Expert Answer :Write a 4–6 page impact report to senior leaders

  

Solved by verified expert:Assessment InstructionsPreparationUse the Suggested Resources for this assessment to study systems theory, SWOT analysis, and shared governance teams, as background for an Impact Report to Senior Leadership. The report includes a SWOT analysis. The SWOT Analysis Template is linked in Required Resources.Study a facility in your area and examine its Web site and any available public documents to aid you in completing this assessment. You may wish to examine an organization where you work, where you have worked in the past, or where you did your clinical work.Do not name the organization in your report; instead, identify the type of facility and location. Example: A rehabilitation center in a midsize Midwestern city.Use the following scenario as the basis for your report:ScenarioThe unit-based Shared Governance Council of the organization where you work has identified a major nursing-related challenge (patient/staff safety, confidentiality, management/staff conflict, poor patient satisfaction survey scores, or nursing staff shortages) within your health care organization.In an unusual move, your system administrator is considering creating a new nurse leadership position that would have the responsibility and authority to address this specific issue. As a member of the shared governance council’s subcommittee, you have been asked to write the committee’s final report.Deliverable: Impact Report to Senior LeadershipWrite a 4–6 page impact report to senior leadership that identifies the challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.Use systems thinking and leadership theory as tools to approach this problem.Construct the report with the following headings:The Nursing Challenge:Identify the nursing challenge and its impact from a nursing perspective. Choose from:Patient/staff safety, confidentiality, management/staff conflict, poor patient-satisfaction survey scores, or nursing staff shortages.The System/Organization:Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.Identify the organization type—that is, specialty hospital, teaching hospital, major health care system, et cetera, and summarize the organizational structure, its mission, vision, and philosophy statements.Use systems theory and systems thinking to explain the gap or conflict.SWOT Analysis:Use the SWOT Analysis Template linked in Required Resources and include the SWOT analysis table in your paper.Identify organizational factors that impact the situation using a SWOT analysis.For example, a budget cut may cause short staffing, which relates directly to the problem.What factors within the system may facilitate a solution for this problem?The Position:Assess how the new nurse leader position will have power and influence and impact patient outcomes.How will this position affect change within the organization?Identify key leadership skills, knowledge, or abilities required for the position.Additional RequirementsWritten communication: Written communication should be free of errors that detract from the overall message.APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.Length: The report should be 4–6 pages in content length. Include a separate title page and a separate reference page.Font and font size: Times New Roman, 12 point, double-spaced.Number of resources: Use a minimum of three peer-reviewed resources.ContextOrganizational Structure, Systems Theory, and LeadershipEmbedded within the AONE (2015) competencies for nursing leaders are various components of systems thinking and systems leadership. Nursing leaders need to perform a historical review of organizational theories because it helps them understand the effect of structures and theories that are relevant to health care organizational systems. This understanding leads to knowledge on how these systems affect the role and scope of nursing practice.Effective CommunicationSystems theory came into use within the business sector following a publication on the subject by Peter Senge. As time progressed, health care leaders adapted principles from systems theory and applied them to health care organizations and systems. Systems theory maintains that the parts of the whole affect each other in many ways, with interactions so complex that any event or action may have multiple consequences across the entire whole (Senge, 1990).Communication is a key competency for nurse executives. It may involve verbal, nonverbal, written, electronic, and other communication modalities. Communication among members of teams, between departments and service lines, within large networks, with strategic business partners, and with patients, families, or support persons requires awareness of various facets of effective communication.ReferencesAONE. (2015). Nurse executive competencies. Retrieved from http://www.aone.org/resources/leadership%20tools/n…Senge, P. M. (1990). The fifth discipline: The art and practice of the learning organization. New York, NY: Currency Doubleday.OverviewWrite a 4–6 page impact report to senior leadership that identifies a nursing-related challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.Each organization has a unique structure that impacts the behavior of the organization. In health care organizations, this impact is on the ability of the organization to deliver quality patient care. Nursing is an essential component of any health care organization, and nursing leaders must understand the role of nursing and nursing leadership within the total organization. Understanding basic organizational structure, mission, vision, philosophy, and values will better prepare nurse leaders to improve quality and patient outcomes.Impact Report to Senior Leadership Scoring GuideCRITERIANON-PERFORMANCEBASICPROFICIENTDISTINGUISHEDIdentify a nursing challenge and its impact from a nursing perspective.Does not identify a nursing challenge and its impact from a nursing perspective.Discusses general challenges in nursing, but does not identify a specific challenge or explain it from a nursing perspective.Identifies a nursing challenge and its impact from a nursing perspective.Identifies a nursing challenge and its impact from a nursing perspective, and addresses the impact on the organization, staff, and patients.Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.Does not explain how the identified nursing challenge creates a gap or conflict between the organization’s statements and practice.Discusses the organization’s philosophy and mission, but does not explain the disconnect between the ideal and the reality of practice.Explains how the identified nursing challenge creates a gap or conflict between the organization’s statements and practice.Explains how the identified nursing challenge creates a gap or conflict between the organization’s statements and practice, and refers to systems theory to explain factors that contribute to the problem.Identify organizational factors that impact the situation using a SWOT analysis.Does not identify organizational factors that impact the situation using a SWOT analysis.Identifies organizational factors that impact the situation, but does not use a SWOT analysis.Identifies organizational factors that impact the situation using a SWOT analysis.Identifies organizational factors that impact the situation using a SWOT analysis, and identifies opportunities for improvements.Identify key leadership skills, knowledge, or abilities required for the position.Does not identify key leadership skills, knowledge, or abilities required for the position.Lists key leadership skills but does not address the knowledge or abilities required for the position.Identifies key leadership skills, knowledge, or abilities required for the position.Identifies key leadership skills, knowledge, or abilities required for the position, and discusses how organizational power dynamics may be affected.Assess how the new nurse leader position will have power and influence and impact patient outcomes.Does not assess how the new nurse leader position will have power and influence.Assesses how the new nurse leader position will affect patient outcomes, but does not discuss the effect on the organization.Assesses how the new nurse leader position will have power and influence.Assesses how the new nurse leader position will have power and influence and impact patient outcomes, and explains how it will impact the organization’s power structure and dynamics.Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.Does not write content clearly and logically, and there are errors in grammar, punctuation, and mechanics.Writes with errors in clarity, logic, grammar, punctuation, or mechanics.Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics.Writes clearly and logically, with correct use spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.Correctly format citations and references using current APA style.Does not correctly format citations and references using current APA style.Uses current APA to format citations and references but with numerous errors.Correctly formats citations and references using current APA style with a few errors.Correctly formats citations and references with no errors.sorry i don’t really understand the “tags” bar… three references are needed, and can be used from from the example assignment.
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SWOT Analysis Template
SWOT Analysis
Strengths
Weaknesses
Opportunities
Threats
1
Running head: IMPACT REPORT TO SENIOR LEADERSHIP
Impact Report to Senior Leadership
Learner’s Full Name
Capella University
Organizational and Systems Management for Quality Outcomes
Impact Report to Senior Leadership
May, 2017
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
1
IMPACT REPORT TO SENIOR LEADERSHIP
2
Impact Report to Senior Leadership
Nurse leaders play an important role in guiding nursing professionals to achieve a health
care organization’s quality and safety standards—standards that should help patients receive
high-quality care without negative outcomes on their health. Despite efforts to maintain these
standards, health care organizations across the United States of America have witnessed an
increase in the number of poor patient outcomes (that stem from unsafe care. According to the
Quality Interagency Coordination Task Force, the consequences of quality and safety issues in
patients have amounted to an annual loss of $29 billion (Huber, 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
medicines, patients falling or injuring themselves because of nursing negligence. These issues
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Comment [A1]: Nice job identifying the
challenge of providing patient safety care
measures. Good inclusion of how unsafe
practices leads to emotional and decreased
career development in nurses as well as the
impact of sentinel events for the organization.
You stated that patients are negatively
impacted and could further explain what is
meant by that.
IMPACT REPORT TO SENIOR LEADERSHIP
3
are called adverse events because they occur in clinical practice and affect patients directly (U.S.
Food & Drug Administration, n.d.).
Following the perspectives of systems theory, which explain how smaller parts of an
organization affect the whole, the safety issues caused by errors in nursing practice can impact
the organization and its achievement of health care goals on a larger scale. In fact, adverse events
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).
Comment [A2]: Excellent point and nicely
The Impact of Safety Issues on the Organization
Comment [A3]: Excellent work explaining
how unsafe practice issues conflict with the
organization’s mission and vision of improving
lives. Nice incorporation of systems theory.
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 standards, and provide affordable
services. The facility depends on skilled staff, nurses included, to carry out the goals mentioned
in its mission, vision, and core value statements.
However, the adverse events taking place in the facility and among its nursing
professionals are contradicting the mission, vision, and core value statements.. Systems theory
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Comment [A4]: Very true!
IMPACT REPORT TO SENIOR LEADERSHIP
4
states that organizations have inherent weaknesses—latent failures—that can cause adverse
events in patient care (Lawton et al., 2012; Huber, 2017).
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 decisionmaking made by nurse leaders, which allows them and nursing professionals to consider how
actions can affect an organization as a whole.
Comment [A5]:
SWOT Analysis of Organizational Factors
Comment [A6]: Nice work identifying the
factors that impact the situation using a SWOT
analysis, such as budget cuts and the lack of
resources available to nursing leaders.
The nursing facility had experienced a number of changes that affected the nurses’ ability
to deliver safe care. The SWOT analysis helps the facility to focus on the changes that have had
the greatest impact on health care quality and patient safety.
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
IMPACT REPORT TO SENIOR LEADERSHIP
5
Table 1
SWOT Analysis of Organizational Factors
Strengths
 Specialized geriatric care and therapy
for people with special needs
 Strong market presence
 State-of-the-art
infrastructure
and
technology
 Commitment to ethical standards
 Affordable and fair treatment for
patients
Weaknesses
 Budget cuts faced by the nursing
department
 Low number of experienced nursing
professionals
 Absence of organizational planning on
continuous quality improvement and safety
management initiatives
 Vulnerability to sentinel events
 Poor allocation of nursing professionals
across departments and gaps in staff
scheduling
 Lack of communication between nursing
teams
Opportunities
 Creation of a new nursing leadership
position to oversee patient safety and
quality care
 Efforts to become a Magnet hospital
 Increased public awareness about
geriatric care and therapy for people with
special needs
 Expansion and revision of nursing
competencies by national nursing
agencies
Threats
 Inadequate financial resources because of
federal budget cuts to health care programs
 Increased competition from other health
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
into actions, motivate staff to align with the goals of the organization, and communicate details
of the change process to all stakeholders.
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Comment [A7]: Lots of great information
here. Nicely written and well organized.
IMPACT REPORT TO SENIOR LEADERSHIP
6
Defining the New Leadership Position at the Nursing Facility
The new leadership position that will be created is the chief nursing officer (CNO). The
CNO will be responsible for planning, executing, and evaluating the strategies to improve safety
issues. The CNO will also be a part of the facility’s shared governance council and will head a
Comment [A8]: Good identification of the
skills required of a nursing leader which
should consist of knowledge, leadership skills,
and attitude. Nice explanation of how the
nurse leader should approach change to allow
for success by understanding systems theory
and the organization’s dynamics as this will
provide the nurse leader with the power to
implement the change effectively.
team that will analyze the organization for latent failures. Certain key competencies—
knowledge, skills, and attitudes—will define the broad nature of the CNO’s role and influence in
the organization.
Key Competencies for the Nursing Leadership Position
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 teambuilding 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 and retain a highly skilled
nursing workforce, which is a critical indicator of patient safety. They can also maintain the
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Comment [A9]: Great assessment of how
the nurse leader position will have the power
to positively impact patient outcomes and
stabilize the organization financially.
IMPACT REPORT TO SENIOR LEADERSHIP
7
productivity of nursing professionals by allocating training resources without management
interference. These empowered roles help stabilize an organization’s financial performance,
thereby impacting the delivery of cost-effective and quality care to patients (Australian College
Comment [A10]: Great job!
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).
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Comment [A11]: Very nice summary of
what was discussed in the paper.
IMPACT REPORT TO SENIOR LEADERSHIP
8
References
American Organization of Nurse Executives. (2015). AONE Nurse Executive Competencies.
Retrieved from http://aone.org/resources/nec.pdf
Australian College of Nursing. (2015). Nurse leadership [White paper]. Canberra: American
College of Nursing. Retrieved from
https://acn.edu.au/sites/default/files/leadership/ACN_Nurse_Leadership_White_Paper_FI
NAL.pdf
Huber, D. L. (2017). Leadership and nursing care management (6th ed.). Philadelphia: W. B.
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.14756773.2012.01390.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/
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
IMPACT REPORT TO SENIOR LEADERSHIP
9
U. S. Food & Drug Administration. (n.d.). What is a serious adverse event? Retrieved from
https:// fda.gov/safety/medwatch/howtoreport/ucm053087.htm
Copyright ©2017 Capella University. Copy and distribution of this document are prohibited.
Comment [A12]: APA references looks
great!

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