Leading in a Complex, Evolving Environment NUR 514
Leading in a Complex, Evolving Environment NUR 514
Leading in a Complex, Evolving Environment NUR 514
The purpose of this assignment is to examine the impact of contemporary challenges in care delivery facing nursing leadership. Select and research a major issue in the delivery of care facing nurse leaders today and write a 1,250-1,500 word paper addressing the following:
Explain the issue(s) you have selected. Why is it a problem? What fuels the issue? Who does it impact and what specific impact does it have on patient care?
Describe an option for addressing the issue from a systems perspective. What entities/interests (stakeholders, organizations, operational systems, political, economic, public, private, patient) must be taken into account and how are they impacted? Be sure to highlight the direct impact the option has on patient care.
Discuss the qualities and traits needed of nurse leaders to effectively tackle this issue through the proposed option. Incorporate a leadership theory and AONE Nurse Executive or Manager Competencies in your response.
Finally, discuss the impact not successfully resolving the issue could have on the future of health care delivery.
Integrate five scholarly sources into your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. Leading in a Complex, Evolving Environment NUR 514
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite.
Study materials are: Leading in a Complex, Evolving Environment NUR 514
Leadership in Nursing Practice: Changing the Landscape in health care Chapters 3,4,7
Great Leaders inspire Great Followership by Jose Cruz
Advancing the Nursing Profession Begins with Leadership by ONeill from Journal of Nursing Administration (2013)
Nursing Leadership from bedside to boardroom:option LeadesPercetions by Blizzzard,Khoury,and McMurray(2015)
Leadership styles:Choosing the right approach for the situation located in mind tools website
Transformational Leadership:Becoming an inspirational leader located in mindTools website
Servant Leadership:Puttng your team first, and yourself second LPCA Te in MindTools
AONE The voice Of nursing Leadership (2018) Nurse Executives Competencies and nurse manager competencies
Acnn.org Complete the nurse manager skills inventory by the nurse manager Leadership partnership(NMLP)
AONE.org Explore the Nurse manager partnership section on the American organization of nurse executives website
Greenleaf.org What is servant leadership ? Leading in a Complex, Evolving Environment NUR 514
Leading in a Complex, Evolving Environment
Less than Satisfactory
10.0 %Major Issue is Care Delivery An explanation of the issue selected is not included. An explanation of the issue selected is incomplete or incorrect. An explanation of the issue selected is included but lacks supporting detail. An explanation of the issue selected is completed and includes supporting detail. An explanation of the issue selected is extremely thorough and includes substantial details.
20.0 %Option for Addressing the Issue From a Systems Perspective A description of potential options for addressing the issue from a systems perspective is not included. A description of potential options for addressing the issue from a systems perspective is incomplete or incorrect. A description of potential options for addressing the issue from a systems perspective is included but lacks supporting detail. A description of potential options for addressing the issue from a systems perspective is completed and includes supporting detail. A description of potential options for addressing the issue from a systems perspective is extremely thorough and includes substantial details.
20.0 %Qualities and Traits Needed of Nurse Leaders A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is not included. A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is incomplete or incorrect. A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is included but lacks supporting detail. A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is completed and includes supporting detail. A discussion of the qualities and traits needs of nurse leaders to effectively tackle the issue is extremely thorough and includes substantial details.
20.0 %Impact of Unresolved Issue A discussion of the impact not successfully resolving the issue could have on health care delivery is not included. A discussion of the impact not successfully resolving the issue could have on health care delivery is incomplete or incorrect. A discussion of the impact not successfully resolving the issue could have on health care delivery is included but lacks supporting detail. A discussion of the impact not successfully resolving the issue could have on health care delivery is completed and includes supporting detail. A discussion of the impact not successfully resolving the issue could have on health care delivery is extremely thorough and includes substantial details.
20.0 %Organization and Effectiveness
7.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
20.0 %Organization and Effectiveness
8.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
20.0 %Organization and Effectiveness
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
5.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
5.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage
Impacts of Contemporary Challenges in Care Delivery Facing Nursing Leadership
Currently, healthcare services are organized around healthcare professionals such as nurses, rather than the patient. For effective achievement of excellent outcome, the current healthcare organizational structures need to be changed. For instance, nurse care managers, intensive care unit registered nurses and operating room nurses, among others are required to deliver team-based care to promote care delivery. This change requires high organizational determination which can only be attained by a high-caliber leader. A leader who can comprehensively articulate the need and goals for change, present a vibrant vision of how to implement the change and motivate other nurses to participate in the needed change. However, nursing leaders are nowadays faced with several challenges such: How can I improve the quality of health delivery to the community? How can I balance investments in staffing and resources to promote patients health? How do I come up with the best health system to enhance effective and improved community health care? (Clark et al., 2015). Despite the above challenges, a great nursing leader with adequate leadership qualities will be able to overcome these challenges and prevent their negative impact to care delivery.
Nursing leaders in academic health centers are not just equipped to lead but are also in a better position to prepare the leaders of tomorrow. As a long-term measure, it is important that new nursing leaders must be adequately prepared to prevent such challenges from negatively impacting care delivery in the future. As at now, most nursing leaders who are 50 years or older, mainly gained their leadership position as a result of their public research, or productivity, or solid medical skills or just because they were excellent educators (Westra et al., 2015). Sadly enough, most of them never received any official leadership training. They learned leadership skills by observing the way that their role models, who were nursing educators or clinicians, perform their leadership tasks. However, the new system offers leadership training which is usually limited to the healthcare context.
Up to date, any leadership within the healthcare profession is based on conferred authority, as one being given the power to perform a particular service. This idea needs to change. The new structure needs to put the patient at the center of healthcare delivery. Implementation of the new change will enhance the delivery of patients care, promoting their health and reducing the number of chronic conditions. In a more in-depth perspective, most of these challenges being faced by nursing leaders while trying to change the system of care delivery need an adaptive response (Melnyk et al., 2014). They require the nursing leader to outline the challenge clearly, find an answer and permanently implement the solution, which is directed towards increasing the value, regarding quality and cost of care delivered. Increasing the value of care can only be achieved internally, by altering the mode of practice of nurses among other healthcare practitioners.
Nursing schools majorly produce solo nurses; however, the modern care delivery system requires teams. The main reason behind teamwork in care delivery is that an individual nurse cannot be able to produce a vast knowledge of disease management which they gained through their years in college and training. For this reason, they need one another to expand on the souse of information. According to Wong (2015), nurses are required to read up to 19 peer-reviewed articles in their line of practice every day all through the year to be able to keep up current information. However, working in teams reduces the pressure, while enhancing the improved quality of care delivery. Teamwork can be implemented and enhanced by a good leader.
According to Jones et al., (2016) individual who usually present with the highest urge to achieve, never produce the best leaders. Especially in the nursing field, successful care delivery depends on responsibility and control at a team level, which requires a broader spread of responsibility and control that might not be deployed by a higher achiever. A good leader might have the need for power but must base their thinking regarding group work and views responsibility for what it is. A good nursing leader must understand the importance of motivating other nurses to work in teams to be able to offer high quality and efficient care delivery services. Nursing educators have the mandate of producing qualified leaders with the required skills to overcome the current healthcare challenges and improve the quality of care delivery.
For new nursing leaders, some characteristics will be able to differentiate good leaders from the rest. For instance, all leaders are expected to be forward-looking, competent, inspirational and honest. Honesty requires the leader to be able, to tell the truth, and abide by the ethical principles and standards of practice. By forward-looking, the leader must be able to have a sense of direction and concerned about the future of the nursing profession and the healthcare system as a whole (Wong, 2015). They must also be inspiring in the sense that they can be able to share genuine excitement, enthusiasm, and energy in working toward future goals. Lastly, competence requires the leader to be able to keep track of the healthcare records and being able to complete the assigned tasks.
Five senior leaders of the American Association of Colleges of Nursing suggested that future nursing leaders should be professional willing to serve other nurses and patients, with a high state of mindfulness. It is crucial for a leader to be mindful to others to reduce misrepresentation and be able to correctly interpret perspectives and thoughts to be able to overcome the challenges faced by the current leaders. The future leaders must be able to understand their emotional state maturely and always be self-motivated. Finally, the five senior leaders also reiterated on the importance of emotional empathy as a quality for future leaders (Jones et al., 2016). With this trait, they will be able to generate reasonable and innovative ideas, while being able to understand what an individual at the third level is doing. Leaders with all the above traits will be able to effectively overcome the current challenges faced by nursing leaders and even come up with new healthcare systems which are patient-centered and not based on the healthcare provider.
However, failing to overcome the challenges discussed above successfully might deteriorate the quality of care delivery and hence increase the number of chronic illness. Future leaders will lack role models and end up repeating the same mistakes, prolonging the same challenges. For instance, failing to adopt teamwork in care delivery will increase the number of medical errors, in terms or patient record keeping and misdiagnosis. Nurses will lack someone whom they can be accountable to or consult in case they doubt the care plan of a patient with a chronic health complication. Additionally, lack of formal training for future nursing leader will groom leaders who will not be sure of their roles as leader, and even lack competency (Jones et al., 2016). Generally, the only way to overcome healthcare challenges is dealing with them at the right time within the shortest time possible. Failing to handle healthcare issues will undermine the health of the patient and the community at large.
In conclusion, there is urgent need to train and come up with a proper teaching curriculum for future leaders, with adequate skills so that they can be able to create and sustain significant changes in the health care delivery system. The curriculum should focus on creating leaders who can organize individuals into highly functional teams, making it easy to resolve future healthcare challenges. The new leaders will be able to hold every nurse responsible for the health of the patient and the community. To attain a harmonious working environment, the dysfunctional idiosyncratic culture dominating health care system must disappear.
Clark, M., Julmisse, M., Marcelin, N., Merry, L., Tuck, J., & Gagnon, A. J. (March 01, 2015). Strengthening healthcare delivery in Haiti through nursing continuing education: Nursing continuing education in Haiti. International Nursing Review, 62, 1, 54-63
Jones, J., Winch, S., Strube, P., Mitchell, M., & Henderson, A. (January 01, 2016). Delivering compassionate care in intensive care units: nurses perceptions of enablers and barriers. Journal of Advanced Nursing.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (January 01, 2014). The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs. Worldviews on Evidence Based Nursing, 11, 1, 5-15.
Westra, B. L., Clancy, T. R., Weaver, C., Delaney, C. W., Sensmeier, J., Warren, J. J., & Warren, J. J. (September 25, 2015). Nursing Knowledge: Big Data Science-Implications for Nurse Leaders. Nursing Administration Quarterly, 39, 4, 304-310.
Wong, C. A. (January 01, 2015). Connecting nursing leadership and patient outcomes: state of the science. Journal of Nursing Management.