“For even if the good is the same for a city as for an individual, still the good of the city is apparently a greater and more complete good to acquire and preserve, For while it is satisfactory to acquire and preserve the good even for an individual, it is finer and more divine to acquire and preserve it for a people and for cities.” (Aristotle, 2).
Based on what we have covered up until this point as to what he considers the highest good to be, what do you think Aristotle is saying in this passage? How might this perspective impact the kinds of virtues/virtuous actions that we should aim towards? Do you think this perspective is correct? Be sure to support your answer using Aristotle’s ethics and draw connections to other material we have covered in class.
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Thoroughly read the case. It is recommended that you read 2-3 times.
Prepare a 5-page report (12-point font, double spaced not including the title page or reference page), that addresses the following questions:
Evaluation
Individual Case Report #5 will be marked in its entirety out of 100. The following rubric indicates the criteria students are to adhere to, and their relative weights to the assignment overall.
Note: you only need to do Organigram: Navigating the Cannabis Industry with Grey Knowledge at page 103
This is the criteria :
ACTIVITY/COMPETENCIES DEMONSTRATED
% of Final Grade
1. Content (60%)
a. Described the background of the company (Note: This section should set the context for the analysis)
/15
b. Clearly stated the problem faced by Organigram and its leadership (Note: What specifically is the decision to be made within the context of the case? Ensure you specifically differentiate between the problem and its symptoms.)
/10
c. Demonstrated a thorough analysis supported by academic as well as other sources (Note: The analysis should be in response to the posed case questions and should incorporate assigned readings, the case and external sources.)
/25
d. Presented recommendations (action plan) (Note: Ensure your recommendations are supported by evidence from readings and research).
/10
2. Communication (25%)
a. Effective use of the English language – spelling/grammar, sentence/paragraph structure, etc.
/15
b. Report structure (Note: You should follow structure presented in unit 1).
/5
c. Strength of introduction and conclusion.
/5
3. Research and Information Literacy (15%)
a. APA Formatting (title, headings, and references)
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In a 750-1,000-word essay, select two assessment tools that mental health professionals use to assess anxiety. Be sure to address the following in your essay:
1. How does anxiety impact the body, mind, and spirit of an individual?
2. What are the basic features of each assessment tool you are analyzing?
3. In what ways are they similar?
4. How do they differ?
5. What might cause a mental health professional to select one tool over the other based on client’s differing needs?
Include at least three scholarly sources.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center
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Read/review the following resources for this activity:
Textbook: Chapter 6, 10
Magstadt, T. M. (2017). Understanding politics: Ideas, institutions, and issues. Australia: Cengage Learning.
Lesson
Instructions
Aristotle defined tyranny as an illegitimate form of government by one individual that tightly controlled every part of life and government. Adolf Hitler is the most notorious tyrant. Using a totalitarian society from the past or present, discuss how the state and its leader attempt to impede citizens from exercising their rights. In your discussion, explain some components of an “ideal citizen,” consequences of voter apathy, and ways the state controls the citizen.
Writing Requirements (APA format)
Length: 1.5-2 pages (not including title page or references page)
1-inch margins
Double spaced
12-point Times New Roman font
Title page
References page (minimum of 2 scholarly sources)
Grading
This activity will be graded based on the essay rubric.
Course Outcomes (CO): 1
Due Date: By 11:59 p.m. MT on Sunday
Rubric
Week 5 Assignment: Essay – Ideal Citizen in a Totalitarian Government
Week 5 Assignment: Essay – Ideal Citizen in a Totalitarian Government
Criteria RatingsPts
This criterion is linked to a Learning Outcome Actual case study of a country.
20.0 pts
Uses a historical or contemporary example of a totalitarian country
16.0 pts
There is a totalitarian country, but it is not real.
12.0 pts
There is a country, but it is not totalitarian.
0.0 pts
There is no country mentioned.
20.0 pts
This criterion is linked to a Learning Outcome Control by a totalitarian leader
20.0 pts
Describes the three ways, violence, propaganda, and scapegoating, that leaders use to keep control in the country.
16.0 pts
Only two of the tactics of totalitarian leaders are described.
12.0 pts
Only one of the tactics of totalitarian leaders are described.
0.0 pts
How a totalitarian leaders keeps control is not addressed.
20.0 pts
This criterion is linked to a Learning Outcome Citizens in the country.
20.0 pts
States and describes two ways of stopping a totalitarian regime by using political socialization, civil disobedience, resist propaganda. Discusses voter apathy.
16.0 pts
States and describes one way of stopping a totalitarian regime by using political socialization, civil disobedience, resist propaganda. Discusses voter apathy.
12.0 pts
States and describes one way of stopping a totalitarian regime by using political socialization, civil disobedience, resist propaganda. Does not discuss voter apathy.
0.0 pts
Does not address the concepts.
20.0 pts
This criterion is linked to a Learning Outcome Scholarly resources
10.0 pts
Uses both the book and, at least, one outside scholarly source.
8.0 pts
Uses only the book or a scholarly source.
6.0 pts
Uses only a scholarly source and the source is not scholarly.
0.0 pts
Does not use the book or scholarly source.
10.0 pts
This criterion is linked to a Learning Outcome APA
5.0 pts
All sources are properly cited and referenced according to APA standards.
4.0 pts
Sources are either properly cited or referenced, missing one of those elements.
3.0 pts
The citation and/or reference are incorrect.
0.0 pts
No APA format was used.
5.0 pts
This criterion is linked to a Learning Outcome Writing
5.0 pts
Presents information using clear and concise language in an organized manner (minimal errors in English grammar, spelling, syntax, and punctuation).
4.0 pts
Presents information using understandable language but is somewhat disorganized (some errors in English grammar, spelling, syntax, and punctuation).
3.0 pts
Presents information using understandable language but is very disorganized (many errors in English grammar, spelling, syntax, and punctuation).
0.0 pts
Presents information that is not clear, logical, professional or organized to the point that the reader has difficulty understanding the message (numerous errors in English grammar, spelling, syntax, and/or punctuation).
5.0 pts
Project 4: System Development or Application Assurance
Start Here
It is critical that cybersecurity professionals be able to use all applicable systems, tools, and concepts to minimize risks to an organization’s cyberspace and prevent cybersecurity incidents. In this project, you will demonstrate your understanding of how to apply security principles, methods, and tools within the software development life cycle. You will also apply your knowledge of the cybersecurity implications related to procurement and supply chain risk management.
This is the fourth and final project for this course. There are 13 steps in this project. Begin below to review your project scenario.
Transcript
Competencies
Your work will be evaluated using the competencies listed below.
• 1.1: Organize document or presentation clearly in a manner that promotes understanding and meets the requirements of the assignment.
• 1.5: Use sentence structure appropriate to the task, message and audience.
• 2.4: Consider and analyze information in context to the issue or problem.
• 9.4: Software Security Assurance: Demonstrate secure principles, methods, and tools used in the software development life cycle.
• 9.5: Software Security Assurance: Describe the cybersecurity implications related to procurement and supply chain risk management.
Step 1: Assess Software Vulnerabilities
Project 2 outlined the steps involved to produce a final vulnerability and threat assessment, and Project 3 covered risk analysis and mitigation. Those assessments were across the entire enterprise and included numerous elements outside the realm of systems and technology. However, they did uncover opportunities for improvement in the application software processes.
For this step, return to the vulnerability and threat assessment from Project 2 and focus on all areas of application software that were itemized. Give additional thought to uncover software that perhaps did not make the list or were assumed to be secure and simply overlooked.
The assignment is to create a more comprehensive list of application software that could place the enterprise at risk of a breach, loss of data, loss of production, and/or loss of brand confidence.
The assessment should include the application of secure principles, development models such as the maturity model or integrated product and process development (IPPD), software development methods, libraries and toolsets used in the software development life cycle or systems development life cycle.
Use the Software Vulnerability Assessment Template to submit your results for feedback.
Submission for Project 4: Software Vulnerability Assessment
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In the next step, you will review your organization’s software procurement policy.
Step 2: Review Software Procurement Policy
Upon completion of the software specific vulnerability assessment, conduct a review of the organization’s software procurement policies for software development methods.
Note that there is no submitted assignment for this step. Your review will be used in the submission for the following steps.
When the review is complete, move to the next step, where you will create a table or spreadsheet that lists recommended policies for software procurement that address certain questions or concerns.
Step 3: Create a Software Procurement Policy List
You’ve reviewed the organization’s policies for software development methods. Now it’s time to create a policy list for software procurement. The following are some sample questions to be included in a software procurement policy:
• Does the vendor provide any cybersecurity certifications with the product?
• Does the vendor provide access to the source code for the product? Are there other security issues in source code to be addressed?
• What is the guaranteed frequency of security updates to be provided for the product?
• What is the implementation process for software updates/upgrades?
What are additional questions or concerns that should be included in the procurement process? Create a table or spreadsheet that lists recommended policies to properly address these questions or concerns.
Use the Procurement Policy Template to list the cybersecurity implications related to procurement and supply chain risk management and submit your results for feedback.
Submission for Project 4: Procurement Policy List
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In the next step, you will generate assurances or controls to address each of the policy issues identified here.
Now that the procurement policies have been identified in the previous step, what assurances or controls should be established as policy that would evaluate the security implications during the software acceptance process? The objective is to provide a one-page overview of security testing that would be included in the acceptance of a vendor’s application.
The next step in this project will document the actual testing and validation. This step is simply to verify the congruence between the procurement process and acceptance process. In other words, do the procurement policies establish the correct cyber security framework for software purchase and do the acceptance policies match?
In considering the security implications of the in the software acceptance phase of the development cycle, use the Software Acceptance Policy Template to document recommended tests and assurances for the procurement policies identified in the previous steps.
Submit your results below for feedback.
Submission for Project 4: Software Acceptance Policy
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In the next step, you will research software testing and validation.
Step 5: Research Software Testing and Validation Procedures
Based on the software acceptance policies created in the previous step, consider what testing and validation procedures could be used to assure compliance.
Note that there is no submitted assignment for this step. You will submit the final list of recommended testing and validation procedures in the next step.
Step 6: Document Software Testing and Validation Procedures
You’ve completed the research, and it is now time to create testing and validation procedures that follow a specific process to assure compliance. The key to the success of this step is to document exact procedures to be followed by a testing team prior to installation.
At a minimum, the procedures should address the following questions:
• What are potential vulnerabilities inherent in the application platform?
• How well does the vendor document preventive measures built into the application?
• Are there alternative solutions provided by the vendor or in the application in case of a breach?
• What additional safeguards can be added to ensure the security of the software environment?
The testing and validation procedures should address each of these concerns.
The executive team will want to see specific steps for the testing team to follow as the team members complete the tests and assurances you recommended in the previous step.
Document your specific testing and validation recommendations from a cybersecurity policy standpoint in the Test Script Procedures Template and submit for feedback.
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In the next step, you will consider procedures for upgrading software.
Step 7: Review Software Upgrade Procedures
In the last step, you documented testing and validation requirements. In this step, it’s important to review software upgrades. Installation of a software upgrade has similar, yet unique requirements from the previous steps. In most enterprise environments, software updates and upgrades follow a specific change management routine. However, complete reliance on this procedure can lead to unintended oversight of cybersecurity issues. The change management process is generally focused on detecting errors and the auditing and logging of changes in the operational environment after the upgrade has been performed.
From the cyber perspective, this is not enough. As demonstrated in previous steps, significant effort is required to ensure a secure environment, not just an operational one. The question to be answered is “when” should the upgrade be performed during an application or system change. Should it be performed multiple times during the update?
Think through this issue thoroughly and make notes on your thought process. It is important that the risk analysis associated with an application or system change is conducted at the optimal time.
Note that there is no submitted assignment for this step. However, the research and corresponding notes related to this step will be applicable to the final report for Maria and the other executives. When this is complete, move to the next step, where supply chain risks will be considered.
Step 8: Review Supply Chain Risks
Following the previous steps relative to the supply chain and previous projects, it is time to thoroughly review risk within the supply chain.
Like many companies, your organization is dependent on a supply chain, so the software development process must include a supply chain risk management (SCRM) plan to minimize the impact of supply chain-related risks on business operations and the security of the infrastructures and data.
Note that there is no submitted assignment for this step. The identified supply chain risks will be reported in the next step.
Step 9: Document Supply Chain Risks
After review, it’s time to document supply chain risks. This portion of the overall report requires a two- to three-page narrative that addresses the following supply chain concerns:
1. Describe cybersecurity implications related to the procurement process.
2. Provide recommendations that would address these concerns.
3. Include appropriate supply chain risk management practices.
Where appropriate, cite references to support the assertions in the recommendations and conclusion.
Submit your report on supply chain concerns here for feedback.
Submission for Project 4: Supply Chain Cyber Security Risk Report
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Then, move to the next step, in which you will consider how the procedures of acquisition, procurement, and outsourcing line up in the organization.
Step 10: Consider Alignment Issues
Based on the review and recommendations on the supply chain described in the previous step, consider how well the policies and procedures regarding the acquisition, procurement, and outsourcing of software in your organization are aligned.
Outline a strategic approach to getting all the functions in alignment. There is no submission for this step. The alignment recommendations will be submitted in the next step.
Step 11: Develop an Acquisition Alignment Report
Keeping the alignment issues in mind from the previous step, prepare a one-page plan to align acquisition, procurement, and outsourcing of software applications for the enterprise. This should be a strategic approach to getting all the functions in alignment. Start with a request for information, proceed through acquisition, testing, and implementation, and finish with ongoing maintenance of the application.
All the work has been done in the previous steps. This step is designed to “bring it all together” in one easy-to-understand approach. The approach will be used in the final step to complete the supply chain analysis with a mitigation plan as it applies to software acquisition and maintenance.
Submit your one-page plan to align acquisition, procurement, and outsourcing efforts with your organization’s information security goals here for feedback.
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In the next step, you will consolidate all your work thus far.
Step 12: Consolidate Your Work
The acquisition plan alignment is complete. For this exercise, collate all the material presented in the previous steps into a cohesive presentation that describes the entire software risk analysis processes and articulates specific supply chain cybersecurity threats and the technologies and policies that can be used to mitigate them.
You will use your consolidated results in your final project submission in the next step.
Project 4: System Development or Application Assurance
Step 13: Write the Risk Analysis/Supply Chain Threats/Mitigation Report
Management is always interested in solutions, and Maria Sosa and the other executives at your company are no exception. In the case of cybersecurity, there are no absolute solutions to an ever-changing environment. However, there are steps to mitigation that might eliminate or minimize the results of certain vulnerabilities. This final step is to describe the mitigation strategies recommended as a result of all previous steps in the project.
The final report for the executive meeting should be five to seven pages, only one to two of which will have to be written in this step. The remainder is from all the previous steps in the project.
Use the Supply Chain Risk Mitigation Final Report Template to submit your specific testing and validation procedures.
Check Your Evaluation Criteria
Before you submit your assignment, review the competencies below, which your instructor will use to evaluate your work. A good practice would be to use each competency as a self-check to confirm you have incorporated all of them. To view the complete grading rubric, click My Tools, select Assignments from the drop-down menu, and then click the project title.
• 1.1: Organize document or presentation clearly in a manner that promotes understanding and meets the requirements of the assignment.
• 1.5: Use sentence structure appropriate to the task, message and audience.
• 2.4: Consider and analyze information in context to the issue or problem.
• 9.4: Software Security Assurance: Demonstrate secure principles, methods, and tools used in the software development life cycle.
• 9.5: Software Security Assurance: Describe the cybersecurity implications related to procurement and supply chain risk management.
Submission for Project 4: Supply Chain Risk Mitigation Final Report
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5-2 Final Project Milestone Three: Diversity, You, and Society Assignment
For this third milestone, you will reflect on content that will inform your multimedia presentation, which you will include in Final Project Part Two. You will reflect on the intersectional nature of diversity and its impact on one’s individual framework of perception, one’s discipline of study, and society in general. The milestone will be submitted as a presentation draft that includes speaker’s notes. Please note that for this milestone assignment, audio narration is not required.
Make sure you support your response with the readings from this module and additional resources.
To complete this assignment, review the Milestone Three Guidelines and Rubric PDF document
5-2 Final Project Milestone Three: Diversity, You, and Society Assignment
For this third milestone, you will reflect on content that will inform your multimedia presentation, which you will include in Final Project Part Two. You will reflect on the intersectional nature of diversity and its impact on one’s individual framework of perception, one’s discipline of study, and society in general. The milestone will be submitted as a presentation draft that includes speaker’s notes. Please note that for this milestone assignment, audio narration is not required.
Make sure you support your response with the readings from this module and additional resources.
To complete this assignment, review the Milestone Three Guidelines and Rubric PDF document
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Ethics In Practice: Tension between Individual and Societal Rights
Gail A. DeLuca Havens, PhD, RNCodes of ethics can be thought of as moral codes. Moral commitments “to adhere to the ideals and moral norms of the profession,” such as maintaining competency in practice, are expressed in the American Nurses Association (ANA) Code of Ethics for Nurses (2001, p. 5) and are made by individuals when they become nurses. The fundamental concept underlying the Code of Ethics for Nurses is respect for persons. Certain principles growing out of this concept guide nurses’ decision making. These include fostering self-determination, doing good, avoiding harm, being truthful, respecting privileged information, keeping promises, and treating people fairly. In their moral decision-making hierarchy, Beauchamp and Childress (2001) refer to principles and rules as action guides. Principles are the more global and basic conceptions that justify the rules.When ethical principles are being considered, it is important to remember that individuals are interdependent members of a community. The nurse will encounter situations in which the tension between individual liberty and the need to preserve the health and well-being of the community creates an ethical dilemma in practice. For instance, the nurse promises, as expressed by the principle of fidelity in the ANA Code, to maintain client confidentiality. However, such a promise is not absolute when innocent parties are in direct jeopardy (e.g., threatened with being killed) (ANA, 2001). This particular kind of dilemma is made even more troublesome for the nurse who is attempting to deal with two opposing or contradictory promises. For example, the implicit promise of the nurse to maintain client confidentiality, as expressed in the ANA Code, may contradict the nurse’s obligation to obey a law that requires reporting a particular situation (ANA, 2001). The nurse also has an ethical responsibility to respect the client and promote self-determination. Consider the following situation.Kay is a community health nurse who has been employed by a home health agency for more than 10 years. Several of her clients live in a homeless shelter and have been referred to her agency for follow-up tuberculosis treatment after hospital discharge. Today she is making her first visit to Paolo, a 33-year-old Hispanic man discharged after treatment in the hospital for acute, infectious tuberculosis. Kay explains that her agency, along with the city’s health department, helps persons with tuberculosis continue to take their medication as prescribed until they are cured. Kay asks Paolo how he is feeling this morning. He replies that he is tired; he did not sleep well this first night in a place not familiar to him. After she completes Paolo’s admission history and physical examination, Kay tells him that she, or a nurse substituting for her, will be visiting Paolo daily for 2 weeks to observe him taking his medication and then twice weekly for at least 6 months. Paolo protests that he is not a child and that he can be depended on to take his medication as prescribed. Kay explains that the current standard of care is that everyone in the community being treated for tuberculosis receive directly observed medication therapy. It will help him remember to continue to take medication as prescribed, particularly when he begins to feel better. Stopping the medication makes the treatment he received in the hospital ineffective. When medication is stopped, often the tuberculosis becomes infectious again. In addition, not completing treatment increases the likelihood that he will develop a type of tuberculosis that is resistant to medication therapy (Centers for Disease Control and Prevention [CDC], 2003a). He could be very ill again. The city has an obligation to protect its residents from becoming infected with tuberculosis. Kay tells Paolo that she will be communicating with health department personnel because they are the ones who referred him to her.Paolo agrees, reluctantly, to cooperate in therapy. He asks how long it will take to be cured. Kay knows that the response to therapy varies, but most persons can be cured within 9 months (CDC, 2003b). Kay explains that 6 months of medication has been prescribed to cure his tuberculosis. Before Kay leaves, Paolo takes his first dose of medication, and they establish a schedule for his observed daily self-administration. Paolo’s treatment continues as planned over the next several months. He gains strength and eventually finds a job. Returning to work requires that his medication regimen be modified. Paolo has no trouble adapting it to his more demanding schedule. Several weeks pass with this new arrangement until, one evening, Paolo does not appear. Kay leaves a message for him to call her, but does not hear from him. When Paolo fails to appear again the following evening, Kay returns to the shelter. Eventually, Kay learns that Paolo has not been complying with his prescribed medication regimen. He does not deny it and tells Kay that because he has been taking medication for more than 3 months and feels better, he believes that he is cured of his tuberculosis and no longer needs therapy.How should Kay respond? Should she respect Paolo’s right to self-determination by not interfering with the decisions he has made? What if Paolo were to be harmed by this noninterference? What if others were to be harmed? Does Kay’s obligation to Paolo to maintain confidentiality remain even when his behavior might compromise the health and well-being of others? Under what circumstances might a nurse place the health and well-being of members of a community before those of an individual client?In this situation, because Paolo is an adult who is responsible for his own health, Kay could simply disregard the fact that Paolo has not been adhering to his prescribed medication regimen. However, she would not be helping Paolo to protect himself or others. Another strategy that Kay might employ would be to engage Paolo in problem solving to further explore his reasons for not complying with the medication regimen. Uncovering reasons for noncompliance often results in identifying ways to avoid it. One of the strategies recommended for directly observed therapy is for the nurse to adopt a nonjudgmental attitude toward clients, acknowledging that individuals often will not be 100% compliant with medication regimens. Kay could acknowledge that, because Paolo is feeling better, it is understandable that he is not taking his medication as prescribed. However, she also ought to remind him that he places himself at great risk for getting very sick again and developing drug-resistant tuberculosis by not following his medication regimen. This course of action might also be an opportunity to foster Paolo’s self-determination, to maintain the confidential nature of his care, and to strengthen the client-nurse relationship.However, adopting this strategy does jeopardize Paolo’s health and the health of the people with whom Paolo comes in contact. Kay does not know whether Paolo’s tuberculosis is infectious. Kay initiates tuberculosis screening for the people with whom Paolo has been in contact and creates an opportunity for Paolo to have his tuberculosis reevaluated. This action ought to diminish the potential for harm from active tuberculosis to Paolo and to others with whom he has been in contact. Because Kay’s authority has been delegated to her by the health department, she can communicate with the health department without legally violating confidentiality. Kay is aware that many states require quarantine of individuals who do not successfully complete a medication regimen for tuberculosis. To protect the public, a community health nurse can recommend that formal action be taken to ensure that a person complies with treatment. In this instance, quarantine means that individuals can be hospitalized or incarcerated for treatment of tuberculosis against their will.
INSTRUCTIONS:
Read Ethics in Practice page 203.
Instructions: Develop a position: should individual rights be compromised to control the spread of communicable diseases for the good of society? What are the role of boards of health in your community and state in preventing and controlling communicable diseases.
Minimum 250 words. Reply to at least one student with no less than 100 words
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Imagine you have been working for a health care organization for an extended period of time. It is clear that you have a wealth of information about the accountability and liability that individuals and organizations should be aware of. You have been asked to present to new employees to inform them of the importance of being an accountable individual in a health care organization.
Select a representative from the health care industry below who will represent the perspective of your presentation:
Long-term care manager
Create a 4-slides Microsoft® PowerPoint® presentation that conveys the importance of accountability and liability implications for individuals and organizations in the health care industry and in which you:
Evaluate various forms of health care fraud.
Consider civil and criminal penalties associated with fraudulent activities.
Include a title slide; an introduction slide; and detailed speaker notes with 1 in-text citations of peer-reviewed, scholarly, or similar references to support your information as fact and give credit to your sources; a conclusion slide; and a references slide.
As discussed in the unit lesson, resolving conflict in the workplace requires using interpersonal skills, management skills, and techniques. Interpersonal skills can consist of understanding individual differences, self-esteem, self-confidence, communication, teamwork skills, problem-solving skills, cultural relations skills, motivation skills, customer service skills, ethical behavior skills, and stress management skills. Management skills focus on the type of management skill applied such as collaborating, accommodating, forcing, avoiding, and compromising. As a member of the workforce, you must be able to effectively resolve conflict, either with the use of interpersonal skills, management skills, or by applying the recommended ways of responding to tension in the workplace (e.g., overcoming defensiveness, accepting of the tension, and resolving the tension).
For your Unit VI Assignment, please reflect on your knowledge of resolving conflict that you have experienced or observed in the workplace. Please analyze what you have learned. Describe how your learned knowledge can be used. Also, identify how this information can be used to resolve conflict in the workplace in your current job or from a past incident you have experienced. What steps/methods were used in resolving the conflict?
Your reflection paper should be at least three pages in length, including an introduction, a body that supports your reflection, and a conclusion. Be sure to include a title page. The title page does not count toward the total page requirement.
Families play a significant role on the growth and development of its individual members. Both the positive and negative influences within the family shape an individual’s personality as well. Furthermore, family relations exert a unique influence on social and cognitive development (Favez 2017). In combination, family is literally everything and every family is unique. There is a strong correlation between the mental state of the mother, her parenting behaviors, and the development of the child. Fathers are not to be forgotten because their role of protector and provider introduces an additional framework of responsibility within families. Finally, the way in which these pieces all come together show the functioning of the family. This paper will show the unique characteristics of one family using a complete family health assessment.
Family Structure
For this project, I chose to interview and assess a close family friend of my niece. For confidentiality purposes, the names of this family will not be used and will be replaced with initials. RS and ES are a married couple of in their early thirties. The two were high school sweethearts and just recently celebrated their 12th wedding anniversary. RS works as a manager for a medium sized logistics company and ES is a records specialist for a major oil and gas company. Both RS and ES make more than 50k a year but neither of them has a college degree. ES and RS have two daughters, LS age sixteen, and IS age ten. The family lives in an upper middle-class neighborhood and no extended family lives with them.
ES and RS are of Hispanic ethnicities. RS is a Mexican-American male and ES is a Dominican female. ES obtained her American citizenship a few years ago although she immigrated to the US when she was five years of age. LS and IS are natural born children of both parents so they are of mixed heritage. Although neither of them attended college, both have well-paying jobs with great benefits. The couple also purchased a two-story home in an upper middle-class neighborhood and can regularly fund a savings account and retirement funds.
Current Health Status
RS and ES have a very loving relationship as they both expressed the need to give their children the well-balanced life that neither of them experienced. Both RS and ES are the heads of the family and they equally share power. Both contribute financially to the home and both discipline the children. RS and ES create rules and guidelines for their children together and they work through any disagreements by communicating with each other. LS is the big sister and she helps to look after IS at times, but the girls are rarely left home alone. The family also takes their health seriously as everyone is covered by health insurance, they all attend annual checkups and any other sick visits that are necessary.
Health Patterns
ES and her family function quite well and there are two major functional health pattern strengths in their family system. Gordon’s Function Health Patterns is a useful tool that nurses can use to assess a family’s function with the goal of determining their strengths and barriers to great health (Karaca, 2016). The first strength is their roles and relationship patterns. All members of the family have meaningful relationships with one another and with persons outside of their household. The second strength is their coping and stress release patterns. This family copes well with stress by talking about their problems and encouraging each other. Furthermore, if there is an issue that seems to be creating a significant problem, the family would willing seek counseling for the entire unit or the individual member. I did notice some areas of improvement in relation to activity, nutrition, and sleep patterns. They do not engage in a lot of physical activity, putting them at risk for future problems. Additionally, ES and her family appear to eat out more than they prepare meals at home. Lastly, the oldest daughter and dad tend to take way more naps than is normal. Dad works long hours, but their daughter does not, and has no physical reason for sleeping such long hours during the day.
Family Systems Theory
With some minor changes, the family systems theory can help ES and her family improve their family functioning. The family systems model focuses on making behavioral changes through interactions with different family members (Johnson and Ray, 2016). The family needs to be more active and they can take walks around their beautiful neighborhood or sign the girls up for a sport. ES and RS also need to find chores and other activities for their eldest daughter to engage in to prevent her excessive sleeping in the afternoon. As a family, they should spend one day a week planning meals and cook as a family to reduce fast food intake.
Conclusion
ES and RS were an amazing family to assess and they are functioning well above average. It appears that the dysfunctional families they both were raised in played a major role in their decision to make things different for their children. The family communicates well, adapts well, share power and roles, and they show great concern for their health. It was refreshing to witness and family that functions well as I have often seen plenty of dysfunctional families in my nursing care.
References
Favez, N., Frascarolo, F., & Tissot, H. (2017). The Family Alliance Model: A Way to Study and Characterize Early Family Interactions. Frontiers in Psychology, 10.3389. Johnson, B. E., & Ray, W. A. (2016). Family systems theory. Encyclopedia of family studies, 1- 5. Karaca, Turkan, Functional Health Patterns Model – A Case Study (2016). Case Studies Journal ISSN (2305-509X) Volume 5, Issue 7, July-2016. Appendix: Questionnaire Tell me about your family’s physiological functioning and this includes health status, nutrition, bowel movements, sleep, activity, and relationships with other people. How does your family feel about sexuality and what are your values? What are your thoughts on coping behaviors in your family and self-perceptions as well as cognitive functioning?