3. 2017).
The importance of maintaining patient safety standards in health
care will be explored
based on the challenges faced by a well-known nursing facility
in the United States of America.
Located in a major city, the facility provides 24-hour residential
care to the elderly and people
with special needs who require customized care. The facility
has been facing patient safety issues
connected to how its nursing professionals administer treatment
and monitor patients.
Patient Safety as a Nursing Challenge in the Nursing Facility
Nursing professionals are the primary caregivers in any health
care setting; they spend
the most time with patients as they administer treatment, detect
signs of deterioration in patients,
and build caring relationships with them. Therefore, safety
issues that cause any negative
outcomes in their patients can affect nursing professionals
emotionally and hinder their career
development (Lawton, Carruthers, Gardner, Wright, &
McEachan, 2012; Huber, 2017).
The nursing facility encountered safety issues caused by nurses
when administering
5. in nursing may have multiple consequences across the entire
organization as different parts
interact symbiotically. For example, the safety issues have made
the facility vulnerable to
sentinel events, which are patient-related events that result in
death, permanent harm, or grievous
injury (The Joint Commission, 2017). Finding solutions to such
challenges in nursing practice
requires nurses to grow into genuine systems leaders who can
safeguard the goals of the
organization and nurture similar commitment in other nursing
professionals (Senge, Hamilton, &
Kania, 2015).
The Impact of Safety Issues on the Organization
Since its inception, the nursing facility has always prided itself
as a premier health care
organization that offers specialized physical, occupational, and
rehabilitative therapies, aside
from medical services to the elderly and people with special
needs. Through its mission, vision,
and core value statements, the facility has made a commitment
to improve people’s lives, abide
by health care ethics, adhere to local and national health care
7. Nurse leaders can ensure there is a culture of safety and quality
through implementation
of continuous quality improvement and safety management
initiatives. Organizational change
guided by systems theory plays a major role when introducing
any quality improvement and
safety management initiatives. An effective safety culture in
health care acknowledges change as
a common element in health care and can pre-emptively reduce
the probability of adverse events
(Huber, 2017). The culture of safety incorporates systems
thinking into patient-related decision-
making made by nurse leaders, which allows them and nursing
professionals to consider how
actions can affect an organization as a whole.
SWOT Analysis of Organizational Factors
The nursing facility had experienced a number of changes that
affected the nurses’ ability
to deliver safe care. The SWOT analysis helps the faci lity to
focus on the changes that have had
the greatest impact on health care quality and patient safety.
9. patients
Weaknesses
Budget cuts faced by the nursing
department
professionals
continuous quality improvement and safety
management initiatives
allocation of nursing professionals
across departments and gaps in staff
scheduling
teams
Opportunities
10. position to oversee patient safety and
quality care
Efforts to become a Magnet hospital
geriatric care and therapy for people with
special needs
competencies by national nursing
agencies
Threats
sources because of
federal budget cuts to health care programs
care organizations
Effective nursing leadership is crucial for the SWOT
opportunities to be translated into
actions that facilitate organizational change. Leaders are change
agents as they transform plans
12. The American Organization of Nurse Executives (AONE, 2015)
details five professional
leadership competencies that can help the chief nursing officer.
The five competencies are
communication and relationship-building, professionalism,
leadership skills, business skills, and
knowledge of the health care environment (AONE, 2015).
By developing these competencies, the CNO will gain (a)
knowledge about global trends
in nursing and health care; (b) expert problem-solving and
critical-thinking skills for making
decisions; (c) an understanding of patient safety and quality
care; (d) an understanding of
organizational politics, authority, and power dynamics; (e)
relationship-building and team-
building skills; (f) knowledge of systems theory and systems
thinking; and (g) the trust of health
care professionals in the organization and the skills to adapt to
organizational change.
Influence of Leadership Power in Patient Outcomes
Demonstrating appropriate power and authority is a prerequisite
for productive nursing
leadership. Having this authority allows nurse leaders to recruit
14. to patients (Australian College
of Nursing, 2015).
Conclusion
Successful health care organizations are those that understand
the role of nursing
professionals in patient outcomes and involve the workforce in
addressing safety and quality
concerns. Such organizations demonstrate effective management
that identifies latent
organizational factors behind adverse events and implements
solutions accordingly. Nurse
leaders are crucial to this system as they communicate
organizational and nursing goals to other
health care professionals in the organization. Acknowledging
these nursing roles and
incorporating them into an organization's strategic planning
help health care professionals adapt
to sudden environmental changes that affect safety and quality
(Salmela, Eriksson, &
Fagerström, 2013).
16. Saunders. http://dx.doi.org/10.7748/nm.21.6.13.s14
Lawton, R., Carruthers, S., Gardner, P., Wright, J., &
McEachan, R. R. C. (2012). Identifying the
latent failures underpinning medication administration errors:
An exploratory
study. Health Services Research, 47(4), 1437–1459.
http://dx.doi.org/10.1111/j.1475-
6773.2012.01390.x
Salmela, S., Eriksson, K., & Fagerström, L. (2013). Nurse
leaders’ perceptions of an approaching
organizational change. Qualitative Health Research, 23(5), 689–
99.
http://dx.doi.org/10.1177/1049732313481501
Senge, P., Hamilton, H., & Kania, J. (2015). The dawn of
system leadership. Stanford Social
Innovation Review, 13, 27–33. Retrieved from
https://ssir.org/articles/entry/the_dawn_of_system_leadership#
The Joint Commission. (2017). Sentinel event policy and
procedures. Retrieved from https://
jointcommission.org/sentinel_event_policy_and_procedures/
IMPACT REPORT TO SENIOR LEADERSHIP 9