Sometimes medical/public health discoveries/recommendations fly in the face of cultural norms, superstition, and fear. The good modern day example of this that I can think of is the vaccine controversy.We live in a country where vaccine coverage has been (up until this point) so complete that we as a society probably cannot appreciate the reason vaccines were invented in the first place...to save lives. They were invented because in the past many children were permanently injured or even died from those illnesses in surprising numbers. Until recently, vaccines have eliminated much of this morbidity and mortality in the United States. Unfortunately, since these diseases have not been eradicated globally (like smallpox was, with vaccines) countries where people do not have the vaccine coverage that we had are still experiencing these epidemics, often with devastating consequences. All we have to do is a little math to realize: (unvaccinated Americans + a trip abroad) + (unvaccinated Americans + international tourism in the US) = re-surgence of childhood diseases like measles.So...it really doesn't matter if you never leave San Diego County...or go to Disneyland...once it starts here ALL unvaccinated individuals are at risk.Your assignment for Discussion 3 is to watch this Ted Talk:Hippos, Measles and Smallpox...oh my! (Links to an external site.) and then answer the following questions:1. What is your opinion on vaccines? Has this video changed your opinion regarding childhood vaccinations?2. Tell us your opinion with SUPPORT:CON. If you are opposed to vaccines, please give one reason why you oppose vaccines WITH A REFERENCE that supports your argument.PRO. If you are NOT opposed to vaccines, give one example of why vaccines are essential WITH A REFERENCE that supports your argument (besides this Ted Talk).Then read this article on Motivational Interviewing (Links to an external site.). It discusses why trying to "convince" people can backfire.3. Describe a technique used motivational interviewing.4. Using Motivational Interviewing techniques, write a question to open the vaccine conversation with someone who has the opposite view. ,Your answer should be no more than two short paragraphs5 points your opinion10 pt opinion support5 point reference to support your opinion. (MUST be reputable and supported)5 points Motivational Interview (MI) feature5 points MI question to open the vaccine conversation

Deliverable 1 - Strategies to Promote a Culture of Excellence in the Workplace Competency Describe a culture of excellence in nursing. Scenario You currently serve as a nursing member of a Practice Excellence Committee. The administration has proposed a new bar code system for medication retrieval by nurses at the bedside. The purpose of the new system is to decrease medication errors by providing nurses with an opportunity to retrieve medications at the bedside where clients and family members can ask questions and receive immediate feedback. At the beginning of the shift, each nurse will checkout a medication box based on assigned clients. Once medications are verified, scanned and removed nurses can send text messages from the bar code scanner to pharmacy should questions or concerns arise. In the current medication retrieval system, the nurse must take a computer with client medication information to a central dispensing area and wait in line at the electronic medication dispensary for medications then return to the client’s bedside for administration. Hospital leaders are excited since the new beside bar code medication retrieval system is in response to a needs assessment of client and employee satisfaction survey data trended over three years and work by a consulting firm which identified the need after as six month observation period for employee behaviors related to medication administration. Today is the launch of the new system. You presented the new, proposed innovation at a medical employee staff meeting attended by nurses, pharmacists, physicians, nurse practitioners, physician assistants, physical therapists, and respiratory therapists. Attendees received information including data summary supporting the change, a summary of the proposed change with equipment demonstration and proposed implementation plan including timeline and employee expectations for adoption. During the implementation portion of the presentation, a few employees voiced concerns and disrupted the meeting. You lost focus and felt defeated after the presentation; you thought the entire interprofessional team would be excited about the innovative medication administration system. Unfortunately, many nurses left the meeting before the entire implementation plan had been discussed expressing emotional outbursts with outward negativity toward the proposed innovative change. To facilitate this change and address concerns you scheduled another meeting one month later in a town hall format with only nursing staff invited to attend. Before this meeting, you plan to create a Facts and Questions (FAQ) document based on three priority areas of concerns you noted from the first meeting. You plan to disperse the FAQ document in an email to invited nursing staff one week before the town hall as a way to “break the ice.” Instructions Create an FAQ document which provides a detailed and succinct response to each question below and promotes a culture of excellence. Why do we need this change? What we currently use works well, why change now? Honestly, as a nurse, how will this new piece of equipment help me better perform my professional role? Resources For additional information on managing conflict between nurses, please visit Conflict Management: Managing Conflict Between Nurses. For additional assistance on understanding what people bring to conflict, please read Workplace Conflict Resolution Essentials for Dummies (Chapter 2). For additional assistance on writing effective emails, please visit Email Essentials: How to Write Effective Emails and Build Great Relationships One Message at a Time (Chapter 6). Grading Rubric F F C B A 0 1 2 3 4 Did not Submit No Pass Competence Proficiency Mastery Not Submitted No clearly written response to the first question that supports the needs for change, includes a relevant example as supporting rationale, or does not promotes a culture of excellence. Basic and succinct written response to the first question that supports the needs for change includes a relevant example as supporting rationale and promotes a culture of excellence. Thorough and succinct written response to the first question that supports the needs for change includes a relevant example as supporting rationale and promotes a culture of excellence. Clearly stated, detailed, and succinct written response to the first question that supports the needs for change includes a relevant example as supporting rationale and promotes a culture of excellence. Not Submitted No clearly stated response to the second question and no relevant example supporting the attempted response to the question or does not promote a culture of excellence. Basic and succinct written response to the second question which included a relevant example supporting the rationale for the response and promotes a culture of excellence. Through and succinct written response to the second question which included a relevant example supporting the rationale for the response and promotes a culture of excellence. Clearly stated, through and succinct written response to the second question which included a relevant example supporting the rationale for the response and promotes a culture of excellence. Not Submitted No clearly stated response to the third question and no relevant example supporting the attempted response to the question or does not promote a culture of excellence. Basic and succinct written response to the third question which included a relevant example supporting the rationale for the response and promotes a culture of excellence. Through and succinct written response to the third question which included a relevant example supporting the rationale for the response and promotes a culture of excellence. Clearly stated, through and succinct written response to the third question which included a relevant example supporting the rationale for the response and promotes a culture of excellence. Not submitted Lack of formal style in document, numerous spelling, grammar, or APA format errors present. Formal style reflected in some parts of the document, but not maintained throughout. Some spelling, grammar, or APA format errors present. Formal style reflected throughout the majority of the document, with minor spelling, grammar, or APA format errors present. Formal style reflected throughout the document, including no spelling, grammar, or APA format errors present. Assignment