Political Science Discussion

Political Science Discussion

Required Resources

Read/review the following resources for this activity:

Lesson

Minimum of 1 scholarly source (can include your textbook)

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

Option 1: List the ways in which contemporary presidential campaigns have used social media as a campaign tool. Do you consider social media as a successful tool? Explain your answer. Do you see social media as an unsuccessful tool? Explain your answer and provide examples.

Option 2: There are numerous discussions involving the Electoral College. There are some people that want to abolish the electoral college while others want to keep it. What do you think? Keep the electoral college or abolish it? Explain the reasons for your choice.

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Follow-Up Post Instructions

Respond to at least one peer. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source which can include your textbook or assigned readings or may be from your additional scholarly research.

Writing Requirements

Minimum of 2 posts (1 initial & 1 follow-up)

Minimum of 2 sources cited (assigned readings/online lessons and an outside source)

APA format for in-text citations and list of references

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running a temperature

Running a temperature

Consider the following scenarios:

Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days.  Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell.  Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To prepare:

  • Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
  • Identify the pathophysiology of the disorders presented in the scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
  • Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

To complete:

Write a 2- to 3-page paper that addresses the following:

  • Explain the pathophysiology of the disorders depicted in the scenarios, including their associated alterations. Be sure to describe the patients’ adaptive responses to the alterations.
  • Construct a mind map of your selected disorder. Include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.

    ADAPTIVE RESPONSE 1

    Adaptive Response

    Student’s Name

    Institution

    Course Instructor

    Date

    Introduction

    The body develops various adaptive responses to deal with particular foreign invaders. The body has the ability to shape the response in way that it response to various attacks, body injury or just body exhaustion. This paper analyses the adaptive responses that is seen as symptoms for various scenarios. The first scenario is that of two year old experiencing running temperature and sore throat. This is diagnosed as Throat infection. The second scenario of the 27 year old man is diagnosis as Allergic contact Dermatitis while the third scenario is diagnosed as depression.

    Scenario 1: Throat Infection or Tonsillitis

    The disorder depicted in the scenario of a throat infection of Tonsillitis. The infection may have been caused bacteria known as streptococcus that causes inflation of the tonsils, which also affects the surrounding parts (Bathala & Eccles, 2013). The adaptive responses of the throat infection include fever and having hurting throat. Jenifer, a 2-year-old experiencing running temperature and fever of between 101 and 103.2oF is one of the adaptive responses when the body cells fight the virus or the bacterial infection. The body also reacts by through headaches, dysphasia, and loss of appetite. Although the mother has tried to manage the temperature with ibuprofen, the fever has been on and off.

    According to Oomen, Modi & Stewart, (2012), Jenifer in this scenario also experiences Tympanic membranes that are reddened on the periphery and erythematous of 4+ tonsils that are defused in the exudates. The fever levels of up to 104 are not very harmful since in children since it is a reaction to infection. The body may have experienced viral illness or bacterial illness. The viral illness always lasts between 2 to 3 days and is not always a reflection of serious illness. A sore throat in preschoolers like Jenifer is most likely caused by viral infection of the thoughts. No specific medicine is required to treat these symptoms, and the child should be better between seven to ten days.

    Scenario 2: Allergic contact Dermatitis

    The Disorder depicted in the scenario of the 27-year-old Man is that of allergic dermatitis. Dermatitis is localized inflammation of the skin. The irritant contact dermatitis is the inflammation that is caused when some substance found in the workplace come into direct contact with the skin. The common signs will include blisters, redness of the skin, and scales. These symptoms will not occur at the same time but will depend on the person’s skins and the type of the chemicals. The symptoms reported by Jack are the redness and irritation of the hands show that the dermatitis was caused by a chemical that irritates (Proksch & Brasch, 2012).

    The adaptive response of the body to the localized injury tissues produce some of the signs of the inflammation include redness on the spot, swelling, pain, and heat. The contact dermatitis symptoms can develop shortly after handling short exposure, repeated or even prolonged but low exposure to the chemical substances. Jack in the scenario was exposed to mild irritant chemicals that caused the redness of skin and itchiness. However, continued exposure to the mild irritant chemicals will result in the appearance of small lesions and sores on the reddened area that will lead to formation of scales and crusts (Hamilton & de Gannes, 2011).

    The irritant action of the abrasive substance is brought by the ability of the substance to change the properties of the skin and hence allow toxic substances to be exposed to the cells. The substance can also remove oil and moisture in the outer skin and hence reduce the protective ability of the skin. The removal of the fatty substance covering the outer skin results in the dryness and cracking of the skin. When the substance encounters the cells and body tissue, the endogenous present in the cells will react with the foreign substance which product skin damage (Hamilton & de Gannes, 2011). The body first reacts to foreign elements by developing localized acute inflammation when the cells and tissues try to develop a defensive response to the invading materials. The defensive response of the tissues is what causes the pain, redness, warmth, irritation, and swelling. Some of the factors that contribute to the severity of the irritant contact dermatitis include the properties in the chemical substance one is exposed to, the amount of concentration that has been exposed to the skin and frequency or length of the exposure.

    Scenario 3: Depression

    The disorder that is identified in the third scenario is a clinical depression. This scenario of the 65-year-old lady that is recently retired from work is an indication of depression. Depression is caused by many factors and combination of issues. According to Morey, Shea, Markowitz, Stout, Hopwood, Gunderson & Skodol, (2014) some of the common cause includes a long term or sudden illness like cancer or diabetes. Depression may also be caused by taking some medicines that cause depressive symptoms as a side effect. The disorder is caused by family genetics and hence the children of depressed parents are likely to be depressed at one point in their lives. Depression can also be caused by life events like divorce, death of loved one and money problems. It has also been established that certain personalities like people with low self-esteem are vulnerable to depression. To Martha, the depression must have been triggered by the increased burden of taking care of her 87-year-old mother that has difficulty recovering from broken hips. These circumstances were not expected after her retirement from work.

    The adaptive responses to depression include difficulty in sleeping and lack of interest in life. People will respond to disappoints in life through sadness and grief, but it can turn ton depression when it lingers or become severe. The signs of depression include insomnia, anorexia, and some common tiredness. Depression is often not diagnosed in the elderly person as they can be easily dismissed as part of aging or acceptable response to stress (Iaboni & Flint, 2013). Depression in the elderly may start by a person feeling low and empty and lacking interest in participating in daily activities. The person in the scenario has difficulty carrying out the daily activities, sleeping, eating, and enjoying life. The depression in Martha can be treated through three types of treatment that include psychotherapy, prescription of medication, and use of biological treatment.

    Mind Map of Allergic Contact Dermatitis

    The mind map is a diagram that shows the nurse or concerned physiologist all the concept around the diagnosis of a given disorder. The mind map for Allergic contact Dermatitis will, therefore, show maps that can be used to classify the ideas, support the studies, and organize the decision making process (Zimbron, 2008).

    The mind map for Allergic contact Dermatitis is a picture that provides prognosis, complications, diagnosis, clinical presentation, etiology, epidemiology, pathophysiology, and Risk factors.

    The prognosis occurs when the person can avoid the irritant substance. However, the complication is brought by the secondary neurodermatitis. The diagnosis does not require any specific test, hence the Allergic contact Dermatitis is diagnosed by clinical examinations. The clinical presentations that can be observed include redness, cracking of the skin, Dryness, Inflammation, and thickening. Contamination will take place when a person’s skin is exposed to chemicals or detergents that cause the skins to be red and irritated. The exposure to abrasive substance also makes the skin itchy, red, and inflamed (Zimbron, 2008).

    The Etiology for the Allergic contact Dermatitis is that it is caused by common cutaneous irritants. The causes include mechanical irritants, microtrauma like fiberglass, and other solvents like organic solvents like alcohol turpentine, hair products, ketones, chlorinated, paints and acids. Other chemicals that can cause Allergic contact Dermatitis include soap, soda, and detergents (Zimbron, 2008).

    The epidemiology part of the mind map includes occupational hazards, prevalence, and Environmental factors. The environmental hazards can include repeated exposure of the skins to the irritant or repeated washing of the hands with abrasive detergents. The prevalence of Allergic contact Dermatitis is 69.7% of the most highly exposed workers and 55.6% can lead to intensive care units (Zimbron, 2008).

    The pathophysiology involves three processes of skin barrier disruptions, Epidural cellular changes, and release of Cytokin and T-lymphocytes. The adaptive responses to the alteration in the skin and cells include hardening of the skin to local expression of multiple cytokines. The irritation is caused by relatively thick layers of stratum granulosum.

    Conclusion

    The adaptive responses of the body to particular diseases, virus, and injuries can be used to identify the specific agents, virus, or bacteria causing the body discomfort. The adaptive responses will often be triggered when the infection or agents escapes the innate body defense mechanism and hence generating antigen. The adaptive response to depression includes insomnia, anorexia that was observed in the lady. The adaptive response to chemical substance includes redness, swelling, and itchiness. On the other hand, the symptoms expressed in the two year old are adaptive response of viral and bacterial infection that causes Throat infections.

    References

    Bathala, S., & Eccles, R. (2013). A review on the mechanism of a sore throat in tonsillitis. The Journal of Laryngology & Otology127(03), 227-232.

    Hamilton, T., & de Gannes, G. C. (2011). Allergic contact dermatitis to preservatives and fragrances in cosmetics. Dermatitis14, 16.

    Iaboni, A., & Flint, A. J. (2013). The complex interplay of depression and falls in older adults: a clinical review. The American Journal of Geriatric Psychiatry21(5), 484-492.

    Morey, L. C., Shea, M. T., Markowitz, J. C., Stout, R. L., Hopwood, C. J., Gunderson, J. G., … & Skodol, A. E. (2014). State effects of major depression on the assessment of personality and personality disorder. The American journal of psychiatry.

    Oomen, K. P., Modi, V. K., & Stewart, M. G. (2012). Evidence-based practice: pediatric tonsillectomy. Otolaryngologic Clinics of North America45(5), 1071-1081.

    Proksch, E., & Brasch, J. (2012). The abnormal epidermal barrier in the pathogenesis of contact dermatitis. Clinics in Dermatology30(3), 335-344.

    Zimbron, J., (2008). Mind maps—Dementia, endocarditis, and gastro-oesophageal reflux disease (GERD) [PDF]. Retrieved from http://www.medmaps.co.uk/beta/

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Two Practice-Specific Concepts, And List Of Propositions

Two Practice-Specific Concepts, And List Of Propositions

  • Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.

What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?

How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into my philosophy and practice?

What research supports these theories and concepts?

 

>>>>>This assignment is for this week<<<<<<<< then the next assignment will be connected to this one and has to be integrated as one essay at the end<<<<<<<<I am adjunting the first part of the essay completed that can serve as the beginning.

 

Format

Your project paper should be in Microsoft Word 2010. Follow the current APA style. Your paper should be double-spaced, Times New Roman, and in 12 pt. font.

****Quality of essay criteria*****

The essay enlisted two practice-specific concepts.
8
The essay included clinical examples for each of the chosen concepts.
8
The clinical examples illustrated the concepts in a manner, which further clarified the students’ use of the conceptual material.
8
The essay demonstrated consistency between concepts, assumptions, and clinical application.
8
The essay identified and discussed students’ perspective on two other concepts specific to their practice.
8
The essay included a numbered list of at least 5 propositions or assumptions.
8
The concepts were connected and integrated to reveal a meaningful sequence.
8
 
 
 
 
 
 
 
 
 
 

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Two Practice-Specific Concepts And List Of Propositions

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Understanding The Business Side Of Health Care Worksheet

Understanding The Business Side Of Health Care Worksheet And Medical Terminology Is A Big World

The Business Side of Health Care infographic was created to show individuals how different entities contribute to the health care industry. For a long time most people assumed you were talking about doctors and nurses, i.e., the clinical aspect of health care, when discussing health care. As you complete this course and many others in your degree, it will be important to remember that there is a business side to health care that interacts with different entities to make the health care industry successful. As such, it is helpful if you remember that health care is an industry.

Complete the Understanding the Business Side of Health Care worksheet.

—————————————————————-

2. Medical Terminology Is a Big World

 

While the title of this course is “Medical Terminology for Health Care Professionals,” it is important to understand that medical terminology encompasses different terms outside of what is typically thought of as body systems. As you complete Part Two of the assignment, remember to consider the Business Side of Health Care infographic that represents different entities and areas within the health care industry and the vast nature of health care terminology.

Part One:

Write a 90- to 175-word summary that describes the importance of understanding and using appropriate health care medical terminology in your current or future career.

Note: Students are encouraged to use WritePoint® Powered by Garmmarly® offered by the Center for Writing Excellence as a resource this week. WritePoint® is a free, 24/7 service in which you can upload your written work to be reviewed for grammar, usage, and spelling.

Part Two:

It is important to ensure that you are not plagiarizing your assignments during your educational career, especially since honesty and integrity are essential in the health care industry. The University of Phoenix Center for Writing Excellence provides the plagiarism checker Turnitin® for students to verify that their papers are not plagiarized. The purpose of this section of the assignment is to practice using a plagiarism checker.

Save your summary from Part One to your computer and use the following file name as a guide:

  • HCS120_wk1_medical_terminology_summary_lastname
  • Include your last name at the end of the file name as shown above.

Access the Plagiarism Checker link in this assignment and submit your summary to Turnitin® for review.

Save the originality report generated by Turnitin® to submit to your instructor.

Note: A Turnitin® student manual is available for you to review the different components of the originality report.

Cite any peer-reviewed, scholarly, or similar references used according to APA guidelines.

Understanding the Business Side of Health Care

HCS/120 Version 4

1

University of Phoenix Material

Understanding the Business Side of Health Care

The Business Side of Health Care infographic was created to show individuals how different entities contribute to the health care industry. For a long time most people assumed you were talking about doctors and nurses, i.e., the clinical aspect of health care, when discussing health care. As you complete this course and many others in your degree, it will be important to remember that there is a business side to health care that interacts with different entities to make the health care industry successful. As such, it is helpful if you remember that health care is an industry.

Note: The terms “healthcare” and “health care” are often used interchangeably.

Review the Business Side of Health Care infographic.

Provide your own example of a company that contributes to each of the major health care entities listed in the infographic. Describe how the company contributes to the identified health care entity.

Health Care Entity Example of Company Company’s Contribution
Example: Insurance Companies Aetna Aetna provides health care insurance and coverage, products, and services to individuals and families, employers and organizations, health care professionals, and producers.
Health Information Technology    
Pharmaceutical    
Medical Waste Management    
Manufacturing Companies    

Identify at least two additional health care entities that could be represented in the infographic.

Health Care Entities Describe why this entities can be represented in the infographic
Example: Architecture and Interior Design Firms (facility design) Facility design firms provide products and services to different health care facilities that are planning to build new or redesign their current building space. They fit within this infographic because the designers need to understand medical terminology and health care concepts to build an effective space for their health care clients.
1.  
2.  
   

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Understanding The Business Side Of Health Care Worksheet

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Epidemiology Module 3 Problem Set

Epidemiology: (PUBH – 6035 – 2) Module 3 Problem Set

Question 1 

Recently, a report was published describing a string of cases of Norwalk virus gastroenteritis among passengers on cruise ships. From this report, an epidemiologist went on to form a number of hypotheses as to why there had been this rather unusual increase in reported gastroenteritis outbreaks on cruise ships in 2012. The cruise ship owners contacted the Centers of Disease control and Prevention (CDC) to conduct an in-depth analysis of the possible modes of transmission of the Norwalk virus in the cruise ship environment. CDC investigators interviewed all of the passengers on the last affected cruise (N=3,000) and obtained information on the passenger’s recreational activities. They found the following results: 1,000 passengers had gone swimming in the upper deck pool and 2,000 passengers had never gone swimming in the upper deck pool. 100 of the passengers who swam in the upper deck pool and 100 of the passengers who did not swim in this pool developed Norwalk virus gastroenteritis during the cruise. FYI: The cruise lasted one week.

· Set up the 2×2 table for these data.

· Calculate the risk ratio of gastroenteritis associated with swimming in the upper deck pool.

· State in words your interpretation of the above risk ratio

· Calculate the risk difference in the above example

· State in words your interpretation of the above risk difference

Question 2 

For this problem, note the following chart:

 

Age Group
(in years)

% of Population in Age Group

Influenza Rate per 1,000   person-years

 

There are 10,000 individuals in City A, which is located in Massachusetts. Eight young individuals and 420 old individuals develop the flu over the course of a year.

· Use these data to calculate the crude influenza rate per 1,000 individuals per years in City A.

· What is the crude rate of influenza in City B?

· What is the crude rate of influenza in City C?

· Calculate an age-adjusted influenza rate for each of the cities. Use the age distribution for the State of Massachusetts (shown in the table) as the standard.

Question 3 

Recently, Australian researchers conducted a study of the relationship between optimism and colon cancer survival. Their hypothesis was that colon cancer patients who had a positive outlook on life would have a lower five-year cumulative incidence of mortality. The study included 100 recently diagnosed colon cancer patients who underwent psychological testing and were found to have a optimistic outlook on life and 100 recently diagnosed colon cancer patients who underwent the same psychological tests and were found to have a pessimistic outlook on life. By the end of five years of follow-up, 50 of the 100 patients with the optimistic outlook and 75 of the 100 patients with the pessimistic outlook had died from colon cancer.

· Set up and fill in the two by two table using these data.

· What is the prevalence of colon cancer in the study population?

· Compare the cumulative incidence of mortality in the optimistic group to the cumulative incidence of mortality in the pessimistic group using a ratio measure of association.

· State in words your interpretation of the result you found in part c

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Epidemiology Module 3 Problem Set

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Nursing Theory And Conceptual Model Presentation

 Nursing Theory And Conceptual Model Presentation

Nursing theories are tested and systematic ways to implement nursing practice. Select a nursing theory and its conceptual model. Prepare a 10-15 slide PowerPoint in which you describe the nursing theory and its conceptual model and demonstrate its application in nursing practice. Include the following:

  1. Present an overview of the nursing theory. Provide evidence that demonstrates support for the model’s efficacy in nursing practice. Explain how the theory proves the conceptual model.
  2. Explain how the nursing theory incorporates the four metaparadigm concepts.
  3. Provide three evidence-based examples that demonstrate how the nursing theory supports nursing practice. Provide support and rationale for each.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Virginia Henderson’s Need theory

Team D

Maria Rodriguez

Leidy Morey

Akinwunmi Akinbode

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Virginia Henderson’s need theory

Virginia Henderson’s need theory provides a definition of nursing care and describes specific areas in which nursing care is needed.

“The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible” (Henderson, 1966).

Henderson developed 14 concepts based on human needs and categorized them as physiological, psychological, spiritual, or social.

Virginia Henderson believed that knowing the fundamental needs of a patient will contribute to how the nurse will care for the patient. It is beneficial to care for the patient until the patient can care for themselves or aid them in a peaceful death. (Henderson, 1966) She developed 14 concepts based on those human needs and categorized them as physiological, psychological, spiritual, or social (Henderson’s nursing need theory, (2016). Her concepts examine the individual holistically.

2

Henderson’s 14 basic needs:

Henderson believes these 14 components are part of basic nursing care to return the patient to their optimal self. To do so, the nurse must have a nurse-patient relationship to achieve this goal (Vera, 2011).These are specific, effective concepts of how nurses should assess and interact with the patient.

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Physiological:

Breathe normally

Eat and drink adequately

Eliminate body wastes

Move and maintain postures

Sleep and rest

Dress and undress

Maintain body temperature

Protect integument

Avoid dangers

Psychological:

Communicate needs and concerns

Spiritual:

Worship one’s faith

Social:

Work with a sense of accomplishment

Participate in Recreation (Gonzalo, 2014)

Learn and discover normal development and health and use health facilities

Nursing practice

Henderson’s 14 components can be used as a guide in the nursing process to assist the nurse in her practice.

Assessment phase — Assess patient using the 14 basic needs. Analyze patient data.

Planning phase — Meeting individual’s needs, updating the plan as necessary based on the changes and as prescribed by the physician.

Implementation phase — Individualized interventions depending on factors and needs.

Evaluation phase — Evaluate according to the degree in which the patient performs independently.

Henderson believed in having an individualized care plan for each patient. She believed critical thinking is essential in this implementation. The fundamental needs of the patient, the planning and implementing of interventions, and the evaluation of the patient’s outcome are all crucial elements in Henderson’s need theory that contribute to the nursing process. The patient is examined holistically to achieve a common goal of optimal independence. It applies to every day clinical decision-making of nursing practice.

4

References:

Gonzalo, A. (2014). Virginia Henderson: nursing need theory. Retrieved from /orders/nurseslabs.com/virginia-hendersons-need-theory/.

Henderson’s Nursing Need Theory. (2016). Retrieved from /orders/nursing-theory.org/theories-and-models/henderson-need-theory.php.

Henderson, V. (1966). The nature of nursing: A definition and its implications, Practice, Research, and Education. New York: Macmillan Company.

.

 

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Assessing and Treating Clients With Psychosis and Schizophrenia

Assessing and Treating Clients With Psychosis and Schizophrenia

Delusional Disorders

Pakistani Female With Delusional Thought Processes

Examine Case Study: Pakistani Woman with Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point stop to complete the following:

Decision #1,#2,#3

o Which decision did you select?

o Why did you select this decision? Support your response with evidence and references to the Learning Resources.

o What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.

o Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?

CONCLUSION: Also include how ethical considerations might impact your treatment plan and communication with clients

BACKGROUND

The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her since she was 9 years old). She presents to your office today following a 21 day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month.Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.During today’s assessment, she appears quite calm, and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She tells you that she knows this because the television is telling her so. She currently weighs 140 lbs, and is 5’ 5”

SUBJECTIVE

Client reports that her mood is “good.” She denies auditory/visual hallucinations, but believes that the television does talk to her. She believes that Allah sends her messages through the TV. At times throughout the clinical interview, she becomes hostile towards the PMHNP, but then calms down.You reviewed her hospital records and find that she has been medically worked up by a physician who reported her to be in overall good health. Lab studies were all within normal limits.Client admits that she stopped taking her Risperdal about a week after she got out of the hospital because she thinks her husband is going to poison her so that he can marry an American woman.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Her speech is slow and at times, interrupted by periods of silence. Self-reported mood is euthymic. Affect constricted. Although the client denies visual or auditory hallucinations, she appears to be “listening” to something. Delusional and paranoid thought processes as described, above. Insight and judgment are impaired. She is currently denying suicidal or homicidal ideation.

The PANSS which reveals the following scores:

-40 for the positive symptoms scale

-20 for the negative symptom scale

-60 for general psychopathology scale

Diagnosis: Schizophrenia, paranoid type

RESOURCES

§ Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13(2), 261-276.

§ Clozapine REMS. (2015). Clozapine REMS: The single shared system for clozapine. Retrieved from /orders/www.clozapinerems.com/CpmgClozapineUI/rems/pdf/resources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf

§ Paz, Z., Nalls, M. & Ziv, E. (2011). The genetics of benign neutropenia. Israel Medical Association Journal. 13. 625-629.

Decision Point One

· Start Zyprexa 10 mg orally at BEDTIME

· Start Invega Sustenna 234 mg intramuscular X1 followed by 156 mg intramuscular on day 4 and monthly thereafter

· Start Abilify 10 mg orally at BEDTIME

Decision Point Two

· Continue same decision made but instruct administering nurse to begin injections into the deltoid at this visit and moving forward

· Discontinue Invega Sustenna and start Haldol Decanoate (haloperidol decanoate ) 50 mg IM q2weeks with oral Haldol 5 mg BID for the next 3 months

· Continue Invega Sustenna. Begin injections into the deltoid and add on Abilify Maintena 300 mg intramuscular monthly with oral Abilify 10 mg in the MORNING for 2 weeks

Decision Point Three

· Instruct nurse give the client 50 mg intramuscular injection of Benadryl (diphenhydramine) and 1 mg IM Ativan (lorazepam). Discontinue Haldol and make a follow-up appointment for 2 weeks from today. Starts the client on a short course of Ativan 1 mg orally TID with Benadryl 25 mg orally TID for 1 week. Start oral Abilify 5 mg in the MORNING. Make a follow-up phone call to the home 4 days after this appointment

· Decrease Haldol Decanoate 25 mg IM q2weeks. Submit e-prescription to client’s pharmacy for Cogentin (benztropine )2 mg orally BID

· Discontinue Haldol. Start Abilify 2 mg orally daily and schedule a follow-up phone call 4 days from today’s appointment to check on client’s current symptoms. Also e-prescribe Cogentin 2 mg orally BID to treat the EPS

MY CHOICE MY CHOICE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

Decision Point One

Start Invega Sustenna 234 mg intramuscular X1 followed by 156 mg intramuscular on day 4 and monthly thereafter

RESULTS OF DECISION POINT ONE

Client returns to clinic in four weeks

A decrease in PANSS score of 25% is noted at this visit

Client seems to be tolerating medication

Client’s husband has made sure she makes her appointments for injections (one thus far)

Client has noted a 2 pound weight gain but it does not seem to be an important point for her

Client complains of injection site pain telling the PMHNP that she has trouble siting for a few hours after the injections and doesn’t like having to walk around for such a long period of time

Decision Point Two

Discontinue Invega Sustenna and start Haldol Decanoate (haloperidol decanoate ) 50 mg IM q2weeks with oral Haldol 5 mg BID for the next 3 months

RESULTS OF DECISION POINT TWO

Client returns to clinic in four weeks

Client’s PANNS decreases by 10% since last visit (15% overall reduction from first visit)

When she walks into the office, the PMHNP notices an unusual movement in the trunk area of the client

When the client sits down, you note that her head is turned to the left and she is unable to move it. She continually smacks her lips and sticks her tongue out repeatedly during this interview session

Decision Point Three

Discontinue Haldol. Start Abilify 2 mg orally daily and schedule a follow-up phone call 4 days from today’s appointment to check on client’s current symptoms. Also e-prescribe Cogentin 2 mg orally BID to treat the EPS

Guidance to Student

Unusual Trunk movements, torticollis, and lip smacking/tongue thrusting are all cardinal signs of extra pyramidal effects and Tardive Dyskinesia [TD] (tongue thrusting). With continued treatment, TD can become persistent for years to decades and needs to be treated immediately. Since typical and atypical antipsychotics block D2 receptors in the substantia nigra, cholinergic effects “take over” and present with movement disorders. Treatment consists of anticholinergic therapy with or without benzodiazepine to control the movements. Since the client has been on long acting Haldol decanoate, it will take 4-5 half-lives to see complete removal of Haldol from her body. This translates into roughly 9 to 15 weeks (half-life of Haldol decanoate is around 3-weeks). It is always good clinical practice to start a client on oral therapy of Haldol and evaluate for efficacy and side effects (tolerability) before initiating long acting therapy such as in this case.

A reduction in the Haldol dose will not do anything for the immediate effects of the Haldol that being seen at today’s visit. It is a long acting medication and is going to take time to reduce the overall steady-concentration. This time frame is 9-15 weeks or 4-5 half-lives (half-life is roughly 3 weeks).

Discontinuation of Haldol is the most prudent option in this case due to her side effects and their effect on her quality of life. The decision to start at 2 mg of abilify or 5 mg of abilify is left to provider choice. This client, in any event, should be prescribed anticholinergic therapy with eight Cogentin, Artane, or Benadryl to control the EPS symptoms until which time the Haldol has been safely eliminated from her body. A follow-up phone call in 3-5 days is also in the best interest of the client to see if the EPS is lessening with the addition of anticholinergic therapy. Continued monitoring for these side effects should be considered at each follow-up visit until such time they can be deemed eliminated.

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Assessing and Treating Clients With Psychosis and Schizophrenia

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Case Study

Case Study

Read the case study ” Hootsuite Uses Social Media to Manage Aspects of the Human Resource Function” and respond to this question.

What does this case teach you about the use of social media in today’s organization?  Explain and support your point of view.

Personality and Individual Behavior

MAJOR QUESTION In the hiring process, do employers care about one’s personality and individual traits?

THE BIG PICTURE

Personality consists of stable psychological and behavioral attributes that give you your identity. We describe five personality dimensions and five personality traits that managers need to be aware of to understand workplace behavior.

In this and the next four chapters we discuss the third management function (after planning and organizing)—namely, leading. Leading, as we said in  Chapter 1 , is defined as motivating, directing, and otherwise influencing people to work hard to achieve the organization’s goals.

How would you describe yourself? Are you outgoing? aggressive? sociable? tense? passive? lazy? quiet? Whatever the combination of traits, which result from the interaction of your genes and your environment, they constitute your personality. More formally,  personality  consists of the stable psychological traits and behavioral attributes that give a person his or her identity. 10  As a manager, you need to understand personality attributes because they affect how people perceive and act within the organization. 11

The Big Five Personality Dimensions

In recent years, the many personality dimensions have been distilled into a list of factors known as the Big Five. 12  The  Big Five personality dimensions are (1) extroversion, (2) agreeableness, (3) conscientiousness, (4) emotional stability, and (5) openness to experience.

· Extroversion. How outgoing, talkative, sociable, and assertive a person is.

· Agreeableness. How trusting, good-natured, cooperative, and soft-hearted one is.

· Conscientiousness. How dependable, responsible, achievement-oriented, and persistent one is.

· Emotional stability. How relaxed, secure, and unworried one is.

· Openness to experience. How intellectual, imaginative, curious, and broad-minded one is.

Current estimates are that approximately 76% of organizations with more than 100 employees now use some sort of pre- or post-hiring assessment, including personality tests,13 spending more than $500 million annually on such services.14 Companies use these tests, believing that hiring decisions will be more accurate and predictive of high performers. But are they? We’ll discuss this shortly. Dimensions in the Big Five have been associated with performance, leadership behavior, turnover, creativity, and workplace safety.15 Do you wonder if your personality has affected your behavior at work?

/orders/html1-cluster-e.mheducation.com/smartbook2/data/151605/highlighted_epubmhe/OPS/img/chapter11/kin32657_p1101.png Sociable and assertive. Does it take a certain kind of personality to be a good salesperson? Have you ever known people who were quiet, unassuming, even shy but who were nevertheless very persistent and persuasive—that is, good salespeople?© Blend Images/Alamy RFPage 359

Where do you think you stand in terms of the Big Five? You can find out by completing  Self-Assessment 11.1 .

SELF-ASSESSMENT 11.1  /orders/html1-cluster-e.mheducation.com/smartbook2/data/151605/highlighted_epubmhe/OPS/img/designelements/connect_art_rev.png

Where Do You Stand on the Big Five Dimensions of Personality?

This survey is designed to assess your personality, using the Big Five index. Please be prepared to answer these questions if your instructor has assigned Self-Assessment 11.1 in Connect.

1. What is your personality profile, according to the Big Five?

2. Which of the Big Five is most likely going to help you achieve good grades in your classes and gain employment after graduation?

The Proactive Personality 

A person who scores well on the Big Five dimension of conscientiousness is probably a good worker. He or she may also be a  proactive personality, someone who is more apt to take initiative and persevere to influence the environment. Research reveals that proactive people tend to be more satisfied with their job and committed to their employer, as well as produce more work, than nonproactive individuals. 16

Do Personality Tests Work for the Workplace?

Personality tests are more commonly used to hire managers than entry-level employees (80% and 59% of the time, respectively).17 Nevertheless, many experts conclude personality tests are not a valid predictor of job performance.18 One explanation for this finding is that test takers don’t describe themselves accurately, instead guessing answers that might make them look better. Another is that companies use “off-the-shelf” tests possessing limited validity. You should avoid administering such tests. To overcome these limitations, companies like Pymetrics and Knack use games to assess cognitive ability and decision making. Other companies are looking toward genetic testing.19

The table below will help managers avoid abuses and discrimination lawsuits when using personality and psychological testing for employment decisions. 20  (See  Table 11.1 .)

TABLE 11.1   Cautions about Using Personality Tests in the Workplace

Use professionals. Rely on reputable, licensed psychologists for selecting and overseeing the administration, scoring, and interpretation of personality and psychological tests. This is particularly important, since not every psychologist is expert at these kinds of tests.
Don’t hire on the basis of personality test results alone. Supplement any personality test data with information from reference checks, personal interviews, ability tests, and job performance records. Also avoid hiring people on the basis of specified personality profiles. As a case in point, there is no distinct “managerial personality.”
Be alert for gender, racial, and ethnic bias. Regularly assess any possible adverse impact of personality tests on the hiring of women and minorities. This is truly a matter of great importance, since you don’t want to find your company (or yourself) embroiled in a lawsuit at some point downstream.
Graphology tests don’t work, but integrity tests do. Personality traits and aptitudes cannot be inferred from samples of people’s penmanship, as proponents of graphology tests claim. However, dishonest job applicants can often be screened by integrity tests, since dishonest people are reportedly unable to fake conscientiousness, even on a paper-and-pencil test.

Core Self-Evaluations

A  core self-evaluation represents a broad personality trait comprising four positive individual traits: (1)  self-efficacy, (2)  self-esteem, (3)  locus of control, and (4)  emotional stability. Managers need to be aware of these personality traits so as to understand workplace behavior.

Page 360

1. Self-Efficacy: “I Can/Can’t Do This Task”

Self-efficacy  is the belief in one’s personal ability to do a task. This is about your personal belief that you have what it takes to successfully complete a specified task.

Have you noticed that those who are confident about their ability tend to succeed, whereas those preoccupied with failure tend not to? Indeed, high expectations of self-efficacy have been linked with all kinds of positives: not only success in varied physical and mental tasks but also reduced anxiety and increased tolerance for pain. 21  One study found that the sales performance of life-insurance agents was much better among those with high self-efficacy. 22  A meta-analysis involving 21,616 people also found significant positive correlation between self-efficacy and job performance. 23  Low self-efficacy is associated with  learned helplessness, the debilitating lack of faith in one’s ability to control one’s environment. 24

Photo of Charlie Linville and Tim Medvetz Self-efficacy. Former Marine Corps Staff Sgt. Charlie Linville, 30, shown here (left) with his climbing partner, Tim Medvetz. Linville reached the 29,029-foot summit of Mt. Everest in May 2016, becoming the first combat-wounded veteran to do so. He had already conquered some of the highest peaks in the world on one leg. He was injured while defusing bombs in Afghanistan in 2011, when an explosive device detonated, leading to the amputation of his right leg below the knee. Do you have a personal belief that you can succeed at great things? © Niranjan Shrestha/AP Photo

Among the implications for managers are the following:

· Assign jobs accordingly. Complex, challenging, and autonomous jobs tend to enhance people’s perceptions of their self-efficacy. Boring, tedious jobs generally do the opposite.

· Develop self-efficacy. Self-efficacy is a quality that can be nurtured. Employees with low self-efficacy need lots of constructive pointers and positive feedback. 25  Goal difficulty needs to match individuals’ perceived self-efficacy, but goals can be made more challenging as performance improves. 26  Small successes need to be rewarded. Employees’ expectations can be improved through guided experiences, mentoring, and role modeling. 27

2. Self-Esteem: “I Like/Dislike Myself”

How worthwhile, capable, and acceptable do you think you are? The answer to this question is an indicator of your  self-esteem, the extent to which people like or dislike themselves, their overall self-evaluation. 28 Page 361 Research offers some interesting insights about how high or low self-esteem can affect people and organizations.

· People with high self-esteem. Compared with people with low self-esteem, people with high self-esteem are more apt to handle failure better, to emphasize the positive, to take more risks, and to choose more unconventional jobs. 29  However, when faced with pressure situations, high-self-esteem people have been found to become egotistical and boastful. 30  Some have even been associated with aggressive and violent behavior.

· People with low self-esteem. Conversely, low-self-esteem people confronted with failure have been found to have focused on their weaknesses and to have had primarily negative thoughts. 31  Moreover, they are more dependent on others and are more apt to be influenced by them and to be less likely to take independent positions.

Self-esteem varies around the world. A survey of 13,000 students from 31 countries showed that self-esteem and life satisfaction were moderately related. The relationship was stronger in individualistic countries (United States, Canada, New Zealand) than collectivist cultures (Korea and Japan).32

Can self-esteem be improved? According to one study, “low self-esteem can be raised more by having the person think of desirable characteristics possessed rather than of undesirable characteristics from which he or she is free.” 33  Some ways in which managers can build employee self-esteem are shown below. (See  Table 11.2 .)

TABLE 11.2   Some Ways That Managers Can Boost Employee Self-Esteem

· Reinforce employees’ positive attributes and skills.
· Provide positive feedback whenever possible.
· Break larger projects into smaller tasks and projects.
· Express confidence in employees’ abilities to complete their tasks.
· Provide coaching whenever employees are seen to be struggling to complete tasks.

3. Locus of Control: “I Am/Am Not the Captain of My Fate”

As we discussed briefly in  Chapter 1  locus of control indicates how much people believe they control their fate through their own efforts. If you have an internal locus of control, you believe you control your own destiny. If you have an external locus of control, you believe external forces control you.

Research shows internals and externals have important workplace differences. Internals exhibit less anxiety, greater work motivation, and stronger expectations that effort leads to performance. They also obtain higher salaries.34 Most importantly, one’s internal locus of control can be improved by providing more job autonomy.35

These findings have two important implications for managers:

· Expect different degrees of structure and compliance for each type. Employees with internal locus of control will probably resist close managerial supervision. Hence, they should probably be placed in jobs requiring high initiative and lower compliance. By contrast, employees with external locus of control might do better in highly structured jobs requiring greater compliance.

· Employ different reward systems for each type. Since internals seem to have a greater belief that their actions have a direct effect on the consequences of that action, internals likely would prefer and respond more productively to incentives such as merit pay or sales commissions. (We discuss incentive compensation systems in  Chapter 12 .)

Page 362

4. Emotional Stability: “I’m Fairly Secure/Insecure When Working under Pressure”

Emotional stability  is the extent to which people feel secure and unworried and how likely they are to experience negative emotions under pressure. People with low levels of emotional stability are prone to anxiety and tend to view the world negatively, whereas people with high levels tend to show better job performance.

Emotional Intelligence: Understanding Your Emotions and the Emotions of Others

Emotional intelligence (EI or EQ) has been defined as “the ability to carry out accurate reasoning about emotions and the ability to use emotions and emotional knowledge to enhance thought.” 36  Said another way,  emotional intelligence is the ability to monitor your and others’ feelings and to use this information to guide your thinking and actions. The trait of emotional intelligence was first introduced in 1909. Since that time some claim it to be the secret elixir to happiness and higher performance. Are you curious if research supports such lofty conclusions?

What Do We Know about EI?

Recent research underscores the importance of developing higher EI, but it does not confirm its lofty expectations. EI was moderately associated with (1) better social relations, well-being, and satisfaction across all ages and contexts, (2) higher creativity, (3) better emotional control, (4) conscientiousness and self-efficacy, and (5) self-rated performance. Interestingly, EI was not found to be a driver of supervisory ratings of performance.37 Daniel Goleman, a psychologist who popularized the trait of EI, concluded that EI is composed of four key components: self-awareness, self-management, social awareness, and relationship management.38 (See  Table 11.3 .)

TABLE 11.3   The Traits of Emotional Intelligence

1. Self-awareness. The most essential trait. This is the ability to read your own emotions and gauge your moods accurately, so you know how you’re affecting others.
2. Self-management. This is the ability to control your emotions and act with honesty and integrity in reliable and adaptable ways. You can leave occasional bad moods outside the office.
3. Social awareness. This includes empathy, allowing you to show others that you care, and organizational intuition, so you keenly understand how your emotions and actions affect others.
4. Relationship management. This is the ability to communicate clearly and convincingly, disarm conflicts, and build strong personal bonds.

Sources: For a current review, see D. Joseph, J. Jin, D. Newman, and E. O’Boyle, “Why Does Self-Reported Emotional Intelligence Predict Job Performance? A Meta-Analytic Investigation of Mixed EI,” Journal of Applied Psychology, March 2015, pp. 298–342. See the box titled “Get Happy Carefully” in D. Goleman, R. Boyatzis, and A. McKee, “Primal Leadership: The Hidden Driver of Great Performance,” Harvard Business Review, Special Issue: Breakthrough Leadership, December 2001, p. 49.

Can You Raise Your EI?

Is there any way to raise your own emotional intelligence, to sharpen your social skills? Although parts of EI represent stable traits that are not readily changed, other aspects, such as using empathy, can be developed. 39  Two suggestions for improvement are as follows:

· Develop awareness of your EI level. Becoming aware of your level of emotional intelligence is the first step. The self-assessment on following page can be used for this purpose. (Some companies use the Personal Profile Analysis during the hiring process to provide insights into a person’s EI.) 40

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Learn about areas needing improvement. The next step is to learn more about those EI aspects in which improvement is needed. For example, to improve your skills at using empathy, find articles on the topic and try to implement their recommendations. One such article suggests that empathy in communications is enhanced by trying to (1) understand how others feel about what they are communicating and (2) gaining appreciation of what people want from an exchange. 41

EXAMPLE

Emotional Intelligence: Does Empathy Work Better Than Self-interest?

When JetBlue identifies candidates for flight attendants, it not only uses psychological assessments, structured interviews, and the like, it also looks for the nicest people—and then something else: Using customer data analysis, it found that “being helpful trumps being nice,” as two JetBlue executives observed. Indeed, “being helpful even balances out the effect of somebody who is not so nice.”42 As a result of policies developed out of these insights—both reflections of emotional intelligence—customer feedback became more positive.

Is Compassion Good for the Bottom Line? A man named Drake, described as a “happy, generous, and other-focused person, … always interested in helping others whenever he can,” joined banker Bear Stearns, whose managers treated junior staff abusively, furthering an atmosphere of cut-throat competition. Drake was determined to follow his own values and as a senior staffer treated junior bankers with compassion and respect, as well as giving them more opportunities. As a result of one deal in which he gave a junior analyst much responsibility, she pitched a deal that turned out to be the most profitable of the year—catching the eye of senior management.43

YOUR CALL

Providing support for one another, including offering kindness and compassion when others are struggling. Inspiring one another at work. Avoiding blame and forgiving mistakes. Have you observed these expressions of EQ in a business situation? Do you think they pay off in a happier and even productive workplace?44

Both research and our experience suggest that your emotional intelligence can help or hurt your career. Would you like to know where you stand and what you might do to improve your level of emotional intelligence?

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11.2

Values, Attitudes, and Behavior

MAJOR QUESTION How do the hidden aspects of individuals—their values and attitudes—affect employee behavior?

THE BIG PICTURE

Organizational behavior (OB) considers how to better understand and manage people at work. In this section, we discuss individual values and attitudes and how they affect people’s actions and judgments.

If you look at a company’s annual report or at a brochure from its corporate communications department, you are apt to be given a picture of its formal aspects: Goals. Policies. Hierarchy. Structure.

Could you exert effective leadership if the formal aspects were all you knew about the company? What about the informal aspects? Values. Attitudes. Personalities. Perceptions. Conflicts. Culture. Clearly, you need to know about these hidden, “messy” characteristics as well. (See  Figure 11.1 , left.)

FIGURE 11.1  Formal and informal aspects of an organization Summary graphic of formal and informal aspects of organizations

Organizational Behavior: Trying to Explain and Predict Workplace Behavior

The informal aspects are the focus of the interdisciplinary field known as  organizational behavior (OB), which is dedicated to better understanding and managing people at work. In particular, OB tries to help managers not only explain workplace behavior but also predict it, so that they can better lead and motivate their employees to perform productively. OB looks at two areas:

· Individual behavior. This is the subject of this chapter. We discuss such individual attributes as values, attitudes, personality, perception, and learning.

· Group behavior. This is the subject of later chapters, particularly  Chapter 13 , where we discuss norms, roles, and teams.

Let’s begin by considering individual values, attitudes, and behavior.

Values: What Are Your Consistent Beliefs and Feelings about All Things?

Values are abstract ideals that guide one’s thinking and behavior across all situations. 45  Lifelong behavior patterns are dictated by values that are fairly well set by the time people are in their early teens. After that, however, one’s values can be reshaped by significant life-altering events, such as having a child, undergoing a business failure, or surviving the death of a loved one, a war, or a serious health threat.

From a manager’s point of view, it’s helpful to know that values represent the ideals that underlie how we behave at work. Ideals such as concern for others, self-enhancement, independence, and security are common values in the workplace. 46  Managers who understand an employee’s values are better suited to assign them to meaningful projects and to help avoid conflicts between work activities and personal values.47

Attitudes: What Are Your Consistent Beliefs and Feelings about Specific Things?

Values are abstract ideals—global beliefs and feelings—that are directed toward all objects, people, or events. Values tend to be consistent both over time and over related situations.

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By contrast, attitudes are beliefs and feelings that are directed toward specific objects, people, or events. More formally, an  attitude is defined as a learned predisposition toward a given object. 48  It is important for you to understand the components of attitudes because attitudes directly influence our behavior. 49

Example: Job satisfaction is moderately associated with performance and strongly related to turnover.50 Unhappy workers are less likely to demonstrate high performance, while happy workers are less likely to quit. This is why it is important for managers to track employees’ attitudes and to understand their causes. For example, Earls, a Canadian chain of 65 restaurants with as many as 8,000 employees, has truly adopted this recommendation. The company sends short surveys measuring workplace attitudes to employees’ mobile devices every three months. According to The Wall Street Journal, Earls does this because management has concluded that “the components of engagement—employee happiness and commitment to the business—are exactly what drives sales, and therefore the bottom line.”51

The Three Components of Attitudes: Affective, Cognitive, and Behavioral

Attitudes have three components—affective, cognitive, and behavioral. 52

· The affective component—“I feel.” The  affective component of an attitude consists of the feelings or emotions one has about a situation. How do you feel about people who talk loudly on cell-phones in restaurants? If you feel annoyed or angry, you’re expressing negative emotions, or affect. (If you’re indifferent, your attitude is neutral.)

· The cognitive component—“I believe.” The  cognitive component of an attitude consists of the beliefs and knowledge one has about a situation. What do you think about people in restaurants talking on cell-phones? Is what they’re doing inconsiderate, acceptable, even admirable (because it shows they’re productive)? Your answer reflects your beliefs or ideas about the situation.

· The behavioral component—“I intend.” The  behavioral component of an attitude, also known as the intentional component, is how one intends or expects to behave toward a situation. What would you intend to do if a person talked loudly on a cell-phone at the table next to you? Your action may reflect your negative or positive feelings (affective), your negative or positive beliefs (cognitive), and your intention or lack of intention to do anything (behavioral).

All three components are often manifested at any given time. For example, if you call a corporation and get one of those telephone-tree menus (“For customer service, press 1 …”) that never seem to connect you to a human being, you might be so irritated that you would say

· “I hate being given the runaround.” [affective component—your feelings]

· “That company doesn’t know how to take care of customers.” [cognitive component—your perceptions]

· “I’ll never call them again.” [behavioral component—your intentions]

When Attitudes and Reality Collide: Consistency and Cognitive Dissonance

One of the last things you want, probably, is to be accused of hypocrisy—to be criticized for saying one thing and doing another. Like most people, you no doubt want to maintain consistency between your attitudes and your behavior.

But what if a strongly held attitude bumps up against a harsh reality that contradicts it? Suppose you’re extremely concerned about getting AIDS, which you believe you might get from contact with body fluids, including blood. Then you’re in a life-threatening auto accident in a third-world country and require surgery and blood transfusions—including transfusions of blood from (possibly AIDS-infected) strangers in a blood bank. Do you reject the blood to remain consistent with your beliefs about getting AIDS?

Photo of Leon Festinger Leon Festinger. In 1957, the psychologist and his associates penetrated a cult whose members predicted that most people on earth would perish in a cataclysmic event, except for a handful who would be rescued by aliens in a flying saucer. Festinger found himself standing with cult members on a hilltop, awaiting the event, which, of course, did not happen. Later he proposed the term cognitive dissonance to explain how they rationalized the failure of their prophecy. Have you observed people employing this mechanism when the surefire thing they predicted did not occur?© Estate of Francis Bello/ Science Source

In 1957, social psychologist Leon Festinger proposed the term  cognitive dissonance to describe the psychological discomfort a person experiences between his or her MHHE:Page 366 cognitive attitude and incompatible behavior. 53  Because people are uncomfortable with inconsistency, Festinger theorized, they will seek to reduce the “dissonance,” or tension, of the inconsistency. How they deal with the discomfort, he suggested, depends on three factors:

· Importance. How important are the elements creating the dissonance? Most people can put up with some ambiguities in life. For example, many drivers don’t think obeying speed limits is very important, even though they profess to be law-abiding citizens. People eat greasy foods, even though they know that ultimately those foods may contribute to heart disease.

· Control. How much control does one have over the matters that create dissonance? A juror may not like the idea of voting the death penalty but believe that he or she has no choice but to follow the law in the case. A taxpayer may object to his taxes being spent on, say, special-interest corporate welfare for a particular company but not feel that he can withhold taxes.

· Rewards. What rewards are at stake in the dissonance? You’re apt to cling to old ideas in the face of new evidence if you have a lot invested emotionally or financially in those ideas. If you’re a police officer who worked 20 years to prove a particular suspect guilty of murder, you’re not apt to be very accepting of contradictory evidence after all that time.

The Practical Action box below provides an example of three key methods Festinger suggested to reduce cognitive dissonance.

PRACTICAL ACTION

Methods for Reducing Cognitive Dissonance

Suppose Juanita has a positive attitude about helping others. One day her boss asks her to work on a special project for an important new client—and it must get done in two months. The project represents significant revenue, and her boss even promises a bonus for successfully completing it on time. Juanita would like to use the bonus to purchase a new car. The rub is that two of her peers have also come to her, seeking help on their project. Juanita believes she is well suited to help them, given her past experience, but she feels it would take time away from completing her special project. Should she make time to help her peers or focus solely on the special project?

Festinger suggested three key ways Juanita can reduce the cognitive dissonance associated with her current situation:

· Change your attitude or behavior or both. Juanita could either (a) tell herself that she can’t help her peers because the special project is too important for the company or (b) schedule extra time each day or week to help her peers.

· Belittle the importance of the inconsistent behavior. Juanita could belittle (in the sense of “make small”) the belief that she needs to help peers every time they ask for assistance.

· Find consonant elements that outweigh dissonant ones. Juanita could tell herself that she can’t help because the company needs the revenue and she needs the bonus.

YOUR CALL

Have you found yourself in a similar dilemma? Which solution seemed to work best—or would work best—in your case?

Behavior: How Values and Attitudes Affect People’s Actions and Judgments

Values (global) and attitudes (specific) are generally in harmony, but not always. For example, a manager may put a positive value on helpful behavior (global) yet may have a negative attitude toward helping an unethical coworker (specific). Together, however, values and attitudes influence people’s workplace  behavior—their actions and judgments. ●

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EXAMPLE

How Values and Attitudes Affect Behavior: Thinking beyond Profit to Create Value for Society

As a manager, would you think most employees would agree that innovation is beneficial—that the original Silicon Valley firms prospered because they were constantly creating new products and services? Employees may have the value, then, that innovation is good—that it leads to productivity and profitability.

However, what if employees think that a company’s purpose is to be solely a money-making machine? They might have the attitude that social innovation is unnecessary, even discouraged.

The Thinking behind Great Companies. Great companies, suggests Rosabeth Moss Kanter of Harvard Business School, have broader values—and attitudes. Firms such as IBM, PepsiCo, and Procter & Gamble, she says, “work to make money, of course, but in their choices of how to do so, they think about building enduring institutions. … Society and people are not afterthoughts or inputs to be used and discarded but are core to their purpose.” 54  Balancing public interest with financial interest means that CEOs must expand their investments beyond profit-maximizing activities such as marketing and research and development and include employee empowerment, emotional engagement, values-based leadership, and related social contributions.

Ways of Creating Value. “Affirming purpose and values through service is a regular part of how great companies express their identities,” Kanter believes. Thus, JPMorgan Chase has The Fellowship Initiative, a program to help young American men of color achieve academic and professional success. Coca-Cola invests in small African mango plantations to help farmers in Africa gain livelihoods. Microsoft partners with nonprofit NETHope to create apprenticeships in information technology in Kenya. Gap Inc. has a program for teaching health awareness and literacy to women garment workers in Cambodia and India. The Disney Company provides conservation grants to protect wildlife.55 In West Africa, Procter & Gamble set up Pampers mobile clinics to reduce infant mortality by having health care professionals teach postnatal care, examine babies, and hand out Pampers diapers. “The emotional tugs for P&G employees are strong,” says Kanter; “they feel inspired by the fact that their product is at the center of a mission to save lives.”

YOUR CALL

Where do you think the inspiration for giving a firm a motivating purpose and values beyond making money should come from? Does it have to come from a company’s leaders? Do you think it could begin as voluntary activity, as with employees finding each other through company chat rooms and sharing ideas in their free time?

/orders/html1-cluster-e.mheducation.com/smartbook2/data/151605/highlighted_epubmhe/OPS/img/chapter11/kin32657_p1104.png Creating value. The Nature Conservancy Disney Wilderness Preserve, consisting of 11,500 acres near Orlando, Florida, was created by the Disney Company to protect more than 1,000 species of plants and animals. It’s considered the “secret Disney park,” because few people know about it. © Ian Dagnall/Alamy

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11.3

Perception and Individual Behavior

MAJOR QUESTION What are the distortions in perception that can cloud one’s judgment?

THE BIG PICTURE

Perception, a four-step process, can be skewed by five types of distortion: stereotyping, implicit bias, the halo effect, the recency effect, and causal attribution. We also consider the self-fulfilling prophecy, which can affect our judgment as well.

If you were a smoker, which warning on a cigarette pack would make you think more about quitting? “Smoking seriously harms you and others around you”? A blunt “Smoking kills”? Or a stark graphic image showing decaying teeth?

This is the kind of decision public health authorities in various countries are wrestling with. (One study found that highly graphic images about the negative effects of smoking had the greatest impact on smokers’ intentions to quit.) 56  These officials, in other words, are trying to decide how perception might influence behavior.

The Four Steps in the Perceptual Process

Perception is the process of interpreting and understanding one’s environment. The process of perception is complex, but it can be boiled down to four steps. 57  (See  Figure 11.2 .)

FIGURE 11.2  The four steps in the perceptual process A figure illustrates the four steps in the perceptual process Access the text alternative for Figure 11 2.

In this book, we are less concerned about the theoretical steps in perception than in how perception is distorted, since this has considerable bearing on the manager’s judgment and job. In any one of the four stages of the perception process, misunderstandings or errors in judgment can occur. Perceptual errors can lead to mistakes that can be damaging to yourself, other people, and your organization.

Five Distortions in Perception

Although there are other types of distortion in perception, we will describe the following: (1) stereotyping, (2) implicit bias, (3) the halo effect, (4) the recency effect, and (5) causal attribution.

1. Stereotyping: “Those Sorts of People Are Pretty Much the Same”

If you’re a tall African American man, do people make remarks about basketball players? If you’re of Irish descent, do people believe you drink a lot? If you’re Jewish, do people think you’re money-oriented? If you’re a woman, do people think you’re automatically nurturing? All these are stereotypes.  Stereotyping is the tendency to attribute to an individual the characteristics one believes are typical of the group to which that individual belongs. 58

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Principal areas of stereotyping that should be of concern to you as a manager are (1) sex-role stereotypes, (2) age stereotypes, and (3) race/ethnicity stereotypes. (People with disabilities, discussed in  Section 11.5 , are also apt to be stereotyped.)

Sex-Role Stereotypes

sex-role stereotype is the belief that differing traits and abilities make males and females particularly well suited to different roles. Thus, for example, people tend to prefer male bosses (33%) to female bosses (20%) in a new job, according to a recent Gallup poll, even though the public generally views women as being every bit as capable as men at being leaders, according to Pew Research.59 (Reverse bias can occur when managers fighting bias against women overdo it and discriminate against men.)60

A summary of research revealed that

· Men were preferred for male-dominated jobs (such as firefighter), but there was no preference for either gender in female-dominated jobs (such as nurse).

· Women have a harder time than men in being perceived as effective leaders. (The exception: Women were seen as more effective when the organization faced a crisis and needed a turnaround.)

· Women of color are more negatively affected by sex-role stereotypes than are white women or men in general.61

Age Stereotypes

Another example of an inaccurate stereotype is the belief that older workers are less motivated, more resistant to change, less trusting, less healthy, and more likely to have problems with work–life balance. A recent study refuted all these negative beliefs about age.62 Unfortunately, these stereotypes likely fuel bias against older employees. A 2013 survey of 1,500 older workers, for example, showed that 92% considered bias against them “very” or “somewhat” commonplace.63

Race/Ethnicity Stereotypes

Studies of race-based stereotypes have demonstrated that people of color experienced more perceived discrimination and less psychological support than whites.64 Perceived racial discrimination was also associated with more negative work attitudes, physical health, psychological health, and organizational citizenship behavior.65

2. Implicit Bias: “I Really Don’t Think I’m Biased, but I Just Have a Feeling about Some People”

More than 85% of Americans consider themselves to be unprejudiced, but researchers conclude that most hold some degree of implicit racial bias.66

Explicit bias reflects attitudes or beliefs endorsed at a conscious level—for example, “I don’t let any teenage black men wearing hoodies come into my store; they might hold me up.”  Implicit bias  is the attitudes or beliefs that affect our understanding, actions, and decisions in an unconscious manner—for example, from several New York City police officers, “We had to shoot him, he seemed to be reaching for a gun.” (This was the 1999 shooting of Guinean immigrant Amadou Diallo, who was killed when police fired 41 rounds as he pulled out his wallet.)67

Implicit bias has come more into the forefront of public discussion with the rise in the number of deaths of African Americans at the hands of the police in Ferguson, Missouri; in Cleveland; and on Staten Island in New York, among other places (as well as the 2016 shooting of several white police officers by an African American male in Dallas).68 But implicit bias also operates on more subtle levels: In one famous study, social scientists sent thousands of resumes with identical content to employers with job openings and measured which received callbacks for interviews. On some resumes, some stereotypically African American names were used (such as “Jamal”) and on others stereotypically white names were used (like “Brendan”). The same resume was roughly 50% more likely to result in callback for an interview if it had a “white” name.69

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If changing explicit bias is difficult, taking steps to root out implicit bias is even harder. Nevertheless, police departments, in particular, are taking great steps forward, requiring intergroup contact, positive feedback, clear norms of behavior, and similar matters.70

3. The Halo Effect: “One Trait Tells Me All I Need to Know”

We often use faces as markers for gender, race, and age, but face and body characteristics can lead us to fall back on cultural stereotypes. For example, height has been associated with perceptions of prosperity—high income—and occupational success. Excess weight can be stereotypically associated with negative traits such as laziness, incompetence, and lack of discipline.71 These examples illustrate the  halo effect, in which we form an impression of an individual based on a single trait. (The phenomenon is also called the horn-and-halo effect, because not only can a single positive trait be generalized into an array of positive traits but the reverse is also true.)

As if we needed additional proof that life is unfair, it has been shown that attractive people generally are treated better than unattractive people. Attractive members of Congress get more TV coverage, and attractive political candidates win more often. 72  Attractive students have higher expectations by teachers in terms of academic achievement. 73  Attractive employees are generally paid higher salaries than unattractive ones are, and attractive CEOs are paid more than less appealing CEOs. 74  (Male CEOs also tend to be taller—6 feet compared to an average man’s 5-feet-10.5 inches, in one Swedish study.) 75  Clearly, however, if a manager fails to look at all of an individual’s traits, he or she has no right to complain if that employee doesn’t work out.

EXAMPLE

The Halo Effect: Do Good Looks Make People Richer and Happier?

Are attractive employees paid more than ordinary (or unattractive) people for the same work? Are they happier? That would seem to be the case, according to a study involving more than 25,000 people worldwide. 76

$250,000 More. Five large surveys conducted from 1971 to 2009 in the United States, Britain, and Germany found that beautiful people earn an extra $250,000 during their careers than the least attractive people. In addition, says University of Texas economist Daniel Hamermesh, leader of the study, the best-looking people are more likely to remain employed, get promoted, find a higher-earning (and better-looking) spouse, and even get better deals on home loans. 77  Hamermesh is also author of Beauty Pays: Why Attractive People Are More Successful. 78  “In economic terms, beauty is scarce. People distinguish themselves and pay attention to beauty,” he says. “Companies realize that hiring better-looking people helps in various ways. In every market, whether it’s jobs or marriage, beauty matters.” 79  The result of all this is that beautiful people are generally happier people than ordinary folks. “The majority of beauty’s effect on happiness works through its impact on economic outcomes,” says Hamermesh. 80

Do Good Looks Produce Confident Communicators? Another study produces additional insights: 81

· Although beautiful people are no better than ordinary people at solving puzzles such as mazes, they are more self-confident about their abilities. “Being good looking,” says one article about the study, “seems to be strongly associated with self-confidence, a trait that is apparently attractive to employers.” 82

· When study subjects pretending to be employers looked only at resumes, physical appearance had no effect on their judgments, as you might expect. When photos, in-person interviews, and even phone interviews were involved, employers showed higher estimates for beautiful people’s productivity—especially when they had face-to-face interviews but even with telephone-only interviews, the result, apparently, of the effect of self-confidence that came across on the phone.

· Good-looking people are good communicators, which also contributes to employers’ positive perceptions.

The Halo Misperception. In sum, “Employers (wrongly) expect good-looking workers to perform better than their less-attractive counterparts under both visual and oral interaction,” said the researchers, “even after controlling for individual worker characteristics and worker confidence.” 83

YOUR CALL

Are you influenced in your judgment of people by how attractive they are? Do you think as a manager you could look beyond people’s physical appearance to be a good judge of their competence? Why?

Page 371Photo of attractive and well-dressed employees Handsomely compensated. Attractive employees are generally paid better than unattractive ones are. Why do you think that is? Do you think it’s inevitable?© Monkey Business Images/Shutterstock RF

4. The Recency Effect: “The Most Recent Impressions Are the Ones That Count”

The  recency effect is the tendency to remember recent information better than earlier information, perhaps because when you activate your recall, the later recollections are still present in working memory. 84  You see this misperception often operating among investors (even professionals), who are more likely to buy a stock if they see something about it in the news or if it has a high one-day return. 85

EXAMPLE

The Recency Effect: Performance Reviews, Student Evaluations, and Investment Decisions

Not just a few employees have had the experience of making some mistake happen recently, and then it ends up being “the entire topic of your performance review even if you’ve done a great job the rest of the year,” as one writer points out.86 This is just one example of the recency effect in action.

Another is when students do their own “performance reviews”—do student course evaluations of their professors. Here, too, their ratings may be affected by course activities that are closer to the time of the formal appraisal.87

The recency effect appears quite frequently among stock market investors. “People extrapolate what just happened into more of the same,” says one wealth fund manager.88 That is, people leap into holdings that are doing well and cash out investments that are doing poorly, forgetting that at some point the trends will be reversed.

YOUR CALL

Why does the recency effect occur? Like other habits, it makes things easier, says one financial planner. “Because it’s easier, we’re inclined to use our recent experience as the baseline for what will happen in the future.”89 What decision(s) would you admit to making in which you were influenced by the recency effect?

5. Causal Attributions

Causal attribution is the activity of inferring causes for observed behavior. Rightly or wrongly, we constantly formulate cause-and-effect explanations for our own and others’ behavior. Attributional statements such as the followingPage 372 are common: “Joe drinks too much because he has no willpower, but I need a few drinks after work because I’m under a lot of pressure.”

Even though our causal attributions tend to be self-serving and are often invalid, it’s important to understand how people formulate attributions because they profoundly affect organizational behavior. For example, a supervisor who attributes an employee’s poor performance to a lack of effort might reprimand that person. However, training might be deemed necessary if the supervisor attributes the poor performance to a lack of ability.

As a manager, you need to be alert to two attributional tendencies that can distort one’s interpretation of observed behavior—the fundamental attribution bias and the self-serving bias.

· Fundamental attribution bias. In the  fundamental attribution bias, people attribute another person’s behavior to his or her personal characteristics rather than to situational factors.

Example: A study of manufacturing employees found that top managers attributed the cause of industrial back pain to individuals, whereas workers attributed it to the environment. 90

· Self-serving bias. In the  self-serving bias, people tend to take more personal responsibility for success than for failure.

Example: Europeans blamed Wall Street for the 2010 economic collapse in Greece. However, a Wall Street Journal article points out that a close look at Greece’s finances “over the nearly 10 years since it adopted the euro shows not only that Greece was the principal author of its debt problems, but also that fellow European governments repeatedly turned a blind eye to its flouting of rules.” 91

The Self-Fulfilling Prophecy, or Pygmalion Effect

The  self-fulfilling prophecy, also known as the  Pygmalion (“pig-mail-yun”)  effect, describes the phenomenon in which people’s expectations of themselves or others lead them to behave in ways that make those expectations come true.

Expectations are important. An example is a waiter who expects some poorly dressed customers to be stingy tippers, who therefore gives them poor service and so gets the result he or she expected—a much lower tip than usual. Research has shown that by raising managers’ expectations for individuals performing a wide variety of tasks, higher levels of achievement and productivity can be achieved. 92

The lesson for you as a manager is that when you expect employees to perform badly, they probably will, and when you expect them to perform well, they probably will. (In the G. B. Shaw play Pygmalion, a speech coach bets he can get a lower-class girl to change her accent and her demeanor so that she can pass herself off as a duchess. In six months, she successfully “passes” in high society, having assumed the attributes of a woman of sensitivity and taste.)

Research in a variety of industries and occupations shows that the effect of the self-fulfilling prophecy can be quite strong.93 That is, managerial expectations powerfully influence employee behavior and performance. Among the things managers can do to create positive performance expectations: Recognize that everyone has the potential to increase his or her performance. Introduce new employees as if they have outstanding potential. Encourage employees to visualize the successful execution of tasks. Help them master key skills.94

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11.4

Work-Related Attitudes and Behaviors Managers Need to Deal With

MAJOR QUESTION Is it important for managers to pay attention to employee attitudes?

THE BIG PICTURE

Attitudes are important because they affect behavior. Managers need to be alert to the key work-related attitudes having to do with engagement, job satisfaction, and organizational commitment. Among the types of employee behavior they should attend to are their on-the-job performance and productivity, absenteeism and turnover, organizational citizenship behaviors, and counterproductive work behaviors.

“Keep the employees happy,” we often hear. It’s true that attitudes are important, the reason being that attitudes affect behavior. But is keeping employees happy all that managers need to know to get results? We discuss motivation for performance in the next chapter. Here, let us consider what managers need to know about key work-related attitudes and behaviors.

Three types of attitudes managers are particularly interested in are (1) employee engagement, (2) job satisfaction, and (3) organizational commitment.

1. Employee Engagement: How Connected Are You to Your Work?

Research on job involvement has evolved into the study of an individual difference called  employee engagement, defined as an individual’s involvement, satisfaction, and enthusiasm for work. 95  Engaged employees are expected to have feelings of urgency, intensity, and enthusiasm, as well as focus, which make them more committed to their employer and to put more effort into their jobs. 96  In other words, such employees “give their all” at work.

The U.S. workforce displays above-average global levels of engagement, according to consulting firm Aon Hewitt. The firm’s 15-year study of engagement shows worldwide levels at 62% in comparison to a North American rate of 66%. This bodes well for the U.S. workforce because highly engaged employees can achieve 12% higher customer satisfaction/loyalty, 18% more productivity, and 12% greater profitability.97 Other recent academic studies similarly showed a positive relationship between employee engagement, performance, and physical and psychological well-being and corporate-level financial performance and customer satisfaction.98 Engaged employees tend to be positive or optimistic, proactive, and conscientious and to possess high levels of human and social capital.

Employees are also more likely to become engaged when an organization has the kind of culture that promotes employee development, recognition, and trust between management and employees. 99  Job security and feelings of psychological safety (when employees feel free of fear in trying new ideas) also propel job engagement. 100

Do you want to achieve higher grades in your classes? If yes, you will find that being engaged in your studies will help. You can determine your level of engagement with your studies by completing  Self-Assessment 11.3 . Results can be used to develop an engagement improvement plan.

SELF-ASSESSMENT 11.3  

To What Extent Are You Engaged in Your Studies?

The following survey was designed to assess your level of engagement in your studies. Please be prepared to answer these questions if your instructor has assigned Self-Assessment 11.3 in Connect.

1. What is your level of engagement?

2. Find your three lowest-rated items. Based on the content of these items, what can you do to improve your level of engagement? Hint: Doing this requires you to identify the cause of the low ratings for each item.

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2. Job Satisfaction: How Much Do You Like or Dislike Your Job?

Job satisfaction is the extent to which you feel positive or negative about various aspects of your work. Most people don’t like everything about their jobs. Their overall satisfaction depends on how they feel about several components, such as work, pay, promotions, coworkers, and supervision. 101  Among the key correlates of job satisfaction are stronger motivation, job involvement, organizational commitment, and life satisfaction and less absenteeism, tardiness, turnover, and perceived stress. 102

Reportedly only 48.3% of U.S. workers were satisfied with their jobs in 2015, down from 61.1% in 1987, according to a study of 5,000 households. 103  But another survey found that employee job satisfaction in 2015 was 88%, up from a low of 77% in 2002. 104  Job satisfaction today is much better, of course, than in the aftermath of the Great Recession. Then Americans were forced to work longer hours and often for the same or less pay, and many struck back by suing employers for violating wage-and-hour laws, as by forcing them to work off the clock or without overtime pay. 105

But what is the relationship between job satisfaction and job performance—does more satisfaction cause better performance or does better performance cause more satisfaction? This is a subject of much debate among management scholars. 106  One comprehensive study found that (1) job satisfaction and performance are moderately related, meaning that employee job satisfaction is a key work attitude managers should consider when trying to increase performance; but (2) the relationship between satisfaction and performance is complex and it seems that both variables influence each other through a host of individual differences and work-environment characteristics. 107

How satisfied are you with the job you are in now, if you have one, or the last job you had?

SELF-ASSESSMENT 11.4  

How Satisfied Are You with Your Present Job?

The following survey was designed to assess how satisfied you are with your current job, or a previous job, if you’re not presently working. Please be prepared to answer these questions if your instructor has assigned Self-Assessment 11.4 in Connect.

1. What is your level of satisfaction with recognition, compensation, and supervision?

2. If you have low to medium satisfaction with any aspect of the job, identify what can be done to increase your job satisfaction. Be sure to consider what you can do, what your boss might do, or what the organization might do. Be specific.

3. Organizational Commitment: How Much Do You Identify with Your Organization?

Organizational commitment reflects the extent to which an employee identifies with an organization and is committed to its goals. For instance, some managers question whether mothers with children can be fully committed to their jobs, although one survey found that only 4% of more than 2,612 women said that their bosses think that they are not as committed to their jobs because they have children. 108  Research shows a significant positive relationship between organizational commitment and job satisfaction, performance, turnover, and organizational citizenship behavior—discussed in the next section. 109  Thus, if managers are able to increase job satisfaction, employees may show higher levels of commitment, which in turn can elicit higher performance and lower employee turnover. 110

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Healthcare Timeline Worksheet

Healthcare Timeline Worksheet

Complete the following timeline.

Select seven events that have helped shape health care as it is today. Write a 50- to 150-word summary per event that discusses the event and its effect on the health care industry. An example has been provided for you.

Health Care Throughout the Years
Date Event and Significance
1870-1889 Employers began to provide employee health care. Companies in several industries, including mining, lumber, and railroads, developed group industrial clinics with plans that prepaid doctors a fixed monthly fee to provide medical care to employees for industrial accidents and common illnesses.
   
   
   
   
   
   
   

Cite your sources below. For additional information on how to properly cite your sources, check out the Reference and Citation Generator resource in the Center for Writing Excellence.

References

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Culturally Competent Nursing

Culturally Competent Nursing

Culturally Competent Nursing

 

For this assignment, you will interview a person from a cultural background that is different from your own. Using the twelve domains of culture from the Purnell Model, discuss the health practices of that culture and compose a scholarly paper in a Microsoft Word document of 5–6 pages formatted in APA style.

In your paper, you should include the following:

Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials.

For the person you select, complete the cultural assessment using questions 1 through 12 from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach.

On a separate page, cite all sources using APA format.

Submission Details:

  • Name the document SU_NSG4074_W2_A2_LastName_FirstInitial.doc.
  • Submit it to the Submissions Area by the due date assigned.The Twelve Domains of Culture

    These are the 12 domains that are essential for assessing the ethnocultural attributes of an individual, family, or group:

    · 1. Overview, inhabited localities, and topography

    · 2. Communication

    · 3. Family roles and organization

    · 4. Workforce issues

    · 5. Biocultural ecology

    · 6. High-risk behaviors

    · 7. Nutrition

    · 8. Pregnancy and childbearing practices

    · 9. Death rituals

    · 10. Spirituality

    · 11. Health-care practices

    · 12. Health-care providers

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