Ethics

This week was very interesting and thought provoking. Ethics in healthcare is very complex. We watched “My Sister’s Keeper” which helped me realize not everything is black and white. There are so many grey areas when determining what is ethical and what is not. Though I was quick to judge the parents initially, I found out that I need to understand multiple sides of the story before making any decisions. I’m so glad that we have ethical committees that help make the tricky decisions. Within my own care I want to be sure that I act based on what I feel is right. After that, I need to refer to ethics committees when I don’t know the answer. Coming to the best decisions happen after much research and thought. I want to be the best at providing proper information and research with my patients and in my care. I want to make sure that I’m diligent in providing objective information within my charting. I’m so glad we covered this topic because I feel we will come across ethical dilemmas within our career at some point.

Appraisal Questions and Problem Employees

This week I learned what an appraisal question is. It is a question used to evaluate the performance of an employee. I’m excited to learn more about this subject so I can evaluate my own progress and performance throughout my career. I enjoyed the group discussions we had this week. We had a scenario where we had to discipline a problem employee. I enjoyed the challenge as it opened my eyes to what the role of a nurse manager would be like. I also liked that it gave me an idea of what my employers but be looking for in my performance. I had no idea the responsibility it is to lead a floor of nurses. My appreciation for my management team has improved now that I know a bit more of what they have to deal with.

Hiring Interview

I decided to interview my dad who works as a manager for the sales department in Progressive Leasing. He interviews people quite often for different positions within the company and had some great responses to the questions we created.

Here are the questions I used during the interview:

1. How do you interpret a candidate’s various responses to the question list in order of importance, compensation, recognition and accomplishment ?
“I wouldn’t say I look at all the things you’ve mentioned. I like their answers to reflect who they are. I want to see the invidivuals mind not so much look for the correct answer or list their answers.”

2. Is following your gut feeling or following objective data more important when choosing a candidate?
“Gut feeling.”

3. Do you contact each reference a candidate lists?
“Not really. I only do if there was a tie between two candidates.”

4. What do you ask these references?
” I usually just ask if they enjoyed working with the person, what their work method was, and if they’d recommend the individual to the job.”

5. When you have to decide who to hire, what process do you use to come to that conclusion?
” I take notes so when I have my top candidates I can review my thoughts at the time. If I’m torn between two people I then go to references. I usually have a good idea by my notes.”

6. What helps an interviewee be memorable during their interview?
“Being themselves and being lively. I don’t like an interview to be scripted. Feels impersonal.”

7. Is there a certain interview question you always ask in an interview or you feel tells the most about someone?
” I ask them to tell me about themselves in 30 sec. I look for genuineness not scripted answers. If the answer is generic, I know we won’t work well together because you aren’t telling me who you really are. I just like honesty and someone whose real.”

8. How long does an interview usually last for you?
“30-40 min maximum.”

9. What questions have you received from candidates that has helped shape your interviewing/hiring process?
“When candidates ask me why I do what I do it really helps me think hard about my passion for my company. I’ve used the same question to see where candidates priorities and goals are. If it doesn’t match our companies goal then I don’t waste their time working with us. They’d be better somewhere else.

10. Have you ever taken a chance on a candidate and been surprised (for good or bad)? What did you do about it? Looking back, were there clues/flags that you pick up on now?
” I took a chance on a guy based on his qualifications. I went with my brain not my gut. He did okay but I didn’t love working with him. I should have gone with my gut and I always do from now on. I eventually fired him because he just wasn’t putting in the time and effort. I should’ve known he wasn’t a good fit just by how distant he was in the interview.”

11. From your experience, what is something that interviewees do during the interview to jeopardize their chances of getting hired?
“Acting scripted and impersonal. I want to know you in an interview to see if you’re a good fit. I’m not grading the person, but someone that can’t be themselves is a red flag. If I have to work with you day in and day out, I want to like you.”

12. What non-verbal cues do you pay attention to while conducting interviews?
“Eye contact, use of hands, and posture. Good eye contact shows me you’re confident. A firm handshake also shows confidence. Posture can tell me if you’re intimidated, shy, or outgoing.”

Team Building

We had a very interesting week with team building exercises! As I’ve researched types of online exercises a group can do together, I was amazed at how much they really help boost productivity and team morale. I used to think that games used to get to know other individuals within your work environment were cheesy and pointless. Now that I am going to be within my career, I hope to see the same strategies implemented so I can make friends and share the same goals as my group.

I think many people underestimate the power of team building. An inclusive environment is key to having success! A good leader ensures that all members of the team feel the ability to be open with those around them. What better way to help people feel more open to sharing ideas and thoughts than through group games and communication.

Interviews and Hiring

I enjoyed this week’s lesson because it’s extremely applicable to what we all face in life: interviews and the hiring process. I enjoyed hearing strategies to improve my interview technique. One of the strategies mentioned was being personable and enthusiastic during an interview. Our group activity this week really opened my eyes to how important it is to be personable. As a team we decided that if we were to hire 2 different nurses, we would choose the charismatic interviewee. It really helped me understand the perspective employers view things from.

I want to be the person that stands out not because of my many skills listed on the resume, but because I have a commanding presence when I enter and leave the interview. That’s what people remember most, the person and not the resume. I really enjoyed this week because it helped me reflect on past interviews and what I can do to improve my interviewing technique in the future. It also helped me realize things that I did right in my interviews to land the jobs I have and have had in the past.

Leadership Week 2 Reflection

I learned the kind of leader I want to be throughout this lesson. I learned that I am an influential leader but I also learned the kind of weaknesses that go along with that leadership. Part of being a good leader is to recognize the areas you need to improve on. I felt that this lesson helped me want to do that.

Our team activity was really eye opening because I learned that there are leaders in the world who were really influential and did good, and there were world leaders that were really influential in their cause but whose purposes were evil. Hitler was one of those examples our group pointed out as a leader in his own way. Though his cause was pure evil, he was able to convince his entire country (or most of them) to act out on his beliefs. Then you look at other leaders like MLK who were so influential, people believed in his cause, not necessarily him. His cause lived on even after he passed away because he empowered people. I want to be the kind of leader that empowers those who work with me! This activity helped me understand different leaders styles and what I can use in my own leadership.

I am going to work on influencing people to a cause. I’ve had leaders that don’t explain why they do what they do. When people know the why behind your actions, they are more likely to follow and join in your same passions. I plan to use this in my practice by explaining why I do things the way I do so that everyone else will begin to look at the reasons behind their nursing. I really enjoyed discussing leaderships styles since it has helped me reflect on what kind of leaders I have loved and others not so much. I intend to learn from these things and use this knowledge to be the kind of people leader look to and follow.

Characteristics of Leaders

1. Leadership requires personal mastery- Nurses demonstrate leadership when they are competent in their nursing skills and can teach those skills to others.

2. Leadership is about values – Nurses demonstrate leadership when they use their value of advocating for patients to ensure proper and quality care.

3. Leadership is about service – Nurses demonstrate leadership when they direct the activities of the floor for 12 hours to ensure all patients are served and cared for.

4. Leadership is about people and relationships- Nurses demonstrate leadership when they take the time to therapeutically communicate with staff and patients to understand their needs.

5. Leadership is contextual – Nurses demonstrate leadership when they properly delegate and coordinate care to be most effective and recognize they are dependent upon other healthcare disciplines and skills.

6. Leadership is the management of meaning – Nurses demonstrate leadership when they understand and can explain the reasons behind their interventions and goals for patients.

7. Leadership is about balance – Nurses demonstrate leadership when they can compartmentalize emotions in regards to traumatic events and seek help when unable to do so on their own.

8. Leadership is about continuous improvement and learning – Nurses demonstrate leadership when they complete their education the hospital requires and mandates.

9. Leadership is about effective decision making – Nurses demonstrate leadership when they can think competently in an emergency situation to complete the task at hand.

10. Leadership is a political process- Nurses demonstrate leadership when they can seek the advice from other staff members to improve the working environment.

11. Leadership is about modeling – Nurses demonstrate leadership when they follow through with protocols set and enforced by the hospital for all employees.

12. Leadership is about integrity – Nurses demonstrate leadership when they follow protocols to report mistakes to ensure those mistakes never happen again.

DISC Personality Test

After taking this test, I determined that I am within the influential category of leadership. After reading what the influential leader can do for a team of people, I realized how on point the description was of myself! Knowing the kind of leader I am also helps me want to compensate for the weak areas of my leadership. There is no one correct way to lead. It takes all personalities and skills to guide and direct a team. I think that’s the beauty of the working environment. We all need each other!

Influential leaders focus on helping all members of the team feel welcomed and important. They are good at developing a sense of morale due to their people skills. However, this style of leadership is not always the best at getting tasks done meticulously. The focus of this leadership is to bring a relationship based organization.

Knowing now what kind of leader I am, I intend to practice my people skills to develop a relationship based organization where I work. I find that people thrive in environments where they feel cared for rather than brought down. I also plan on working to make sure that I develop the skills to complete things meticulously. Working on my weakness as a leader can eventually help it become a strength.

Polynesian Culture

With Thanksgiving being this last week, I wanted to focus my topic within this culture on family. Family is something I’m very grateful for and after researching more within this culture, family is central to them as well. I love this culture because many of my dearest friends are from different Polynesian countries! I found an interesting article on death and dying that was also linked the importance of family. After an individual dies, they live on. The living and the dead are interconnected, which I find to be a beautiful thing. I especially love that although the living may not see their loved ones, the dead are allowed to visit and remain a constant presence in their lives. Elderly couples can maintain communication despite the other spouse not being physically present.

Death does not change the relationships family members share. I absolutely love this aspect of their culture because it would only make sense that if family is the center of their lives while living, it should remain the same upon death. I have learned that when caring for patients of this culture to include their family and allow their presence in the patient’s room. I think it’s also important to embrace their beliefs and allow them to share what is important to them with you.

This culture reminds me of how much more value I need to place on my relationships with loved ones. Life is too short and I love that they focus on each moment they can share with those they care for. We can learn so much from those around us!

Asian Culture

I love this culture because I grew up with it! I was the minority in my high school and learned from the dominant culture. The dominant culture in my area was Vietnamese. Not all Asian cultures are the same. Food, language, religion, and many more things differ. One thing that I found to be uniform from my studies is the idea of intergenerational living. I noticed many of my neighbors had grandparents, young children, and young parents all living within the same household. Grandparents would walk their grandchildren to school, while young parents went off to work. It seemed to me an effective system.

What I love most about this idea of intergenerational living is the importance each family member plays in the patterns of daily living. Each individual is important. I especially love this because often in U.S. culture, the elderly are pushed to the side. Grandparents have a purpose in Asian culture and help the success of the younger generation. As a future nurse I want to make sure that I include the entire family in the care of the patient. Family is central to this culture and we should respect their importance in our care while in the hospital.