ADVANCED PROFESSIONAL ROLES & VALUES
726.10.2: Manager of the Healing Environment The graduate responds to unpredictable situations and events common in the healthcare environment with appropriate flexibility and creativity.
726.10.3: The Nurse as Scientist The graduate correctly interprets and applies scientific evidence when planning and providing safe, quality, and culturally sensitive care for patients and families.
726.10.4: The Nurse as Detective The graduate detects subtle changes and deviations from expected health patterns while managing the care of patients.
740.2.8: Interprofessional Practices The graduate analyzes the impact of new and diverse advanced nursing and care provider roles on interprofessional practice.
Nursing is a practice discipline that includes direct and indirect care activities that affect health outcomes. As a baccalaureate nursing student, you are developing new competencies in leadership, and in order to achieve mastery, you must apply those competencies to live practice experiences and situations. This Leadership Learning Experience (LLE) is designed to allow you to choose a clinical focus (e.g., practice, policy, education, population) in which you apply your leadership problemsolving skills. The experience requires engagement with other people within the setting to complete the LLE.
You will develop a project within a practice setting that allows you to develop these leadership skills. You will identify a problem area in a practice setting that you specifically want to address (e.g., practice, policy, population, education) that aligns with organizational priorities. Example sources for the problem area may include the following:
Practice: joint commission standards, core measures as quality indicators, other data
Policy: legislation, staffing ratio, regulations from state boards
Population: children with diabetes, adult obesity
Education: future of nursing, Benners recommendations about nursing education
You will focus on a real-life solution for the problem. You should choose a topic that is timely, manageable, and realistic to the current healthcare environment. An external resource person (manager, clinical leader, clinical educator, policy expert, or population expert) must confirm the relevance of the selected project and your engagement in the setting as part of project completion. As with all projects, you should think how you, as a nurse, function in the following roles: detective, scientist, and manager of the healing environment.
Note: Any information that would be considered confidential, proprietary, or personal in nature should not be included. Do not include the actual names of people, stakeholders, or other personally identifiable information. Fictional names should be used. Also, agency-specific data, including financial information, should not be included but should be addressed in a general fashion as appropriate.
Note: Your submission may be in a variety of formats (e.g., report, multimedia presentation).
A. Develop a written proposal by doing the following:
1. Identify a problem or issue related to practice, policy, population, or education that aligns with organizational priorities that you seek to solve.
Note: You may need to meet with the organization/practice setting, your manager, and/or supervisor to help choose a current problem or issue.
a. Explain the problem or issue, including why it is applicable to the area of practice you chose and the healthcare environment.
2. Discuss your investigation of the problem or issue.
a. Include evidence to substantiate the problem or issue (e.g. organizational assessment, national source documents, evidence from a stakeholder).
3. Analyze the state of the situation using current data.
a. Analyze areas that might be contributing to the problem or issue.
4. Propose a solution or innovation for the problem or issue.
a. Justify your proposed solution or innovation based on the results of your investigation and analysis.
5. Recommend resources to implement your proposed solution or innovation.
a. Include a cost benefit analysis of your proposed solution or innovation.
6. Include a timeline for implementation based on your proposal.
7. Identify key stakeholders and/or appropriate partners that are important for the implementation of your solution or innovation.
a. Discuss why each key stakeholder and/or appropriate partner is important for the implementation of the solution or innovation.
b. Summarize your engagement with the key stakeholders and/or appropriate partners, including the input and feedback you received.
c. Discuss how you intend to work with those key stakeholders and/or appropriate partners in order to achieve success.
8. Discuss how your proposed solution or innovation could be implemented.
a. Discuss how the implementation could be evaluated for success.
B. Explain how you fulfilled the following roles during your process of investigation and proposal development:
3. manager of the healing environment
C. Submit the completed attached Professional Verification Form from the organizational leader advising you in your leadership experience.
D. When you use sources, include all in-text citations and references in APA format.
Quality plans are used by healthcare facilities to provide frameworks for collaboratively planned, systematic, and organization-wide approaches to improvement. These quality plans are always kept on-site, […]
Building Organisational Capacity in Health Care
This assessment aims to assess the student’s capacity to critically discuss the structure of the case study organisation including the strengths and limitations of this structure in enabling the organisation to achieve their stated mission, vision and strategic objectives. Students are expected to be able to discuss the importance of vision, mission and goals for organisations. The assessment also allows students to organise their analysis in a formal essay form, applying the APA referencing conventions to their work. The module 1 readings are the framework for this essay and are the support theories for the next two modules
Using the case study provided, develop a short essay which demonstrates critical analysis/ discussion of the Sydney Community Hospital organisational structure and its relationship to the stated mission, vision and strategic goals of this organisation.
The module 1 readings are the framework for this essay and are the support theories for the next two modules
The Sydney Community Hospital (SCH), a 110 bed community hospital situated in the outer northern suburbs of the Sydney, has provided general acute medical, surgical, obstetric and emergency services to the local community. Over the last 15 years the population of the area has increased significantly to include a much larger proportion of young families and a significant number of retirement villages with nursing homes attached. The hospital is no longer able to provide the range of services and care required to meet the needs of the community and the resources allocated.
To deal with these changes the Government has allocated resources to redevelop the hospital facilities and restructure the organisation to provide a focus on the health needs of the growing population and to provide a number of specialty services including cancer, paediatric, cardiovascular, renal services, trauma services, aged care and community services. The bed numbers will increase to 200, with an increase in the capacity for community clinics in the specialties.
• The Vision statement of the hospital is to “Provide positive health experiences for the community”.
• The stated mission of the new, larger hospital is “to provide highest quality, specialist health care in partnership with patients, carers, the community at large and other health care providers”.
• The overall strategic goals of the new organisation are “to develop high performing, multidisciplinary teams within the specialist services in order to provide high quality, patient-centred care that is effective, efficient and able to respond to the changing health needs of the population”.
The existing hospital has a traditional, functional organisational structure but the management team is currently reviewing alternative organisational structures which might be better suited to the changing internal and external environments of the organisation and which have the potential to improve communication and collaboration across teams as well as accountability for resource utilisation, quality of care and patient outcomes.
After reading the case study above and using the course materials and essential readings, develop a short, critical essay style discussion paper.
Within the essay, ensure that the following four (4) key points below are part of the discussion.
1. The advantages and limitations of the existing hospital organisational structure for the current health care environment and changing health needs of the population.
2. Suggest an alternative organisational structure that might be suitable for the new health service; describe the features of such a structure and identify how that structure might better facilitate the achievement of the new mission and strategic goals of the organisation.
3. Identify the key lines of authority and responsibility for achieving the overall organisational goals within the suggested structure (you may wish to compare this with the key lines of authority and responsibility in the previous functional structure).
4. Critically analyse the advantages and limitations of the suggested type of structure in relation to the changing health care environment and what the organisation wishes to achieve for patients, carers and the community.
This assignment requires you to read and critically analyse the material from Module 1 of the Unit Learning Modules and the Study Guide in order to understand organisations from the point of view of their purpose and what they aim to achieve (the vision, mission and strategic goals); how organisational structures provide lines of authority and responsibility for achieving the mission and goals and the advantages and limitations of the various organisational structures commonly used in health care.
The analysis should critically examine the type of organisational structure that would be suitable for an organisation undergoing the described change and redevelopment and comment on the usefulness of that type of structure in helping the organisation to achieve the stated mission, strategy and goals.
In writing this critical discussion paper, it is important to:
• read and interpret the information provided in the course materials; to question and evaluate that information; relate the theory to what happens in practice;
• identify problems and possible solutions, develop an argument (or series of arguments) and support your suggestions and arguments with evidence from the literature and examples from the field.
The two primary aims of this type of critical reading, thinking and writing are to
• analyse and evaluate the work of other people and
• develop your own arguments (supported by evidence, specifically appropriate references).
Please remember to:
• write in clear, concise English,
• avoid long lists or dot points and lengthy quotes and
• use examples from the case study to demonstrate your understanding of the ideas and concepts from the literature.
Learning modules will be attached.
Note: word count is 1500 words please.