NUR 514 Topic 1 DQ 1 AshleyLewellen Health Care Systems, Organizational Relationships, And Interprofessional Health Care Environments
NUR 514 Topic 1: Health Care Systems, Organizational Relationships, And Interprofessional Health Care Environments Objectives:- Discuss the evolution of the U.S. health care system its impact on nursing and the delivery of care.
- Explain how interprofessional relationships increase collaboration and improve patient outcomes.
- Examine how leaders benefit from applying systems thinking.
Leadership in Nursing Practice: Changing the Landscape of Health Care Read Chapter 9 in Leadership in Nursing Practice: Changing the Landscape of Health Care. View Resource
Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education Read “Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education,” by Bridges, Davidson, Odegard, … Read More https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081249/
Core Competencies for Interprofessional Collaborative Practice: 2016 Update Read “Core Competencies for Interprofessional Collaborative Practice: 2016 Update,” by the Interprofessional Education Collaborat … Read More https://ipec.memberclicks.net/assets/2016-Update.pdf
Using Systems Thinking to Envision Quality and Safety in Healthcare Read “Using Systems Thinking to Envision Quality and Safety in Healthcare,” by Stalter and Mota, from Nursing Management … Read More https://journals.lww.com/nursingmanagement/fulltext/2018/02000/using_systems_thinking_to_envision_quality_and.7.aspx
AONL Nurse Leader Competencies Read “AONL Nurse Leader Competencies,” located on the American Organization for Nursing Leadership (AONL) website. https://www.aonl.org/resourc
Topic 1 DQ 1
Aug 4-6, 2022 Consider the evolution of the U.S. health care system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care. ://medcitynews.com/2021/04/the-shift-to-value-based-care-has-accelerated-in-the-wake-of-the-pandemic/Topic 1 DQ 2
Aug 4-8, 2022 Based on your experience, explain how systems thinking helps leaders to build strong interprofessional and organizational relationships. Discuss some system thinking tools nursing leaders can apply to increase interprofessional collaboration to benefit patient outcomes or organizational initiatives. Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response.Ashley Topic 1 DQ 2 Example Solution
In nursing, system thinking is a process of awareness about clinical boundaries, authority, hierarchy of the medical field, and the awareness of interdependencies- meaning nurses displaying strong leadership skills can implement change for the better of the unit/hospital. It is important for nurses implementing system thinking skills to understand the importance of interrelationships among nurses and other healthcare professionals (Statler& Mota, 2018). It is imperative that nurses, doctors, therapists, etc work together to improve the patient’s outcome and make treatments run smoothly. Nurse leaders and educators can use their experience and skills in system thinking to help others understand the steps they can take and roles they play in reaching a common goal within their organization (Statler & Mota, 2018). A nurse can inspire others to take action by being role models in promoting interprofessional teamwork, leading change, and creating an environment of mutual respect and team collaboration (Statler & Mota, 2018). IPEC was created to develop core competencies and to build upon each profession’s disciplinary competencies. The intention was to get students of different health professions engaged in other professions learning to better integrate population health approaches across different professions, leading to better collaborative work. Their goal is to teach a variety of healthcare disciplines to students to help aid in better interprofessional relationships (McKearney, n.d.). Because of IPEC, nurses and nurse leaders know their defined role in a patient’s care and can incorporate and interact with other professions to reach the common goal- a healthy patient outcome. By having strong interdisciplinary communication, patients can feel they are receiving proper care with a team that works together, rather than against each other, which I have witnessed many times. Doctors of other specialties will go against one of another specialty or talk negatively about the plan of care created by the other team. This does not give a patient faith in the care they will receive. Nurses and nurse leaders can help bridge this gap by accurately relaying information to each specialist care team involved. As a patient’s care team, each individual has their own specialized skill set, therefore working together leads to a higher functioning team. Another way nurse leaders can implement system thinking, is by encouraging others to create a fair, just environment. It is important that we take responsibility for our actions, own our mistakes, reporting near misses, reporting system breakdowns, such as communication issues, and lack of supplies essential for patient care (Statler & Mota, 2018). Nurse leaders and educators can use their skills to teach others how to create individualized care plans and get the patient involved in their care. This leads to more compliant patients with a better understanding of their health issues. WC 430 References Stalter, A. M., & Mota, A. (2018). Using systems thinking to envision quality and safety in healthcare. Nursing management, 49(2), 32-39. https://journals.lww.com/nursingmanagement/fulltext/2018/02000/using_systems_thinking_to_envision_quality_and.7.aspx McKearney, S. (n.d.). About Us. Interprofessional Education Collaborative. Retrieved August 8, 2022, from https://www.ipecollaborative.org/about-usOtilio Topic 1 DQ 2 Example 2
Replies to Ashley Nurse leaders must be understanding of the complexity and importance of interprofessional and organizational relationships. The responsibilities a leader carries are widely varied and continue to increase in significant ways. It is imperative for Interprofessional Education Collaborative (IPEC) to be incorporated and implemented from the beginning of one’s nursing career. This includes the initiation of their function and values from the start as nursing students. With the incorporation of the IPEC, the goal is to improve health care and advance the growing health population with an effective framework of medical professionals. “Students trained using an IPE approach are more likely to become collaborative interprofessional team members who show respect and positive attitudes towards each other and work towards improving patient outcomes” (Bridges, Davidson, Odegard, Maki & Tomkowiak, 2011). The importance of teamwork as a leader is imperative to the success of the overall mission. Working as an intensive care nurse leader has shown me that we cannot function alone, and we must find cohesion with the support and collaboration of interprofessional teams. System thinking provides leaders with a deeper insight and utilization of up-to date practices that coincide with the infrastructure of the IPEC. “Systems thinking is a process of self-awareness in which the nurse knows boundaries specific to clinical reasoning, personal effort, reliance on authority, and awareness of interdependencies” (Stalter & Mota, 2018). A prime example is the increase incorporation of evidence-based practices with other professions to optimize care with the common goal of quality care. This coincides with one of the core competencies through values and ethics for interprofessional practice. Through collaboration of multidisciplinary teams, these practices are increasing the quality and safety of care throughout healthcare. This system coincides with the incorporation of a value-based health care system. In conclusion, implementing IPEC and integrating system think tools into our practice is a critical aspect of progressing forward in our professional development. References Bridges, D. R., Davidson, R. A., Odegard, P. S., Maki, I. V., & Tomkowiak, J. (2011). Interprofessional collaboration: three best practice models of interprofessional education. Medical education online, 16, 10.3402/meo.v16i0.6035. https://doi.org/10.3402/meo.v16i0.6035 Stalter, A. M., & Mota, A. (2018). Using systems thinking to envision quality and safety in Healthcare. Nursing Management, 49(2), 32–39. https://doi.org/10.1097/01.numa.0000529925.66375.d0 Word Count: 314NUR 514 Topic 2: Professional Leadership
Objectives:- Differentiate between leadership and management.
- Analyze different leadership theories and styles.
- Analyze characteristics of the professional nurse leader and nursing leadership.
- Evaluate leadership and management strategies within health care organizations.
- Discuss potential causes of conflict, principles of negotiation, and conflict resolution models and strategies.
Leadership in Nursing Practice: Changing the Landscape of Health Care Read Chapters 2-4, 7, and 14 in Leadership in Nursing Practice: Changing the Landscape of Health Care. View Resource
Great Leaders Inspire Great Followership Read “Great Leaders Inspire Great Followership,” by Cruz, from Leadership Excellence (2014). https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=97399121&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Advancing the Nursing Profession Begins With Leadership Read “Advancing the Nursing Profession Begins With Leadership,” by O’Neill, from Journal of Nursing Administration (2013 … Read More https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00005110-201304000-00001&PDF=y
From Trait to Transformation: The Evolution of Leadership Theories Read “From Trait to Transformation: The Evolution of Leadership Theories,” by Johns and Moser, from Education (1989). … Read More https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=4717838&site=ehost-live&scope=site
Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions Read “Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions,” by Blizzard, Khoury, and McMurray (2015), loca … Read More
Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions
Leadership Styles: Choosing the Right Approach for the Situation Read “Leadership Styles: Choosing the Right Approach for the Situation,” located on the Mind Tools website. http://www.mindtools.com/pages/article/newLDR_84.htm
Transformational Leadership: Becoming an Inspirational Leader Read “Transformational Leadership: Becoming an Inspirational Leader,” located on the Mind Tools website. http://www.mindtools.com/pages/article/transformational-leadership.htm
Servant Leadership: Putting Your Team First, and Yourself Second Read “Servant Leadership: Putting Your Team First, and Yourself Second,” located on the Mind Tools website. https://www.mindtools.com/pages/article/servant-leadership.htm
What Is the Difference Between Management and Leadership? Read “What Is the Difference Between Management and Leadership?” by Murray (2014), located on The Wall Street Journa … Read More
An Alternative Approach to Nurse Manager Leadership Read “An Alternative Approach to Nurse Manager Leadership,” by Henriksen, from Nursing Management (2016). https://journals.lww.com/nursingmanagement/Fulltext/2016/01000/An_alternative_approach_to_nurse_manager.13.aspx
Nurse Manager Skills Inventory Complete the “Nurse Manager Skills Inventory,” by the Nurse Manager Leadership Partnership (NMLP), located on the HWE Resources p … Read More https://www.aacn.org/nursing-excellence/healthy-work-environments/hwe-resources
Leadership Style Reflective Essay Assignment Self-Assessment Resources These resources will be used to complete the Leadership Style Reflective Essay assignment, due in this topic. Please refer to the assignm … Read More
What Is Servant Leadership? Explore the “What Is Servant Leadership?” page of the Greenleaf Center for Servant Leadership website. https://www.greenleaf.org/wh
Topic 2 DQ 1
Aug 11-13, 2022 Differentiate between “leading” and “managing.” Based on your experience in the health care industry, explain how an advanced registered nurse can lead well and provide management. Share at least one strategy you have used to effectively lead and manage staff within health care organizations Consider interactions with patients, team members, daily tasks, and responsibilities as you formulate your response.Jason D Topic 2 DQ 1 Example Solution
I have always seen managers and leaders as two separate roles. The title of manager comes with the job and authority they were given. A leader is a title that is earned with credibility and vision. Management focuses on efficiency, function and processes while leadership focuses on relationship, interactions and influence (Weberg et al., 2019). Not all managers are good leaders, and anyone can be a good leader. Managing is performing the defined technical skills and duties needed for maintaining a department of staff. Leading is inspiring, motivating or encouraging the team or individuals that do the work. Advanced practice registered nurse can both lead and provide management. Advanced practice nursing leadership and its contribution to improving the care environment for patients and families, nurses and other healthcare providers, organizations and the healthcare system (Lamb et al., 2018). APRNs have the education, expertise and skills to manage and lead nurses and their peers within their organizations. They know the business of health care and its challenges to meet the expectations of the organizations they belong to. APRNs have the technical knowledge and research skills to develop policy and strategies towards organizational goals and quality outcomes. As leaders, APRNs can have the ability to influence nurses and patients towards shared goals. APRNs must have good and direct communication skills to inspired and challenge others to meet desire outcomes. As a nurse manager one strategy I use to manage and lead my team is open, honest and effective communication. I accomplish this with rounding daily with my team and patients. I first start my day with a morning huddle meeting with staff and reviewing our organizational and department goals and opportunities. I elicit feedback and advice from them on what are the barriers and issues that may prevent them from delivering good care and understand their concerns. And throughout the day I try to meet with each one individually starting off casually then some to a more simi-formal meeting. I tend to incorporate servant leadership with active listening, stewardship and growth. It is important to maintain trust and understanding between my staff and myself. When I round with patients I focus on active listening, providing empathy and making sure their individual needs are met. Word Count: 372References:
Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing open, 5(3), 400–413. https://doi.org/10.1002/nop2.150 Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284146530Topic 2 DQ 2
Aug 11-15, Discuss potential causes of conflict occurring within health care organizations. What are some principles of negotiation and conflict resolution used by the nurse leader to address conflict? What model or leadership theory would be effective to use in addressing conflict?Bessalee Topic 2 DQ 2 Example Solution
There are many potential causes of conflict within a health care organizations. The biggest one that stands out to me is personality conflict. In any healthcare organization there are multiple people with different personalities. In a hospital for example you have the support staff, the clinical staff, the physicians, the managers and then upper management to name a few. All want very specific things and outcomes and these can clash at times. There are also different personalities that come into play as well. There are those that are very passive and just complete the tasks that they are told if if they don’t believe that they are right. There are those that are more middle of the road that will speak out if they feel passionately or strongly about something. Then there are those at want to questions everything or believe that they are right no matter what all time. There are also varying degrees in between. This is where conflict can arise when you have multiple people caring for a patient and believe what they are doing is right and what is best for the patient. The nurse leader will be looked to to help manage conflict and bring about resolution. There are multiple strategies that the nurse leader can use to bring about resolution. The of the more common are compromise, collaboration and mediation. The nurse leader can help facilitate any of these methods of conflict resolution. They can help one or both parties assess what is needed and how a compromise of the two ideas or plans can be reached. The nurse leader can suggest collaboration with the two parties that they may work on the specific problem together and bring together their ideas into a unified solution. The nurse leader can also be a mediator between the two sides if compromise and or collaboration do not prove successful. They can help guide the two parties to come to an agreement and work on unified front. The model that would be effective in addressing conflict is transformational leadership. This type of leadership “connects with shared values, involved with he team, inspires, motivates, and empowers others to reach a shared vision.” (Smith and Johnson, 2018) This theory would easily lend itself to conflict resolution. This theory focuses on the team aspect and shared values. By having that as a focus point the nurse leader can adapt to different situations and help to resolve conflict with the best outcome possible because it for the betterment of the team and the patient. Word count: 422 Lahana, E., Tsaras, K., Kalaitzidou, A., Galanis, P., Kaitelidou, D., & Sarafis, P. (2017). Conflicts management in public sector nursing. International Journal of Healthcare Management, 12(1), 33–39. https://doi.org/10.1080/20479700.2017.1353787 Smith, C. & Johnson, C. (2018). Preparing Nurse Leaders in Nursing Professional Development. Journal for Nurses in Professional Development, 34 (1), 38-40. doi: 10.1097/NND.0000000000000404.NUR 514 Topic 3: Organizational Change Theories And Strategies
Objectives:- Discuss the advanced registered nurse’s role as change agent within the interprofessional health care environment.
- Analyze factors driving organizational change within health care organizations.
- Evaluate change theories and collaborative models for promoting change.
- Evaluate the ethical, social, legal, economic, and political implications of practice change.
Resources
Collapse All ResourcesCollapse All Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapter 5 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 7. View ResourceLeadership in Nursing Practice: Changing the Landscape of Health Care Read Chapter 1 in Leadership in Nursing Practice: Changing the Landscape of Health Care. View Resource
Loom Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the softwa … Read More https://support.gcu.edu/hc/e
Topic 3 DQ 1
Aug 18-20, Describe an organizational change model that can be used in a dynamic health care environment. Based on this model, how is organizational change is managed? What role do stakeholders play during organizational change?Kellie Topic 3 DQ 1 Example Solution
An organizational change model that can be used in a dynamic health care environment is Lewin’s Change Model. Organizational change is managed in this model by using three stages. The first stage is the unfreezing stage. During this stage, practices that need improvement and understanding the current practices and why they are completed this way. It is also the time to identify “any barriers that would prevent changes.” (El-shafy, Zapke, Sargeant, Prince & Christopherson 2019). Once this stage is completed, the second phase of Lewin’s Change Model can begin. The second stage is the moving stage. Using the motivation from the previous stage, leaders can keep the change in motion. This stage allows leaders to work towards the goal of the change. The final stage of the model is the refreezing stage. The leader uses positive reinforcement to prevent staff from going back to the old ways of doing things. This promotes the continuing use of the change to improve the workplace. An example of this on my current unit is the goal of decreasing telemetry calls for leads off a patient. The leaders decided that the calls were time consuming and would prevent the monitors from being able to call during an emergency. The leaders discussed this problem with staff of both the unit and telemetry and obtained processes for each unit and telemetry units. This unfreezing stage was able to take place. The leaders took the obtained information and created a change that would decrease the amount of calls for both telemetry and the unit. The leaders then presented the change that would occur and thus began the moving stage. Nurses and technicians worked together to change the telemetry stickers on each patient at noon and midnight. Batteries were also to be changed once per shift by nine in the morning and nine at night. These changes in the moving stage have then undergone the refreezing state. The new employees are learning this process as part of the daily tasks. The leaders provided positive reinforcement every time the goal was met for the telemetry calls. This process is now completed and working well to decrease telemetry calls. Stake holders play a supportive role during organizational change. The stakeholders may sometimes have opinions or goals of their own. Stakeholders can relay the goals they would like to the leaders who then can begin a process for organizational change. The leaders can use Lewin’s Change Model to achieve these goals set by the stakeholders. Word Count: 408Reference:
El-shafy, I. A., Zapke, J., Sargeant, D., Prince, J. M., & Christopherson, N. A. M. (2019). Decreased Pediatric Trauma Length of Stay and Improved Disposition With Implementation of Lewin’s Change Model. Journal of Trauma Nursing, 26(2), 84–88.Virginia Topic 3 DQ 1 Example Solution
The organizational change model that stands out to me is the Complexity Theory. “Complexity is defined as the measure of heterogeneity or diversity in internal and environmental factors such as departments, customers, suppliers, socio-politics, and technology (Mason 2007: 10). Complexity theory focuses on how parts at a micro-level in a complex system affect emergent behavior and overall outcome at the macro-level.” (Amagoh, 2008). This theory is very applicable to the healthcare environment. A large healthcare institution is made of diverse people, jobs, roles, and patients, therefore, in order for the institution to grow, it must be able to change at the micro-level to influence change at the macro-level. Implementing this theory, with the influence of Transformational Leadership Theory, has the potential to empower people at all levels of the company with the common larger goal of the institution. The interconnection of these two theories, both a change theory and a leadership theory, allows for the leaders of each department to become stakeholders for the entire institution. Establishing key stakeholders is incredibly important for change. Creating a diverse team from multiple disciplines allows for a greater potential for change because of the trust and relationship building between the team. Having a change team that is cohesive in nature, allows for the perception of people on the outside of that team, who ultimately must support the change, to view the team as trustworthy. (DeNisco, 2019). The stakeholders must also be invested in the evaluation of the change. Often times when change is inspired, the excitement is at the beginning of the process and then starts to fade over time. However, after the change is implemented, it is imperative to evaluate the result and modify it as needed. Being a change agent is empowering and inspiring, but the commitment that it takes is sometimes overlooked. Word Count 302 Amagoh, F. (2008). Perspectives on Organizational Change: Systems and Complexity Theories. Innovation Journal, 13(3), 31–44. DeNisco, S. M. (2019). Advanced practice nursing (4th ed.). Jones & Bartlett Learning.Topic 3 DQ 2
Aug 18-22, You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader and change agent, how would you approach the committee? How could you draw from change theory to address these concerns and encourage collaboration on the committee?Kadiana Topic 3 DQ 2 Example Solution
The nurse leader acts as a change agent by developing strategies for innovation and change. A nurse leader strives to contribute positive changes to the profession of nursing to improve patient outcomes (Helbig, 2018). Conflict may occur because of change. Conflict management strategies are integral skills for the nurse leader. A simple strategy is education of the team. Informing others as to why change is necessary in advance of the action is a positive approach that often will circumvent the conflict that may arise if change is not managed well. Focusing on most team members that support the change, while continuing to educate and listen to those that do not support change, will foster a dialogue of understanding of the resistance (Weberg, Mangold, Porter-O’Grady, & Malloch, 2019). This is a key strategy to building a team. Team member acceptance rather than the potential for sabotage is a direct result of understanding why change is occurring. Managing change through the organization correctly enhances the potential for organizational success. One strategy to implement change is to involve the individuals who are impacted. An interactive change management approach rather than a reactive approach when confronted with change is preferred (Thomas, 2018). Leaders who create a culture that encourages a team to challenge the existing environment will seldom face the need for redesign, because the constant assessment for change will lead to a progressive organization. Utilizing change theory to nurture team collaboration would begin with establishing the need for change, providing a background of evidence for the situation that requires a change. This process is then followed by rationale and goals for the initiative (Nilson, Seing, Ericsson, Birken, & Schildmeijer, 2020). Providing a reason for the change and the importance of it, gathering the right people from the interprofessional team to escalate the change, developing core values, mission statement, and strategies, and providing for an understanding of the change should occur at the first meeting.References:
Helbig, J. (2018). Reengineering health care management. Nursing Leadership and Management: Leading and Serving. Ch. 5. Retrieved from https://lc.gcumedia.com/nrs451vn/nursing-leadership-and[1]management-leading-and-serving/v1.1/#/chapter/5 Nilsen, P., Seing, I., Ericsson, C., Birken, S. A., & Schildmeijer, K. (2020). Characteristics of successful changes in health care organizations: an interview study with physicians, registered nurses, and assistant nurses. BMC Health Services Research, 1, 1. https://doi-org.lopes.idm.oclc.org/10.1186/s12913-020- 4999-8 Thomas, J. S. (2018). Organizational culture and values. Nursing Leadership and Management: Leading and Serving. Ch. 4. Retrieved from https://lc.gcumedia.com/nrs451vn/nursing-leadership-and[1]management-leading-and-serving/v1.1/#/chapter/ Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in Nursing Practice: Changing the landscape of health care (3rd Ed.). Burlington, MA: Jones & Bartlett Learning.Ayana Topic 3 DQ 2 Example Response
Your post is informative and thorough. Further, effective communication and collaboration help nurses and patients establish solid, trusting, and meaningful relations. Interprofessional collaboration has become a crucial aspect of a well-operating healthcare facility. The ideal policies for operative communication to improve results consist of applying real-world communication tools, forming an open and manageable environment, accepting note-taking and questions, and taking a multidisciplinary style. Care coordination supports safe and more successful care for patients. Change management approaches support nurse leaders and teams through change to guarantee its efficacy in the long term (Barrow et al., 2017). The approaches also help nurses alter their attitudes, actions, and work guidelines. All nurses have a purpose in ratifying operative and real change. Nurse leaders can develop a culture that endorses principles that promote collaboration among teams. Strategic leadership is essential for change management because some nurses might resist change. Nurse leaders should manage conflicts using strategies like accommodating, collaborating, comprising, competing, and avoiding. Managing conflicts effectively is beneficial for teams and leaders. Conflict management improves the capacity to make better decisions, augments productivity, and manages risks. Conflict management averts violence and aggression and mitigates legal risks. Nurse leaders should have conflict competence: the aptitude to mature and utilize emotional, cognitive, and behavioral skills that improve productive results of conflict. Conflict competence enhances relationships and facilitates creative solutions (Kantanen et al., 2017). Nurse leaders play an essential role in conflict management, managing nursing units, and guaranteeing nurses obey the established measures and procedures that uphold quality care and patient safety. References Barrow, J. M., Annamaraju, P., & Toney-Butler, T. J. (2017). Change management. https://europepmc.org/article/nbk/nbk459380 Kantanen, K., Kaunonen, M., Helminen, M., & Suominen, T. (2017). Leadership and management competencies of head nurses and directors of nursing in Finnish social and health care. Journal of Research in Nursing, 22(3), 228-244. https://doi.org/10.1177%2F1744987117702692NUR 514 Topic 2 APA Assignment: Leadership Style Reflective Essay
Assessment Description The purpose of this assignment is to assist learners in developing effective communication by emphasizing the proper application of APA style. APA style is required for the graduate program. Refer to the resources in the Class Resources and Student Success Center for assistance with APA. Use the APA Style Guide resource, located in the Student Success Center, to complete this assignment. For this assignment, complete the following: Self-Assessment Self-awareness is essential for developing leadership skills. Recognizing your own strengths, weaknesses, and values, and understanding emotional intelligence and learning styles can help you to be a more effective nurse leader. For this assignment, you have the opportunity to take a variety of self-assessments to learn more about yourself and identify your assets and weaknesses as a leader. This will assist you in discovering how you can improve your own self-leadership skills. You will be asked to think critically about your results and submit a reflection as directed below. Refer to the topic Resources. Select and complete three self-assessments. Be sure to document the results of each assessment to assist you in completing the reflection portion of the assignment below. Self-Assessment Reflection Becoming self-aware is an ongoing process requiring introspection. The more often people practice self-reflection, the more opportunities they have to understand their own behaviors and adapt their approaches to working with other people, which can improve both your own and other’s abilities to meet their professional goals. In a 1,000-1,250 word reflective essay, address the following:- Provide a rationale and brief summary for selecting each self-assessment. Summarize the results you obtained on each assessment.
- Identify the leadership style that closely aligns to your philosophy of care and explain what appeals to you about that style.
- Reflect on how you might incorporate elements of that particular style as you exercise leadership in a practice or health care organization setting.
- Discuss any particular areas for improvement the assessments helped you identify and some steps for improving your leadership capabilities.
- Analyze the characteristics of an effective professional nurse leader, or individuals in nursing leadership. Discuss the characteristics and explain why they are effective for leadership in nursing.
- Analyze different leadership theories and leadership styles. Select one theory and leadership style, different from your own, and explain how they each support a professional nurse leader or individual in nursing leadership. Consider how the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation.
Rubric Criteria
Collapse All Rubric CriteriaCollapse All Summary of Self-Assessment Selections and Results 6.25 points Criteria Description Summary of Self-Assessment Selections and Results 5. 5: Excellent 6.25 points A comprehensive summary of why each self-assessment was selected and the results obtained on each assessment is thoroughly developed with supporting details. 4. 4: Good 5.75 points A summary of why each self-assessment was selected and the results obtained on each assessment is clearly provided and well developed. 3. 3: Satisfactory 5.5 points A summary of why each self-assessment was selected and the results obtained on each assessment is present. 2. 2: Less Than Satisfactory 5 points A summary of why each self-assessment was selected and the results obtained on each assessment is present, but it lacks detail or is incomplete. 1. 1: Unsatisfactory 0 points A summary of why each self-assessment was selected and the results obtained on each assessment is not included. A Specific Leadership Style That Aligns With Philosophy of Care, Including Appeal 6.25 points Criteria Description A Specific Leadership Style That Aligns With Philosophy of Care, Including Appeal 5. 5: Excellent 6.25 points A comprehensive discussion of a specific leadership style that aligns with philosophy of care, including appeal, is thoroughly developed with supporting details. 4. 4: Good 5.75 points A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is clearly provided and well developed. 3. 3: Satisfactory 5.5 points A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is present. 2. 2: Less Than Satisfactory 5 points A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is present, but it lacks detail or is incomplete. 1. 1: Unsatisfactory 0 points A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is not included. Reflection on How to Incorporate Elements of the Leadership Style 6.25 points Criteria Description Reflection on How to Incorporate Elements of the Leadership Style 5. 5: Excellent 6.25 points A comprehensive reflection on how to incorporate elements of the leadership style is thoroughly developed with supporting details. 4. 4: Good 5.75 points A reflection on how to incorporate elements of the leadership style is clearly provided and well developed. 3. 3: Satisfactory 5.5 points A reflection on how to incorporate elements of the leadership style is present. 2. 2: Less Than Satisfactory 5 points A reflection on how to incorporate elements of the leadership style is present, but it lacks detail or is incomplete. 1. 1: Unsatisfactory 0 points A reflection on how to incorporate elements of the leadership style is not included. Areas for Self-Improvement, Including Steps to Improve Leadership Capabilities 6.25 points Criteria Description Areas for Self-Improvement, Including Steps to Improve Leadership Capabilities 5. 5: Excellent 6.25 points A comprehensive discussion of areas for self-improvement, including steps to improve leadership capabilities, is thoroughly developed with supporting details. 4. 4: Good 5.75 points A discussion of areas for self-improvement, including steps to improve leadership capabilities, is clearly provided and well developed. 3. 3: Satisfactory 5.5 points A discussion of areas for self-improvement, including steps to improve leadership capabilities, is present. 2. 2: Less Than Satisfactory 5 points A discussion of areas for self-improvement, including steps to improve leadership capabilities, is present, but it lacks detail or is incomplete. 1. 1: Unsatisfactory 0 points A discussion of areas for self-improvement, including steps to improve leadership capabilities, is not included. Characteristics of Effective Professional Nurse Leader 6.25 points Criteria Description Characteristics of Effective Professional Nurse Leader 5. 5: Excellent 6.25 points Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are thoroughly discussed. A detailed explanation for why these are effective for leadership in nursing is clearly presented. 4. 4: Good 5.75 points Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are discussed. An explanation for why these are effective for leadership in nursing is presented. 3. 3: Satisfactory 5.5 points Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are summarized. An explanation why these are effective for leadership in nursing is outlined. 2. 2: Less Than Satisfactory 5 points Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are only partially discussed. 1. 1: Unsatisfactory 0 points Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are not discussed. Application of Leadership Theory and Style Different Personal Style 6.25 points Criteria Description Application of Leadership Theory and Style Different Personal Style 5. 5: Excellent 6.25 points A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership are clearly explained. How the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation is thoroughly discussed. 4. 4: Good 5.75 points A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership are explained. How the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation is generally discussed. 3. 3: Satisfactory 5.5 points A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership are summarized. How the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation is outlined. 2. 2: Less Than Satisfactory 5 points A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership, are only partially discussed. 1. 1: Unsatisfactory 0 points A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership, are omitted. Required Sources 6.25 points Criteria Description Required Sources 5. 5: Excellent 6.25 points Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content. 4. 4: Good 5.75 points Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. 3. 3: Satisfactory 5.5 points Number of required sources is met, but sources are outdated or inappropriate. 2. 2: Less Than Satisfactory 5 points Number of required sources is only partially met. 1. 1: Unsatisfactory 0 points Sources are not included. Title Page 6.25 points Criteria Description Title Page 5. 5: Excellent 6.25 points The title page is presented. The required format is applied correctly. There are no errors. 4. 4: Good 5.75 points The title page is presented. The required formatting is applied, although there may be one or two errors. 3. 3: Satisfactory 5.5 points The title page is presented. The required formatting is applied but there are minor errors. 2. 2: Less Than Satisfactory 5 points The title page reflects some required formatting, but overall it is not correctly applied. 1. 1: Unsatisfactory 0 points The title page is not formatted according to required style. The title page is omitted. Introduction 12.5 points Criteria Description Introduction 5. 5: Excellent 12.5 points The introduction is presented. The required formatting is applied correctly. There are no errors. 4. 4: Good 11.5 points The introduction is presented. The required formatting is applied, although there may be one or two errors. 3. 3: Satisfactory 11 points An introduction is presented. The required formatting is applied but there are minor errors. 2. 2: Less Than Satisfactory 10 points An introduction is presented but the overall required formatting is not consistently or correctly applied. 1. 1: Unsatisfactory 0 points The introduction is not presented in required format. The introduction is omitted. Main Body 18.75 points Criteria Description Main Body 5. 5: Excellent 18.75 points The sections of the main body are organized to reflect the main points of the author. The required formatting is applied correctly. There are no errors. 4. 4: Good 17.25 points The sections of the main body are clear. The required formatting is applied, although there may be one or two errors. 3. 3: Satisfactory 16.5 points The sections of the main body are generally identifiable. The required formatting is applied but there are minor errors. 2. 2: Less Than Satisfactory 15 points The main body is disorganized. Overall, the required formatting is not consistently or correctly applied. 1. 1: Unsatisfactory 0 points The required formatting is not used for the main body. APA Style Citations 12.5 points Criteria Description APA Style Citations 5. 5: Excellent 12.5 points All sources are cited. The required style and format are correctly applied and are free from error. 4. 4: Good 11.5 points All sources are cited. The required style and format are applied and mostly correct. There may be one or two errors. 3. 3: Satisfactory 11 points Most sources are cited. One may be missing. The required style and format are typically applied. Some errors are present. 2. 2: Less Than Satisfactory 10 points Citation of sources is incomplete. The use of the required style for citation of sources is inconsistent and incorrect. 1. 1: Unsatisfactory 0 points Sources are not cited throughout. The required style is not used for citations. Sources are not included. Appendix 6.25 points Criteria Description Appendix 5. 5: Excellent 6.25 points The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied correctly. There are no errors. 4. 4: Good 5.75 points The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied, although there may be one or two errors. 3. 3: Satisfactory 5.5 points The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied but there are minor errors. 2. 2: Less Than Satisfactory 5 points The APA Writing Checklist is attached in the appendix but is incomplete. The appendix reflects some of the required formatting, but overall it is not correctly applied. 1. 1: Unsatisfactory 0 points The appendix is not formatted according to the required style. The appendix and APA Writing Checklist are omitted. References 6.25 points Criteria Description References 5. 5: Excellent 6.25 points Sources are completely and correctly documented on a References page, as appropriate to assignment and the required style, and format is free of error. 4. 4: Good 5.75 points Sources are documented on a References page, as appropriate to assignment and the required style, and format is mostly correct. 3. 3: Satisfactory 5.5 points The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied but there are minor errors.Sources are documented on a References page, as appropriate to assignment and the required style, although some formatting errors may be present. 2. 2: Less Than Satisfactory 5 points Documentation of sources using a References page is inconsistent or incorrect, as appropriate to assignment and the required style, with numerous formatting errors. 1. 1: Unsatisfactory 0 points Sources are not documented. A References page is not included. Thesis Development and Purpose 12.5 points Criteria Description Thesis Development and Purpose 5. 5: Excellent 12.5 points Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 4. 4: Good 11.5 points Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. 3. 3: Satisfactory 11 points Thesis is apparent and appropriate to purpose. 2. 2: Less Than Satisfactory 10 points Thesis is insufficiently developed or vague. Purpose is not clear. 1. 1: Unsatisfactory 0 points Paper lacks any discernible overall purpose or organizing claim. Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 6.25 points Criteria Description Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 5. 5: Excellent 6.25 points The writer is clearly in command of standard, written, academic English. 4. 4: Good 5.75 points Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. 3. 3: Satisfactory 5.5 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. 2. 2: Less Than Satisfactory 5 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. 1. 1: Unsatisfactory 0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.NUR 514 Topic 3 Assignment Implementing Change With an Interprofessional Approach Presentation
Assessment Description As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent and spurring positive change on behalf of patients, colleagues, and the industry. Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References. Include the following in your presentation:- Describe the background of the situation and the rationale for and goal(s) of the change. Consider the ethical, social, legal, economic, and political implications of practice change in your response.
- Outline the advanced registered nurse’s role as change agent within the interprofessional and dynamic health care environment.
- Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
- Discuss an appropriate change theory or model that could be used to achieve results. Explain why the theory or model selected is best for the situation. Include the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change in your response.
- As an advanced registered nurse, outline how you would initiate the change.
- Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.
- Predict what additional factors will drive upcoming organizational change for the organization and outline the advanced registered nurse’s role as change agent.
Rubric Criteria
Collapse All Rubric CriteriaCollapse All Description of Situation, Rationale for Change and Goal 7.5 points Criteria Description Description of Situation, Rationale for Change and Goal 5. 5: Excellent 7.5 points A comprehensive description of the background of the situation, including the rationale for change and the goal or goals of change, is thoroughly developed with supporting details. The ethical, social, legal, economic, and political implications of practice change are clearly considered in the response. 4. 4: Good 6.9 points A description of the background of the situation, including the rationale for change and the goal or goals of change, is provided and well developed. Overall, the ethical, social, legal, economic, and political implications of practice change are considered in the response. 3. 3: Satisfactory 6.6 points A description of the background of the situation, including the rationale for change and goal or the goals of change, is generally presented. Some aspects of the ethical, social, legal, economic, and political implications of practice change are considered in the response. 2. 2: Less Than Satisfactory 6 points A description of the background of the situation, including the rationale for change and the goal or goals of change, is present, but it lacks detail or is incomplete. 1. 1: Unsatisfactory 0 points A description of the background of the situation, including the rationale for change and the goal or goals of change, is not included. Advanced Registered Nurse Role as Change Agent 7.5 points Criteria Description Advanced Registered Nurse Role as Change Agent 5. 5: Excellent 7.5 points The role of the advanced registered nurse as a change agent is clearly discussed. Supporting detail and rationale are provided. 4. 4: Good 6.9 points The role of the advanced registered nurse as a change agent is discussed. Minor detail or rationale is needed for clarity or accuracy. 3. 3: Satisfactory 6.6 points The role of the advanced registered nurse as a change agent is summarized. Information or supporting rationale is needed. 2. 2: Less Than Satisfactory 6 points The role of the advanced registered nurse as a change agent is only partially discussed. 1. 1: Unsatisfactory 0 points The role of the advanced registered nurse as a change agent is omitted. Key Internal and External Interprofessional Stakeholders That Should Be Involved in Change Efforts 7.5 points Criteria Description Key Internal and External Interprofessional Stakeholders That Should Be Involved in Change Efforts 5. 5: Excellent 7.5 points A comprehensive discussion of the key internal and external interprofessional stakeholders that should be involved in change efforts is thoroughly developed with supporting details. 4. 4: Good 6.9 points The key internal and external interprofessional stakeholders that should be involved in change efforts are discussed. Minor detail or rationale is needed for clarity or accuracy. 3. 3: Satisfactory 6.6 points The key internal and external interprofessional stakeholders that should be involved in change efforts are summarized. Information or supporting rationale is needed. 2. 2: Less Than Satisfactory 6 points The key internal and external interprofessional stakeholders that should be involved in change efforts are only partially discussed. 1. 1: Unsatisfactory 0 points The key internal and external interprofessional stakeholders that should be involved in change efforts are not included. Appropriate Change Theory or Model That Could Be Used to Achieve Results 15 points Criteria Description Appropriate Change Theory or Model That Could Be Used to Achieve Results 5. 5: Excellent 15 points A comprehensive discussion of an appropriate change theory or model that could be used to achieve results is thoroughly developed with supporting details. The ethical, social, legal, economic, and political implications of applying the change management strategies to practice change are considered in the response. 4. 4: Good 13.8 points A discussion of an appropriate change theory or model that could be used to achieve results is clearly provided and well developed. Overall, the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change are considered in the response. 3. 3: Satisfactory 13.2 points A discussion of an appropriate change theory or model that could be used to achieve results is presented. Some aspects of the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change are considered in the response. 2. 2: Less Than Satisfactory 12 points A discussion of an appropriate change theory or model that could be used to achieve results is present, but it lacks detail or is incomplete. 1. 1: Unsatisfactory 0 points A discussion of an appropriate change theory or model that could be used to achieve results is not included. Outline for Initiating Change as Advanced Registered Nurse 15 points Criteria Description Outline for Initiating Change as Advanced Registered Nurse 5. 5: Excellent 15 points A comprehensive outline for initiating change as an advanced registered nurse is thoroughly developed with supporting details. 4. 4: Good 13.8 points An outline for initiating change as an advanced registered nurse is clearly provided and well developed. Minor detail or rationale is needed for clarity or accuracy. 3. 3: Satisfactory 13.2 points A general outline for initiating change as an advanced registered nurse is present. Information or supporting rationale is needed. 2. 2: Less Than Satisfactory 12 points An outline for initiating change as an advanced registered nurse is present, but it lacks detail or is incomplete. 1. 1: Unsatisfactory 0 points An outline for initiating change as an advanced registered nurse is not included. Impact to the Organization 7.5 points Criteria Description Impact to the Organization if the Change Initiative Is Unsuccessful Again and Potential Steps the Interprofessional Team Could Take 5. 5: Excellent 7.5 points The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is thoroughly discussed and includes supporting details. 4. 4: Good 6.9 points The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is discussed. Minor detail or rationale is needed for clarity or accuracy. 3. 3: Satisfactory 6.6 points The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is summarized. Information or supporting rationale is needed. 2. 2: Less Than Satisfactory 6 points The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is only partially described. 1. 1: Unsatisfactory 0 points The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is not included. Additional Factors Driving Organizational Change and Advanced Registered Nurse as Change Agent 7.5 points Criteria Description Additional Factors Driving Organizational Change and Advanced Registered Nurse as Change Agent 5. 5: Excellent 7.5 points Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are thoroughly discussed. The narrative is well-developed and supported. 4. 4: Good 6.9 points Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are discussed. Minor detail or rationale is needed for clarity or accuracy. 3. 3: Satisfactory 6.6 points Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are summarized. Information or supporting rationale is needed. 2. 2: Less Than Satisfactory 6 points Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are only partially discussed. 1. 1: Unsatisfactory 0 points Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are not discussed. Presentation of Content 37.5 points Criteria Description Presentation of Content 5. 5: Excellent 37.5 points The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea. 4. 4: Good 34.5 points The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources. 3. 3: Satisfactory 33 points The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. 2. 2: Less Than Satisfactory 30 points The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information. 1. 1: Unsatisfactory 0 points The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear. Layout 15 points Criteria Description Layout 5. 5: Excellent 15 points The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text. 4. 4: Good 13.8 points The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. 3. 3: Satisfactory 13.2 points The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. 2. 2: Less Than Satisfactory 12 points The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. 1. 1: Unsatisfactory 0 points The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 15 points Criteria Description Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 5. 5: Excellent 15 points The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope. 4. 4: Good 13.8 points The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. 3. 3: Satisfactory 13.2 points Language is appropriate to the targeted audience for the most part. 2. 2: Less Than Satisfactory 12 points Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. 1. 1: Unsatisfactory 0 points Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Mechanics of Writing (includes spelling, punctuation, grammar, language use) 7.5 points Criteria Description Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5. 5: Excellent 7.5 points Writer is clearly in control of standard, written, academic English. 4. 4: Good 6.9 points Slides are largely free of mechanical errors, although a few may be present. 3. 3: Satisfactory 6.6 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. 2. 2: Less Than Satisfactory 6 points Frequent and repetitive mechanical errors distract the reader. 1. 1: Unsatisfactory 0 points Slide errors are pervasive enough that they impede communication of meaning. Documentation of Sources 7.5 points Criteria Description Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5. 5: Excellent 7.5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 4. 4: Good 6.9 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. 3. 3: Satisfactory 6.6 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 2. 2: Less Than Satisfactory 6 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 1. 1: Unsatisfactory 0 points Sources are not documented.NUR 514 Topic 4: Nurse Leadership And Health Care Policy And Advocacy
Objectives:- Propose strategies to support patient advocacy in health care policy making as an advanced practice nurse.
- Analyze the impact health care policy on health care organizations and cost-effective quality care.
Resources
Collapse All ResourcesCollapse All Advanced Practice Nursing: Essential Knowledge for the Profession Review Chapter 23 in Advanced Practice Nursing: Essential Knowledge for the Profession. View ResourceLeadership in Nursing Practice: Changing the Landscape of Health Care Read Chapters 11 and 13-15 in Leadership in Nursing Practice: Changing the Landscape of Health Care. View Resource
Preparing Nurses for Leadership in Public Policy Read “Preparing Nurses for Leadership in Public Policy” (2014), located on the Robert Wood Johnson Foundation website. http://www.rwjf.org/en/library/articles-and-news/2014/02/preparing-nurses-for-leadership-in-public-policy.html
Arizona State Legislature Explore your state legislature website and access legislation information. The link to the Arizona State Legislature website is provided, … Read More http://www.azleg.gov/
Consumer Information and Insurance Oversight Read “Consumer Information and Insurance Oversight,” located on the Programs and Initiatives page of the Centers for Medicare and … Read More https://www.cms.gov/cciio/index
Guide to Healthcare Reimbursement Models Read “Guide to Healthcare Reimbursement Models,” located on the DECO Recovery Management website (2019). https://www.decorm.com/guide-to-healthcare-reimbursement-models/
Understanding the Value-Based Reimbursement Model Landscape Read “Understanding the Value-Based Reimbursement Model Landscape,” by LaPointe (2020), located on the Revcycle Intelligence webs … Read More https://revcycleintelligence.com/features/understanding-the-value-based-reimbursement-model-landscape
Generational Differences and Professional Memberships Read “Generational Differences and Professional Memberships,” by Martin and Waxman, from Nurse Leader (2017). https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1541461216302622
Differences and Importance of IPPS, OPPS, MPFS and DMEPOS Read “Differences and Importance of IPPS, OPPS, MPFS and DMEPOS,” located on the NursingAnswer.net website. https://nursinganswers.ne
Topic 4 DQ 1
Aug 25-27, Explain how health care policy affects health care organizations, patient care, and cost-effective quality care. What measures can the nurse leader take as an advocate for patient care and addressing health care cost?Daniel Topic 4 DQ 1 Example Solution
Healthcare policy is vital to healthcare organizations since it helps in the planning processes of healthcare organizations. The primary role of healthcare policies is to provide a leadership structure whereby an institution allocates adequate healthcare resources to patients. Healthcare policies also offer an environment whereby an organization ensures clinicians’ continued improvement of medical practices and skills. Policies usually offer guidelines for healthcare professionals to work effectively, use medical knowledge to solve complex problems, and implement evidence-based practices when caring for patients (Mosadeghrad, 2014). Secondly, healthcare policies affect patient care by ensuring patients receive optimum care. It acts as a manual that dictates clinicians’ behaviors and actions and helps promote patients’ safety and well-being when accessing medical services. Mosadeghrad (2014) contends that healthcare policies affect cost-effective quality care by championing affordable medical services for patients. Healthcare professionals use healthcare policies to influence changes in healthcare systems by making healthcare resources easily accessible and lowering the medical costs for patients. Nurse leaders are active in how medical services are disseminated to patients. This is possible by a nurse leader examining some of the weaknesses facing medical centers and understanding some of the problems patients face when accessing medical services. Secondly, nurse leaders can take measures that enhance the safety of patients by reducing medical errors to prevent readmissions of patients and that patients do not use many resources when getting quality healthcare services (Androus, 2021). Androus (2016) further elicits that when addressing healthcare costs, a nurse leader looks at strategies to help hospitals offer quality medical services at low prices. Therefore, acting as strong pillars in advocating quality care of patients. References Androus, A. B. (2021, December 26). What Are Some Ways Nurses Can Influence Healthcare Organization Costs? https://www.registerednursing.org/articles/what-nurses-can-influence-healthcare-organization-costs/ Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77.Topic 4 DQ 2
Aug 25-29, As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy.NUR 514 Topic 5: Cost-Effective, Innovative Models Of Care Delivery
Objectives:- Define nursing informatics and how the specialty has evolved.
- Analyze how nursing informatics affects nursing leadership, clinical practice, administration, education, and research.
- Describe the role of the nurse in transforming health care data into knowledge that can improve patient care.
- Explain how innovative models of care affect collaboration between advanced registered nurses and other stakeholders across the industry.
- Describe the role of the nurse leader in implementing innovative care models.
Resources
Collapse All ResourcesCollapse All Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapter 11 and 17 in Advanced Practice Nursing: Essential Knowledge for the Profession. View ResourceLeadership in Nursing Practice: Changing the Landscape of Health Care Read Chapter 5 in Leadership in Nursing Practice: Changing the Landscape of Health Care. Review Chapter 1. View Resource
CMS -Accountable Care Organizations (ACOs): General Information Read “Accountable Care Organizations (ACOs): General Information,” located on the Centers for Medicare and Medicaid Services (CMS … Read More https://innovation.cms.gov/initiatives/ACO
CMS – Accountable Care Organizations (ACOs) Read “Accountable Care Organizations (ACOs),” located on the Centers for Medicare and Medicaid Services (CMS) website (2015). https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco/
Productivity and Quality of Hospitals That Joined the Medicare Shared Savings Accountable Care Organization Program Read “Productivity and Quality of Hospitals That Joined the Medicare Shared Savings Accountable Care Organization Program,” by Hi … Read More https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=118862971&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Accountable Care Organizations (ACOs) Read “Accountable Care Organizations (ACOs),” by Dewey, from Salem Press Encyclopedia of Health (2020). https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=113931243&site=eds-live&scope=site
Nursing Informatics Certification Worldwide: History, Pathway, Roles, and Motivation Read “Nursing Informatics Certification Worldwide: History, Pathway, Roles, and Motivation,” by Cummings, Gundlapalli, Gundapalli … Read More https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5171559/
Emergence of Nursing Innovation Influenced by Advances in Informatics and Health IT Read “Emergence of Nursing Innovation Influenced by Advances in Informatics and Health IT,” by Kelly, from Nurse Leader … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1541461219302551
Assessing Nurses’ Informatics Competency and Identifying its Related Factors Read “Assessing Nurses’ Informatics Competency and Identifying its Related Factors,” by Khezri and Abdekhoda, from Journal of … Read More https://journals-sagepub-com.lopes.idm.oclc.org/doi/10.1177/1744987119839453
American Nursing Informatics Association Explore the American Nursing Informatics Association (ANIA) website. https://www.ania.org/
Topic 5 DQ 1
Sep 1-3 Review the American Nursing Informatics Association (ANIA) website and discuss the resources that you found there. Discuss how the website might be used for networking in the nursing informatics profession.Virginia Topic 5 DQ 1 Example Solution
The American Nursing Informatics Association website is a very in-depth website that offers a tremendous amount of resources. The amount of online education offered through webinars was what stood out the most. There are multiple different webinars offered on a variety of topics. Along with the webinars, are the conferences. It looks like one is offered per year, but they have them planned far in advance, which is always helpful for traveling and scheduling. The library section had access to an endless amount of journal articles on informatics and how it pertains to different subjects. It was organized very well and was easy to navigate. I also liked reading their position on controversial topics that have taken place in the last couple of years. Knowing what an organization stands for, is important to me professionally. The most unique thing about this website I have not seen before is the ANIA Connect. This discussion forum allows you to create your profile and connect with other nurses nationwide in real time. I thought this was so unique and an amazing idea! A place where we can go with questions and have a professional conversation about informatics and its effect on practice. Ultimately, this website looks like an incredible resource for anyone interested in informatics. Word Count 212 American Nursing Informatics Association. (n.d.). Library.ania.org. https://library.ania.org/ania/Topic 5 DQ 2
Sep 1-5, Explain the role of the nurse leaders in implementing innovative care models. Explain how innovative modes of care affect collaboration between advanced registered nurses and other stakeholders in the industry.Bessalee Topic 5 DQ 2 Example Solution
The nurse leader can be a great catalyst for change. The advanced practice nurse leaders can directly impact patient care by helping to lead the implementation of innovative care models. Nurse leaders can take charge and be the ones that implement the chosen care model directly on the floor with direct patient care. They are able to collaborate with the bedside nurses to help disseminate information and provide education to the staff to help make the transition as seamless as possible. The nurse leader can motivate and get the rest of the staff on board with the new change. This will help increase active participation in the change. The nurse leader can not only help initiate the change they will also be directly involved with the implementation of the change. They are able to assess the effectiveness of the change and collaborate with the other staff members on how to modify the care model to make it more effective and increase the quality of patient care. The nurse leader is a great liaison between all the parties involved in changing how patient care is implemented. They can work with management as well as the bedside staff to help propose and implement change. The nurse leader has experience and expertise that are valuable assets that can be used in a multitude of settings. As a nurse leader the advanced registered nurse gain the respect and trust of the multidisciplinary team and within the corporation/organization that allows them to effectively collaborate and communicate with a variety of people. They are able to maneuver and navigate the clinical as well as political aspects of healthcare and meld the two together to help support better quality patient care. By having these trusted relationships with different people evolved in the continuum of patient care the nurse leader has a vast amount of resources to draw from and include in the process of elevating patient care in many different areas. Word count: 324 References: Fedele, R. (2020). How nurse-led models of care are reshaping healthcare. Australian Nursing and Midwifery Journal, 27(1), 10–12. https://doi-org.lopes.idm.oclc.org/10.3316/informit.431763228621462 Montoya, L., Jonathan, T., Mitchell, A., Delaney, L., Freeman, L., Kelly, M., Mann, C., & Bournes, D. (2020). Enhancing nursing capacity to provide patient care in a pandemic. Canadian Journal of Nursing Leadership, 33(4), 35–44. https://doi.org/10.12927/cjnl.2021.26422REPLY to Bessalee
Innovation has been described as the intentional introduction and application within a role group or organization of ideas, processes, products, or procedures, new to the relevant unit of adoption, designed to significantly benefit the individual, the group or wider society. Critical elements of the innovation process encompass the creativity of the team or individual, the innovation itself and the environment that developed and sustained the innovation. As innovators, all registered nurses (RNs) act as agent of change to drive processes and policy and leverage technology to prove better, more affordable care for individuals and the community. Nurses leads innovative change by creating new knowledge, develop healthcare policies and practices, improve the quality of care and advance health information technology. (Thomas, et al.2016) Nursing has been an innovative profession-by its very nature such work requires nurses to constantly assess, evaluate and find solutions to problems which vary tremendously in ever changing environment. A healthy, inclusive work environment is one in which innovation can thrive. Nurse leaders can help to improve the workplace by acting authentically and making decisions effectively. Firstly, by sharing ideas and listening to other stalk holders that have relevant views to advancing health policies. As well as looking outside nursing for other ideas that may help the profession. (Handzel,S.2021) Reference. Handzel, S.(2021)Innovation and the nurse leader. https://www.wolterskluwer.com. Thomas, T. W., Seifert, P. C., & Joyner, J. C. (2016) Registered Nurses Leading Innovative Changes. The Online Journal of Issues in Nursing (OJIN)https://www.ojin.nursingworld.org.NUR 514 Topic 5 Assignment – The Evolution of Nursing Informatics Presentation
Assessment Description As an advanced registered nurse leader, you have an opportunity effect change through the practice of nursing health informatics. Informatics has evolved over time to become what it is today. Using the resources provided in this assignment, prepare a 12-15 PowerPoint presentation. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References. Include the following in your presentation:- Define nursing informatics.
- Provide a brief history of the field of nursing informatics. Discuss how the specialty has evolved.
- Discuss how nursing informatics affects nursing leadership, clinical practice, administration, education, and research.
- Explain how organizational policy on health information systems can be affected or impacted by government regulation.
- Discuss nurse-led innovation as it relates to the advances in informatics and how informatics innovation can be used to improve the quality of patient care.
- Provide an example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice.
Rubric Criteria
Collapse All Rubric CriteriaCollapse All Nursing Informatics Definition 7.5 points Criteria Description Nursing Informatics Definition 5. 5: Excellent 7.5 points A thorough and accurate definition of nursing informatics is presented. The definition demonstrates insight into field. 4. 4: Good 6.9 points A clear definition of nursing informatics is presented. 3. 3: Satisfactory 6.6 points A general definition of nursing informatics is presented. 2. 2: Less Than Satisfactory 6 points A definition of nursing informatics is only partially presented. 1. 1: Unsatisfactory 0 points A definition of nursing informatics is omitted. History and Evolution of Nursing Informatics 7.5 points Criteria Description History and Evolution of Nursing Informatics 5. 5: Excellent 7.5 points The history of the field of nursing informatics, including how the specialty has evolved, is accurately and concisely discussed. 4. 4: Good 6.9 points The history of the field of nursing informatics, including how the specialty has evolved, is discussed. Some detail or rationale is needed for clarity. 3. 3: Satisfactory 6.6 points The history of the field of nursing informatics, including how the specialty has evolved, is summarized. Information or support is needed. 2. 2: Less Than Satisfactory 6 points The history of the field of nursing informatics, including how the specialty has evolved, is only partially discussed. 1. 1: Unsatisfactory 0 points The history of the field of nursing informatics, including how the specialty has evolved, is omitted. Effect of Nursing Informatics 15 points Criteria Description Effect of Nursing Informatics on Nursing Leadership, Clinical Practice, Administration, Education, and Research 5. 5: Excellent 15 points The effect of nursing informatics on nursing leadership, clinical practice, administration, education, and research is clearly discussed. The narrative is insightful and well supported. 4. 4: Good 13.8 points The effect of nursing informatics on nursing leadership, clinical practice, administration, education, and research is discussed. Some detail or rationale is needed for clarity. 3. 3: Satisfactory 13.2 points The effect of nursing informatics on nursing leadership, clinical practice, administration, education, and research is summarized. Information or support is needed. 2. 2: Less Than Satisfactory 12 points The effect of nursing informatics on nursing leadership, clinical practice, administration, education, and research is only partially discussed. 1. 1: Unsatisfactory 0 points The effect of nursing informatics on nursing leadership, clinical practice, administration, education, and research is omitted. Government Regulation Effect on Organizational Policy for Information Systems 15 points Criteria Description Government Regulation Effect on Organizational Policy for Information Systems 5. 5: Excellent 15 points A thorough explanation for how organizational policy on health information systems can be affected or impacted by government regulation is presented. The narrative is well supported. 4. 4: Good 13.8 points An explanation for how organizational policy on health information systems can be affected or impacted by government regulation is presented. Some detail or rationale is needed for clarity. 3. 3: Satisfactory 13.2 points A summary for how organizational policy on health information systems can be affected or impacted by government regulation is presented. Information or support is needed. 2. 2: Less Than Satisfactory 12 points A partial summary for how organizational policy on health information systems can be affected or impacted by government regulation is presented. 1. 1: Unsatisfactory 0 points An explanation for how organizational policy on health information systems can be affected or impacted by government regulation is presented. Nurse-Led Innovation in Informatics and Quality of Patient Care 15 points Criteria Description Nurse-Led Innovation in Informatics and Quality of Patient Care 5. 5: Excellent 15 points An insightful and well-supported discussion on how a nurse-led innovation as it relates to the advances in informatics, including how informatics innovation can be used to improve the quality of patient care, is presented. 4. 4: Good 13.8 points A discussion on how a nurse-led innovation in the advances in informatics, including how informatics innovation can be used to improve the quality of patient care, is presented. 3. 3: Satisfactory 13.2 points A summary on how a nurse-led innovation in the advances in informatics, including how informatics innovation can be used to improve the quality of patient care, is presented. Information or support is needed. 2. 2: Less Than Satisfactory 12 points How a nurse-led innovation in the advances in informatics, including how informatics innovation can be used to improve the quality of patient care, is partially presented. 1. 1: Unsatisfactory 0 points How a nurse-led innovation in the advances in informatics, including how informatics innovation can be used to improve the quality of patient care, is omitted. Example of Role of the Nurse in Transforming Health Care Data 7.5 points Criteria Description Example of Role of the Nurse in Transforming Health Care Data 5. 5: Excellent 7.5 points A realistic example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice is presented. The example demonstrates a clear understanding of how the advanced registered nurse can use heath care data to help improve quality patient care. 4. 4: Good 6.9 points An example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice is presented. Some detail or rationale is needed for clarity. 3. 3: Satisfactory 6.6 points An example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice is summarized. There are inaccuracies or minor omissions. 2. 2: Less Than Satisfactory 6 points An example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice is only partially discussed. 1. 1: Unsatisfactory 0 points An example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice is omitted. Required Sources 7.5 points Criteria Description Required Sources 5. 5: Excellent 7.5 points Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content. 4. 4: Good 6.9 points Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. 3. 3: Satisfactory 6.6 points Number of required sources is met, but sources are outdated or inappropriate. 2. 2: Less Than Satisfactory 6 points Number of required sources is only partially met. 1. 1: Unsatisfactory 0 points Sources are not included. Presentation of Content 30 points Criteria Description Presentation of Content 5. 5: Excellent 30 points The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea. 4. 4: Good 27.6 points The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources. 3. 3: Satisfactory 26.4 points The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other. 2. 2: Less Than Satisfactory 24 points The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information. 1. 1: Unsatisfactory 0 points The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear. Layout 15 points Criteria Description Layout 5. 5: Excellent 15 points The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text. 4. 4: Good 13.8 points The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text. 3. 3: Satisfactory 13.2 points The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability. 2. 2: Less Than Satisfactory 12 points The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text. 1. 1: Unsatisfactory 0 points The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident. Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 15 points Criteria Description Language Use and Audience Awareness (includes sentence construction, word choice, etc.) 5. 5: Excellent 15 points The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope. 4. 4: Good 13.8 points The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly. 3. 3: Satisfactory 13.2 points Language is appropriate to the targeted audience for the most part. 2. 2: Less Than Satisfactory 12 points Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately. 1. 1: Unsatisfactory 0 points Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately. Mechanics of Writing (includes spelling, punctuation, grammar, language use) 7.5 points Criteria Description Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5. 5: Excellent 7.5 points Writer is clearly in control of standard, written, academic English. 4. 4: Good 6.9 points Slides are largely free of mechanical errors, although a few may be present. 3. 3: Satisfactory 6.6 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. 2. 2: Less Than Satisfactory 6 points Frequent and repetitive mechanical errors distract the reader. 1. 1: Unsatisfactory 0 points Slide errors are pervasive enough that they impede communication of meaning. Documentation of Sources 7.5 points Criteria Description Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5. 5: Excellent 7.5 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 4. 4: Good 6.9 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. 3. 3: Satisfactory 6.6 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 2. 2: Less Than Satisfactory 6 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 1. 1: Unsatisfactory 0 points Sources are not documented.NUR 514 Topic 6: Improving Access And Quality Care Through Health Care Informatics And Health IT
Objectives:- Analyze the role of health information technology and informatics in improving access to care and promoting patient safety and quality.
- Analyze the critical role of health information and technology standards and interoperability in improving access to care and the exchange of health information.
- Discuss best practice for implementing informatics technologies that impact advanced practice nursing and the delivery of care, including clinical provider order entry (CPOE) and clinical decision support systems (CDSS).
- Evaluate the role of workflow analysis, human factors, and user-centered design concepts in developing health information technologies.
Resources
Collapse All ResourcesCollapse All Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapters 12-14 in Advanced Practice Nursing: Essential Knowledge for the Profession. View ResourceNursing Informatics and the Foundation of Knowledge Read Chapters 2, 9-11, and 13 in Nursing Informatics and the Foundation of Knowledge. View Resource
EMR vs EHR – What Is the Difference? Read “EMR vs EHR – What Is the Difference?” by Garrett and Seidman (2011), located on the Health IT Buzz website.
What’s the Difference Between Health Informatics and Health Information Management? Read “What’s the Difference Between Health Informatics and Health Information Management?” by the College of St. Scholastica (201 … Read More http://www.css.edu/the-sentinel-blog/whats-the-difference-between-health-informatics-and-health-information-management.html
Quality Measures Read “Quality Measures,” located on the Centers for Medicare and Medicaid Services (CMS) website (2016). https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html
Writing an Issue Brief Read “Writing an Issue Brief,” located on the American Association of Colleges of Pharmacy (AACP) website (2016). This resource w … Read More https://www.aacp.org/article/writing-issue-brief
The Mechanics of Writing a Policy Brief Read “The Mechanics of Writing a Policy Brief,” by DeMarco and Tufts, from Nursing Outlook (2014). This resource will he … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0029655414000578?via%3Dihub
A Usability Study to Improve a Clinical Decision Support System for the Prescription of Antibiotic Drugs Read “A Usability Study to Improve a Clinical Decision Support System for the Prescription of Antibiotic Drugs,” by Akloufi, Verh … Read More https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0223073
American Health Information Management Association (AHIMA) Explore the American Health Information Management Association (AHIMA) website. http://www.ahima.org/
Agency for Healthcare Research and Quality Explore the Agency for Healthcare Research and Quality (AHRQ) website. http://www.ahrq.gov/
American College of Nurse-Midwives Library Explore the issue briefs available on the ACNM Library page of the American College of Nurse-Midwives (ACNM) website. This resource will … Read More https://www.midwife.org
Topic 6 DQ 1
Sep 8-10, In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response. Why are heuristic principles (human factors/usability/user centered design) important for efficient clinical information systems such as CPOE and CDSS?Topic 6 DQ 2
Sep 8-12, Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care. How can workflow analysis be used to identify issues related to interoperability?Ashley Topic 6 DQ 2 Example Solution
Interoperability is the ability to share information across different organizations. This means patient information documented in their EMR is accessible to clinicians treating the patient in other specialties as well. In order to transform healthcare and optimize the care provided, patient data needs to be able to be shared with all members of a care team seamlessly. This means access from different offices, remotely, or by the patient, in order to ensure everyone is informed. Healthcare organizations that choose not to utilize these types of programs can incur financial drain of resources, medical errors more often- without the ability to truly mitigate the occurrence, and can be ill prepared for natural or manmade disasters. EHRs and EMRs help maintain efficient care and ease of accessing and reviewing data. Having the ability to access one’s own record can help keep a patient on track with maintaining their health, or recognizing when they need to seek medical attention. A patient has access to labs, imaging, all tests and procedures, and quite often even the doctor’s notes from past visits. This can help them track their health, or even encourage them to continue taking medications by providing past evidence of health issues related to noncompliance. Workflow analysis is used to recognize issues in interoperability. It examines the structure of a system and how efficiently the organization is running. It allows for us to see where the issue lies in sharing information, inconsistent information on EMR/EHRs, and high costs of interoperability management and software due to inefficiency. Workflow analysis can help with maintaining safe patient information sharing, with the right people, offering more patient protection and higher patient satisfaction. Reference McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge (5th ed.). Jones and Bartlett.NUR 514 Topic 6 Assignment – Emerging Technology Brief
Assessment Description New health care innovations offer the advanced registered nurse an opportunity to apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging health care technology that you think has the potential to overcome current or emerging barriers to care. Write a 500-750 word brief. Include the following:- Provide an overview of the emerging technology and its role/function in health care. Consider its potential for improving access to care and promoting patient safety and quality.
- Describe ethical or legal issues that would accompany the incorporation of the technology.
- Explain the nurse’s informatics role in regard to the technology. Provide examples of the roles and job functions.
- Outline the role of workflow analysis, human factors, and user-centered design concepts for your chosen technology example.
Rubric Criteria
Collapse All Rubric CriteriaCollapse All Overview of Emerging Technology 18.75 points Criteria Description Overview of Emerging Technology 5. 5: Excellent 18.75 points The emerging technology and its role and function in health care are clearly discussed. Potential for improving access to care and promoting safety and quality is detailed. The narrative is well supported. 4. 4: Good 17.25 points The emerging technology and its role and function in health care are discussed. Potential for improving access to care and promoting safety and quality is included in the narrative. 3. 3: Satisfactory 16.5 points An overview of the emerging technology is presented. Its role and function in health care are summarized. Potential for improving access to care and promoting safety and quality is outlined. 2. 2: Less Than Satisfactory 15 points An overview of the emerging technology is only partially discussed. 1. 1: Unsatisfactory 0 points An overview of the emerging technology is omitted. Ethical or Legal Issues 18.75 points Criteria Description Ethical or Legal Issues 5. 5: Excellent 18.75 points Ethical or legal issues that would accompany the incorporation of the technology are accurate and thoroughly described. 4. 4: Good 17.25 points Ethical or legal issues that would accompany the incorporation of the technology are described. 3. 3: Satisfactory 16.5 points Ethical or legal issues that would accompany the incorporation of the technology are summarized. 2. 2: Less Than Satisfactory 15 points Ethical or legal issues that would accompany the incorporation of the technology are only partially discussed. 1. 1: Unsatisfactory 0 points Ethical or legal issues that would accompany the incorporation of the technology are omitted. Role of Nurse Informatics Technology 18.75 points Criteria Description Role of Nurse Informatics Technology 5. 5: Excellent 18.75 points The informatics role of the nurse regarding the technology is clearly explained. Well supported examples of roles and job functions are presented. 4. 4: Good 17.25 points The informatics role of the nurse regarding the technology is explained. Examples of roles and job functions are presented. 3. 3: Satisfactory 16.5 points The informatics role of the nurse regarding the technology is outlined. Some general examples of the roles and job functions are presented. 2. 2: Less Than Satisfactory 15 points The informatics role of the nurse regarding the technology is only partially discussed. 1. 1: Unsatisfactory 0 points The informatics role of the nurse regarding the technology is not discussed. Outline Role of Workflow Analysis, Human Factors and User Centered Design Concepts 25 points Criteria Description Outline Role of Workflow Analysis, Human Factors and User Centered Design Concepts 5. 5: Excellent 25 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is clearly outlined. The narrative is well supported. 4. 4: Good 23 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is outlined. Some detail or information is needed for clarity or accuracy. 3. 3: Satisfactory 22 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is outlined. There are some omissions or inaccuracies. 2. 2: Less Than Satisfactory 20 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is only partially discussed. 1. 1: Unsatisfactory 0 points The role of workflow analysis, human factors, and user-centered design concepts for the chosen technology is omitted. Required Sources 3.75 points Criteria Description Required Sources 5. 5: Excellent 3.75 points Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content. 4. 4: Good 3.45 points Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. 3. 3: Satisfactory 3.3 points Number of required sources is met, but sources are outdated or inappropriate. 2. 2: Less Than Satisfactory 3 points Number of required sources is only partially met. 1. 1: Unsatisfactory 0 points Sources are not included. Appendix 2.5 points Criteria Description Appendix 5. 5: Excellent 2.5 points The APA Writing Checklist is complete and attached in the appendix. It is clearly evident by the quality of the paper that the APA Writing Checklist was used in development. 4. 4: Good 2.3 points The APA Writing Checklist is complete and attached in the appendix. It is apparent that the APA Writing Checklist was used in development of the paper. 3. 3: Satisfactory 2.2 points The APA Writing Checklist is complete and attached in the appendix. The APA Writing Checklist was generally used in development of the paper, but some aspects are inconsistent with the paper format or quality. 2. 2: Less Than Satisfactory 2 points The APA Writing Checklist is attached, but an appendix has not been created. The paper does not reflect the use of the use of the APA Writing Checklist during development. 1. 1: Unsatisfactory 0 points The appendix and APA Writing Checklist are omitted. Thesis Development and Purpose 8.75 points Criteria Description Thesis Development and Purpose 5. 5: Excellent 8.75 points Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 4. 4: Good 8.05 points Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. 3. 3: Satisfactory 7.7 points Thesis is apparent and appropriate to purpose. 2. 2: Less Than Satisfactory 7 points Thesis is insufficiently developed or vague. Purpose is not clear. 1. 1: Unsatisfactory 0 points Paper lacks any discernible overall purpose or organizing claim. Argument Logic and Construction 10 points Criteria Description Argument Logic and Construction 5. 5: Excellent 10 points Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 4. 4: Good 9.2 points Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. 3. 3: Satisfactory 8.8 points Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. 2. 2: Less Than Satisfactory 8 points Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. 1. 1: Unsatisfactory 0 points Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Mechanics of Writing (includes spelling, punctuation, grammar, language use) 6.25 points Criteria Description Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5. 5: Excellent 6.25 points Writer is clearly in command of standard, written, academic English. 4. 4: Good 5.75 points Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. 3. 3: Satisfactory 5.5 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. 2. 2: Less Than Satisfactory 5 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. 1. 1: Unsatisfactory 0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Paper Format (Use of appropriate style for the major and assignment) 6.25 points Criteria Description Paper Format (Use of appropriate style for the major and assignment) 5. 5: Excellent 6.25 points All format elements are correct. 4. 4: Good 5.75 points Template is fully used; There are virtually no errors in formatting style. 3. 3: Satisfactory 5.5 points Template is used, and formatting is correct, although some minor errors may be present. 2. 2: Less Than Satisfactory 5 points Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. 1. 1: Unsatisfactory 0 points Template is not used appropriately or documentation format is rarely followed correctly. Documentation of Sources 6.25 points Criteria Description Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5. 5: Excellent 6.25 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 4. 4: Good 5.75 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. 3. 3: Satisfactory 5.5 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. 2. 2: Less Than Satisfactory 5 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. 1. 1: Unsatisfactory 0 points Sources are not documented.NUR 514 Topic 7: Informatics In Practice
Objectives:- Analyze ethical, legal, and security measures related to EHRs and the protection of patient information.
- Evaluate the role and components of the electronic health record (EHR) and its value in patient care.
- Evaluate emerging consumer, mobile, and telehealth technologies that impact patient care and the storage of health information.
Resources
Collapse All ResourcesCollapse All Advanced Practice Nursing: Essential Knowledge for the Profession Read Chapter 15 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 17. View ResourceNursing Informatics and the Foundation of Knowledge Read Chapters 8, 14, 16, and 18 in Nursing Informatics and the Foundation of Knowledge. View Resource
Quality Measures Review “Quality Measures,” located on the Centers for Medicare and Medicaid Services (CMS) website (2020). https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html
Public Health and Promoting Interoperability Programs Explore the Public Health and Promoting Interoperability Programs section of the Centers for Disease Control a … Read More https://www.cdc.gov/ehrmeaningfuluse/introduction.html
ONC Cures Act Final Rule Explore the ONC Cures Act Final Rule page of the HealthIT.gov website. https://www.healthit.gov/curesrule/
HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data Read “HHS Finalizes Historic Rules to Provide Patients More Control of Their Health Data,” by the HHS Press Office (2020), locate … Read More https://www.hhs.gov/about/news/2020/03/09/hhs-finalizes-historic-rules-to-provide-patients-more-control-of-their-health-data.html
5 Critical Considerations for Patient Privacy in Telehealth Read “5 Critical Considerations for Patient Privacy in Telehealth,” by Nayyar (2020), located on the HIT Consultant website. https://hitconsultant.net/2020/07/30/5-critical-considerations-for-patient-privacy-in-telehealth/#.X7LuWmhKjIV
HIPAA Guidance Materials Explore the HIPAA Guidance Materials page of the Health Information Privacy section of the U.S. Department of Health and Human Services ( … Read More https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/index.html
HIPAA Guidelines on Telemedicine Read “HIPAA Guidelines on Telemedicine,” located on the HIPAA Journal website. https://www.hipaajournal.com
Topic 7 DQ 1
Sep 15-17, Discuss how emerging technologies (consumer, mobile and telehealth technologies) impact patient care and the storage of health information. What is one ethical or legal issue related to EHRs that can impact a registered nursing practice? According to HIPAA, protected health information (PHI), and the requirements for privacy and confidentiality, what is one measure you can implement in your practice to protect patient privacy and confidentiality?Topic 7 DQ 2
Sep 15-19, Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Consider the emerging role of the telehealth and the EHR in patient care delivery and compromise of patient data using telehealth applications and measures you can implement in your own practice to protect patient privacy and confidentiality.NUR 514 Topic 8: Interprofessionalism And Interrelationships In Informatics And Information Systems
Objectives:- Analyze the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement initiatives.
- Analyze quality standards and performance measures related to the use of informatics for continuous quality improvement in practice settings.
- Discuss project management strategies and methodologies for implementing health care informatics initiatives that improve quality within clinical practice.
Resources
Collapse All ResourcesCollapse All Nursing Informatics and the Foundation of Knowledge Read Chapters 16 and 20 in Nursing Informatics and the Foundation of Knowledge. View ResourceHealth IT Explore the HealthIT.gov website. https://www.healthit.gov/
Artificial Intelligence Research: The Utility and Design of a Relational Database System Read “Artificial Intelligence Research: The Utility and Design of a Relational Database System,” by Diling, from Advanc … Read More https://www.sciencedirect.com/science/article/pii/S2452109420301913
Application of Project Management Tools and Techniques to Support Nursing Intervention Research Read “Application of Project Management Tools and Techniques to Support Nursing Intervention Research,” by Rew, Cauvin, Cengiz, P … Read More https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0029655419304476
How Data Can Save Lives: Informatics for Health 2017 Read “How Data Can Save Lives: Informatics for Health 2017,” by Cookson, from BMC Series Blog (2017), located on the BioMed Centr … Read More
How data can save lives: Informatics for Health 2017
Electronic Health Record (EHR) System Testing Plan Read “Electronic Health Record (EHR) System Testing Plan,” located on the HealthIT.gov website. https://www.healthit.gov/resource/electronic-health-record-ehr-system-testing-plan
EHR Testing: Specifics and Best Practices Read “EHR Testing: Specifics and Best Practices,” by Mikhailau (2019), located on the Health IT Outcomes website. https://www.healthitoutcomes.com/doc/ehr-testing-specifics-and-best-practices-0001
Health IT Standards Read “Health IT Standards,” located on the HealthIT.gov website. https://www.healthit.gov/topic/standards-technology/health-it-standards
Perspectives of Healthcare Practitioners: An Exploration of Interprofessional Communication Using Electronic Medical Records Read “Perspectives of Healthcare Practitioners: An Exploration of Interprofessional Communication Using Electronic Medical Records,&# … Read More https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5896008/
Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams Read “Best Practices for Health Informatician Involvement in Interprofessional Health Care Teams,” by Holden, Binkheder, Patel, a … Read More https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5830162/
Impact of Information and Communication Technology on Nursing Care: Results of an Overview of Systematic Reviews Read “Impact of Information and Communication Technology on Nursing Care: Results of an Overview of Systematic Reviews,” by Roule … Read More https://www.jmir.org/2017/4/e122/
Top 10 Telehealth Benefits and Challenges Concerning Hospitals Read “Top 10 Telehealth Benefits and Challenges Concerning Hospitals,” from Delabano (2020), located on the Access website. https://www.accessefm.com/blog/top-10-telehealth-benefits-and-challenges-concerning-hospitals-0
Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study Read “Perspectives of Nurses Toward Telehealth Efficacy and Quality of Health Care: Pilot Study,” by Bashir and Bastola, from … Read More https://www.ncbi.nlm.nih.g
Topic 8 DQ 1
Sep 22-24, Open and clear communication is critical for the effective functioning of the interprofessional team and the delivery of safe patient care. Discuss the way communication technologies can enhance coordination of care by interprofessional teams. Be sure to discuss a specific communication technology in your response.Otilio Topic 8 DQ 1 Example
The importance of open and clear communication is imperative in any situation. This is especially important when applied within the medical field. Effective functioning of the interprofessional team is crucial for the safety and overall care of the patient. Understanding clear and concise goals, outcomes, and orders allows for interprofessional teams to be on the same page. This also allows for early intervention if a team member identifies any discrepancies of any potential miscommunications. Communication has increased through the use of EMRs, computers, phones, and other secure health care portals. “Technological innovations are expected to improve patient care via streamlined care, faster response to adverse events, identifying errors, and supporting decision making” (Bardach, H., Real & Bardach R., 2017). EMRs allow for recommendation from other specialties involved within a case to other multidisciplinary teams. This allows for a collaborative approach that all members can provide input. Unfortunately, there are some delays due to this. Miscommunication can occur and delays have also been identified. Not all EMRs are identical, which causes navigational issues from other teams. This can be resolved with continued advancements and team collaborations that can identify these mishaps. Reference Bardach, S. H., Real, K., & Bardach, D. R. (2017). Perspectives of healthcare practitioners: An exploration of interprofessional communication using electronic medical records. Journal of interprofessional care, 31(3), 300–306. https://doi.org/10.1080/13561820.2016.1269312 Replies to Otilio Great post! I think you bring up a fantastic point about there being multiple EHR’s and that it causes delays in care and communication. I find it fascinating that most institutions currently, seem to be using EPIC or Cerner, yet the communication between those two systems seems next to impossible. Obviously, the medical industry is a business and we live in a capitalist country that allows for multiple products to be used for the same thing, but as a provider, I wish we all used the same system. If we could communicate health care records more effectively, especially in emergent situations, I think we could better care for our patients and provide an easier transition of care. My background is all intensive care, and there have been times that we are waiting for a fax to come through with radiology reads or lab results from other institutions, which just seems so archaic in this day in age. There are some bridging programs, such as care everywhere, but they only seem to be accessible by doctors and seem to miss some information. It’s this balance between being able to effectively communicate between institutions and protecting our patient’s privacy. It just seems like this balancing act, which is very important, is getting more challenging as the years and technology advances. Thank you for such a thought-provoking post! Word Count 225Topic 8 DQ 2
Sep 22-26, Virtual care and telehealth technologies have the capability to greatly expand access to quality health care. Discuss some benefits and drawbacks of virtual care/telehealth, particularly related to the collaboration and coordination of care and the role of the advanced registered nurse.NUR 514 Topic 8 Benchmark – Electronic Health Record Implementation Paper
Assessment Description One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process. In a paper of 1,500-1,750 words, discuss the following:- Consider an opportunity for tracking care improvement. What key information would be needed in the database? Example: Time lapse from medication order documented in the EHR to delivery of medication to the patient for the cardiology service.
- Describe the role informatics plays in the ability to capture this data. What type of project management strategies and methodologies can be implemented to support informatics initiatives to help improve quality within the clinical practice?
- Discuss which systems and staff members would need to be involved in the design and implementation process. What is the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement initiatives within this setting?
- Outline strategies for implementing the new EHR proposal. Consider communication changes, transitioning to the new EHR, and managing resources (human, fiscal, and health care resources).
- Discuss what professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system.
- Describe the measures and steps you would take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective to measure effectiveness and ensure continuous quality improvement in practice?
- Explain what leadership skills and theories would be needed to facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?