NURS 681 Discussion 2: Business, Leadership and Health Policy for Nurse Practitioners
NURS 681 Discussion 2: Business, Leadership and Health Policy for Nurse Practitioners
Consider an organization you are familiar with (preferably one you have worked in). Reflecting on your experience in this organization, define at least one structure, process, and/or outcome associated with the organizational or leadership design. What leadership influence can the advanced practice nurse offer to improve your identified issues? Consider interdisciplinary team members who can contribute to a resolution. Evaluate the use of information and communication technology to address needs. Cross post to at least one peer. Use scholarly references to support your discussion points.
Prompt
Recommend system-wide strategies that improve cost-effectiveness considering structure, leadership, and workforce needs.
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NURS 681: Business, Leadership and Health Policy for Nurse Practitioners
Formative Evaluative Criteria for Discussion Board Assignments
Discussion Board Rubric
Each section will be evaluated – quality, relevance, and contribution to the community.
Ex: Quality 100 + Relevance 70 includes relevance to course outcomes mapped to each unit. (See N681 course outcomes listed in each unit) + Contribution to the Learning Community 0 = 170/3 = 56.66 (Final discussion board score 57 points).
| Points | 100 | 70 | 30 | 0 |
| Quality of Post | Appropriate
comments: thoughtful, reflective, and respectful of other’s postings.
|
Appropriate
comments and responds respectfully to other’s postings. |
Response,
but with minimum effort. (e.g., “I agree with Bill”) |
No posting. |
| Relevance of Post | Posts
topics related to discussion topic; prompts further discussion of topic Consider course objectives mapped to the unit. (See course objectives in Unit – cite with outcome number. |
Posts topics that are related to discussion content | Posts topics that do not relate to the discussion content; make short or irrelevant remarks | No posting. |
| Contribution to the Learning Community | Aware of needs
of community; attempts to motivate the group discussion; presents creative approaches to topic |
Attempts to direct the discussion and to present relevant viewpoints for consideration by group; interacts freely. | Does not make effort to participate in the learning community as it develops (Doesn’t follow-up) | No feedback provided to fellow student. |
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Discussion 2
My former healthcare organization had a democratic leadership design. The leaders maintained less control over the employees and directed them using suggestions and guidance. Besides, participative decision-making was used, involving employees at every hierarchy level. The leaders used ego awards to motivate since the leadership design was based on the assumption that employees were motivated by internal forces and drives, desired active participation in decision-making, and wanted to get the tasks done. Therefore, leaders in the organization used their positional power and employed cooperative decision strategies to draw out ideas from employees concerning the organization. The leadership created a healthy working environment for all employees, which was crucial in promoting creativity, strengthening interprofessional collaboration in patient care, improving job satisfaction, and retaining staff.
Nevertheless, the leadership design occasionally created negative emotions among some employees, especially when their opinions and perspectives were not considered in decision-making. The APN leader can improve this issue by communicating to the employees that the manager will make the final decision after weighing the employees’ opinions and determining the most applicable one (Lamb et al., 2018). Furthermore, the APN can promote constructive criticism to encourage employees to continuously improve their clinical practice leading to better patient outcomes (Lamb et al., 2018). The APN can improve communication to promote an upward and downward flow in the organization. This can encourage employees to express their opinions and promptly inform the leaders of issues in the organization for fast response.
The interdisciplinary team members who can contribute to the resolution of the issue include healthcare leaders, nurses, physicians, and clinical pharmacists. The different professionals can identify an approach that they can use to give opinions in their departments and come up with a common solution. Healthcare technology like the electronic health record (EHR) can address communication gaps in an organization (Vos et al., 2020). The EHR creates a channel for providers to communicate and come up with one solution to address a patient’s healthcare needs.
References
Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing open, 5(3), 400–413. https://doi.org/10.1002/nop2.150
Vos, J. F., Boonstra, A., Kooistra, A., Seelen, M., & van Offenbeek, M. (2020). The influence of electronic health record use on collaboration among medical specialties. BMC health services research, 20(1), 1-11. https://doi.org/10.1186/s12913-020-05542-6
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