NR531 Nursing Leadership in Healthcare Organizations Weekly Discussions

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NR531 Nursing Leadership in Healthcare Organizations

Week 1 Discussion

Organizational Structures

Discuss the organizational structure that you, as the nurse administrator for SLMC, believe would be most appropriate. Use a specific organizational theory to support your decision and discuss how this structure may impact the organization’s outcomes.

There is no word count for threaded discussions and there is only one discussion per week. This is different from what you are used to in your core courses.  Please see discussion guidelines and rubric below.

NR531 Case Study Background Information (Links to an external site.)

 

NR531 Nursing Leadership in Healthcare Organizations

Week 2 Discussion

Care Delivery Models and Effective Nurse Administrators

You are the nurse administrator at SLMC. Your Human Resources Director informed you that SLMC is having difficulty recruiting registered nurses for your facility. It was decided by the Chief Executive Officer (CEO) to hire more nursing assistants to assist during this shortage. Discuss the impact this new strategy/model may have on the organization and how an effective leader can assist with implementing this change.

 

NR531 Nursing Leadership in Healthcare Organizations

Week 3 Discussion

Shared Governance and the Magnet Model

Describe the nursing care delivery model used at your current or previous employer. Would you utilize this model at SLMC? Discuss current interprofessional collaboration and how you would encourage collaborative efforts. Does the model support the person-centred nursing framework by McCormack and McCance (2017)? Explain your rationale for choosing to use or not use the person-centred nursing framework.

Please refer back to the 2017 PCNF overview presented below.

Patient-Centered Care: A Person-Centred Care Model Revisited

Caring continues to be a central concept in nursing; however, the context for caring is transforming, resulting in conceptual and theoretical advancements related to the evolving healthcare practice settings. McCormack and McCance originally developed a Person-Centred Nursing (PCN) Framework in 2006 and updated it in 2010 that can be applied to practice in complex healthcare systems (McCormack & McCance, 2006; McCormack & McCance, 2017). The PCN Framework provides a standard of care for practice and is a multidimensional process that places emphasis on the person as the center of care delivery (McCance, McCormack, & Dewing, 2011). The PCN Framework fosters outcomes related to therapeutic relationships through respecting individuals as persons and partners in care. The Person-Centred Care Nursing Framework consists of four constructs: prerequisites, the care environment, person-centred processes, and outcomes (McCance et al., 2011). To deliver effective care, one must work from the outer circle first to the core. McCormack, B. & McCance, T. (2017)Prerequisites focus on the attributes of the nurses and include being professionally competent, having developed interpersonal skills, being committed to the job, being able to demonstrate clarity of beliefs and values, and knowing self. The care environment focuses on the context in which care is delivered and includes appropriate skill mix, systems that facilitate shared decision making, effective staff relationships, organizational systems that are supportive, the sharing of power, the potential for innovation and risk taking, and the physical environment. Person-centred processes focus on delivering care through a range of activities and include working with a patient’s beliefs and values to overcome this gap between the concept and the reality of person-centred care we have developed the Person-Centred Nursing Framework…engagement, having sympathetic presence, sharing decision making, and providing holistic care. Outcomes, the central component of the Framework, are the results of effective, person-centred nursing and include: satisfaction with care, involvement in care, feeling of well-being, and creating a therapeutic environment. (McCance, McCormack, & Dewing, 2011).

Reference

McCormack, B. & McCance, T. (2017). Person-centered practice in nursing and health care. Theory and practice (2nd ed.). Oxford: Wiley Blackwell.

 

NR531 Nursing Leadership in Healthcare Organizations

Week 4 Discussion

Vision and the Organizational Structure

As the nurse executive, discuss your vision that you would like to implement for the organizational structure at SLMC. Share your rationale. How would you incorporate aspects of the person-centred nursing framework into your vision? Using motivational theory, discuss your strategies, as the nurse executive, for creating a motivating climate and atmosphere that supports a more positive work environment.

 

NR531 Nursing Leadership in Healthcare Organizations

Week 5 Discussion

Management of Influence, Power, Conflict, and Decision Making

As the nurse executive at SLMC, you are trying to increase communication and empower decision making among your team members. In the past, it has been difficult for some of the various shift workers to attend scheduled, mandatory meetings that involve Magnet™ designation preparation. Share your specific strategies (examples) for enhancing communication and empowering all members of your team.

 

 

 

NR531 Nursing Leadership in Healthcare Organizations

Week 6 Discussion

Communication

As the nurse administrator for SLMC, you must communicate to your team the disappointing news that your organization is discontinuing tuition reimbursement benefits. Discuss how you will communicate this message to your direct reports and to the rest of the organization. Be specific and state your rationale for your communication plan.

 

NR531 Nursing Leadership in Healthcare Organizations

Week 7 Discussion

Quality Management and Control

SLMC has a continuous commitment to delivering the highest quality care by addressing crucial issues, such as patient safety, technology, and expanding services to meet community needs. As the nurse administrator, you determine an audit of elderly patient readmissions would be helpful data to be gathered. Discuss some of the specific information you would include on this tool and how specifically you would proceed with this project and your rationale for including them in the tool. Whom would collect the data?

After reading about Deming’s 14 Total Quality Management principles, state one management principle you would apply to assist in delivering the highest quality care?

Week 8 Discussion

Reflection

What specific knowledge of the healthcare environment and leadership skills that you gained through this experience will be most important as you take on your future nurse-executive role? Describe a concrete way in which you anticipate using these skills and knowledge.

How will you use the concepts in this course to identify, guide and evaluate your final MSN practicum project?

Please review the American Nursing Credentialing Center (ANCC) nurse executive competencies (refer to the Week 1 lesson) and the American Nurses Association (ANA) Nursing Administration Standards of Professional Performance (refer to the Week 7 required reading: Marquis, B.L. & Huston, C.J. (2017). Leadership roles and management functions in nursing: Theory and application (9th ed.). Philadelphia: Lippincott Williams & Wilkins). Share how these will influence you as a nurse leader.

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