28 Jan Outline possible training

Assessment 1

Impact Report to Senior Leadership

Assessment Instructions

Preparation

Use 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:

Scenario

The 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 Leadership

Write 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 Requirements

Written 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.

Assessment 2

Safety Score Improvement Plan

Preparation

Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment, a safety score improvement plan.

Consider the hospital-acquired conditions that are not reimbursed for under Medicare/Medicaid. Among these conditions are specific safety issues such as infections, falls, medication errors, and other safety concerns that could have been prevented or alleviated with the use of evidence-based guidelines. Hospital Safety Score, an independent nonprofit organization, uses national performance measures to determine the safety score for hospitals in the United States. The Hospital Safety Score Web site and other online resources provide hospital safety scores to the public.

Read the scenario below:

Scenario

As the manager of a unit, you have been advised by the patient safety office of an alarming increase in the hospital safety score for your unit. This is a very serious public relations matter because patient safety data is public information. It is also a financial crisis because the organization stands to lose a significant amount of reimbursement money from Medicare and Medicaid unless the source of the problem can be identified and corrected. You are required to submit a safety score improvement plan to the organization’s leadership and the patient safety office.

Select a specific patient safety goal that has been identified by an organization, or one that is widely regarded in the nursing profession as relevant to quality patient care delivery, such as patient falls, infection rates, catheter-induced urinary infections, IV infections, et cetera.

Deliverable: Safety Score Improvement Plan

Develop a 3–5 page safety score improvement plan.

Identify the health care setting and nursing unit of your choice in the title of the mitigation plan. For example, “Safety Score Improvement Plan for XYZ Rehabilitation Center.”

You may choose to use information on a patient safety issue for the organization in which you currently work, or search for information from a setting you are familiar with, perhaps from your clinical work.

Demonstrate systems theory and systems thinking as you develop your recommendations.

Organize your report with these headings:

Study of Factors

Identify a patient safety issue.

Describe the influence of nursing leadership in driving the needed changes.

Apply systems thinking to explain how current policies and procedures may affect a safety issue.

Recommendations

Recommend an evidence-based strategy to improve the safety issue.

Explain a strategy to collect information about the safety concern.

How would you determine the sources of the problem?

Explain a plan to implement a recommendation and monitor outcomes.

What quality indicators will you use?

How will you monitor outcomes?

Will policies or procedures need to be changed?

Will nursing staff need training?

What tools will you need to do this?

Additional Requirements

Written 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 plan should be 3–5 pages.

Font and font size: Times New Roman, 12 point, double-spaced.

Number of resources: Use a minimum of three peer-reviewed resources.

Assessment 3

Executive Summary of Organizational Diversity

Preparation

To prepare for this assessment, use the Capella library and the Internet to study the impact of health system’s power structure on nursing, leadership, diversity related to empowerment in nursing and patient outcomes, and recruitment of a diverse workforce. You may also wish to look for examples of an executive summary on the Internet.

Identify a type of health care facility and examine the Web site and available public information to review the organization of the nursing department, nursing recruitment, and any information about the diversity of the system’s workforce and leadership.

You may use the health care setting in which you currently work or have worked in the past.

Describe the type of organization and region. Example: a major Midwestern teaching hospital or a rehabilitation hospital on the East Coast.

Do not report the name of the facility.

Deliverable: Executive Summary of Organizational Diversity

Read the following scenario:

Scenario:

The city in which you work has undergone a significant population shift within the last 10 years, due to increased employment, education opportunities, and an influx of immigrants and refugees. To put the population shift in perspective, the local school district enrollment report states that nearly 100 languages are spoken in the schools, up from 32 languages in the last census. Senior leadership has asked you to examine all types of multiculturalism and diversity within your health care organization.

To do this, you will need to use a systems perspective to examine the relationship between a diverse workforce and patient outcomes; identify gaps between best practices and the organization’s diversity policies, and make a recommendation for organizational change.

In the executive summary:

Analyze the impact of a diverse workforce on patient outcomes.

In what ways or situations might multiculturalism and diversity impact health care delivery or patient outcomes?

How is diversity defined in the organization?

Analyze how the health care system integrates diversity and multiculturalism into its practices.

Is the makeup of the organization’s leadership representative of the patient and employee populations? Is this important? What would you change?

Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.

Analyze current recruitment and retention policies to identify gaps between best practices and current policies.

Assess the level of integration and importance of multiculturalism and diversity in a health care organization.

Are all types of diversity recognized and included?

Provide support for your position by including 2 or 3 examples of the integration of multiculturalism and diversity into the organization.

Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce.

What changes would you champion as a health care leader to make the system more responsive to patients and the organization’s workforce?

Make your document easy to scan for readers by:

Using subheadings to organize content.

Using bullet points and phrases for main points, in addition to short, succinct paragraphs.

Including a visual, such as a graph, table, or chart.

Additional Requirements

Written communication: Written communication should be free of errors that distract from the overall message.

APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

Font and font size: Times New Roman, 12 point, double-spaced.

Length: Summary report should be 3–5 pages.

Assessment 4

Mobilization Plan

Preparation

Use the Capella library and the Internet to help you complete this assessment. For help using PowerPoint, refer to the Microsoft Tutorials and other resources located in the Suggested Resources and left navigation menu of the courseroom.

This assessment is based upon the scenario below. The scenario is very limited in detail; where more detail is needed, incorporate any assumptions you make to flesh out the scenario. It is intended to assess your ability to communicate your approach to a challenge by evaluating issues of organization, leadership, safety, quality improvement, multiculturalism and diversity.

Your approach should be very conceptual and high-level.

Scenario

Your health care organization has recently committed 20 nurses to participate in a 4-month-long multinational effort to treat patients exposed to a highly contagious virus in a “hot zone” in Africa. The director of your organization has asked you, because of your previous medical mission experience, to outline nursing-related plans for preparing for the mobilization and present this information at an upcoming staff meeting.

Deliverable: Mobilization Plan PowerPoint Presentation

Create an 8–10-slide PowerPoint presentation (with detailed speaker’s notes) of your mobilization plan. It should be targeted toward members of the hospital’s administrative staff, nurses, and the physicians who will also participate in this medical mission.

Use bullet points and phrases on the slides.

The narrative, or explanation for each slide, should be in the speaker’s notes section.

The mobilization plan should address the following:

Identify the major stakeholders within the health care system that would be affected by the mobilization plan.

Analyze how the mobilization effort will impact staffing patterns and nursing care at the hospital.

Describe the medical mission team’s organizational structure of the mission team and how power is distributed.

Include one slide of an organizational diagram for the mission.

Describe the roles (in the speaker’s notes).

Assess how the organizational structure empowers team members.

Provide 1–2 examples of how team members will have power.

Identify key actions needed to assure quality of care and safety for mission patients and personnel.

Evaluate potential power issues that may arise when dealing with a multinational contingent.

(Be generic; that is, do not address individual nationalities, races, et cetera.)

Consider interactions with health care personnel from other countries.

Examine potential multicultural and diversity issues that mission personnel may encounter.

Consider that the indigenous population may be hostile to treatment.

Outline possible training requirements to improve cultural competencies of the personnel.

Additional Requirements

Written 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: Presentation should be 8–10 slides. Include speaker’s notes on each content slide.

References: Include a minimum of three peer-reviewed resources on the final slide (in APA format).

General formatting: Choose an appropriate theme if using a template.