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This document provides an overview of several assigned readings related to nursing leadership, management, organizational change, and systems theory. It discusses key concepts from chapters in a nursing textbook on strategic planning, planned change, and organizational structure. It also summarizes articles on systems-based practice in healthcare, developing shared purpose to deliver patient-centered care, and examining nursing services delivery through an open systems approach. The document instructs the reader to identify an issue in their organization, analyze it from a closed systems perspective, and suggest how viewing it through an open systems lens could help address the problem and improve outcomes.
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nursing2IOSnursing2IOSReadingsMarquis, B. L., & Huston, C. J. (2015). Leadership roles and
management functions in nursing: Theory and application (8th ed.). Philadelphia, PA:
Lippincott, Williams & Wilkins.Review Chapter 7, “ Strategic and Operational Planning” See
especially Figure 7.1 on page 147.Chapter 8, “ Planned Change” Organizational Change
Associated With Nonlinear Dynamics (pp. 172– 176)Read this section of Chapter 8 on
planned change. Consider the role of leaders in effectively managing planned
change.Chapter 12, “ Organizational Structure” “ Organizational Culture” (pp.
274– 276)There are many structures organizations take, and these structures influence how
the organization functions. This chapter discusses many different organizational structures
and provides insights into how these structures influence the change process, as well as
leadership and management.Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-
based practice: Improving the safety and quality of patient care by recognizing and
improving the systems in which we work. Retrieved from
http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdfThis
article addresses the importance of systems-based practice (SBP) in health care workplaces.
The authors state that SBP knowledge is one of six core competencies that physicians have
to know in order to provide safe and proper care for their patients.Manley, K., O’ Keefe, H.,
Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-
centred, safe and effective care: Organisational transformation using practice development
methodology. FoNS 2014 International Practice Development Journal 4 (1) [2].Except from
Abstract: A shared purpose is an essential part of developing effective workplace cultures
and one of the founding principles of practice development in establishing person-centred,
safe and effective practices that enables everyone to flourish. When units within health care
organizations recognize their interdependence, they can create an interdisciplinary practice
through systems integration.Meyer, R. M., & O’ Brien-Pallas, L. L. (2010). Nursing services
delivery theory: An open system approach. Journal of Advanced Nursing, 66(12),
2828– 2838.Retrieved from the Walden Library databases.In this article, the authors
examine the effects of nursing services delivery theory in large-scale organizations. Among
other benefits, this theory supports multilevel phenomena and cross-level studies, and it
can guide future research and the management of nursing
services.================================================================
================================================To prepare:Review the
information presented in this week’ s Learning Resources on systems theory and the](https://image.slidesharecdn.com/nursing2ios-230623112622-4b82b316/85/nursing2IOS-docx-1-320.jpg)
Recommended
Transitioning From Closed to Open Systems Week 4.docx
(1) The document discusses transitioning from a closed to an open systems perspective when addressing problems in healthcare organizations. (2) It provides an example of identifying an issue in one's organization and explaining it from a closed systems view that only considers internal factors. (3) An open systems view is then described which takes into account external influences and how collaboration could help address the problem and improve patient outcomes.
This isFinkelman, A. (2012). Leadership and management for nurse.docx
This is
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Applying Evidence-Based Practice Evidence for Effective Leadership and Management
Overview: This descriptive study examined the current state of hospital unit design characteristics recommended by the Agency for Healthcare Research and Quality (AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six metropolitan areas. The AHRQ recommends that the following unit design characteristics positively impact patient outcomes: single rooms, work areas for staff that are not a long distance from the bedside, frequent staff hand hygiene stations, certain types of unit configuration, percentage of private rooms, and presence or absence of carpeting. The purpose of this study is to provide a benchmark and to assess nursing environments. Data were collected by observation, measurement, and interviews. The researchers conclude that few of the hospital units met the AHRQ recommendations. Further research is required to expand understanding of these design elements, their interaction, and impact on outcomes.
Application: Health care organizations are much more than a description of the organization. They are also physical buildings. Several recommendations in the Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work Environment of Nurses (2004) pertain to design of work and workspace to prevent and mitigate errors. This study on unit design elements relates to the IOM work, which is referenced in the study. There are many factors and elements that impact the quality of care and design is one of them. Historically nurses typically have had limited input into design of units, but more hospitals are including nursing management and staff nurses in the decision making process when facilities are renovated or new buildings are built. For a long time nurses just had to work within the space they had even if the design did not consider nursing needs; however, more is known today on the impact of space and design on work processes and staff.
confronting many critical issues related to access of care and lack of insurance, and much of this has an impact on minority cultures (see Chapter 7).
Effective leadership Effective leadership is critical to the success of any organization. As organizations are analyzed, its leaders should be identified and assessed. What is the leadership style? Does the leadership provide what is needed to help the organization succeed (see Chapter 1)?
Assessment of future organizational challenges and opportunities Future needs should be considered in the assessment of an organization. Is the organization preparing for the future? Does it have a strategic plan? What is included in the plan? Is the plan reasonable? What is the process the organization uses to cope with future organization challenges and opportunities? Are the challenges and opportunities identified ...
Rules for my assignments1. Kindly follow APA format (American Psy.docx
The document provides instructions for an assignment on applying systems theory to address a problematic issue or process in a healthcare organization. Students are asked to:
1) Describe a problem in their organization.
2) Explain the problem from a closed-system perspective.
3) Describe how viewing the problem from an open-system perspective could help address it and improve healthcare outcomes.
4) Provide a conclusion.
The document also lists required readings on systems theory, organizational structures, and using systems-based practice to improve patient safety and care.
Nurses as Leaders and Managers for Staff, High Quality Patient Care.pptx
This document discusses nurses as leaders and managers for high quality patient care. It begins by outlining 9 learning objectives related to leadership theories, roles and responsibilities, management vs leadership, followership, finances influencing care quality and staffing, ethics, and the Future of Nursing campaign. It then discusses leadership being taught rather than innate, and calls for nursing education to incorporate leadership. Key initiatives like QSEN and the Future of Nursing campaign are also summarized. The roles of formal vs informal leadership and the distinctions between leadership and management are outlined.
Nurses as Leaders and Managers for Staff, High Quality Patient Care
This document discusses the importance of nursing leadership and management for high quality patient care. It defines key leadership concepts and theories that can help nurses lead at all levels of practice. The document outlines major initiatives like QSEN and the Future of Nursing that call for every nurse to function as a leader. It emphasizes that leadership can be taught and cultivated to directly and indirectly impact safety and quality.
Applying Evidence-Based Practice Evidence for Effective Leader.docx
Applying Evidence-Based Practice Evidence for Effective Leadership and
Management
Citation: Catrambone, C., Johnson, M., Mion, L., & Minnick, A. (2009). The design
of adult acute care units in U.S. hospitals. Journal of Nursing Scholarship, 41(1),
79–86.
Overview: This descriptive study examined the current state of hospital unit design
characteristics recommended by the Agency for Healthcare Research and Quality
(AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six
metropolitan areas. The AHRQ recommends that the following unit design
characteristics positively impact patient outcomes: single rooms, work areas for
staff that are not a long distance from the bedside, frequent staff hand hygiene
stations, certain types of unit configuration, percentage of private rooms, and
presence or absence of carpeting. The purpose of this study is to provide a
benchmark and to assess nursing environments. Data were collected by
observation, measurement, and interviews. The researchers conclude that few of
the hospital units met the AHRQ recommendations. Further research is required to
expand understanding of these design elements, their interaction, and impact on
outcomes.
Application: Health care organizations are much more than a description of the
organization. They are also physical buildings. Several recommendations in the
Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work
Environment of Nurses (2004) pertain to design of work and workspace to prevent
and mitigate errors. This study on unit design elements relates to the IOM work,
which is referenced in the study. There are many factors and elements that impact
PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be
reproduced or transmitted without publisher's prior permission. Violators will be prosecuted.
https://jigsaw.vitalsource.com/api/v0/books/9781323001004/pri...
1 of 28 9/17/16, 8:03 AM
the quality of care and design is one of them. Historically nurses typically have had
limited input into design of units, but more hospitals are including nursing
management and staff nurses in the decision making process when facilities are
renovated or new buildings are built. For a long time nurses just had to work within
the space they had even if the design did not consider nursing needs; however,
more is known today on the impact of space and design on work processes and
staff.
Questions
Based on your clinical experience, your clinical experience why is unit
structure important to the staff and to patient outcomes? Identify three
examples to support your opinion.
1.
Why do you think it would be important to have standards related to unit
structure and environment?
2.
If you were a patient, what type of unit would you want to be on? Describe
it, and explain why this is the type of unit you would prefer.
3.
confronting many critical issues related to access of care and lack of insurance,
.
SYSTEMS THEORYAs noted in the Learning Resources, systems theory p.docx
SYSTEMS THEORY
As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess
all
system components, as some may be relatively healthy while others are problematic.
For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (
Note:
You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)
To prepare:
·
Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
·
Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
·
Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
·
Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
·
Research professional standards that are pertinent to your identified problem.
·
Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)
To complete:
Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:
·
Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
·
Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
·
Based on this information, explain how you would address the problem as follows:
o
Formulate a desired outcome.
o
Identify goals and objectives that would facilitate that outcome.
o
Translate those goals and objectives into policies and procedures for the department or unit.
o
Describe relevant professional standards.
·
Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.
*This paper must include a title page, introduction, summary, and references.
* Follow APA 6
th
ed for the ci.
D I S C U S S I O N P A P E RNursing Services Delivery The.docx
D I S C U S S I O N P A P E R
Nursing Services Delivery Theory: an open system approach
Raquel M. Meyer & Linda L. O’Brien-Pallas
Accepted for publication 30 July 2010
Re-use of this article is permitted in
accordance with the Terms and Conditions
set out at http://wileyonlinelibrary.com/
onlineopen#OnlineOpen_Terms
Correspondence to R.M. Meyer:
e-mail: [email protected]
Raquel M. Meyer PhD RN
Nursing Early Career Researcher
Ontario Ministry of Health & Long-Term
Care, and
Assistant Professor (CLTA)
Lawrence Bloomberg Faculty of Nursing,
University of Toronto, Ontario, Canada
Linda L. O’Brien-Pallas PhD RN FCAHS
Professor & CHSRF/CIHR Chair in
Nursing Human Resources
Lawrence Bloomberg Faculty of Nursing,
University of Toronto, Ontario, Canada
M E Y E R R . M . & O ’ B R I E N - P A L L A S L . L . ( 2 0 1 0 )M E Y E R R . M . & O ’ B R I E N - P A L L A S L . L . ( 2 0 1 0 ) Nursing services delivery theory:
an open system approach. Journal of Advanced Nursing 66(12), 2828–2838.
doi: 10.1111/j.1365-2648.2010.05449.x
Abstract
Aim. This paper is a discussion of the derivation of the Nursing Services Delivery
Theory from the application of open system theory to large-scale organizations.
Background. The underlying mechanisms by which staffing indicators influence
outcomes remain under-theorized and unmeasured, resulting in a ‘black box’ that
masks the nature and organization of nursing work. Theory linking nursing work,
staffing, work environments, and outcomes in different settings is urgently needed to
inform management decisions about the allocation of nurse staffing resources in
organizations.
Data sources. A search of CINAHL and Business Source Premier for the years
1980–2008 was conducted using the following terms: theory, models, organization,
organizational structure, management, administration, nursing units, and nursing.
Seminal works were included.
Discussion. The healthcare organization is conceptualized as an open system
characterized by energy transformation, a dynamic steady state, negative entropy,
event cycles, negative feedback, differentiation, integration and coordination, and
equifinality. The Nursing Services Delivery Theory proposes that input, throughput,
and output factors interact dynamically to influence the global work demands
placed on nursing work groups at the point of care in production subsystems.
Implications for nursing. The Nursing Services Delivery Theory can be applied to
varied settings, cultures, and countries and supports the study of multi-level phe-
nomena and cross-level effects.
Conclusion. The Nursing Services Delivery Theory gives a relational structure for
reconciling disparate streams of research related to nursing work, staffing, and work
environments. The theory can guide future research and the management of nursing
services in large-scale healthcare organizations.
Key words: nursing management, Nursing Services Delivery Theory, open system
app.
Recommended
Transitioning From Closed to Open Systems Week 4.docx
(1) The document discusses transitioning from a closed to an open systems perspective when addressing problems in healthcare organizations. (2) It provides an example of identifying an issue in one's organization and explaining it from a closed systems view that only considers internal factors. (3) An open systems view is then described which takes into account external influences and how collaboration could help address the problem and improve patient outcomes.
This isFinkelman, A. (2012). Leadership and management for nurse.docx
This is
Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.).Boston, MA: Pearson.
Applying Evidence-Based Practice Evidence for Effective Leadership and Management
Overview: This descriptive study examined the current state of hospital unit design characteristics recommended by the Agency for Healthcare Research and Quality (AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six metropolitan areas. The AHRQ recommends that the following unit design characteristics positively impact patient outcomes: single rooms, work areas for staff that are not a long distance from the bedside, frequent staff hand hygiene stations, certain types of unit configuration, percentage of private rooms, and presence or absence of carpeting. The purpose of this study is to provide a benchmark and to assess nursing environments. Data were collected by observation, measurement, and interviews. The researchers conclude that few of the hospital units met the AHRQ recommendations. Further research is required to expand understanding of these design elements, their interaction, and impact on outcomes.
Application: Health care organizations are much more than a description of the organization. They are also physical buildings. Several recommendations in the Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work Environment of Nurses (2004) pertain to design of work and workspace to prevent and mitigate errors. This study on unit design elements relates to the IOM work, which is referenced in the study. There are many factors and elements that impact the quality of care and design is one of them. Historically nurses typically have had limited input into design of units, but more hospitals are including nursing management and staff nurses in the decision making process when facilities are renovated or new buildings are built. For a long time nurses just had to work within the space they had even if the design did not consider nursing needs; however, more is known today on the impact of space and design on work processes and staff.
confronting many critical issues related to access of care and lack of insurance, and much of this has an impact on minority cultures (see Chapter 7).
Effective leadership Effective leadership is critical to the success of any organization. As organizations are analyzed, its leaders should be identified and assessed. What is the leadership style? Does the leadership provide what is needed to help the organization succeed (see Chapter 1)?
Assessment of future organizational challenges and opportunities Future needs should be considered in the assessment of an organization. Is the organization preparing for the future? Does it have a strategic plan? What is included in the plan? Is the plan reasonable? What is the process the organization uses to cope with future organization challenges and opportunities? Are the challenges and opportunities identified ...
Rules for my assignments1. Kindly follow APA format (American Psy.docx
The document provides instructions for an assignment on applying systems theory to address a problematic issue or process in a healthcare organization. Students are asked to:
1) Describe a problem in their organization.
2) Explain the problem from a closed-system perspective.
3) Describe how viewing the problem from an open-system perspective could help address it and improve healthcare outcomes.
4) Provide a conclusion.
The document also lists required readings on systems theory, organizational structures, and using systems-based practice to improve patient safety and care.
Nurses as Leaders and Managers for Staff, High Quality Patient Care.pptx
This document discusses nurses as leaders and managers for high quality patient care. It begins by outlining 9 learning objectives related to leadership theories, roles and responsibilities, management vs leadership, followership, finances influencing care quality and staffing, ethics, and the Future of Nursing campaign. It then discusses leadership being taught rather than innate, and calls for nursing education to incorporate leadership. Key initiatives like QSEN and the Future of Nursing campaign are also summarized. The roles of formal vs informal leadership and the distinctions between leadership and management are outlined.
Nurses as Leaders and Managers for Staff, High Quality Patient Care
This document discusses the importance of nursing leadership and management for high quality patient care. It defines key leadership concepts and theories that can help nurses lead at all levels of practice. The document outlines major initiatives like QSEN and the Future of Nursing that call for every nurse to function as a leader. It emphasizes that leadership can be taught and cultivated to directly and indirectly impact safety and quality.
Applying Evidence-Based Practice Evidence for Effective Leader.docx
Applying Evidence-Based Practice Evidence for Effective Leadership and
Management
Citation: Catrambone, C., Johnson, M., Mion, L., & Minnick, A. (2009). The design
of adult acute care units in U.S. hospitals. Journal of Nursing Scholarship, 41(1),
79–86.
Overview: This descriptive study examined the current state of hospital unit design
characteristics recommended by the Agency for Healthcare Research and Quality
(AHRQ) in 81 adult medical-surgical units and 56 intensive care units in six
metropolitan areas. The AHRQ recommends that the following unit design
characteristics positively impact patient outcomes: single rooms, work areas for
staff that are not a long distance from the bedside, frequent staff hand hygiene
stations, certain types of unit configuration, percentage of private rooms, and
presence or absence of carpeting. The purpose of this study is to provide a
benchmark and to assess nursing environments. Data were collected by
observation, measurement, and interviews. The researchers conclude that few of
the hospital units met the AHRQ recommendations. Further research is required to
expand understanding of these design elements, their interaction, and impact on
outcomes.
Application: Health care organizations are much more than a description of the
organization. They are also physical buildings. Several recommendations in the
Institute of Medicine (IOM) report Keeping Patients Safe. Transforming the Work
Environment of Nurses (2004) pertain to design of work and workspace to prevent
and mitigate errors. This study on unit design elements relates to the IOM work,
which is referenced in the study. There are many factors and elements that impact
PRINTED BY: [email protected] Printing is for personal, private use only. No part of this book may be
reproduced or transmitted without publisher's prior permission. Violators will be prosecuted.
https://jigsaw.vitalsource.com/api/v0/books/9781323001004/pri...
1 of 28 9/17/16, 8:03 AM
the quality of care and design is one of them. Historically nurses typically have had
limited input into design of units, but more hospitals are including nursing
management and staff nurses in the decision making process when facilities are
renovated or new buildings are built. For a long time nurses just had to work within
the space they had even if the design did not consider nursing needs; however,
more is known today on the impact of space and design on work processes and
staff.
Questions
Based on your clinical experience, your clinical experience why is unit
structure important to the staff and to patient outcomes? Identify three
examples to support your opinion.
1.
Why do you think it would be important to have standards related to unit
structure and environment?
2.
If you were a patient, what type of unit would you want to be on? Describe
it, and explain why this is the type of unit you would prefer.
3.
confronting many critical issues related to access of care and lack of insurance,
.
SYSTEMS THEORYAs noted in the Learning Resources, systems theory p.docx
SYSTEMS THEORY
As noted in the Learning Resources, systems theory provides a meaningful and beneficial means of examining challenges in health care organizations. To do this effectively, however, it is essential to assess
all
system components, as some may be relatively healthy while others are problematic.
For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (
Note:
You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)
To prepare:
·
Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
·
Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
·
Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
·
Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
·
Research professional standards that are pertinent to your identified problem.
·
Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)
To complete:
Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:
·
Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
·
Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
·
Based on this information, explain how you would address the problem as follows:
o
Formulate a desired outcome.
o
Identify goals and objectives that would facilitate that outcome.
o
Translate those goals and objectives into policies and procedures for the department or unit.
o
Describe relevant professional standards.
·
Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.
*This paper must include a title page, introduction, summary, and references.
* Follow APA 6
th
ed for the ci.
D I S C U S S I O N P A P E RNursing Services Delivery The.docx
D I S C U S S I O N P A P E R
Nursing Services Delivery Theory: an open system approach
Raquel M. Meyer & Linda L. O’Brien-Pallas
Accepted for publication 30 July 2010
Re-use of this article is permitted in
accordance with the Terms and Conditions
set out at http://wileyonlinelibrary.com/
onlineopen#OnlineOpen_Terms
Correspondence to R.M. Meyer:
e-mail: [email protected]
Raquel M. Meyer PhD RN
Nursing Early Career Researcher
Ontario Ministry of Health & Long-Term
Care, and
Assistant Professor (CLTA)
Lawrence Bloomberg Faculty of Nursing,
University of Toronto, Ontario, Canada
Linda L. O’Brien-Pallas PhD RN FCAHS
Professor & CHSRF/CIHR Chair in
Nursing Human Resources
Lawrence Bloomberg Faculty of Nursing,
University of Toronto, Ontario, Canada
M E Y E R R . M . & O ’ B R I E N - P A L L A S L . L . ( 2 0 1 0 )M E Y E R R . M . & O ’ B R I E N - P A L L A S L . L . ( 2 0 1 0 ) Nursing services delivery theory:
an open system approach. Journal of Advanced Nursing 66(12), 2828–2838.
doi: 10.1111/j.1365-2648.2010.05449.x
Abstract
Aim. This paper is a discussion of the derivation of the Nursing Services Delivery
Theory from the application of open system theory to large-scale organizations.
Background. The underlying mechanisms by which staffing indicators influence
outcomes remain under-theorized and unmeasured, resulting in a ‘black box’ that
masks the nature and organization of nursing work. Theory linking nursing work,
staffing, work environments, and outcomes in different settings is urgently needed to
inform management decisions about the allocation of nurse staffing resources in
organizations.
Data sources. A search of CINAHL and Business Source Premier for the years
1980–2008 was conducted using the following terms: theory, models, organization,
organizational structure, management, administration, nursing units, and nursing.
Seminal works were included.
Discussion. The healthcare organization is conceptualized as an open system
characterized by energy transformation, a dynamic steady state, negative entropy,
event cycles, negative feedback, differentiation, integration and coordination, and
equifinality. The Nursing Services Delivery Theory proposes that input, throughput,
and output factors interact dynamically to influence the global work demands
placed on nursing work groups at the point of care in production subsystems.
Implications for nursing. The Nursing Services Delivery Theory can be applied to
varied settings, cultures, and countries and supports the study of multi-level phe-
nomena and cross-level effects.
Conclusion. The Nursing Services Delivery Theory gives a relational structure for
reconciling disparate streams of research related to nursing work, staffing, and work
environments. The theory can guide future research and the management of nursing
services in large-scale healthcare organizations.
Key words: nursing management, Nursing Services Delivery Theory, open system
app.
Horizontal and vertical organizations nursing leadership essay example.docx
Horizontal and vertical organizations refer to different approaches in structuring nursing leadership. Horizontal organizations flatten hierarchies and encourage collaboration across levels, while vertical organizations follow a top-down structure with clear roles and leadership concentrated at the top. Traditionally, healthcare has utilized horizontal structures more, but structures are becoming more flexible. Regardless of the specific structure, the goal is to align personnel, roles, operations, and leadership to address issues like workforce engagement and adapt to changing environments. Both horizontal and vertical structures can facilitate effective nursing leadership and organizational functioning.
Organizational Structures and LeadershipIn most health care settin.docx
Organizational Structures and Leadership
In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.
In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.
To prepare:
Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.
Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat?
Note:
It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization?
What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.
Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.
To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.
Post on or before Day 3
a
(1)
depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination.
(2
) Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making.
(3)
Explain the influence of formal and informal leadership on decision making within this department or unit
REQUIRED RESOURCES
Readings
Marquis, B. L., & Huston, C. J. (2015).
Leadership roles and management functions in nursing: Theory and application
(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 2, “Classical Views of Leadership and Management”
The information introduced through this chapter relates to this week’s Discussion, and will also be referred to in future weeks of the course.
Chapter 3, “Twenty-First Century Thinking About Leadership and Management”
This chapter examines new thinking about leadership and m.
Characteristics of an Organization.docx
The document discusses characteristics of organizations that influence experiences of patients, nurses and others. It notes that organizations differ in their focus, commitments to patient care, teaching or research, as well as their mission, vision and values. As a nurse leader, it is important to understand these aspects of different organizations and how they relate to strategic planning and sustainability. The document provides resources on strategic planning tools like SWOT analysis and balanced scorecard that can be used to establish goals consistent with an organization's mission.
Section #2To be completed by Learner2.1 ProjectWrite app.docx
The document summarizes an action research project that aims to explore leadership effectiveness issues created by healthcare reform. The project will qualitatively analyze case studies of leadership at Michael E. DeBakey VA Medical Center to assess the current leadership model and provide a new model incorporating shared leadership. If successful, the new model could enhance patient and employee outcomes at the medical center and beyond by improving workforce engagement in a dynamic healthcare environment.
Discussion The Systems Development Life Cycle and the Nurse Infor.docx
Discussion: The Systems Development Life Cycle and the Nurse Informaticist
The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective.
While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC.
To prepare:
Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.
Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes?
Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.
If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist.
Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC.
Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:
1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.
2)
Assess the role of the nurse informaticist in your organization. If.
nurs4eIOS.docx
This document provides instructions for an assignment to develop a change management plan for a specific issue within a healthcare organization or unit. Students are asked to identify an issue, propose a realistic change to address it, explain how the change aligns with organizational and professional standards, select a change model to guide planning, outline implementation steps aligned with the model, and describe who would lead the change and the skills required. References are provided on change management theories and the use of Kurt Lewin's model for planned change.
I need 120 words for each question. Please ensure to post individual.docx
I need 120 words for each question. Please ensure to post individual reference with each question
Unit 1
Q 1;
Identify two organizational structures used in health care. What are the central characteristics of each? To what extent is bureaucracy necessary in health care organizations? Explain.
Q 2;
How does a doctorally prepared nurse work across and between levels of an organization? What are the challenges and/or rewards to be gained? Does one outweigh the other?
Resources
Delmatoff, J., & Lazarus, I. R. (2014). The most effective leadership style for the new landscape of healthcare.
Journal of Healthcare Management, 59
(4), 245-249. URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=97206195&site=ehost-live&scope=site
Arbab Kash, B., Spaulding, A., Johnson, C. E., & Gamm, L. (2014). Success factors for strategic change initiatives: A qualitative study of healthcare administrators' perspectives.
Journal of Healthcare Management, 59
(1), 65-81. URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=94059299&site=ehost-live&scope=site
Kritsonis, A. (2004/2005). Comparison of change theories.
International Journal of Scholarly Academic Intellectual Diversity, 8
(1) 1-7. URL:
http://qiroadmap.org/?wpfb_dl=12
Suter, E., Goldman, J., Martimianakis, T., Chatalalsingh, C., Dematteo, D. J., & Reeves, S. (2013). The use of systems and organizational theories in the interprofessional field: Findings from a scoping review.
Journal of Interprofessional Care, 27
(1), 57-64. doi:10.3109/13561820.2012.739670 URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=84423842&site=ehost-live&scope=site
Narayana, E. A. (1992). Bureaucratization of non-governmental organizations: An analysis of employees' perceptions and attitudes.
Public Administration and Development, 12
(2), 123-137. URL:
https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/194674953?accountid=7374
Klemsdal, L. (2013). From bureaucracy to learning organization: Critical minimum specification design as space for sensemaking.
Systemic Practice & Action Research
,
26
(1), 39-52. doi:10.1007/s11213-012-9267-3 URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=84739308&site=ehost-live&scope=site
Unit 2
Q 1:
What are three payment structures used in the health care industry across the care continuum? How are they similar? How are they different? Is there a single problem that transverses all three of the identified payment structures? Explain.
Q 2:
Identify a significant problem with one of the three payment structures used in the health care industry across the care continuum (from DQ 1) and propose a solution from one of the other two payment structures.
Resources
.
Nursing and Area of Specialty Discussion HW.pdf
1. The document discusses a concern common in the nursing specialty of education - the waste of medical equipment and supplies in the department of surgery.
2. At the microsystem level, the author plans to address this by educating staff on proper procedures for equipment use and reuse of training kits.
3. This is expected to impact the mesosystem by reducing costs for the department of surgery.
4. At the macrosystem level, the chief financial officer would see lower healthcare costs from improved efficiency.
Running head DUPLANTIERMDHA7008-2 1DUPLA.docx
This document provides instructions for a signature assignment in a doctoral research methods course. Students are asked to submit a 2-3 page project premise outlining their proposed applied doctoral project topic, including the problem statement, research questions, methodology, and references. They must also submit an updated annotated bibliography of 7-10 references, of which only 3 can be from a previous assignment. The premise and annotated bibliography should be submitted together in the course Dropbox and a copy of the premise should be emailed to the Assistant Dean to ensure appointment of a project committee chair and subject matter expert.
A Nurse’s Role in the Systems Development Life CycleWhile the proc.docx
A Nurse’s Role in the Systems Development Life Cycle
While the process of developing and implementing a health information technology system may seem overwhelming at first, the systems development life cycle (SDLC) provides organizations with a framework to deliver efficient and effective information systems. Though the SDLC is a common overarching structure for implementing information systems, it is not a one-size-fits-all process. In fact, there are a multitude of approaches that can be used to guide the systems development life cycle. The SDLC approach that is most appropriate for a particular organization will be highly contextual and subject to organization-specific differences.
This week prompts you to analyze the process of selecting an appropriate health information technology and then evaluate techniques that positively impact the steps of the systems development life cycle in an EHR implementation. You also determine what barriers might occur at each stage and how these could be overcome.
Learning Objectives
Students will:
Analyze how a nurse can contribute to each stage of the systems development life cycle
Photo Credit: Jose Luis Pelaez Inc]/[Brand X Pictures]/Getty ImagesCredit
Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
McGonigle, D., & Mastrian, K. G. (2015).
Nursing informatics and the foundation of knowledge
(3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making”
This chapter explains the systems development life cycle and explores various methods of applying it. The chapter also examines the importance of interoperability in implementing HITECH.
Chapter 11, “Administrative Information Systems”
This chapter provides an overview of agency-based health information systems. The text also details how administrators can use core business systems in their practice.
Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change.
Consulting Psychology Journal: Practice and Research, 63
(2), 138–148.
Retrieved from the Walden Library databases.
The authors of this article present a case study on an EHR implementation in a multispecialty physician group. The case study attempts to determine actions that promote successful EHR implementation and the pros and cons of implementation.
Hsiao, J., Chang, H., & Chen, R. (2011).A study of factors affecting acceptance of hospital information systems: A nursing perspective.
Journal of Nursing Research, 19
(2), 150–160.
Retrieved from the Walden Library databases.
The focus of this article is to determine what factors are most important in predicting the acceptance of new health information technology. The results of the study indicated .
Successful Implementation of Electronic Health Information Technology.docx
Nurses should be involved in all stages of the systems development life cycle (SDLC) when an organization implements a new health information technology (HIT) system. Their input can help ensure the system meets clinical needs and that issues are identified and addressed early. Specifically, nurses can provide valuable front-line perspectives in the planning, analysis, design, implementation and evaluation phases. By not involving nurses, an organization risks selecting a system that does not support safe patient care or that clinicians refuse to use.
httpnvs.sagepub.comNonprofit and Voluntary Sector Quarte.docx
http://nvs.sagepub.com/
Nonprofit and Voluntary Sector Quarterly
http://nvs.sagepub.com/content/32/4/521
The online version of this article can be found at:
DOI: 10.1177/0899764003257463
2003 32: 521Nonprofit and Voluntary Sector Quarterly
Judith L. Miller-Millesen
Understanding the Behavior of Nonprofit Boards of Directors: A Theory-Based Approach
Published by:
http://www.sagepublications.com
On behalf of:
Association for Research on Nonprofit Organizations and Voluntary Action
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What is This?
- Dec 1, 2003Version of Record >>
by guest on September 7, 2014nvs.sagepub.comDownloaded from by guest on September 7, 2014nvs.sagepub.comDownloaded from
10.1177/0899764003257463 ARTICLEUnderstanding Nonprofit Boards of DirectorsMiller-Millesen
Understanding the Behavior of Nonprofit
Boards of Directors: A Theory-Based Approach
Judith L. Miller-Millesen
Ohio University
The literature on nonprofit boards of directors is rich with prescriptive advice about the
kinds of activities that should occupy the board’s time and attention. Using organiza-
tional theory that has dominated the empirical investigation of private sector board
behavior (agency, resource dependence, and institutional), this article contributes to the
literature on nonprofit board governance in three important ways. First, it provides a
link between theory and practice by identifying the theoretical assumptions that have
served as the foundation for the “best practice” literature. Second, the article presents a
theory-based framework of board behavior that identifies the environmental conditions
and board/organizational considerations that are likely to affect board behavior. And
finally, it offers a set of hypotheses that can be used in future empirical investigations that
seeks to understand the conditions under which a nonprofit board might assume certain
roles and responsibilities over others.
Keywords: nonprofit governance, boards of directors, organization theory
In a recent comprehensive review of the literature on nonprofit governance,
Ostrower & Stone (2001, p. 1) argued that there are “major gaps in our theoreti-
cal and empirical knowledge” regarding nonprofit boards of directors. The
authors acknowledged a small but growing body of research suggesting an
increase in scholarly attention to and interest in “understanding rather than
describing” board governance. However, they concluded that future research
must address the contextual and contingent elements of governance and
make explicit the implications of these considerations. I address this gap in the
literatu.
Ethical Dilemmas.docx
Ethical Dilemmas
This paper discusses several ethical dilemmas faced in healthcare. It examines how dilemmas could be resolved using principles of autonomy, justice, beneficence, and non-maleficence. Special challenges in caring for aging populations are explored, including issues around resource allocation. Applicable ethics laws and lobbying rules are also addressed. The summary ties these sections together by discussing the complex ethical considerations nurses face and the need for evidence-based approaches to guide decision making around patient care.
Change ManagementAs health care organizations adopt more and m.docx
Change Management
As health care organizations adopt more and more informatics solutions, they inevitably experience significant changes. Such changes are often met with hesitation, resistance, and even outright refusal. Nurse informaticists should be aware of these barriers and be prepared to employ change-management strategies to ensure stakeholder buy-in and end-user adoption.
In this Discussion, you explore the concept of change management and how it is relevant to the role of the nurse informaticist. You consider what steps can be taken during implementation of a project to contribute to more successful end-user adoption. In addition, you explore the competencies and skills a nurse informaticist should have when serving as a change agent within an organization.
To prepare
Review this week’s Learning Resources, including pages 481–483 (
See attached file
) in the Dennis course text, on change management. How is change management relevant to the role of the nurse informaticist?
Consider steps a nurse informaticist can take to promote more successful end-user adoption.
What change-management strategies are most useful for a nurse informaticist to be aware of when implementing a change within an organization? How can those strategies help to mitigate negative attitudes toward change?
Reflect on the competencies and skills required for nurse informaticists to be effective change agents. How can you best prepare yourself to manage change and address resistance?
With these thoughts in mind:
Post by tomorrow 10/25/16 a 550 words essay in APA format and 3 references that include the level one headings as numbered below:
1)
An analysis of how change management is relevant to the role of the nurse informaticist.
2) Explain at least two change-management strategies that can be used to promote end-user adoption, and justify their effectiveness in mitigating resistance.
3) Identify at least two skills or competencies necessary for nurse informaticists in serving as change agents, and describe how you plan to cultivate those skills or competencies.
Required Readings
Dennis, A., Wixom, B. H., & Roth, R. M. (2015).
Systems analysis and design
(6th ed.). Hoboken, NJ: Wiley.
Review Chapter 13, “Transition to the New System” (pp. 400–424)
Kulhanek, B. J. (2011). Creating effective electronic medical record change management processes.
Computers, Informatics, Nursing, 29
(8), 431–435.
Retrieved from the Walden Library databases.
Efficient implementation and use of electronic medical/health records requires organizationwide restructuring. This article addresses how management procedures, organizational initiatives, and communication needs require adjustment in order to suit the changing health care environment.
Lee, V., Ridzi, F., Lo, A. W., & Coskun, E. (2011). A healthcare case study of team learner style and change management.
Journal of Organizational Change Management, 24
(6), 830–852.
Retrieved from the Walden Library databases.
.
Discussion Introduction to Project ManagementConsider the fol.docx
This document provides an introduction to applying project management methodology in healthcare settings. It lists skills important for both nursing and project management such as analytical thinking, organization, communication, and time management. The document discusses how these overlapping skills indicate that project management principles can benefit healthcare. It prompts readers to consider how to communicate the value of project management to nurses and motivate them to use related methods. Finally, it provides several required readings on applying project management in healthcare contexts.
A STUDY ON THE IMPACT OF ORGANIZATIONAL CULTURE ON THE EFFECTIVENESS OF PERFO...
The main objective of this study is to analyze the impact of aspects of Organizational Culture on the Effectiveness of the Performance Management System (PMS) in the Health Care Organization at Thanjavur. Organizational Culture and PMS play a crucial role in present-day organizations in achieving their objectives. PMS needs employees’ cooperation to achieve its intended objectives. Employees' cooperation depends upon the organization’s culture. The present study uses exploratory research to examine the relationship between the Organization's culture and the Effectiveness of the Performance Management System. The study uses a Structured Questionnaire to collect the primary data. For this study, Thirty-six non-clinical employees were selected from twelve randomly selected Health Care organizations at Thanjavur. Thirty-two fully completed questionnaires were received.
Running head ANNOTATED BIBLIOGRAPHY 1 Annotated Bibliogra.docx
Running head: ANNOTATED BIBLIOGRAPHY 1
Annotated Bibliography
u04a1
Student Name
BSN 4008 Organizational and Systems Management for Quality Outcomes
Capella University
Dr. Pape
Due date
LITERATURE REVIEW ANNOTATED BIBLIOGRAPHY 2
Annotated Bibliography
We have seen that in a health-care organization there are multiple responsibilities
including assessments of priorities in areas that require attention in an organization. The
following annotated bibliography compiles a summary of the references that will be used
to prepare a final paper that will identify nursing leadership priorities at Fantastic
Medical Center (FMC) and proposed resources for addressing the priorities.
Previously identified nursing leadership priorities at FMC that will be the focus of
the literature review are (a) nursing staff turnover, (b) nursing staff competency, and (c)
medication errors of omission. Accordingly, the literature and available resources were
searched utilizing terms that included the above listed priorities and terms to reflect any
proposed resources for addressing the priorities in order to support strategies with
evidence-based references.
Additional references will include readings from the course that involve systems
leadership, organizational structure, and use of a systems-based approach for analysis of
organizational issues. These may include Lewin’s change theory, or the diffusion of
innovation theory. The synthesis of these references will help me build the foundation of
to address strategies that can be used within FMC, both as an analysis for the project.
American Nurses Association. (2010). Nursing: Scope and standards of practice. (2nd
ed.). Silver Spring, MD: Nursesbooks.org.
LITERATURE REVIEW ANNOTATED BIBLIOGRAPHY 3
The American Nurses Association (ANA) provides standards and scope of
practice for professional nurses (p. 1) including the importance of ongoing
nursing education and the important role employers have in providing educational
opportunities for nurses (p. 28). The book further establishes important nursing
profession standards in regards to quality of patient care and nursing leadership
(p. 55) thus creating an important foundation upon which priorities and strategies
can be established.
American Nurses Credentialing Center. (2013a). Magnet designation for initial
applicants. Retrieved from http://www.nursecredentialing.org/magnet-initial-
designation.aspx
The American Nurses Credentialing Center (ANCC) is a component of the ANA
whose purpose is to provide certification and accreditation of individual nurses
and health care organizations who have met certain criteria that include
excellence in quality patient care and excellence in work environment (American
Nurses Credentialing Center [ANCC], 2013b). One such designation that signifies
excellence in care and practice is Magnet designation which among many
requirem ...
I need between 100-120 words for each assignment, and I want ind.docx
I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work
Module 1
DQ 1
Outcome measures are significant in showing the worth of the Doctor of Nursing Practice's role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.
DQ 2
In this week's readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project's intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.
Resources
Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes.
American Journal of Critical Care
,
26
(4), 272–277. doi:10.4037/ajcc2017812
Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.
BMC Health Services Research
,
17,
1-9. doi:10.1186/s12913-017-2078-6
Module 2
DQ 1
Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.
DQ 2
Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.
Resources
Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations.
International Journal of Lean Six Sigma
,
9
(3), 351-373. doi:10.1108/IJLSS-05-2017-0049
Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive?
HERD: Health Environments Research & Design Journal
,
9
(1), 10-33. doi:10.1177/1937586715593552
Allen, B. (2016). Effective design, implementation and management of change in healthcare.
Nursing Standard
,
31
(3), 58. doi:10.7748/ns.2016.e10375
Module 3
DQ 1
New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions.
These are nursing assignments.docx
These nursing assignments discuss standardized coding systems and nursing informatics competencies. Regarding coding systems, standardized terminologies are important for consistent, high-quality care across different healthcare settings and professionals. Regarding competencies, the assignments identify relevant functional areas of nursing informatics for an individual's role and gaps in their skills, then develop a plan for improving skills through available resources.
Discussions1.Electronic Health RecordsElectronic healt.docx
Discussions
1.
Electronic Health Records
Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.
In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.
To prepare
Review the implementation of EHRs in an organization. Reflect on the various approaches used.
If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?
Reflect on the reactions of others during the implementation process. Were concerns handled effectively?
If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.
Search and indicate examples of effective and poor implementation of EHRs.
RESOURCES
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 15, “The Electronic Health Record and Clinical Informatics”
This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.
Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.
The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.
Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.
This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.
Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.
This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provide.
Range of.docx
The document provides instructions for writing a 250-300 word paragraph analyzing a specific point from Okakura Kakuzō's essay "The Range of Ideals" to explain why his thesis that "Asia is one" is problematic. The paragraph should directly engage with one point Okakura makes, provide specific details on its logical or factual mistakes, acknowledge the diversity of Asian nations and cultures, and cite the specific page(s) being referred to.
Ralph Waldo Emerson.docx
Ralph Waldo Emerson was an American essayist and philosopher born in 1803 who is considered the father of American literature. He developed the philosophy of transcendentalism and emphasized nonconformity, self-reliance, and finding inspiration from nature. Emerson had a profound influence on writers like Thoreau, Whitman, Hawthorne, Poe, and Dickinson and developed a complicated relationship with Thoreau as his former student and friend.
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Organizational Structures and LeadershipIn most health care settin.docx
Organizational Structures and Leadership
In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.
In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.
To prepare:
Review the information presented in Chapter 12 of the course text. Focus on the information about formal versus informal structure as well as the types of organizational structures.
Consider the overall structure or hierarchy of your organization or one with which you are familiar. Which organizational structure best describes your organization—line (or bureaucratic), ad hoc, matrix, service line, or flat?
Note:
It is possible to have a combination of structures in one organization. Is decision making centralized or decentralized in this organization?
What is the role of committees, task forces, and councils in the organization, and who is invited to join? Consider how this relates to formal and informal leadership.
Reflect on how decisions are made within a specific department or unit. Which stakeholders provide input or influence the decision-making process? Assess this in terms of formal and informal leadership.
To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.
Post on or before Day 3
a
(1)
depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination.
(2
) Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making.
(3)
Explain the influence of formal and informal leadership on decision making within this department or unit
REQUIRED RESOURCES
Readings
Marquis, B. L., & Huston, C. J. (2015).
Leadership roles and management functions in nursing: Theory and application
(8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 2, “Classical Views of Leadership and Management”
The information introduced through this chapter relates to this week’s Discussion, and will also be referred to in future weeks of the course.
Chapter 3, “Twenty-First Century Thinking About Leadership and Management”
This chapter examines new thinking about leadership and m.
Characteristics of an Organization.docx
The document discusses characteristics of organizations that influence experiences of patients, nurses and others. It notes that organizations differ in their focus, commitments to patient care, teaching or research, as well as their mission, vision and values. As a nurse leader, it is important to understand these aspects of different organizations and how they relate to strategic planning and sustainability. The document provides resources on strategic planning tools like SWOT analysis and balanced scorecard that can be used to establish goals consistent with an organization's mission.
Section #2To be completed by Learner2.1 ProjectWrite app.docx
The document summarizes an action research project that aims to explore leadership effectiveness issues created by healthcare reform. The project will qualitatively analyze case studies of leadership at Michael E. DeBakey VA Medical Center to assess the current leadership model and provide a new model incorporating shared leadership. If successful, the new model could enhance patient and employee outcomes at the medical center and beyond by improving workforce engagement in a dynamic healthcare environment.
Discussion The Systems Development Life Cycle and the Nurse Infor.docx
Discussion: The Systems Development Life Cycle and the Nurse Informaticist
The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective.
While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC.
To prepare:
Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.
Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes?
Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.
If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist.
Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC.
Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:
1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.
2)
Assess the role of the nurse informaticist in your organization. If.
nurs4eIOS.docx
This document provides instructions for an assignment to develop a change management plan for a specific issue within a healthcare organization or unit. Students are asked to identify an issue, propose a realistic change to address it, explain how the change aligns with organizational and professional standards, select a change model to guide planning, outline implementation steps aligned with the model, and describe who would lead the change and the skills required. References are provided on change management theories and the use of Kurt Lewin's model for planned change.
I need 120 words for each question. Please ensure to post individual.docx
I need 120 words for each question. Please ensure to post individual reference with each question
Unit 1
Q 1;
Identify two organizational structures used in health care. What are the central characteristics of each? To what extent is bureaucracy necessary in health care organizations? Explain.
Q 2;
How does a doctorally prepared nurse work across and between levels of an organization? What are the challenges and/or rewards to be gained? Does one outweigh the other?
Resources
Delmatoff, J., & Lazarus, I. R. (2014). The most effective leadership style for the new landscape of healthcare.
Journal of Healthcare Management, 59
(4), 245-249. URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=97206195&site=ehost-live&scope=site
Arbab Kash, B., Spaulding, A., Johnson, C. E., & Gamm, L. (2014). Success factors for strategic change initiatives: A qualitative study of healthcare administrators' perspectives.
Journal of Healthcare Management, 59
(1), 65-81. URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=94059299&site=ehost-live&scope=site
Kritsonis, A. (2004/2005). Comparison of change theories.
International Journal of Scholarly Academic Intellectual Diversity, 8
(1) 1-7. URL:
http://qiroadmap.org/?wpfb_dl=12
Suter, E., Goldman, J., Martimianakis, T., Chatalalsingh, C., Dematteo, D. J., & Reeves, S. (2013). The use of systems and organizational theories in the interprofessional field: Findings from a scoping review.
Journal of Interprofessional Care, 27
(1), 57-64. doi:10.3109/13561820.2012.739670 URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=84423842&site=ehost-live&scope=site
Narayana, E. A. (1992). Bureaucratization of non-governmental organizations: An analysis of employees' perceptions and attitudes.
Public Administration and Development, 12
(2), 123-137. URL:
https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/194674953?accountid=7374
Klemsdal, L. (2013). From bureaucracy to learning organization: Critical minimum specification design as space for sensemaking.
Systemic Practice & Action Research
,
26
(1), 39-52. doi:10.1007/s11213-012-9267-3 URL:
https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=84739308&site=ehost-live&scope=site
Unit 2
Q 1:
What are three payment structures used in the health care industry across the care continuum? How are they similar? How are they different? Is there a single problem that transverses all three of the identified payment structures? Explain.
Q 2:
Identify a significant problem with one of the three payment structures used in the health care industry across the care continuum (from DQ 1) and propose a solution from one of the other two payment structures.
Resources
.
Nursing and Area of Specialty Discussion HW.pdf
1. The document discusses a concern common in the nursing specialty of education - the waste of medical equipment and supplies in the department of surgery.
2. At the microsystem level, the author plans to address this by educating staff on proper procedures for equipment use and reuse of training kits.
3. This is expected to impact the mesosystem by reducing costs for the department of surgery.
4. At the macrosystem level, the chief financial officer would see lower healthcare costs from improved efficiency.
Running head DUPLANTIERMDHA7008-2 1DUPLA.docx
This document provides instructions for a signature assignment in a doctoral research methods course. Students are asked to submit a 2-3 page project premise outlining their proposed applied doctoral project topic, including the problem statement, research questions, methodology, and references. They must also submit an updated annotated bibliography of 7-10 references, of which only 3 can be from a previous assignment. The premise and annotated bibliography should be submitted together in the course Dropbox and a copy of the premise should be emailed to the Assistant Dean to ensure appointment of a project committee chair and subject matter expert.
A Nurse’s Role in the Systems Development Life CycleWhile the proc.docx
A Nurse’s Role in the Systems Development Life Cycle
While the process of developing and implementing a health information technology system may seem overwhelming at first, the systems development life cycle (SDLC) provides organizations with a framework to deliver efficient and effective information systems. Though the SDLC is a common overarching structure for implementing information systems, it is not a one-size-fits-all process. In fact, there are a multitude of approaches that can be used to guide the systems development life cycle. The SDLC approach that is most appropriate for a particular organization will be highly contextual and subject to organization-specific differences.
This week prompts you to analyze the process of selecting an appropriate health information technology and then evaluate techniques that positively impact the steps of the systems development life cycle in an EHR implementation. You also determine what barriers might occur at each stage and how these could be overcome.
Learning Objectives
Students will:
Analyze how a nurse can contribute to each stage of the systems development life cycle
Photo Credit: Jose Luis Pelaez Inc]/[Brand X Pictures]/Getty ImagesCredit
Learning Resources
Note:
To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
McGonigle, D., & Mastrian, K. G. (2015).
Nursing informatics and the foundation of knowledge
(3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making”
This chapter explains the systems development life cycle and explores various methods of applying it. The chapter also examines the importance of interoperability in implementing HITECH.
Chapter 11, “Administrative Information Systems”
This chapter provides an overview of agency-based health information systems. The text also details how administrators can use core business systems in their practice.
Boswell, R. A. (2011). A physician group’s movement toward electronic health records: A case study using the transtheoretical model for organizational change.
Consulting Psychology Journal: Practice and Research, 63
(2), 138–148.
Retrieved from the Walden Library databases.
The authors of this article present a case study on an EHR implementation in a multispecialty physician group. The case study attempts to determine actions that promote successful EHR implementation and the pros and cons of implementation.
Hsiao, J., Chang, H., & Chen, R. (2011).A study of factors affecting acceptance of hospital information systems: A nursing perspective.
Journal of Nursing Research, 19
(2), 150–160.
Retrieved from the Walden Library databases.
The focus of this article is to determine what factors are most important in predicting the acceptance of new health information technology. The results of the study indicated .
Successful Implementation of Electronic Health Information Technology.docx
Nurses should be involved in all stages of the systems development life cycle (SDLC) when an organization implements a new health information technology (HIT) system. Their input can help ensure the system meets clinical needs and that issues are identified and addressed early. Specifically, nurses can provide valuable front-line perspectives in the planning, analysis, design, implementation and evaluation phases. By not involving nurses, an organization risks selecting a system that does not support safe patient care or that clinicians refuse to use.
httpnvs.sagepub.comNonprofit and Voluntary Sector Quarte.docx
http://nvs.sagepub.com/
Nonprofit and Voluntary Sector Quarterly
http://nvs.sagepub.com/content/32/4/521
The online version of this article can be found at:
DOI: 10.1177/0899764003257463
2003 32: 521Nonprofit and Voluntary Sector Quarterly
Judith L. Miller-Millesen
Understanding the Behavior of Nonprofit Boards of Directors: A Theory-Based Approach
Published by:
http://www.sagepublications.com
On behalf of:
Association for Research on Nonprofit Organizations and Voluntary Action
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- Dec 1, 2003Version of Record >>
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10.1177/0899764003257463 ARTICLEUnderstanding Nonprofit Boards of DirectorsMiller-Millesen
Understanding the Behavior of Nonprofit
Boards of Directors: A Theory-Based Approach
Judith L. Miller-Millesen
Ohio University
The literature on nonprofit boards of directors is rich with prescriptive advice about the
kinds of activities that should occupy the board’s time and attention. Using organiza-
tional theory that has dominated the empirical investigation of private sector board
behavior (agency, resource dependence, and institutional), this article contributes to the
literature on nonprofit board governance in three important ways. First, it provides a
link between theory and practice by identifying the theoretical assumptions that have
served as the foundation for the “best practice” literature. Second, the article presents a
theory-based framework of board behavior that identifies the environmental conditions
and board/organizational considerations that are likely to affect board behavior. And
finally, it offers a set of hypotheses that can be used in future empirical investigations that
seeks to understand the conditions under which a nonprofit board might assume certain
roles and responsibilities over others.
Keywords: nonprofit governance, boards of directors, organization theory
In a recent comprehensive review of the literature on nonprofit governance,
Ostrower & Stone (2001, p. 1) argued that there are “major gaps in our theoreti-
cal and empirical knowledge” regarding nonprofit boards of directors. The
authors acknowledged a small but growing body of research suggesting an
increase in scholarly attention to and interest in “understanding rather than
describing” board governance. However, they concluded that future research
must address the contextual and contingent elements of governance and
make explicit the implications of these considerations. I address this gap in the
literatu.
Ethical Dilemmas.docx
Ethical Dilemmas
This paper discusses several ethical dilemmas faced in healthcare. It examines how dilemmas could be resolved using principles of autonomy, justice, beneficence, and non-maleficence. Special challenges in caring for aging populations are explored, including issues around resource allocation. Applicable ethics laws and lobbying rules are also addressed. The summary ties these sections together by discussing the complex ethical considerations nurses face and the need for evidence-based approaches to guide decision making around patient care.
Change ManagementAs health care organizations adopt more and m.docx
Change Management
As health care organizations adopt more and more informatics solutions, they inevitably experience significant changes. Such changes are often met with hesitation, resistance, and even outright refusal. Nurse informaticists should be aware of these barriers and be prepared to employ change-management strategies to ensure stakeholder buy-in and end-user adoption.
In this Discussion, you explore the concept of change management and how it is relevant to the role of the nurse informaticist. You consider what steps can be taken during implementation of a project to contribute to more successful end-user adoption. In addition, you explore the competencies and skills a nurse informaticist should have when serving as a change agent within an organization.
To prepare
Review this week’s Learning Resources, including pages 481–483 (
See attached file
) in the Dennis course text, on change management. How is change management relevant to the role of the nurse informaticist?
Consider steps a nurse informaticist can take to promote more successful end-user adoption.
What change-management strategies are most useful for a nurse informaticist to be aware of when implementing a change within an organization? How can those strategies help to mitigate negative attitudes toward change?
Reflect on the competencies and skills required for nurse informaticists to be effective change agents. How can you best prepare yourself to manage change and address resistance?
With these thoughts in mind:
Post by tomorrow 10/25/16 a 550 words essay in APA format and 3 references that include the level one headings as numbered below:
1)
An analysis of how change management is relevant to the role of the nurse informaticist.
2) Explain at least two change-management strategies that can be used to promote end-user adoption, and justify their effectiveness in mitigating resistance.
3) Identify at least two skills or competencies necessary for nurse informaticists in serving as change agents, and describe how you plan to cultivate those skills or competencies.
Required Readings
Dennis, A., Wixom, B. H., & Roth, R. M. (2015).
Systems analysis and design
(6th ed.). Hoboken, NJ: Wiley.
Review Chapter 13, “Transition to the New System” (pp. 400–424)
Kulhanek, B. J. (2011). Creating effective electronic medical record change management processes.
Computers, Informatics, Nursing, 29
(8), 431–435.
Retrieved from the Walden Library databases.
Efficient implementation and use of electronic medical/health records requires organizationwide restructuring. This article addresses how management procedures, organizational initiatives, and communication needs require adjustment in order to suit the changing health care environment.
Lee, V., Ridzi, F., Lo, A. W., & Coskun, E. (2011). A healthcare case study of team learner style and change management.
Journal of Organizational Change Management, 24
(6), 830–852.
Retrieved from the Walden Library databases.
.
Discussion Introduction to Project ManagementConsider the fol.docx
This document provides an introduction to applying project management methodology in healthcare settings. It lists skills important for both nursing and project management such as analytical thinking, organization, communication, and time management. The document discusses how these overlapping skills indicate that project management principles can benefit healthcare. It prompts readers to consider how to communicate the value of project management to nurses and motivate them to use related methods. Finally, it provides several required readings on applying project management in healthcare contexts.
A STUDY ON THE IMPACT OF ORGANIZATIONAL CULTURE ON THE EFFECTIVENESS OF PERFO...
The main objective of this study is to analyze the impact of aspects of Organizational Culture on the Effectiveness of the Performance Management System (PMS) in the Health Care Organization at Thanjavur. Organizational Culture and PMS play a crucial role in present-day organizations in achieving their objectives. PMS needs employees’ cooperation to achieve its intended objectives. Employees' cooperation depends upon the organization’s culture. The present study uses exploratory research to examine the relationship between the Organization's culture and the Effectiveness of the Performance Management System. The study uses a Structured Questionnaire to collect the primary data. For this study, Thirty-six non-clinical employees were selected from twelve randomly selected Health Care organizations at Thanjavur. Thirty-two fully completed questionnaires were received.
Running head ANNOTATED BIBLIOGRAPHY 1 Annotated Bibliogra.docx
Running head: ANNOTATED BIBLIOGRAPHY 1
Annotated Bibliography
u04a1
Student Name
BSN 4008 Organizational and Systems Management for Quality Outcomes
Capella University
Dr. Pape
Due date
LITERATURE REVIEW ANNOTATED BIBLIOGRAPHY 2
Annotated Bibliography
We have seen that in a health-care organization there are multiple responsibilities
including assessments of priorities in areas that require attention in an organization. The
following annotated bibliography compiles a summary of the references that will be used
to prepare a final paper that will identify nursing leadership priorities at Fantastic
Medical Center (FMC) and proposed resources for addressing the priorities.
Previously identified nursing leadership priorities at FMC that will be the focus of
the literature review are (a) nursing staff turnover, (b) nursing staff competency, and (c)
medication errors of omission. Accordingly, the literature and available resources were
searched utilizing terms that included the above listed priorities and terms to reflect any
proposed resources for addressing the priorities in order to support strategies with
evidence-based references.
Additional references will include readings from the course that involve systems
leadership, organizational structure, and use of a systems-based approach for analysis of
organizational issues. These may include Lewin’s change theory, or the diffusion of
innovation theory. The synthesis of these references will help me build the foundation of
to address strategies that can be used within FMC, both as an analysis for the project.
American Nurses Association. (2010). Nursing: Scope and standards of practice. (2nd
ed.). Silver Spring, MD: Nursesbooks.org.
LITERATURE REVIEW ANNOTATED BIBLIOGRAPHY 3
The American Nurses Association (ANA) provides standards and scope of
practice for professional nurses (p. 1) including the importance of ongoing
nursing education and the important role employers have in providing educational
opportunities for nurses (p. 28). The book further establishes important nursing
profession standards in regards to quality of patient care and nursing leadership
(p. 55) thus creating an important foundation upon which priorities and strategies
can be established.
American Nurses Credentialing Center. (2013a). Magnet designation for initial
applicants. Retrieved from http://www.nursecredentialing.org/magnet-initial-
designation.aspx
The American Nurses Credentialing Center (ANCC) is a component of the ANA
whose purpose is to provide certification and accreditation of individual nurses
and health care organizations who have met certain criteria that include
excellence in quality patient care and excellence in work environment (American
Nurses Credentialing Center [ANCC], 2013b). One such designation that signifies
excellence in care and practice is Magnet designation which among many
requirem ...
I need between 100-120 words for each assignment, and I want ind.docx
I need between 100-120 words for each assignment, and I want individual references with each response. Please, no plagiarized work
Module 1
DQ 1
Outcome measures are significant in showing the worth of the Doctor of Nursing Practice's role in health care. Identify a practice-level outcome study or project and describe the expectation of its effect on health care. Which outcome measure do you think aligns with your DPI project (Quality Improvement Project)? Why? Provide examples and literature support.
DQ 2
In this week's readings, theories of accident causation, human error, foresight, resilience, and system migration were discussed. Identify a safety theory and propose quality measures to improve patient safety. Which theory or framework are you using to guide your DPI Project's intervention and outcome? Please define what constructs of your chosen DPI Project theory will help you change/improve clinical practice to improve a specific patient outcome? Provide examples and literature support.
Resources
Henneman, E. A. (2017). Recognizing the ordinary as extraordinary: Insight into the “way we work” to improve patient safety outcomes.
American Journal of Critical Care
,
26
(4), 272–277. doi:10.4037/ajcc2017812
Smith, S. A., Yount, N., & Sorra, J. (2017). Exploring relationships between hospital patient safety culture and Consumer Reports safety scores.
BMC Health Services Research
,
17,
1-9. doi:10.1186/s12913-017-2078-6
Module 2
DQ 1
Discuss economic methodology, including the concept of cost-based analysis. If you will not be addressing this in your DPI Project, provide an example of a program where it could be used to show outcomes. Provide examples and literature support.
DQ 2
Discuss a change theory and how it can be or has been applied in nursing practice to integrate care delivery sustainability. How will you use change theory in the design of your project to support the sustainability of your practice improvement intervention? Provide examples and literature support.
Resources
Uluskan, M., McCreery, J. K., & Rothenberg, L. (2018). Impact of quality management practices on change readiness due to new quality implementations.
International Journal of Lean Six Sigma
,
9
(3), 351-373. doi:10.1108/IJLSS-05-2017-0049
Steele Gray, C., Wilkinson, A., Alvaro, C., Wilkinson, K., & Harvey, M. (2015). Building resilience and organizational readiness during healthcare facility redevelopment transitions: Is it possible to thrive?
HERD: Health Environments Research & Design Journal
,
9
(1), 10-33. doi:10.1177/1937586715593552
Allen, B. (2016). Effective design, implementation and management of change in healthcare.
Nursing Standard
,
31
(3), 58. doi:10.7748/ns.2016.e10375
Module 3
DQ 1
New health care delivery models are being presented to accommodate the shift in health care objectives. Many of these models are community-based and focused on improving quality outcomes, population health, and reducing readmissions.
These are nursing assignments.docx
These nursing assignments discuss standardized coding systems and nursing informatics competencies. Regarding coding systems, standardized terminologies are important for consistent, high-quality care across different healthcare settings and professionals. Regarding competencies, the assignments identify relevant functional areas of nursing informatics for an individual's role and gaps in their skills, then develop a plan for improving skills through available resources.
Discussions1.Electronic Health RecordsElectronic healt.docx
Discussions
1.
Electronic Health Records
Electronic health records (EHRs) are at the center stage of the effort to improve health care quality and control costs. In addition to allowing medical practitioners to access and record clinical documentation at much faster rates, EHRs are also positively influencing care delivery and nurse-patient interaction. Yet despite the potential benefits of EHRs, their implementation can be a formidable task that has broad-reaching implications for an entire health care organization.
In this Discussion, you appraise strategies for obtaining the benefits and overcoming the challenges of implementing and using electronic health records.
To prepare
Review the implementation of EHRs in an organization. Reflect on the various approaches used.
If applicable, consider your own experiences with implementing EHRs. What were some positive aspects of the implementation? What suggestions would you make to improve the process?
Reflect on the reactions of others during the implementation process. Were concerns handled effectively?
If you have not had any experiences with an EHR implementation, talk to someone who has and get his or her feedback on the experience.
Search and indicate examples of effective and poor implementation of EHRs.
RESOURCES
Required Readings
McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 15, “The Electronic Health Record and Clinical Informatics”
This chapter describes the crucial parts of an electronic health record system and explores the benefits of implementing one.
Bates, D. W. (2010). Getting in step: Electronic health records and their role in care coordination. Journal of General Internal Medicine, 25(3), 174–176.
The author of this editorial critically analyzes current applications of electronic health records (EHRs) and their impact on cost, quality, and safety of health care delivery. The author describes a study on the use of vendor-developed EHRs in clinical practice settings, the results of which pinpointed the benefits and drawbacks of EHRs.
Cresswell, K., & Sheikh, A. (2009). The NHS Care Record Service: Recommendations from the literature on successful implementation and adoption. Informatics in Primary Care, 17(3), 153–160.
This article defines the United Kingdom’s National Health Service’s Care Record Service (NHS CRS) as a standard electronic health record system. The article describes the challenges associated with implementing this new information technology and provides recommendations for overcoming those challenges.
Fickenscher, K., & Bakerman, M. (2011). Change management in health care IT. Physician Executive, 37(2), 64–67.
This article offers strategies for health care leaders to successfully implement change programs in their organizations, especially with regard to the new standards for electronic health records (EHRs). The article provide.
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This article discusses racial disparities in hospital segregation in Jackson, Mississippi in the 1960s. It describes how the city's black community organized protests and filed lawsuits to desegregate white hospitals and gain equal access to healthcare. While progress was made through these efforts, racial inequities still persisted in the quality of facilities and treatment between black and white patients. The article provides insights into the political and social challenges of promoting desegregation and reducing healthcare disparities during the Civil Rights era.
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Race alone is an inadequate category for studying labor histories because it does not account for other factors like gender. When telephone operator jobs transformed from predominantly white to black workers, African American women faced discrimination and stereotyping in their roles. Bell System's hiring policies and perceptions of black women were guided by wider societal racism and sexism. Bell publications portrayed African Americans in stereotypical, demeaning ways. The New York Telephone Company initially refused to hire African Americans in 1920 due to concerns about customer prejudice, and again in the 1930s during a period of high unemployment that exacerbated racial tensions. Prior to 1940, AT&T had very limited hiring of African American women for telephone operator jobs. The Civil Rights era prompted changes to Bell
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Questions What are the purposes of Just.docx
Offenders' cognitions serve to both make themselves feel better and balance their interactions with others and environments. Childhood trauma can influence offenders' distorted views of social reality. The psychological source of mental conflicts is examined. Prejudice is discussed as influencing criminal behavior, and whether one is prejudiced towards sex offenders. The main assessment activities and issues in correctional counseling are outlined. Issues in the termination stage and types of questions to avoid in assessment are identified. The importance of helping clients with feelings and defining beneficence vs. nonmaleficence are discussed. The benefit of motivational interviewing is also examined.
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Several immigrant groups in 19th century America felt anxiety over changes brought by new immigrants. Mexicans/Tejanos, Texans, and Americans feared losing land and political power to increasing numbers of newcomers. Irish, German, and Chinese immigrants also faced xenophobia and fears that they would take economic opportunities and alter American culture. These documents from the Age of Expansion show prevalent fears and distrust of foreigners among native-born Americans.
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This document outlines 4 questions to answer in a book report: 1) The 4 big ideas in the book. 2) How the book got its title. 3) What happens to the main character at the end. 4) What is liked most about the book. It provides guidance on the content to include in the writeup.
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This woman finds meaning and purpose in her family and faith. She draws strength from her family, friends, and faith in God. She believes things happen for a reason and has hope for the future. She serves on the board of her church and a cemetery organization, which she finds rewarding as it allows her to help others and make a positive difference. Her most important belief is her faith in God, and she prays daily and is thankful for her blessings. She has tried to pass on her faith and values to her daughter.
Question Libya recently announced that it is claiming a.docx
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Question Use the Internet or the IGlobal Resource.docx
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Motivation is an important factor in educating adult learners because it influences their willingness to learn. Sociocultural factors like cultural conditions can impact adult learners' needs, with some conditions more significant than others. Adults choose to learn based on access and opportunity, which influence their learning along with enhancing formal and non-formal learning activities. Neuroandragogy and andragogy are approaches to adult learning, with neuroandragogy incorporating brain research which is important to understanding adult learning and development.
Question share your perspective on personal data as a.docx
Personal data has become a product that is collected and sold by companies, but individuals should maintain ownership over their own data. While data collection can enable useful services, people should give informed consent and have transparency about how their information is used. There are ongoing debates around balancing corporate interests, individual privacy and control, and developing policies that ensure data is handled ethically.
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Question In your what are the main workforce.docx
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