SOUTH NSG6620 ALL WEEK DISCUSSIONS

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South nsg6620 all week discussions

South nsg6620 all week discussions
South nsg6620 all week discussions
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 reasoning.Commented 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

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