Week 1 -Assignment 2 Discussion Discussion Question 1: Mission and Vision Statement Every healthcare
Week 1 -Assignment 2
Discussion
Discussion Question 1: Mission and Vision Statement
Every healthcare organization must have a mission and vision
statement to guide it Mission and vision statements often come in a variety of
formats Only when there is alignment between the nurse administrator and the
organizational mission and vision statement, there is synergy and a sense of
purpose For example, knowing where the organization wants to go assists nurse
administrators in helping meet the mission and vision statement through the
tasks they undertake along with their subordinates
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe one example of what happens when the nurse
administrator’s values are not congruent with the organizational mission and
vision statement
Locate the mission and vision statement of your current or
previous healthcare organization If you are not working in the field of
healthcare, find a mission and vision statement of a healthcare organization
using the Internet
Does this mission and vision statement provide clarity to
the organizational direction? Provide a rationale for your answer
As a nurse administrator, how would you assist subordinates
to become familiar with this statement?
Select and research a department of nursing Then, write a
mission and vision statement for this department
Comment on the postings of at least two peers
Evaluation Criteria:
Described one example of what happens when the nurse
administrator’s values are not congruent with the organizational mission and
vision statement
Explained whether a selected mission and vision statement
provides clarity to the organizational direction
Recommended ways in which a nurse administrator can assist
subordinates become familiar with the selected mission and vision statement
Wrote a mission and vision statement for a nursing
department
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Discussion Question
2: CNO and Medical Staff
CNOs must be skilled and competent communicators to lead and
manage the collective work of medical staff members at all levels Reviewing
healthcare literature can help you learn a lot about fostering and promoting
interprofessional collaboration in healthcare
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Define and describe the role of the CNO related to medical
staff
Define interprofessional collaboration
What happens to patient outcomes and quality care when there
are disagreements between medical staff and nursing personnel regarding aspects
of operations?
As a CNO, describe at least one strategy you would apply in
clarifying expectations of other healthcare team members including the medical
staff?
Comment on the postings of at least two peers
Evaluation Criteria:
Defined and described the role of the CNO related to medical
staff
Defined the concept of interprofessional collaboration
Explained the impact of disagreements between medical staff
and nursing personnel regarding aspects of operations on patient outcomes and
quality care
Recommended at least one strategy to clarify expectations of
other healthcare team members including the medical staff
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Week 2 – Assignment 1
Discussion
Discussion Question 1: Quality Improvement Projects and the
CNO
There has likely never been a time in which healthcare
organizations have had to face challenges greater than those in the
twenty-first century For example, in previous decades, bedside nurses cared
for patients and were promoted into nursing leadership and nurse executive
roles based on the fact that they were “good nurses†This paradigm no longer
exists in contemporary healthcare delivery settings including long-term care,
acute care, and community-based settings The CNO must be prepared to lead and
have competency in guiding, leading, and restructuring healthcare delivery
systems that are competitive and provide safe, affordable, and efficient
quality care at the right time, each time, and every time CNOs must have
skills and competencies that allow them to drive healthcare system changes to
meet societal healthcare needs for diverse populations
You are the CNO in your healthcare organization Considering
this, use the readings for the week, the South University Online Library, and
the Internet to respond to the following:
Provide a list of guidelines you would use to develop the
quality falls program and the medication safety performance improvement project
in your organization
What challenges would you face in the development of these
programs?
Evaluate two competencies you must have to successfully
develop these programs
What will you do if a quality improvement project is needed
and there is not enough money in the budget at the time or if the project will
add costs that exceed the operating budget?
Comment on the postings of at least two peers
Evaluation Criteria:
Provided a list of guidelines you would use to develop the
quality falls program and the medication safety performance improvement project
in your organization
Explained the challenges you would face in the development
of these programs
Evaluated two competencies you must have to successfully
develop these programs
Recommended ways to handle the situation if a quality
improvement project is needed and there is not enough money in the budget at
the time or if the project will add costs that exceed the operating budget
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
DQ2
Discussion Question
2: Nurse Sensitive Indicators and the CNO
Nurse sensitive indicators reflect the structure, process,
and outcomes of nursing care in a healthcare organization Key factors
influencing nurse sensitive indicators include the structure of nursing care,
skill level of nursing staff, and education or certification of nursing staff
Greater quality or quantity of nursing care results in an improvement in
patient outcomes that are closely linked to nurse sensitive indicators
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Examine the role of a CNO in relation to nurse sensitive
indicators, such as the following:
Central line-associated bloodstream infection (CLABSI)
Catheter-associated urinary tract infection (CAUTI)
Ventilator-associated pneumonia (VAP)
Pressure ulcers
As a CNO, what process will you use for developing a nurse
sensitive indicator?
Estimate the time it takes to create and approve a nurse
sensitive indicator
Comment on the postings of at least two peers
Evaluation Criteria:
Examined the role of CNO in relation to nurse sensitive
indicators, such as CLABSI, CAUTI, VAP, and pressure ulcers
Described the process utilized for developing a nurse
sensitive indicator
Estimated the time it takes to create and approve a nurse
sensitive indicator
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Week 3 – Assignment 1
Discussion
Discussion Question
1: Shared Governance Structure and the CNO
During the 1980s, nursing and healthcare were suffering from
challenges of an acute nursing shortage, rampant nurse turnover, and issues
with nurse retention In the mid-1980s, shared governance was instituted to
incentivize and empower nurses Shared governance is an innovative
organizational model promoting staff control and autonomy over nursing practice
in areas that were previously controlled by managers
The concept of shared governance may be a challenge to
understand because it is not uniformly applied or operationalized and because
of the great diversity in shared governance models Nurses working in
organizations with shared governance models are more empowered and have higher
levels of satisfaction in their roles
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Compare the roles of the CNO and nursing directors or
managers in a shared governance structure
What steps can the CNO take to enable smooth operations in
such a structure?
Identify two challenges CNOs face when working with a shared
governance structure
Compare and contrast a model of shared governance with an
authoritarian or autocratic CNO
Examine the role of the CNO in working to set parameters for
nurses in a shared governance structure
Comment on the postings of at least two peers
Evaluation Criteria:
Compared the roles of the CNO and nursing directors or
managers in a shared governance structure
Listed steps the CNO can take to enable smooth operations in
such a structure
Identified two challenges CNOs face when working with a
shared governance structure
Compared and contrasted a model of shared governance with an
authoritarian or autocratic CNO
Examined the role of the CNO in working to set parameters
for nurses in a shared governance structure
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
DQ2
Discussion Question
2: Staff Concerns and the CNO
Often, gossip mills and rumors tend to circulate very
quickly throughout healthcare organizations even though everything is supposed
to be confidential Good and bad news travel quickly; one of the greatest
challenges the CNO or vice president for patient care services (VPPCS) faces is
to control and share information with the staff members so that they receive
the same message in the same way at the same time
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
What role does the CNO or VPPCS play in addressing the
concerns of the entire staff in nursing town-hall meetings? Why is this role
important?
Provide an example of a need for the CNO or VPPCS to
schedule an entire staff town-hall meeting
How can the CNO or VPPCS minimize gossip and information via
the “grapevine†before an entire staff town-hall meeting?
How would you craft an agenda and circulate it for a
town-hall meeting?
How can the CNO or VPPCS integrate the use of electronic and
social media into addressing staff concerns in twenty-first-century healthcare
organizations?
Comment on the postings of at least two peers
Evaluation Criteria:
Described the role of the CNO or VPPCS in addressing the
concerns of the entire staff in nursing town-hall meetings, and explained the
importance of this role
Provided an example of a need for the CNO or VPPCS to
schedule an entire staff town-hall meeting
Suggested ways in which the CNO or VPPCS can minimize gossip
and information via the “grapevine†before an entire staff town-hall meeting
Explained how you would craft an agenda and circulate it for
a town-hall meeting
Recommended ways in which the CNO or VPCSS can integrate the
use of electronic and social media into addressing staff concerns in
twenty-first-century healthcare organizations
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Week 4 – Assignment 1
Discussion
Discussion Question
1: Strategies for Establishing Operational Budgets
An operational budget is the plan for an organization or
unit for daily operating expenses The operational budget is very similar to
how one manages a personal home budget but on a grander scale For example,
there is a balance between accounts receivable and accounts payable, and then
there is either a surplus or deficit at the end of the budget period Most
budget periods are a fiscal year or a calendar year
The unit operating budget is the most critical budget in
which unit managers must be involved and have the most control over Extensive
information is needed to prepare the operational budget For example, the
operational budget typically requires information related to workload budgets
with activity reports, units of service, and workload calculations like HPPD;
expense budgets for personnel, staffing, and supplies equipment; the overhead
budget; and the revenue budget Nurses in the unit are often part of the
operational budget to examine, or be aware of, weekly or monthly budget
variances This helps the unit function with a positive versus a negative
revenue stream
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe at least two strategies for establishing
operational budgets
Examine the advantages and disadvantages of using each
strategy
Explain the strategies your nurse manager or CNO uses to
gather and secure the most timely and relevant information to shape future
operating budgets
Identify two challenges the nurse manager or CNO faces with
this task
Examine implications for the nurse manager or CNO when the
unit operating budget is running in the “red†or has numerous negative monthly
variances
Comment on the postings of at least two peers
Evaluation Criteria:
Described at least two strategies for establishing
operational budgets
Examined the advantages and disadvantages of using each
strategy
Explained the strategies your nurse manager or CNO uses to
gather and secure the most timely and relevant information to shape future
operating budgets
Identified two challenges the nurse manager or CNO faces
with this task
Examined implications for the nurse manager or CNO when the
unit operating budget is running in the “red†or has numerous negative monthly
variances
Justified your answers with appropriate research and
reasoningCommented on the postings of at least two peers
DQ2
Discussion Question
2: Strategies for Establishing an FTE Budget
Budgeting is a critical and essential component of nursing
and patient care Without proper support for nurses to provide patient-centered
care, the organizational mission and goals will not be met
Full-time equivalent (FTE) measures the number of employees
working in an organization, assuming they all work on a full-time basis It
measures each employee’s involvement in the organization Unit managers and
CNOs must have fundamental skills and competencies to establish an FTE budget
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe various strategies used for establishing an FTE
budget
Examine the advantages and disadvantages of each strategy
Discuss how the unit manager or CNO elicits input into the
FTE budget
Describe one software program utilized by the unit manager
or CNO to formulate an FTE budget
Identify the timeline a nurse manager or CNO would utilize
to plan the development of an FTE budget
Comment on the postings of at least two peers
Evaluation Criteria:
Described various strategies used for establishing an FTE
budget
Examined the advantages and disadvantages of using each
strategy
Discussed how the unit manager or CNO elicits input into the
FTE budget
Described one software program utilized by the unit manager
or CNO to formulate an FTE budget
Identified the timeline a nurse manager or CNO would utilize
to plan the development of an FTE budget
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Week 5 – Assignment 1
Discussion
Discussion Question
1: The Average Daily Census (ADC) and the Target Budget
One of the greatest challenges unit managers and CNOs face
is predicting and working with the average daily census (ADC), particularly as
it relates to the target budget
The average daily inpatient census refers to the number of
patients present at the official census-taking time each day For example, a
patient admitted to the coronary care unit at 1:00 pm and who dies at 4:00 pm
the same day is a patient admitted and discharged the same day The ADC is
typically calculated each night at midnight It is a challenge to predict what
the ADC will be on any given day
The target budget is targeted or predicted in the zero-based
operating budget based on the previous years’ ADC The target budget is
typically projected at least one year in advance A lot of information goes
into the computation of a target budget, and there are many variances once the
budget is formulated and approved
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Explain how the ADC contributes to the target budget
Describe two major challenges in determining the actual
target budget and ADC
Identify two major challenges for unit managers and CNOs due
to the variances between the actual target budget and the ADC
Comment on the postings of at least two peers
Evaluation Criteria:
Explained how the ADC contributes to the target budget
Described two major challenges with the actual target budget
and ADC
Identified two major challenges for unit managers and CNOs
due to the variances between the actual target budget and the ADC
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
DQ2
Discussion Question
2: Return on Investment
Return on investment (ROI) is a financial performance
measure used to evaluate and determine the efficiency of an investment on a
number of different measures The ROI is calculated by examining the benefit
(return) of an investment divided by the cost of the investment The result of
this calculation is a percentage or a ratio For example, the formula for ROI
is as follows:
ROI = (Gain from the investment – Cost of the investment) /
Cost of the investment
It should be noted that there is more than one way
healthcare organizations may compute and calculate the ROI for a new service or
product line The ROI is not always calculated in direct dollars, but it may be
calculated as the ability to contribute to the organizational mission and
philosophy For example, a nonprofit healthcare organization may want to
partner with a local community endeavor and establish a free clinic with
low-dollar ROI but with a tremendous feeder of new patients to primary care services
within the organization
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Develop an ROI for a new project (such as the implementation
of a new Level 3 neonatal intensive care unit [NICU])
Summarize the issues and challenges in formulating an
accurate ROI for a new product or service line
Identify two major challenges and two major barriers for
unit managers or the CNO accountable for ensuring ROI on a new product or service
line
Comment on the postings of at least two peers
Evaluation Criteria:
Developed an ROI for a new project (such as the
implementation of a new Level 3 neonatal intensive care unit [NICU])
Summarized the issues and challenges in formulating an accurate
ROI for a new product or service line
Identified two major challenges and two major barriers for
unit managers or the CNO accountable for ensuring ROI on a new product or
service line
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Week 6 – Assignment 1
Discussion
Discussion Question
1: Role of the Nurse Executive
There are numerous definitions of what it means to be a
nurse executive The definition may change according to the work environment in
your healthcare organization Some literature refers to the nurse executive as
a nurse administrator The nurse executive must have knowledge, skills, and
competencies that foster and promote nursing leadership within the healthcare
organization Nurse executives are in a key leadership role in healthcare
organizations and have the capacity to effect positive change and promote a
culture of community and excellence
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Examine the role of the nurse executive in a clinical area
with staff, patients, and providers Explain why this role is important
Explain why the nurse executive needs to delegate What are
some of the challenges nurses face during delegation?
Evaluate the role of the nurse executive in succession
planning for the healthcare organization
Examine the educational preparation and national certification
requirements for a nurse executive
Comment on the postings of at least two peers
Evaluation Criteria:
Examined the role of the nurse executive in a clinical area
with staff, patients, and providers, and explained why this role is important
Explained why the nurse executive needs to delegate What
are some of the challenges nurses face during delegation?
Evaluated the role of the nurse executive in succession
planning for the healthcare organization
Examined the educational preparation and national
certification requirements for a nurse executive
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
DQ2
Discussion Question
2: Characteristics of an Effective Team
As the saying goes, “There is no I in team†There is
another saying, “The whole world is a team†These two sayings support the fact
that everyone in healthcare organizations must work together for the good of
patients There is much in healthcare literature focusing on the role of
high-performance teams and their impact on patient quality, patient safety, and
healthcare worker satisfaction One of the greatest “value-added†benefits of
high-performance teams is the collaboration and sharing of essential information
to enhance quality and patient outcomes In modern healthcare organizations,
effective teams are critical to providing patient and healthcare worker
satisfaction
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe at least three characteristics of an effective
team
Identify two challenges with interprofessional healthcare
teams with respect to the various roles
Describe one high-performing team in which you are currently
engaged or have engaged in the past What are the reasons for the success or
failure of this team?
Examine how education models created for interprofessional
healthcare students may develop high-performing healthcare teams
Comment on the postings of at least two peers
Evaluation Criteria:
Described at least three characteristics of an effective
team
Identified two challenges with interprofessional healthcare
teams with respect to the various roles
Described one high-performing team in which you are
currently engaged or have engaged in the past, and explained the reasons for
the success or failure of this team
Examined how education models created for interprofessional
healthcare students may develop high-performing healthcare teams
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Week 7 – Assignment 1
Discussion
Discussion Question
1: Nurse Leader and Organizational Culture of Caring
Caring is the primary reason nurses enter the field of
nursing, and the concept of caring is often thought of as the essence of
nursing Not only do nurses care for patients but they also have to care for
each other Sometimes, nurses tend to focus so much on patients and their
families that they forget to care for themselves and one another This is a
major source of compassion fatigue causing nurses to leave the healthcare
organization or, worse yet, to totally leave the nursing profession
Compassion fatigue is the cumulative impact of physical,
emotional, and psychological exposure to trauma, stressful events, and the care
for patients or nursing colleagues who face many challenges Compassion fatigue
can sabotage nurses in healthcare organizations as it is challenging, and
nurses may be harmed by the very work to which they are so devoted Nurses must
be aware of what it means to create a community within the workplace and to
offer support and resources to retain nurses the organization has worked so
diligently to recruit
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe the role of the nursing leader in building a
community and creating joy in the workplace
How does an effective leader create an organizational
culture of caring, respect, and dignity for all? Identify one strategy you
would use in your own healthcare organization
Describe two negative outcomes on recruitment and retention
of nurses when a culture of community does not exist in the healthcare
workplace
Comment on the postings of at least two peers
Evaluation Criteria:
Described the role of the nursing leader in building a
community and creating joy in the workplace
Explained how an effective leader creates an organizational
culture of caring, respect, and dignity for all, and identified one strategy
you would use in your own healthcare organization
Described two negative outcomes on recruitment and retention
of nurses when a culture of community does not exist in the healthcare
workplace
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
DQ2
Discussion Question
2: Performance Appraisals and the Nursing Leader
Performance appraisal is a mechanism or strategy for sharing
performance feedback with all employees based on a defined set of performance
criteria Nurses need feedback to flourish and grow as well as develop career
goals and a career trajectory Typically, there are organizational policies
guiding time for and methods of performance appraisal Performance appraisals
must be conducted on a regular basis applying the organizational policy and
performance appraisal guidelines They should not be conducted as a punitive
process but as a formative process to assist employees in learning and growing
to become even more valuable to the healthcare organization There are a
variety of formal and informal processes for performance appraisal The key
purpose of a performance appraisal is to support and assist in professional
growth
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe the role of the nursing leader related to coaching
and guiding of staff during a performance appraisal
Describe the role of the nursing leader in determining
performance appraisal criteria
Examine the need of the nursing leader to be a role model in
giving performance improvement data for novice and experienced nurses
Comment on the postings of at least two peers
Evaluation Criteria:
Described the role of the nursing leader related to coaching
and guiding of staff during a performance appraisal
Described the role of the nursing leader in determining
performance appraisal criteria
Examined the need of the nursing leader to be a role model
in giving performance improvement data for novice and experienced nurses
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
Week 8 -Assignment 1
Discussion
Discussion Question
1: Key Attributes for Successful Communication
One of the major challenges in nursing and healthcare is
learning to communicate effectively and safely with other nurses, staff, the
interprofessional healthcare teams, patients, and patients’ families Nurses
and other healthcare workers are often stressed and overworked as they deal
with major complexities moment-to-moment during their work hours Nurses and
nurse leaders need to have difficult conversations with staff and patients For
example, part of being an accountable nurse or leader is being a good
communicator and having critical conversations even when the conversations
involve giving bad news or feedback for improvement Communication is a
powerful skill and a competency that is an integral part of every nurse leader’s
role It is not enough just to communicate; the challenge in a
twenty-first-century healthcare organization is to communicate effectively in
written words, through body language, and by being mentally and emotionally
present during every conversation
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe the key attributes of successful communication and
relationship management strategies
Describe the role of the nurse leader in improving
communication to enhance nursing professionalism
Identify two challenges you face when communicating during a
conflict
Discuss communication strategies you would use as a nurse
leader to terminate an employee who has violated the organizational policy
Describe how being emotional during a communication
involving conflict can be ineffective and compromise successful communication
Comment on the postings of at least two peers
Evaluation Criteria:
Described the key attributes of successful communication and
relationship management strategies
Described the role of the nurse leader in improving
communication to enhance nursing professionalism
Identified two challenges you face when communicating during
a conflict
Discussed communication strategies you would use as a nurse
leader to terminate an employee who has violated the organizational policy
Described how being emotional during a communication
involving conflict can be ineffective and compromise successful communication
Justified your answers with appropriate research and
reasoning
Commented on the postings of at least two peers
DQ2
Discussion Question
2: Decision Making
Decision making is a skill and a competency nurse leaders
must use in every act, word, and deed A decision involves making a choice
between alternatives, and it really is an act of choosing the best plan of
action given the information at hand at the time the decision is made Nurse
leaders must be decisive as a decision leads to a definitive plan of action
Some decisions must be taken immediately and others may allow a bit more time
An important concept to remember with respect to decision making is that not
making a decision or taking any action is also a decision
Considering this, nurse leaders must be attentive to every
detail For example, if there is no decision to honor the organizational policy
regarding unacceptable behavior or action of an employee, the unacceptable
behavior or action is then condoned or perceived as acceptable and may occur again
Nurse leaders’ decisions drive actions!
Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:
Describe the importance of making data-driven decisions
Explain a decision your current or former nurse leader made
and how this decision impacted the healthcare organization
As a nurse leader, you have received information about an
executive administrative decision from the board of trustees that you believe
is likely to be unpopular Formulate a plan to share this decision with the
nursing staff
Comment on the postings of at least two peers
Week 9 – Assignment 1
Discussion
Discussion Question
1: Patient Safety
High-performing teams in healthcare organizations are the
key to success in creating cultures of quality and safety A high-performing
team that works collaboratively enhances communication and patient
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