NU 415 Leadership and Management for RN’s Week 6 Discussion Board
Microsystems and Quality Improvement Initiatives
The complexity of health care today requires an environment where unique relationships of individual; family (giving them what they need) and healthcare team come together to impact health status, daily function capacity and nurturing, caring relationships (Nelson, 2008 et al p 2). According to Huber 2008, the successful delivery of health care into the 21st century will require micro-systems as a conceptual model, essential building blocks for organizing care. Bigger systems (macrosystems) are made of smaller systems, these, smaller systems (microsystems) produce quality, safety, and cost outcomes at the front line of care (Huber 2008 slide 1-5 and Nelson, 2008 et al p 2).
Microsystems are embedded with clinical
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A healthcare clinical microsystem is defined as the combination of a small team of people who work together on a regular basis, or as needed staff to provide care, and the individuals who receive that care, who also can be recognized as a discrete subpopulation of patients (Huber 2007 et al). I was considered as needed staff to provide care. According to the Joint Commission’s Nelson 2008 et al, “Wherever, however, and whenever health care is delivered—no matter the setting or population of patients—the body of knowledge on clinical microsystems can guide and support innovation and peak performance” (Nelson 2008 et al). Microsystems are embedded with clinical microsystems; they are the small, functional frontline units that provide most health care to most people (Nelson 2008 et
Like the MEPN program, I’m committed to engaging, educating, and treating underserved communities alongside like-hearted healthcare professionals. My deep compassion, extensive work experiences, and honed leadership skills have uniquely equipped me to bring my own contributions to the richness of the MEPN program. It doesn’t stem solely from my upbringing but from my proactive determination to develop and transcend within my work and education. Additionally, I firmly believe that the art and science of quality and inclusive healthcare begin with understanding the challenges and needs of underserved populations.
Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).
Week One Discussion Two Response to O 'Neill The addition of nurse leaders in the executive suite is essential in facilitating the perception that nurses are critical decision makers in the health care industry. Furthermore, it is imperative that a formal succession plan is incorporated in organizations to assure strategic leadership, quality care, and operational effectiveness incorporate nursing at the uppermost level of decision and influence (Trepanier & Crenshaw, 2013). The Chief Nurse Executive role is evolving as a tactical authority in acquiring a major influence on our nation’s health care delivery systems and clinical outcomes (Bradley, 2014). As health care shifts and changes, nursing must be at the forefront to assure optimal influence
Delegation Paper Breanna Lake Department of Nursing, Davenport University NURS433: Nurse Manager and Leader Professor Debbie Bosworth February 17, 2023 Delegation Paper Introduction For my leadership experience, I spent seven weeks on a medical-surgical unit in Hastings, Michigan. I worked alongside my nurse preceptor on night shift, and as the clinical experience unfolded, I learned numerous new skills and gained knowledge that will be extremely beneficial moving forward in my nursing career. I evaluated the hospital’s mission statement, the leadership and communication styles among team members, and I evaluated how my skills and leadership style evolved over the course of the clinical rotation. General Information
Clinical Microsystem Throughout the daily health care facility, microsystem is continuously at play. At my time in the hospital I observed register nurses, CNAs, physical therapist, and dietician come together effectively to help assist the patients overall safety and health concerns of the patient needs. I spent the day shadowing a nurse and observed the element of the microsystem at work. During this time, I recorded my observations of the nurse throughout the day such as patient care, tasks, medications, charting, and other duties.
(2008). I would like to challenges Chief Nurse Executives (CNEs) to lead the journey and highlights how patients, their families, and health care organizations would benefit immeasurably if CNEs stepped forward and accepted this leadership role, then and only then can the best practice changes begin to improve what we as nurses already know. The processes of leading are intended to enable more people to develop into leaders and more people to share the roles of leading, to enhance the quality and safety of patient care (Stone P. Hughes R, Dailey M.
This essay is going to reflect on my own management and leadership style in delivering patient care. It will discuss the effectiveness of the other leadership and management style within the multi-disciplinary team and its impact on delivering patient care. I will use as an example, my previous experience back home as a nurse and compare it to my current experience in the United Kingdom (UK). This will show my strength and weakness as well as my new learning skills, which have changed my practice. I will be using Driscoll model of reflection (2007) to guide my thought and refine my ideas.
Nursing administration on a national level is best described by The National Center for HealthCare Leadership (NCHL). This is a non profit organization that exemplifies quality care and leadership in the 21 st century. The goal of this organization is to improve healthcare on a national level through efficient and effective management that is in accordance with it’s mission. In keeping with it ’s mission, NCHL embarked upon an ambitious initiative with the support of the Robert Wood Johnson Foundation, examining the role of the senior leadership team in promoting quality and safety in his/her organization (Disch, Dreher, Davidson, Sinioris, & Wainio, 2011).
Health care is a term that describes a broad range of services. Members of a health care team range from family members to neurosurgeons, but each member of a patient’s health care team plays a critical role in optimizing patient care. Therefore, it is important to recognize and appreciate all the players in the medical field and their contributions to health care. I was drawn to the medical field because of my love of science and endless curiosity. However, it was not until high school that I narrowed my science passion down to human science.
Organizational Systems and Quality Leadership A. In a study written by Liza Heslop and Sai Lu, the authors contended that nursing-sensitive indicators (NSIs) play a significant role in enhancing the nursing care performance of nurses (Heslop & Lu, 2014). To note, the NSIs also shows the structures, processes, and outcomes of nursing care that is why they greatly impact the way how nursing care is delivered (Magnet Today, 2013). For example, the Magnet Recognition is so focused on enhancing the quality of NSIs because “they want to achieve new levels of quality, efficiency and effectiveness” (Magnet Today, 2013). Consequently, the use of NSIs is also crucial with how nurses provide a high-quality patient care.
The Nursing profession currently consists of more than 3 million members. It is the nation’s largest segment of the health care labor force. The importance of their contribution to a medical system is concealed in the fact that they span many domains - from hospitals & health clinics to public health centers. Their varying educational attainments allow serving the miscellaneous needs of the communities ranging from direct patient care to scientific research. Many studies have shown that, coupled with the capable leadership, nurses can improve the efficiency of hospital care.
Challenges for Nurse Leaders Nurse managers create health work environments for caregivers and positive outcomes for patients. [1] A health work environment is a positive setting where caregivers feel engaged with their work and pursue growth opportunities. Positive patient outcomes result when staff
The need for population health management in our health care system is incredibly important. In order for our health care system to work there has been many different approaches in order to intertwine each system within the health care world. “Whether the goal is getting a handle on population health, taking on risk based contracts, or improving the patient care experience, hospital leaders and physicians are separately learning the same tough lesson- they can’t do it alone.” (Morrissey, 2015). With that said, clinical integration is the key changing our system.
Healthcare organizations’ goals includes provide quality, value priced, safe health care services and ultimately, improve health outcomes. In addition to this primary goal, healthcare organizations also seek financial stability, community value, ethics and employee engagement. In this context, leaders are asked to efficiently use the available resources to optimize the managerial approaches to direct their teams towards more productive environment and positive interactions with patients. Healthcare setting-unlike business setting-is a more complicated system that consists of different professional teams and departments that usually don’t share the same objectives or planning strategies due to the diversity in the services provided.
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or