course materials

1. Highly Competitive Business Environments Discussion
Highly Competitive Business Environments Discussion ON Highly Competitive Business
Environments Discussion#1 Yulier Rodriguez MedinaDiscussion Board Week #15Change is
crucial for organizations in growing, highly competitive business environments. Theories of
change describe the effectiveness with which organizations are able to modify their
strategies, processes, and structures. (Lin, 2017) The action research model, the positive
model, and Lewin’s change model indicate the stages of organizational change.The Lewin’s
model was used from an ethnographic study assumed for the investigation of the Lewin’s
model for change development, mediates implementation and leadership initiatives for
change in complex organizations. Highly Competitive Business Environments
DiscussionThe organizational change explains the movement of an organization from the
known (current state) state to the unknown (Desired future state) state. This is because the
future of this change is uncertain and may concern the people’s worth, coping abilities, and
competency, so the people of the organization do not change unless they are convinced
against the status. The transformational leadership style affects the organizational change
process. In this type of leadership style, the leader coordinate with employees, share their
knowledge, give opportunity in making decisions in organizational level.To achieve
transformative change, direction has to come from the top of the organization and all teams
must understand their role. “Healthcare CEOs and senior leaders must be aligned on the
strategic vision and the path needed to reach it, and they have to consistently and
transparently communicate both to the entire organization.”An assessment process
determines the organization’s performance level and the divide between baseline
performance and ideal performance. ( Pierce, 2015) The assessment effort should have
several components, including leadership surveys and stakeholder
interviews.Transformational plans require benchmarks and metrics to set goals, measure
performance, and guide strategy adjustments. An integrated dashboard should give the CEO
and other top leaders a comprehensive view of the organization’s performance. Highly
Competitive Business Environments DiscussionReferencesLin, 2017 C.P. To share or not to
share: Modeling knowledge sharing using exchange ideology as a moderatorPersonnel
Review, 36 (3) (2007), pp. 457Pierce, 2015 J.L. Pierce, D.G. Gardner,
R.B.DunhamManagement organizational change and developmentManagement and
organizational behavior: An integrated perspective, South-Western College Publishing,
Cincinnati, OH (2015), pp. 627-657#2 Discussion Board Week #15Yulier Rodriguez
MedinaRegardless of what an employee’s role is, at some point they will have to work with

2. other people at the company – whether that’s a colleague, customer or other stakeholder.
Team spirit is an attitude that enables people to work well together. It’s about camaraderie,
cooperation and collaboration between different members of the organization.Team spirit
is based on the culture of the company. Businesses where collaboration and teamwork are
encouraged will have high levels of team spirit as employees will be familiar with working
with one another.(Braaten, 2015) For businesses where job descriptions require employees
to work more individually, team spirit activities may need to be implemented to encourage
colleagues to interact with one another.Team spirit is integral to building a successful team.
People that exemplify good team spirit may be able to take on more leadership
responsibilities and management roles, as they are able to encourage others to work well
together.When people show teamwork spirit, it means they are more invested in the goals
of their organization.(Vifladt et al., 2016) Teams that function well together are more
productive and provide greater value to an organization than teams that are full of conflict.
When teams are working well together, the organization will be more efficient and
profitable.This course has brought to my career an incredible value. Not only the knowledge
about nursing decision-making in complex health systems but the skills, ways, and tools to
apply this knowledge.Decision-making processes used by Urgent Care nurses include
factors associated with unconscious awareness such as intuition and related processes.
Intuition, used by expert nurses, is described as possibly subject to decision-maker biases
leading to error due to the influence of experience based preconceptions. Time spent as a
nurse led to positive influences on nurse decision-making. For instance, experience
increased self-confidence. This confidence promotes nurses’ belief in their ability to ask
questions, consider options for patient care, implement interventions and trust their
competence in nursing practice. The increase in self-confidence is associated with
communication skills, ed decision-making, and facilitated determination of interventions
and management of emergencies.(Paul & Hice., 2016) Highly Competitive Business
Environments DiscussionThe influence of education on decision-making is unclear. More
research on the influence of education on clinical decision-making is needed. Experience is
an influential factor in decision-making. Possibly more experiential learning, such as
integration of simulation into education programs, would facilitate decision-making in acute
care.ReferencesBraaten JS. Hospital System Barriers to Rapid Response Team Activation: A
Cognitive Work Analysis. American Journal of Nursing. 2015;115(2):22–33. doi:
10.1097/01.NAJ.0000460673.82070.af.Paul S, Hice A. Role of the Acute Care Nurse in
Managing Patients With Heart Failure Using Evidence-Based Care. Critical Care Nursing
Quarterly. 2016;37(4):357–376. doi: 10.1097/CNQ.0000000000000036.Vifladt A, Simonsen
BO, Lydersen S, Farup PG. The association between patient safety culture and burnout and
sense of coherence: A cross-sectional study in restructured and not restructured intensive
care units. Intensive and Critical Care Nursing. 2016;36:26–34.Highly Competitive Business
Environments Discussion