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- 3. ATT00024.txt ATT00025.txt ATT00026.txt ATT00027.txt ATT00028.txt ATT00029.txt ATT00030.txt ATT00031.txt Sent from my iPad IMG_5191.PNG IMG_5192.PNG IMG_5193.PNG
- 5. IMG_5212.PNG IMG_5213.PNG IMG_5214.PNG IMG_5215.PNG IMG_5216.PNG IMG_5217.PNG IMG_5218.PNG IMG_5219.PNG IMG_5220.PNG IMG_5221.PNG Running head: SCHOLARLY PAPER PHASE 2 1 SCHOLARLY PAPER PHASE 2 4 Scholarly Paper Phase 2 Your Name (without credentials) Chamberlain College of Nursing NR351: Transitions in Professional Nursing [insert session month and year here]
- 6. NOTE: No abstract NOTE: This is a required template and guide and must be used for this assignment. Delete all yellow highlighted words. Scholarly Paper Phase 2 (paper title, begins on page 2) (No heading of Introduction) Introduce the assigned paper topic. Explain that this paper is a summary of the assigned article, followed by explanation of the impact of the article contents on your own future professional nursing practice. Assigned Article Summary This section should be a revised and enhanced version of what you wrote in your Scholarly Paper Phase 1 based on Phase 1 feedback from your instructor and feedback on the Week 4 TurnItIn report. Appropriate revisions made from Phase 1 will be crucial to improve your score. Type statements that summarize the assigned article here. This paper should include a summary of the most important ideas in the assigned article (revised from Phase 1). Most of these facts should be paraphrased (including proper citations). One or two short direct quotations (with appropriate citations) can be used in this section (appropriately revised). There should be no prior knowledge, experience, or opinion in this section. All facts must originate from and be cited to the assigned article. No information should be included from other sources. See rubric for length limitations and other criteria. Add paragraphs here as needed. Impact of Assigned Article Content on Future Practice This section should be a revised and enhanced version of what you wrote in your Scholarly Paper Phase 1 based on Phase 1 feedback from your instructor and feedback on the Week 4 TurnItIn report. Appropriate revisions made from Phase 1 will be crucial to improve your score.
- 7. Type statements here about the impact that the content of the assigned article will have on your future professional nursing practice. This portion of this paper should be your own ideas about how your own future practice will be impacted by content of the assigned article (revised based on instructor feedback on Phase 1). Since ideas are your own, use of first person is appropriate and no citations are needed in this section. See rubric for length limitations and other criteria. Add paragraphs here as needed. Conclusion A concise summary of the paper is to be written here. A concluding statement is also to be provided in this section. References (centered, not bold) Type your reference here using hanging indent and double line spacing (under “Paragraph” on the Home toolbar ribbon). See your APA Manual and the resources in the APA section of Course Resources under Modules for reference formatting. Le a d in g th e W ay How to develop a strategic mindset Follow these steps to think more strategically. By Rose 0. Sherman, EdD, RN, NEA-BC, FAAN, and Tanya M. Cohn, PhD, MEd, RN K a t e * is the manager o f a busy emergency department (ED) in a large health system. She recently applied fo r the health systems nursing director fo r emergency a nd
- 8. urgent care services position, but she w asn’t selected. In a follow-up discussion with her immediate supervisor, Kate learned that strong strategic thinking skills are ex- pected o f potential candidates a n d that senior organi- zational leadership d id n ’t perceive her as a strategic thinker. In addition to being disappointed that she w a sn ’t selected, Kate also was confused about what it m eant to be seen as strategic a n d how she could devel- op those skills. derstanding of healthcare challenges, trends, and busi- ness drivers. This may require a change in mindset from a myopic focus on what’s happening in her ED to a broader health system perspective on the impact of initiatives. In her interview, Kate may have been miss- ing key industry information on internal and external trends impacting emergency and urgent care services. Developing a strategic mindset is a learnable skill, but it takes practice. You need to be willing to challenge the status quo and question as- sumptions when you frame strategic choices. This re- quires a clear understanding of how to strategically think through situations, develop strategic awareness, and link strategic plans to frontline clinical work. Defining strategic thinking Strategic thinking is more than designing a plan of ac- tion. It’s a way of thinking about the risk, profit, and cost of decisions or solutions. Strategic decisions are made with an understanding of the organization’s current daily functions and environment along with consid- ering past, current, and future chal- lenges. For Kate to transition from
- 9. manager of a busy ED to health sys- tems nursing director for emergency and urgent care services, she needs to move beyond frontline operational de- cisions that usually involve providing care and staffing-based solutions. The expectation in the new position is that she can strategically evaluate the prof- it and cost for the large health system as it relates to community utilization of the ED and urgent care services. To effectively accomplish this, Kate needs to understand how the current system functions and how to optimize cost- effective care for the community. Another aspect of strategic thinking is looking at a problem through the three steps of reframing, reflecting, and Strategic thinking skills have become a critical differ- entiator among candidates for healthcare leadership ad- vancement. Kate’s confusion is understandable because the type of feedback she received often comes without concrete guidance about how to move forward. To be more strategic in her thinking, Kate needs a solid un- 14 American Nurse Today V o lu m e 14, N u m b e r 5 A m e ric a n N u r s e T o d a y .c o m systems thinking. When reframing and reflecting, you take a step back and look at different perspectives of a problem. For example, if during Kate’s interview she was asked about wait times in the ED, she might
- 10. have talked about what she’s done with her team to streamline triage, which can be effective at reducing wait times. However, she also could have reframed the problem by reviewing published evidence and clin- ical data from the ED. Then through systems thinking, the root of strategic thinking, she could identify the functionality of the health system as a whole and criti- cally think about long-term solutions, including how to balance ED costs with urgent care center profits through better use of urgent care and shared resources. Strategic thinking also can be applied during direct patient care. For nurses, this means going beyond com- pleting daily patient care tasks and reframing and re- flecting on that care to identify opportunities. These opportunities can be questioning sacred cows of prac- tice and viewing them through the lens of evidence- based practice. Using strategic thinking, direct patient care nurses can engage key stakeholders and make criti- cal practice changes. Developing strategic awareness Developing a strategic approach in your thinking re- quires a different way of looking at your environment. An issue for Kate and many other leaders is that they often take a “heads down” approach to their work, failing to “look up” and observe the trends that affect their health systems. Leaders must commit time to be more reflective and develop the necessary skills to be- come more strategic. They need to recognize the in- terdependence and interconnectivity of all parts of a system and that a significant trend in one area has a potential impact on others. As a strategic leader, you also need to avoid becoming too attached to a specif- ic direction or outcome because it may reduce your ability to quickly change direction when new informa-
- 11. tion is received. To recognize the types of trends that can impact your work, you need to become more strategically aware. This involves a willingness to look beyond your own organization and sometimes even beyond healthcare to assess for changes. This thinking process extends your awareness beyond the doors of your organization, be- yond the confines of your industry or service sector, and beyond your current, day-to-day reality. Take these steps to expand your strategic awareness: 1. Spend time with leaders who are strong strate- gic thinkers and ask them how they reach their assessments. 2. Notice changing conditions in your environment, such as demographic trends and consumer ex- pectations. 3. Ask tough questions and be curious in discussions with patients, families, staff, and other stakehold- ers. Invite opposing viewpoints to challenge your own thinking. 4. Evaluate workforce trends locally and nationally to assess the potential impact on your organiza- tion moving forward. 5. Track the economy and political legislation be- cause both can ultimately impact reimbursement and regulation. 6. Expand your reading to understand what’s hap
- 12. pening in related industries such as pharmaceu- ticals, medical suppliers, and insurers. 7. Monitor interesting trends in technologies and ask “What, if anything, does this mean to our health system?” 8. Be more reflective in analyzing changing trends in your environment over time. Ask yourself: “What’s not working here anymore, and what do we need to do about it?” 9. Be willing to challenge your own assumptions. Keep an open mind about new information and avoid jumping to quick assumptions about what it may mean. 10. Be prepared to make decisions more quickly and take more risks. Manage these risks well and don’t let opportunities pass you by. Neither awareness nor strategy alone is sufficient. But when awareness meets strategy, it has the potential to change the world. Linking organizational strategic plans to fro n tlin e w ork Strategic leaders understand the importance of creat- ing a culture of learning that actively involves frontline staff in the organization’s strategic direction. When or ganizational leaders develop strategic plans for risk management, cost reduction, and profitability, they must effectively communicate those plans to frontline staff. An integral component of strategic thinking is gaining the buy-in of stakeholders and all key partici- pants. The result is a clear link between forward think-
- 13. ing and direct patient care so that those providing the care are able to see what they contribute to the unit and the organization. In the position that Kate applied for, she might be expected to communicate strategic initiatives to ED staff across the health system. For instance, if a deci- sion is made to expand freestanding urgent care ser- vices through a geographic area, discussion should in- AmericanNurseToday.com May 2019 A m e ric a n N u rse T o d a y 15 elude the impact on current ED services. Kate could walk the staff through this discussion using a strategic planning tool such as a SWOT (strengths, weaknesses, opportunities, threats) analysis to provide evidence for the organizational decision and evaluate potential im- pact. The discussion will empower direct patient care providers to contribute to the decision-making by de- veloping strategic thinking skills, too. Kate would want to enlist staff to add their ideas and to evaluate the pro- cess after the new initiative is introduced. Strategic initiative success ultimately depends on pro- active communication, trust building, and frequent en- gagement. A good strategy can move organizations in new directions and open up new opportunities, but it w on’t happen without leaders who demonstrate a strong strategic mindset. P ra c tic e , p ra c tic e , p r a c tic e With the pace of change in healthcare and increased levels of competition, strategic thinking is no longer a
- 14. nice-to-have but rather a must-have. As Kate learned, honing strategic thinking is vital to both leadership de- velopment and advancement. The journey to building strategic thinking skills might be uncomfortable at first because your views will be challenged, and you w on’t have all the answers. Expertise in this area requires practice. It’s always possible to be surprised by unex- pected environmental changes, but strategic thinkers usually have considered possible shifts long before they impact the organization. ★ *Name is fictitious. Rose 0 . S h e rm a n is a d ju n c t p ro fe s s o r f o r t h e M a r ia n K. S h a u g h n e s s y N u rs e L e a d e r - sh ip A c a d e m y a t Case W e s te r n R e s e rv e in C le v e la n d , O h io . S h e is t h e a u t h o r o f The N u rs e L e a d e r Coach: B ec o m e t h e Boss N o O n e W a n ts to L eav e. R e a d h e r b lo g a t e m e r g in g r n le a d e r .c o m . T a n y a M . C ohn is a n a s s o c ia te p ro fe s s o r o f p ra c tic e a n d a c o n s u ltin g n u rs e s c ie n tis t a t S im m o n s U n iv e r s ity in B o s to n , M a s s a c h u s e tts . Selected references B.E. Smith Team. Top 12 healthcare trends for 2018. January 16, 2018. besmith.com/trends-and-insights/articles/healthcare- trends-2018- report Bowman NA. 4 ways to improve your strategic thinking skills. Har- vard Business Review. December 27, 2016. hbr.org/2016/12/4- ways-
- 15. to-improve-your-strategic-thinking-skills Gross R. The links between innovative behavior and strategic think- ing. Contemp M anage Res. 2017;13(4):239-54. Shirey MR. Cultivating strategic thinking skills. J Nurs Adm in. 2012; 42(6):311-4. Tajpour M, Hosseini E, Moghaddm A. The effect of managers strate- gic thinking on opportunity exploitation. Scholedge In t J Multidiscip Allied Stud. 2018;5(6):68-81. Adeluisa De Guzman, MSN '1 5 EARN YOUR NURSING DEGREE ONLINE > RN-BSN > R N -B SN /M SN > MSN > DN P > G radu ate Nursing Certificates > A ccelerated 2nd D e g ree BSN (Hybrid) DNP PROGRAM F U L L T I M E
- 16. 6 C R E D I T S P E R T E R M I N 1 8 M O N T H S P A R T T I M E 3 C R E D I T S P E R T E R M I N 3 6 M O N T H S tesu.edu/nursingdegree (609) 633-6460 W . Cary Edwards School o f Nursing Thomas Edison State U niversity [ K f c t ] The baccalaureate d e g re e program in nursing, master's d e g ree program in nursing, and d o c to r o f nursing practice prog ra m a t Thomas Edison State University are accredited /^lo iT re by th e Comm ission o n C o lle g ia te Nursing Education, 655 K Street, NW, Suite 750, W ashington, DC 20001, 202-887-6791.______ ___________ _ ___________________ 16 American Nurse Today V o lu m e 14, N u m b e r 5 A m e ric a n N u r s e T o d a y .c o m Copyright of American Nurse Today is the property of HealthCom Media and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for
- 19. ATT00024.txt ATT00025.txt ATT00026.txt ATT00027.txt Sent from my iPad IMG_5248.PNG IMG_5249.PNG IMG_5250.PNG IMG_5251.PNG IMG_5252.PNG IMG_5253.PNG IMG_5254.PNG IMG_5255.PNG IMG_5256.PNG
- 23. ATT00025.txt ATT00026.txt Sent from my iPad IMG_5222.PNG IMG_5223.PNG IMG_5224.PNG IMG_5225.PNG IMG_5226.PNG IMG_5227.PNG IMG_5228.PNG IMG_5229.PNG IMG_5230.PNG IMG_5231.PNG IMG_5232.PNG
- 26. ATT00015.txt ATT00016.txt ATT00017.txt ATT00018.txt ATT00019.txt ATT00020.txt ATT00021.txt Sent from my iPad IMG_5315.PNG IMG_5316.PNG IMG_5317.PNG IMG_5318.PNG
- 29. ATT00014.txt ATT00015.txt ATT00016.txt ATT00017.txt ATT00018.txt ATT00019.txt ATT00020.txt Sent from my iPad IMG_5295.PNG IMG_5296.PNG IMG_5297.PNG IMG_5298.PNG
- 32. ATT00014.txt ATT00015.txt ATT00016.txt ATT00017.txt ATT00018.txt ATT00019.txt Sent from my iPad IMG_5275.PNG IMG_5276.PNG IMG_5277.PNG IMG_5278.PNG IMG_5279.PNG IMG_5280.PNG
- 35. Sent from my iPad IMG_5177.PNG IMG_5178.PNG IMG_5179.PNG IMG_5180.PNG IMG_5181.PNG IMG_5182.PNG IMG_5183.PNG IMG_5184.PNG IMG_5185.PNG IMG_5186.PNG IMG_5187.PNG IMG_5188.PNG IMG_5189.PNG IMG_5190.PNG ATT00001.txt
- 37. Sent from my iPad IMG_5164.PNG IMG_5165.PNG IMG_5166.PNG IMG_5167.PNG IMG_5168.PNG IMG_5169.PNG IMG_5170.PNG IMG_5171.PNG IMG_5172.PNG IMG_5173.PNG IMG_5174.PNG IMG_5175.PNG IMG_5176.PNG ATT00001.txt
- 39. ATT00014.txt ATT00015.txt ATT00016.txt ATT00017.txt ATT00018.txt ATT00019.txt ATT00020.txt ATT00021.txt ATT00022.txt Sent from my iPad IMG_5346.PNG IMG_5347.PNG