaissez-faire: Permissive or nondirec- tive; high degree of frustration be- cause there is no goal, guidance, or direction and everyone does their own thing, but the outcomes are expected to be the same; no decision-making from the leader Task vs. Relationship Leadership style is either focused on the tasks to be done or the “happiness” of the workforce, re- gardless of outcomes. Balance is needed between the two aspects to ensure that needs are being met for both the implementers (staff) and the outcomes (patient/institutional). Emotional Intelligence Constant surveillance for how work/expectations/new strategies affect individuals and teams and how they feel about their work in terms of support, caring, and en- thusiasm 6.  In this situation describe how both the transformational leadership style and the trans- actional leadership style could be used to address this problem. Consider in your discussion whether there is a place for both types in any given situation. It is decided that a new dining process will be implemented throughout the facility. All residents will be transported to the dining room for all meals unless contraindicated by health status. Residents/families are in support of this strategy, as it appears it will both ensure that residents are fed and encourage socialization of all residents, regardless of their cognitive level of functioning. All staff will be present in the dining room to assist with meal/feeding needs.7.  Identify possible factors within the three major sources that will cause resistance to change and implementation of this strategy. Sources of Resistance to Change         Possible Factors Technical concerns Psychosocial needs Threats to position/power 8.  What kind of actions/behaviors might you see in both your licensed and unlicensed personnel that indicate resistance to the change? Sources of Resistanceto Change                                                               Examples of Actions/Behaviors Active Passive Technical concerns Regardless of the source, active resistance is expressed directly Passive resistance can involve avoiding required work through excuses, being too busy to integrate the new strategy, or simply ignoring the strategy altogether. Psychosocial needs Threats to position/power 9.  For each of the following comments that were made by staff members in resisting the change to the new dining process, write a response that reflects the four approaches  to lowering resistance to change. Actions/Behaviors                                    Possible Comment Based on Strategy Commanding Sharing Information Refuting Beliefs Providing Psychosocial Safety “I am not going to do this—it creates too much work for everyone.” Actions/Behaviors                                    Possible Comment Based on Strategy “It is not my job to do the nurse aide work here.” “Mrs. Smith doesn’t want to go to the dining room in the morning and I don’t want to upset her by making herdo this.” “I couldn’t get the residents in the last four rooms to the dining room. I ran out of time so Iam just going to get their breakfast meal to them in their rooms.” “Sorry I didn’t help with the feedings. I got tied up giving medications down the back hall.” Change is difficult for most organizations and their way of doing things. Look at the strategy to be implemented in the dining process. Implementing the change requires an understanding of the characteristics of the change.10. Discuss each of the characteristics of this change in regard to the new dining process:•   Magnitude of the change•   Complexity of the change•   Pace of the change•   Stress level of those involved Characteristic              Dining Process Magnitude Complexity Pace Stress level 11. How will Hillary, as the unit manager, evaluate the integration of the change? After several months, conflict has arisen between the UAP of the skilled care unit and those on the custodial care/assisted living unit regarding feeding responsibilities during the meals. The UAP are very territorial regarding “their” residents and do not feel that they should have to assist other residents in the dining room since “their people” are there to help them. Due to the higher acuity of the skilled unit residents, they require more assistance with feeding than those who are more independent from the custodial/ assisted living unit. The UAP from the assisted living unit feel that they should not have to “pick up the slack” with feeding needs of the residents from the other unit. As the unit manager, Hillary needs to resolve this conflict for optimal resident outcomes.12. Using the steps of conflict resolution, how should the unit manager work through this problem? •   Identify the problem•   Generate possible solutions•   Evaluate suggested solutions•   Choose the best solution•   Implement the solution•    Identify the problem Generate possible solutions Evaluate suggested solutions Choose the best solution Implement the solution Evaluate—is the problem resolved?   Evaluate—is the problem resolved? 13. Discuss how time management may be an important component in the integration   of the dining process when one staff member says, “I can’t help feed residents when all I can think about is that I have to administer medications and complete the treat- ments on my 30 residents.” Consider the suggestions for time management. Discuss which ones may be helpful in this situation. Leading and ManagementHillary Hockenberry has been a nurse for 4 years in a long-term care facility. Recently, the position of unit manager has become available and she is considering applying for it. Peers have encouraged her to con- sider doing so and have commented, “You are a born leader and manager and will do really well in the position.” Hillary Hock- enberry is now asking herself the following questions:• Am I ready for a position like this?• What management skills will I need to be a good unit manager?• What are the rewards and challenges to a management position? She seeks input from both the former unit manager, who is now the assistant director of nursing (ADON), whom she views as a mentor, as well as the preceptor whom she originally worked with as a new graduate.305 1.  The preceptor states, “You’ve got good management skills—they are often inherent in what every nurse does in managing the care of patients.” Discuss what the preceptor means by this statement. 2.   Qualities Examples Inherent in Nursing Practice   Discuss the qualities and behaviors of followership that could be beneficial when moving into a leadership role. 3.  The ADON states, “The biggest challenge of management is juggling the needs of patients with the needs of the organization.” What does the ADON mean by this statement in light of the economic climate and the nursing labor market? Hillary accepts the position, and 6 months into her role as unit manager she was asked to follow up on survey results indicating insufficient staffing to help feed patients at mealtimes, especially the breakfast meal. The majority of residents on the unit need assistance with feeding, from setting up trays to needing to be fed. On the 30-bed unit, the ratio of staff to residents is 1:10 inclusive of licensed and unlicensed personnel. Meals are encouraged to be taken in the dining room, but traditionally, the majority of residents in this unit eat in their rooms. A strategy must be implemented to ensure that feeding/nutritional needs are met for the unit’s residents.4.  One staff member says, “You’ve got the power to change this so do it.” Looking at the sources of power, how should Hillary respond to this statement? 5.  How would each of the following behavioral theories be reflected in the leadership styles and implementation of strategies toward resolution of this problem?a.  Behavioral Theoryb.  Task vs. Relationshipc.   Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Behavioral Dependent on the type of leadership style used by the unit manager:Authoritarian: Autocratic/controlling/ directive (individual “top down” decision making; decision made and “orders” given) on how it is to be implemented, without group input; can be punitive or rewarding depending on situation; efficient method of decision making, and can lead to high-quality/-quantity output.   Emotional Intelligence Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Democratic: Participative; sharing of ideas, planning, and outcomes of a new strategy; less efficient but facilitates creativity and motivation within the staff; outcome tends to be high qualityLaissez-faire: Permissive or nondirec- tive; high degree of frustration be- cause there is no goal, guidance, or direction and everyone does their own thing, but the outcomes are expected to be the same; no decision-making from the leader Task vs. Relationship Leadership style is either focused on the tasks to be done or the “happiness” of the workforce, re- gardless of outcomes. Balance is needed between the two aspects to ensure that needs are being met for both the implementers (staff) and the outcomes (patient/institutional). Emotional Intelligence Constant surveillance for how work/expectations/new strategies affect individuals and teams and how they feel about their work in terms of support, caring, and en- thusiasm 6.  In this situation describe how both the transformational leadership style and the trans- actional leadership style could be used to address this problem. Consider in your discussion whether there is a place for both types in any given situation. It is decided that a new dining process will be implemented throughout the facility. All residents will be transported to the dining room for all meals unless contraindicated by health status. Residents/families are in support of this strategy, as it appears it will both ensure that residents are fed and encourage socialization of all residents, regardless of their cognitive level of functioning. All staff will be present in the dining room to assist with meal/feeding needs.7.  Identify possible factors within the three major sources that will cause resistance to change and implementation of this strategy. Sources of Resistance to Change         Possible Factors Technical concerns Psychosocial needs Threats to position/power 8.  What kind of actions/behaviors might you see in both your licensed and unlicensed personnel that indicate resistance to the change? Sources of Resistanceto Change                                                               Examples of Actions/Behaviors Active Passive Technical concerns Regardless of the source, active resistance is expressed directly Passive resistance can involve avoiding required work through excuses, being too busy to integrate the new strategy, or simply ignoring the strategy altogether. Psychosocial needs Threats to position/power 9.  For each of the following comments that were made by staff members in resisting the change to the new dining process, write a response that reflects the four approaches  to lowering resistance to change. Actions/Behaviors                                    Possible Comment Based on Strategy Commanding Sharing Information Refuting Beliefs Providing Psychosocial Safety “I am not going to do this—it creates too much work for everyone.” Actions/Behaviors                                    Possible Comment Based on Strategy “It is not my job to do the nurse aide work here.” “Mrs. Smith doesn’t want to go to the dining room in the morning and I don’t want to upset her by making herdo this.” “I couldn’t get the residents in the last four rooms to the dining room. I ran out of time so Iam just going to get their breakfast meal to them in their rooms.” “Sorry I didn’t help with the feedings. I got tied up giving medications down the back hall.” Change is difficult for most organizations and their way of doing things. Look at the strategy to be implemented in the dining process. Implementing the change requires an understanding of the characteristics of the change.10. Discuss each of the characteristics of this change in regard to the new dining process:•   Magnitude of the change•   Complexity of the change•   Pace of the change•   Stress level of those involved Characteristic              Dining Process Magnitude Complexity Pace Stress level 11. How will Hillary, as the unit manager, evaluate the integration of the change? After several months, conflict has arisen between the UAP of the skilled care unit and those on the custodial care/assisted living unit regarding feeding responsibilities during the meals. The UAP are very territorial regarding “their” residents and do not feel that they should have to assist other residents in the dining room since “their people” are there to help them. Due to the higher acuity of the skilled unit residents, they require more assistance with feeding than those who are more independent from the custodial/ assisted living unit. The UAP from the assisted living unit feel that they should not have to “pick up the slack” with feeding needs of the residents from the other unit. As the unit manager, Hillary needs to resolve this conflict for optimal resident outcomes.12. Using the steps of conflict resolution, how should the unit manager work through this problem? •   Identify the problem•   Generate possible solutions•   Evaluate suggested solutions•   Choose the best solution•   Implement the solution•    Identify the problem Generate possible solutions Evaluate suggested solutions Choose the best solution Implement the solution Evaluate—is the problem resolved?   Evaluate—is the problem resolved? 13. Discuss how time management may be an important component in the integration   of the dining process when one staff member says, “I can’t help feed residents when all I can think about is that I have to administer medications and complete the treat- ments on my 30 residents.” Consider the suggestions for time management. Discuss which ones may be helpful in this situation. Leading and ManagementHillary Hockenberry has been a nurse for 4 years in a long-term care facility. Recently, the position of unit manager has become available and she is considering applying for it. Peers have encouraged her to con- sider doing so and have commented, “You are a born leader and manager and will do really well in the position.” Hillary Hock- enberry is now asking herself the following questions:• Am I ready for a position like this?• What management skills will I need to be a good unit manager?• What are the rewards and challenges to a management position? She seeks input from both the former unit manager, who is now the assistant director of nursing (ADON), whom she views as a mentor, as well as the preceptor whom she originally worked with as a new graduate.305 1.  The preceptor states, “You’ve got good management skills—they are often inherent in what every nurse does in managing the care of patients.” Discuss what the preceptor means by this statement. 2.   Qualities Examples Inherent in Nursing Practice   Discuss the qualities and behaviors of followership that could be beneficial when moving into a leadership role. 3.  The ADON states, “The biggest challenge of management is juggling the needs of patients with the needs of the organization.” What does the ADON mean by this statement in light of the economic climate and the nursing labor market? Hillary accepts the position, and 6 months into her role as unit manager she was asked to follow up on survey results indicating insufficient staffing to help feed patients at mealtimes, especially the breakfast meal. The majority of residents on the unit need assistance with feeding, from setting up trays to needing to be fed. On the 30-bed unit, the ratio of staff to residents is 1:10 inclusive of licensed and unlicensed personnel. Meals are encouraged to be taken in the dining room, but traditionally, the majority of residents in this unit eat in their rooms. A strategy must be implemented to ensure that feeding/nutritional needs are met for the unit’s residents.4.  One staff member says, “You’ve got the power to change this so do it.” Looking at the sources of power, how should Hillary respond to this statement? 5.  How would each of the following behavioral theories be reflected in the leadership styles and implementation of strategies toward resolution of this problem?a.  Behavioral Theoryb.  Task vs. Relationshipc.   Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Behavioral Dependent on the type of leadership style used by the unit manager:Authoritarian: Autocratic/controlling/ directive (individual “top down” decision making; decision made and “orders” given) on how it is to be implemented, without group input; can be punitive or rewarding depending on situation; efficient method of decision making, and can lead to high-quality/-quantity output.   Emotional Intelligence Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Democratic: Participative; sharing of ideas, planning, and outcomes of a new strategy; less efficient but facilitates creativity and motivation within the staff; outcome tends to be high qualityLaissez-faire: Permissive or nondirec- tive; high degree of frustration be- cause there is no goal, guidance, or direction and everyone does their own thing, but the outcomes are expected to be the same; no decision-making from the leader Task vs. Relationship Leadership style is either focused on the tasks to be done or the “happiness” of the workforce, re- gardless of outcomes. Balance is needed between the two aspects to ensure that needs are being met for both the implementers (staff) and the outcomes (patient/institutional). Emotional Intelligence Constant surveillance for how work/expectations/new strategies affect individuals and teams and how they feel about their work in terms of support, caring, and en- thusiasm 6.  In this situation describe how both the transformational leadership style and the trans- actional leadership style could be used to address this problem. Consider in your discussion whether there is a place for both types in any given situation. It is decided that a new dining process will be implemented throughout the facility. All residents will be transported to the dining room for all meals unless contraindicated by health status. Residents/families are in support of this strategy, as it appears it will both ensure that residents are fed and encourage socialization of all residents, regardless of their cognitive level of functioning. All staff will be present in the dining room to assist with meal/feeding needs.7.  Identify possible factors within the three major sources that will cause resistance to change and implementation of this strategy. Sources of Resistance to Change         Possible Factors Technical concerns Psychosocial needs Threats to position/power 8.  What kind of actions/behaviors might you see in both your licensed and unlicensed personnel that indicate resistance to the change? Sources of Resistanceto Change                                                               Examples of Actions/Behaviors Active Passive Technical concerns Regardless of the source, active resistance is expressed directly Passive resistance can involve avoiding required work through excuses, being too busy to integrate the new strategy, or simply ignoring the strategy altogether. Psychosocial needs Threats to position/power 9.  For each of the following comments that were made by staff members in resisting the change to the new dining process, write a response that reflects the four approaches  to lowering resistance to change. Actions/Behaviors                                    Possible Comment Based on Strategy Commanding Sharing Information Refuting Beliefs Providing Psychosocial Safety “I am not going to do this—it creates too much work for everyone.” Actions/Behaviors                                    Possible Comment Based on Strategy “It is not my job to do the nurse aide work here.” “Mrs. Smith doesn’t want to go to the dining room in the morning and I don’t want to upset her by making herdo this.” “I couldn’t get the residents in the last four rooms to the dining room. I ran out of time so Iam just going to get their breakfast meal to them in their rooms.” “Sorry I didn’t help with the feedings. I got tied up giving medications down the back hall.” Change is difficult for most organizations and their way of doing things. Look at the strategy to be implemented in the dining process. Implementing the change requires an understanding of the characteristics of the change.10. Discuss each of the characteristics of this change in regard to the new dining process:•   Magnitude of the change•   Complexity of the change•   Pace of the change•   Stress level of those involved Characteristic              Dining Process Magnitude Complexity Pace Stress level 11. How will Hillary, as the unit manager, evaluate the integration of the change? After several months, conflict has arisen between the UAP of the skilled care unit and those on the custodial care/assisted living unit regarding feeding responsibilities during the meals. The UAP are very territorial regarding “their” residents and do not feel that they should have to assist other residents in the dining room since “their people” are there to help them. Due to the higher acuity of the skilled unit residents, they require more assistance with feeding than those who are more independent from the custodial/ assisted living unit. The UAP from the assisted living unit feel that they should not have to “pick up the slack” with feeding needs of the residents from the other unit. As the unit manager, Hillary needs to resolve this conflict for optimal resident outcomes.12. Using the steps of conflict resolution, how should the unit manager work through this problem? •   Identify the problem•   Generate possible solutions•   Evaluate suggested solutions•   Choose the best solution•   Implement the solution•    Identify the problem Generate possible solutions Evaluate suggested solutions Choose the best solution Implement the solution Evaluate—is the problem resolved?   Evaluate—is the problem resolved? 13. Discuss how time management may be an important component in the integration   of the dining process when one staff member says, “I can’t help feed residents when all I can think about is that I have to administer medications and complete the treat- ments on my 30 residents.” Consider the suggestions for time management. Discuss which ones may be helpful in this situation. Leading and ManagementHillary Hockenberry has been a nurse for 4 years in a long-term care facility. Recently, the position of unit manager has become available and she is considering applying for it. Peers have encouraged her to con- sider doing so and have commented, “You are a born leader and manager and will do really well in the position.” Hillary Hock- enberry is now asking herself the following questions:• Am I ready for a position like this?• What management skills will I need to be a good unit manager?• What are the rewards and challenges to a management position? She seeks input from both the former unit manager, who is now the assistant director of nursing (ADON), whom she views as a mentor, as well as the preceptor whom she originally worked with as a new graduate.305 1.  The preceptor states, “You’ve got good management skills—they are often inherent in what every nurse does in managing the care of patients.” Discuss what the preceptor means by this statement. 2.   Qualities Examples Inherent in Nursing Practice   Discuss the qualities and behaviors of followership that could be beneficial when moving into a leadership role. 3.  The ADON states, “The biggest challenge of management is juggling the needs of patients with the needs of the organization.” What does the ADON mean by this statement in light of the economic climate and the nursing labor market? Hillary accepts the position, and 6 months into her role as unit manager she was asked to follow up on survey results indicating insufficient staffing to help feed patients at mealtimes, especially the breakfast meal. The majority of residents on the unit need assistance with feeding, from setting up trays to needing to be fed. On the 30-bed unit, the ratio of staff to residents is 1:10 inclusive of licensed and unlicensed personnel. Meals are encouraged to be taken in the dining room, but traditionally, the majority of residents in this unit eat in their rooms. A strategy must be implemented to ensure that feeding/nutritional needs are met for the unit’s residents.4.  One staff member says, “You’ve got the power to change this so do it.” Looking at the sources of power, how should Hillary respond to this statement? 5.  How would each of the following behavioral theories be reflected in the leadership styles and implementation of strategies toward resolution of this problem?a.  Behavioral Theoryb.  Task vs. Relationshipc.   Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Behavioral Dependent on the type of leadership style used by the unit manager:Authoritarian: Autocratic/controlling/ directive (individual “top down” decision making; decision made and “orders” given) on how it is to be implemented, without group input; can be punitive or rewarding depending on situation; efficient method of decision making, and can lead to high-quality/-quantity output.   Emotional Intelligence Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Democratic: Participative; sharing of ideas, planning, and outcomes of a new strategy; less efficient but facilitates creativity and motivation within the staff; outcome tends to be high qualityLaissez-faire: Permissive or nondirec- tive; high degree of frustration be- cause there is no goal, guidance, or direction and everyone does their own thing, but the outcomes are expected to be the same; no decision-making from the leader Task vs. Relationship Leadership style is either focused on the tasks to be done or the “happiness” of the workforce, re- gardless of outcomes. Balance is needed between the two aspects to ensure that needs are being met for both the implementers (staff) and the outcomes (patient/institutional). Emotional Intelligence Constant surveillance for how work/expectations/new strategies affect individuals and teams and how they feel about their work in terms of support, caring, and en- thusiasm 6.  In this situation describe how both the transformational leadership style and the trans- actional leadership style could be used to address this problem. Consider in your discussion whether there is a place for both types in any given situation. It is decided that a new dining process will be implemented throughout the facility. All residents will be transported to the dining room for all meals unless contraindicated by health status. Residents/families are in support of this strategy, as it appears it will both ensure that residents are fed and encourage socialization of all residents, regardless of their cognitive level of functioning. All staff will be present in the dining room to assist with meal/feeding needs.7.  Identify possible factors within the three major sources that will cause resistance to change and implementation of this strategy. Sources of Resistance to Change         Possible Factors Technical concerns Psychosocial needs Threats to position/power 8.  What kind of actions/behaviors might you see in both your licensed and unlicensed personnel that indicate resistance to the change? Sources of Resistanceto Change                                                               Examples of Actions/Behaviors Active Passive Technical concerns Regardless of the source, active resistance is expressed directly Passive resistance can involve avoiding required work through excuses, being too busy to integrate the new strategy, or simply ignoring the strategy altogether. Psychosocial needs Threats to position/power 9.  For each of the following comments that were made by staff members in resisting the change to the new dining process, write a response that reflects the four approaches  to lowering resistance to change. Actions/Behaviors                                    Possible Comment Based on Strategy Commanding Sharing Information Refuting Beliefs Providing Psychosocial Safety “I am not going to do this—it creates too much work for everyone.” Actions/Behaviors                                    Possible Comment Based on Strategy “It is not my job to do the nurse aide work here.” “Mrs. Smith doesn’t want to go to the dining room in the morning and I don’t want to upset her by making herdo this.” “I couldn’t get the residents in the last four rooms to the dining room. I ran out of time so Iam just going to get their breakfast meal to them in their rooms.” “Sorry I didn’t help with the feedings. I got tied up giving medications down the back hall.” Change is difficult for most organizations and their way of doing things. Look at the strategy to be implemented in the dining process. Implementing the change requires an understanding of the characteristics of the change.10. Discuss each of the characteristics of this change in regard to the new dining process:•   Magnitude of the change•   Complexity of the change•   Pace of the change•   Stress level of those involved Characteristic              Dining Process Magnitude Complexity Pace Stress level 11. How will Hillary, as the unit manager, evaluate the integration of the change? After several months, conflict has arisen between the UAP of the skilled care unit and those on the custodial care/assisted living unit regarding feeding responsibilities during the meals. The UAP are very territorial regarding “their” residents and do not feel that they should have to assist other residents in the dining room since “their people” are there to help them. Due to the higher acuity of the skilled unit residents, they require more assistance with feeding than those who are more independent from the custodial/ assisted living unit. The UAP from the assisted living unit feel that they should not have to “pick up the slack” with feeding needs of the residents from the other unit. As the unit manager, Hillary needs to resolve this conflict for optimal resident outcomes.12. Using the steps of conflict resolution, how should the unit manager work through this problem? •   Identify the problem•   Generate possible solutions•   Evaluate suggested solutions•   Choose the best solution•   Implement the solution•    Identify the problem Generate possible solutions Evaluate suggested solutions Choose the best solution Implement the solution Evaluate—is the problem resolved?   Evaluate—is the problem resolved? 13. Discuss how time management may be an important component in the integration   of the dining process when one staff member says, “I can’t help feed residents when all I can think about is that I have to administer medications and complete the treat- ments on my 30 residents.” Consider the suggestions for time management. Discuss which ones may be helpful in this situation. Leading and ManagementHillary Hockenberry has been a nurse for 4 years in a long-term care facility. Recently, the position of unit manager has become available and she is considering applying for it. Peers have encouraged her to con- sider doing so and have commented, “You are a born leader and manager and will do really well in the position.” Hillary Hock- enberry is now asking herself the following questions:• Am I ready for a position like this?• What management skills will I need to be a good unit manager?• What are the rewards and challenges to a management position? She seeks input from both the former unit manager, who is now the assistant director of nursing (ADON), whom she views as a mentor, as well as the preceptor whom she originally worked with as a new graduate.305 1.  The preceptor states, “You’ve got good management skills—they are often inherent in what every nurse does in managing the care of patients.” Discuss what the preceptor means by this statement. 2.   Qualities Examples Inherent in Nursing Practice   Discuss the qualities and behaviors of followership that could be beneficial when moving into a leadership role. 3.  The ADON states, “The biggest challenge of management is juggling the needs of patients with the needs of the organization.” What does the ADON mean by this statement in light of the economic climate and the nursing labor market? Hillary accepts the position, and 6 months into her role as unit manager she was asked to follow up on survey results indicating insufficient staffing to help feed patients at mealtimes, especially the breakfast meal. The majority of residents on the unit need assistance with feeding, from setting up trays to needing to be fed. On the 30-bed unit, the ratio of staff to residents is 1:10 inclusive of licensed and unlicensed personnel. Meals are encouraged to be taken in the dining room, but traditionally, the majority of residents in this unit eat in their rooms. A strategy must be implemented to ensure that feeding/nutritional needs are met for the unit’s residents.4.  One staff member says, “You’ve got the power to change this so do it.” Looking at the sources of power, how should Hillary respond to this statement? 5.  How would each of the following behavioral theories be reflected in the leadership styles and implementation of strategies toward resolution of this problem?a.  Behavioral Theoryb.  Task vs. Relationshipc.   Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Behavioral Dependent on the type of leadership style used by the unit manager:Authoritarian: Autocratic/controlling/ directive (individual “top down” decision making; decision made and “orders” given) on how it is to be implemented, without group input; can be punitive or rewarding depending on situation; efficient method of decision making, and can lead to high-quality/-quantity output.   Emotional Intelligence Example of Discussion forTheory                            Styles                                                                Identification of a Strategy Democratic: Participative; sharing of ideas, planning, and outcomes of a new strategy; less efficient but facilitates creativity and motivation within the staff; outcome tends to be high qualityLaissez-faire: Permissive or nondirec- tive; high degree of frustration be- cause there is no goal, guidance, or direction and everyone does their own thing, but the outcomes are expected to be the same; no decision-making from the leader Task vs. Relationship Leadership style is either focused on the tasks to be done or the “happiness” of the workforce, re- gardless of outcomes. Balance is needed between the two aspects to ensure that needs are being met for both the implementers (staff) and the outcomes (patient/institutional). Emotional Intelligence Constant surveillance for how work/expectations/new strategies affect individuals and teams and how they feel about their work in terms of support, caring, and en- thusiasm 6.  In this situation describe how both the transformational leadership style and the trans- actional leadership style could be used to address this problem. Consider in your discussion whether there is a place for both types in any given situation. It is decided that a new dining process will be implemented throughout the facility. All residents will be transported to the dining room for all meals unless contraindicated by health status. Residents/families are in support of this strategy, as it appears it will both ensure that residents are fed and encourage socialization of all residents, regardless of their cognitive level of functioning. All staff will be present in the dining room to assist with meal/feeding needs.7.  Identify possible factors within the three major sources that will cause resistance to change and implementation of this strategy. Sources of Resistance to Change         Possible Factors Technical concerns Psychosocial needs Threats to position/power 8.  What kind of actions/behaviors might you see in both your licensed and unlicensed personnel that indicate resistance to the change? Sources of Resistanceto Change                                                               Examples of Actions/Behaviors Active Passive Technical concerns Regardless of the source, active resistance is expressed directly Passive resistance can involve avoiding required work through excuses, being too busy to integrate the new strategy, or simply ignoring the strategy altogether. Psychosocial needs Threats to position/power 9.  For each of the following comments that were made by staff members in resisting the change to the new dining process, write a response that reflects the four approaches  to lowering resistance to change. Actions/Behaviors                                    Possible Comment Based on Strategy Commanding Sharing Information Refuting Beliefs Providing Psychosocial Safety “I am not going to do this—it creates too much work for everyone.” Actions/Behaviors                                    Possible Comment Based on Strategy “It is not my job to do the nurse aide work here.” “Mrs. Smith doesn’t want to go to the dining room in the morning and I don’t want to upset her by making herdo this.” “I couldn’t get the residents in the last four rooms to the dining room. I ran out of time so Iam just going to get their breakfast meal to them in their rooms.” “Sorry I didn’t help with the feedings. I got tied up giving medications down the back hall.” Change is difficult for most organizations and their way of doing things. Look at the strategy to be implemented in the dining process. Implementing the change requires an understanding of the characteristics of the change.10. Discuss each of the characteristics of this change in regard to the new dining process:•   Magnitude of the change•   Complexity of the change•   Pace of the change•   Stress level of those involved Characteristic              Dining Process Magnitude Complexity Pace Stress level 11. How will Hillary, as the unit manager, evaluate the integration of the change? After several months, conflict has arisen between the UAP of the skilled care unit and those on the custodial care/assisted living unit regarding feeding responsibilities during the meals. The UAP are very territorial regarding “their” residents and do not feel that they should have to assist other residents in the dining room since “their people” are there to help them. Due to the higher acuity of the skilled unit residents, they require more assistance with feeding than those who are more independent from the custodial/ assisted living unit. The UAP from the assisted living unit feel that they should not have to “pick up the slack” with feeding needs of the residents from the other unit. As the unit manager, Hillary needs to resolve this conflict for optimal resident outcomes.12. Using the steps of conflict resolution, how should the unit manager work through this problem? •   Identify the problem•   Generate possible solutions•   Evaluate suggested solutions•   Choose the best solution•   Implement the solution•    Identify the problem Generate possible solutions Evaluate suggested solutions Choose the best solution Implement the solution Evaluate—is the problem resolved?   Evaluate—is the problem resolved? 13. Discuss how time management may be an important component in the integration   of the dining process when one staff member says, “I can’t help feed residents when all I can think about is that I have to administer medications and complete the treat- ments on my 30 residents.” Consider the suggestions for time management. Discuss which ones may be helpful in this situation. BusinessAccountingShare Question

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