Discussion Assignment Requirements: Please respond to the question with 250 words and support with four academic references or peer-reviewed journals. One may be the textbook. Please use four academic references or peer-reviewed journals.What is the relationship between employee engagement and organizational performance? Utilize at least three peer-reviewed journal articles and the research to support your contentions.Complete Assignment Requirement: Write a minimum of 1500 words for the total assignment response excluding references. Please make sure you answer all questions and distribute your responses evenly within the answers. A minimum of four scholarly/ EBSCO external sources references behind the textbook.For this assignment, write a narrative essay (minimum 1500 words) in which you address and discuss the questions and statements listed below. Use at least four scholarly sources and remember to demonstrate a thorough understanding in your essay. Cite your sources in APA format.Why must job performance, training, and employee learning be integrated in order to be effective? Describe the primary considerations when designing training. What are the objectives of on-going training and development? Discuss the common types of HR specific training for health care professionals.What are performance appraisals, and how are they used for development plans? Identify and discuss the four major appraisal methods identified in the text. Describe the three components of feedback systems. Why is feedback important?

 Description Professional Platform for Ethics and Leadership  The role of the health care professional includes being a moral agent or a person whose actions affect themselves and others at a moral level. It is important to have a personal ethic or moral framework in which you ground your practice and professional relationships. The purpose of this assignment is to explore and create a foundation for leadership and ethics in your professional practice. Write a reflection on the nature, sources, and implications of your values, beliefs, and ethical perspectives that guide your personal life and nursing practice. Please note, grading is based on the clarity and depth of your writing and the apparent effort given the assignment, not on the rightness or wrongness of your position. You are encouraged to be honest in your self-assessments and conclusions. Each of the following points must be addressed in your essay: Primary influences (childhood and adult) Ethical principles that influence you personally and professionally Ethical practice of professional nursing Ethical leadership and professional development plan. Include both positive and negative aspects of your character that emerge when you are in a position of authority  

you are working in a large urban pediatric clinic after-hours.A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).Born at 36 weeks gestation.Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%A swab for the respiratory syncytial virus (RSV) is positive.Doctor orders - Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office, and push PO fluids as tolerated.After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric after hours or ER if needed.The client is discharged with these orders:methylprednisolone 0.4 mg/kg oral BID for 3Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.Call if needed prior to the Q4 dose.Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.Return for re-evaluation in 3 daysInstructionsIn a three-page APA formatted paper, provide responses for these questions and requests for information:Criteria:Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?What are the characteristic signs/symptoms of bronchiolitis?Vivi Mitchell has been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.What short and long-term possible complications should the nurse anticipate?What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?* Include a minimum of 2 scholarly sources