ADV LRDSHP Mod 4

DISCUSSION MODERATOR ASSIGNMENT.

As the moderator, you will not submit traditional answers to the discussion board. Instead, you will engage in discussion with your peers from the perspective of a course leader or mentor. The nature of your interactions should be positive and invite further discussion that fosters creativity and expansion of the DNP role. Your responses and posts should be substantive in nature. A substantive post may include a question, sharing insight with scholarly reference, and helping students to interact with one another in creative ways. 

RUBRIC:

Application of course knowledge :Exceptional: 25 points

Posts to peers’ address discussion questions using well documented, sound logic, and are clearly and succinctly written. Posts foster ongoing dialog in a professional and scholarly manner.

Scholarly synthesis and References: Exceptional 25 points

Posts supported by evidence from scholarly sources. Includes relevant citations from the course readings and/or professional literature. In-text citations and full references are utilized where appropriate.

Clarity, Relevance and organization: Exceptional 25 points

All discussion posts are relevant to the topic and are presented logically and clearly. Direct course applications and synthesis of scholarly information is easily discernable

Peer interaction: Exceptional 25 points

Responds to at least 5 peer posts. Participates in discussion on at least 4 separate days. Responses are substantive insightful and contain at least one reference.

QUESTIONS:

Discussion Questions

1. Describe three dysfunctional behaviors in healthcare organizations today. Compare them to workplace cultures that foster quality care and productivity. What are the ethical ramifications of a healthcare organization with dysfunctional behaviors? 

2. Identify two toxic behaviors that can occur in an organization. Which principles for minimizing toxic behavior would you use to address the behavior and promote a culture change?

3. Perform a brief scholarly search. Identify and describe one technological advancement that could be harnessed to prevent or reduce toxic workplace cultures in healthcare. 

STUDENT’S POST:

In any organization, different behaviors play a significant role in their structure, development, and growth. The healthcare organization is no different.  A healthy and positive work setting is ideal, while a dysfunctional work setting may divide two sides (positive and negative).

 One dysfunctional behavior that can affect an organization is an emotional disturbance. Emotional distance facilitates how provider-patient function and communicate. This behavior becomes dysfunctional when there is a lack of compassion or emotion or excessive compassion and caring by the provider. Either way, it may deteriorate the relationship. A certain degree of emotional distance is expected and healthier because it allows the providers to display that distance to provide high-quality care. When providers have greater emotional involvement and a high degree of caring, their objective and effectiveness may be limited, which will affect patient care (Garg & Saxena, 2019). A second behavior is the Whistle-blower, which happens when an employee chooses to deliver information or allegations to surface either internally or externally Garg & Saxena, 2019). Many times whistle-blowing can be delivered with the intent of revenge or retaliation, rather than protecting the public or team members of the organization. However, a whistle-blower can also use internal channels to save the organization and, in the long run, may act in the organization’s best interest. A third dysfunctional behavior in healthcare is a dysfunctional thinker. A healthcare worker displays this dysfunctional behavior by obsessive symptoms when confronted with a healthcare issue. A current example is the covid 19 infection with healthcare workers displaying compulsive behaviors, expressing symptoms similar to the infection itself, and stressing over tainting and habits like compulsive hand washing and excessive use of germicidal, which in some cases, caused harm (Mohamed Abd El-Maksoud & Saber Atia, 2020).

In the current economy, healthcare settings and leaders are very attentive to two bottom lines: human and financial. Unfortunately, two toxic behaviors in an organization that affects financial goals are shamming and team sabotage. Shamming is displayed by humiliation, sarcastic remarks, and pointing out the mistakes of others. Team sabotage happens when a team member monitors the other team members' behaviors, meddles in teamwork, and uses authority to punish others (Wilson, 2017).

At the organizational level, two strategies to address toxic behaviors are first, the leader must establish an effective behavioral approach that addresses the behavior directly with professionalism, courtesy, and respect among the team members and among patients and team members,  and second, the integration of these specific behaviors is integrated into performance procedures and praise for the improved behavior (Wilson, 2017).

Many studies were done in healthcare with behaviors affecting quality processes and outcomes. One technological advancement to decrease the dysfunctional and toxic behaviors in an organization is the use of interactive webinars.  By allowing the team members to participate in "real situations" allows members to perform self-assessments, and hopefully, they will be more satisfied with their work setting becoming more supportive and allowing leaders to deliver empowering leadership, and therefore a more positive work ("Simulation: Creating Safe Environments for Learning Patient Care," 2018).                                                 

References

Garg, N., & Saxena, A. (2019). Promoting constructive deviance as an antidote to organizational stress. In Advances in human resources management and organizational development (pp. 139–158). IGI Global. https://doi.org/10.4018/978-1-5225-9996-8.ch008 (Links to an external site.)

Mohamed Abd El-Maksoud, M., & Saber Atia, N. (2020). Level of concern, compliance, and barriers to use standard precautions among primary health care providers during the covid-19 pandemic. Egyptian Journal of Health Care, 11(4), 792–805. https://doi.org/10.21608/ejhc.2020.179453 (Links to an external site.)

Simulation: Creating safe environments for learning patient care. (2018). In Teaching with technologies in nursing and the health professions. Springer Publishing Company. https://doi.org/10.1891/9780826142924.0012 (Links to an external site.)

Wilson, S. (2017). The shocking reality of violence in healthcare: And what we can do about it. CreateSpace Independent Publishing Platform.