Capella NURS4020 Assessment 1

Capella NURS4020 Assessment 1

Capella NURS4020 Assessment 1

NURS 4020 Capella University Enhancing Quality and Safety Assessment Discussion

For this assessment, you will develop a 3-5 page paper that examines a safety quality issue pertaining to medication administration in a health care setting. You will analyze the issue and examine potential evidence-based and best-practice solutions from the literature as well as the role of nurses and other stakeholders in addressing the issue.

NURS8010 Executive leadership in Contemporary Nursing

Assessment 1 Instructions

Political Landscape Analysis

•             Using the case scenario provided, write a 3–4 page analysis of the organization’s political landscape, including formal and informal power structures at play and their impact on culture, policy, and communications.

Understanding the political landscape of an organization is key when developing strategic priorities. Knowing the key players and how to leverage relationships will help you develop a strategic plan that is meaningful to all stakeholders. Gaining stakeholder buy-in is the key to success when attempting to meet the strategic goals outlined on a balanced scorecard.

This assessment provides an opportunity for you to gain insight into organizational power structures and their effects on organizational culture, policies, and communications.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

•             Competency 2: Analyze formal and informal power structures in an organization.

o             Analyze the formal and informal lines of power within an organization.

o             Incorporate organizational power dynamics as a factor in executive-level decision making.

o             Identify the appropriate source of power for achieving a primary strategic objective.

                Competency 4: Recommend policy changes that support a strategic plan.

o             Assess the potential impact or influence of power on organizational policy.

                Competency 5: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards.

o             Articulate meaning relevant to the main topic, scope, and purpose of the prompt.

o             Apply APA formatting to in-text citations and references.

Preparation

For this assessment, use the following case scenario:

You are a new nurse executive at a community-based hospital system in the southeastern region of the United States. The system is not-for-profit and serves five rural counties. The system comprises one flagship hospital, three smaller critical access hospitals, and a number of clinics and urgent care centers. The health care system serves a diverse population of insured, Medicare, Medicaid, and uninsured patients. The hospital is Joint Commission accredited and for three years in a row has been rated as a Top 100 Hospital.

Historically, the hospital system has been physician-centric, meaning that the physician staff have had the power to influence change, policy, and protocol. The current chief executive officer (CEO) was recently hired from a large university-affiliated hospital system. The chief medical officer (CMO) started the organization’s orthopedic program (one of the most lucrative service lines) and has been with the organization for more than 25 years. He is well respected in the local community and serves on a number of community boards. In light of this strong influence from the department of medicine, nursing has struggled over the past five years. You are the second chief nursing officer (CNO) in four years. The hospital board is applying pressure to seek Magnet designation, which was recently lost due to poor leadership by your predecessor.

The hospital has recently adopted the hospitalist model to cover all in-patients. The hospitalist group was developed by physician leaders in the organization and operates as a separate department within the organization. The hospitalist group desires to become a limited liability corporation (LLC) to maximize benefit offerings but needs a larger staff to make this happen. They have presented a proposal to executive leadership to transfer all advance practice registered nurses (APRNs) working in the organization (there are more than 50) to the hospitalist group, which is housed under the department of medicine. The CMO is spearheading this initiative. Traditionally, ARPNs were hired and managed by the department of nursing.

As the new CNO, you have been approached by a group of 15 APRNs who are against the transition as it will severely impact their scope of practice, in addition to affecting their paid time off, salary, and work hours. The CMO has offered to make APRNs eligible for the annual physician hospitalist bonus structure, as an incentive. At the same time, the CMO has informally proposed that a new policy be created for APRN hospital privileges. If the APRNs choose not to join the hospitalist group, they will not be eligible for hospital privileges. In the state in which the organization is located, a supervising physician is required for APRN practice.

MHA-FPX – Master of Health Administration FlexPath

• MHA-FPX5001 Foundations of Master’s Studies in Healthcare Administration
• MHA-FPX5006 Healthcare Finance and Reimbursement
• MHA-FPX5010 Strategic Healthcare Planning
• MHA-FPX5012 Organizational Leadership and Governance
• MHA-FPX5014 Healthcare Quality, Risk, and Regulatory Compliance
• MHA-FPX5016 Introduction to Health Information Systems
• MHA-FPX5017 Data Analysis for Healthcare Decisions
• MHA-FPX5020 Health Administration Capstone
• MHA-FPX5026 Facilities and Capital Asset Management
• MHA-FPX5028 Comparative Models of Global Health Systems
• MHA-FPX5040 Healthcare Administration Change Leadership
• MHA-FPX5042 Team Development and Personal Leadership in Health Care Settings
• MHA-FPX5062 Healthcare Delivery: New Environments in Health Informatics
• MHA-FPX5064 Health Information Systems Analysis and Design for Administrators
• MHA-FPX5066 Cornerstones of Health Informatics for Organizational Operations
• MHA-FPX5068 Leadership, Management, and Meaningful Use of Healthcare Technology

Instructions

Analyze the organization’s political landscape. Examine formal and informal power structures at play and how they affect organizational culture, policies, and communications at all levels.

Lessons learned from your analysis of the organization’s political landscape will provide useful insight into important contextual factors for consideration as you work through Assessments 2, 3, and 4.

Note: Remember that you can submit all or a portion of your draft analysis to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Analysis Format and Length

Format your document using APA style.

                Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your analysis. Be sure to include:

o             A title page and references page. An abstract is not required.

o             A running head on all pages.

                Use the following section headings to ensure thorough content coverage and flow.

o             Formal and Informal Lines of Power.

o             Organizational Power Influences on Executive-Level Decision-Making.

o             The Impact of Power on Organizational Policy.

o             Sources of Power.

                Provide a short conclusion to your analysis in the form of a summary or editorial.

                Your analysis should be 3–4 pages in length, excluding the title and references pages.

Evaluation

The following tasks correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

                Analyze the formal and informal lines of power within the organization.

o             What source of power is being used by the different stakeholders? For example: authority, rewards, coercion, expertise, reputation, personal power.

o             Describe the effects of power structures on organizational culture, policies, and communications at all levels.

                Incorporate organizational power dynamics as a factor in executive-level decision making.

o             Based on your analysis of internal power structures and your perspective as CNO, what would be the best way to respond to the concerns of the ARPNs in this scenario, and why?

o             What support for your response can be found in the evidence-based literature?

o             What underlying assumptions might influence your decision making?

                Assess the potential impact or influence of power on organizational policy.

o             What is the basis for your conclusions?

                Identify the appropriate source of power for achieving a primary strategic objective.

o             For example: authority, rewards, coercion, expertise, reputation, personal power.

o             What evidence do you have to support your conclusion?

                Articulate meaning relevant to the main topic, scope, and purpose of the prompt.

o             Write with a specific purpose and audience in mind.

o             Adhere to scholarly and disciplinary writing standards.

o             Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.

                Apply APA formatting to in-text citations and references.

NURS 4020 Capella University Enhancing Quality and Safety Assessment Discussion

NURS-FPX – Nursing FlexPath

NURS-FPX4010 Leading People, Processes, and Organizations in Interprofessional Practice
NURS-FPX4020 Improving Quality of Care and Patient Safety
NURS-FPX4030 Making Evidence-Based Decisions
NURS-FPX4040 Managing Health Information and Technology
NURS-FPX4050 Coordinating Patient-Centered Care
NURS-FPX4060 Practicing in the Community to Improve Population Health
NURS-FPX4900 Capstone Project for Nursing
NURS-FPX5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health
NURS-FPX5005 Introduction to Nursing Research, Ethics, and Technology
NURS-FPX5007 Leadership for Nursing Practice
NURS-FPX6011 Evidence-Based Practice for Patient-Centered Care and Population Health
NURS-FPX6016 Quality Improvement of Interprofessional Care
NURS-FPX6020 Biopsychosocial Concepts for Advanced Nursing Practice 1
NURS-FPX6021 Biopsychosocial Concepts for Advanced Nursing Practice 1
NURS-FPX6025 MSN Practicum
NURS-FPX6026 Biopsychosocial Concepts for Advanced Nursing Practice 2
NURS-FPX6030 MSN Practicum and Capstone
NURS-FPX6103 The Nurse Educator Role
NURS-FPX6105 Teaching and Active Learning Strategies
NURS-FPX6107 Curriculum Design, Development, and Evaluation
NURS-FPX6109 Integrating Technology into Nursing Education
NURS-FPX6111 Assessment and Evaluation in Nursing Education
NURS-FPX6210 Leadership and Management for Nurse Executives
NURS-FPX6212 Health Care Quality and Safety Management
NURS-FPX6214 Health Care Informatics and Technology
NURS-FPX6216 Advanced Finance and Operations Management
NURS-FPX6218 Leading the Future of Health Care
NURS-FPX6410 Fundamentals of Nursing Informatics
NURS-FPX6412 Analysis of Clinical Information Systems and Application to Nursing Practice
NURS-FPX6414 Advancing Health Care Through Data Mining
NURS-FPX6416 Managing the Nursing Informatics Life Cycle
NURS-FPX6610 Introduction to Care Coordination
NURS-FPX6612 Health Care Models Used in Care Coordination
NURS-FPX6614 Structure and Process in Care Coordination
NURS-FPX6616 Ethical and Legal Considerations in Care Coordination
NURS-FPX6618 Leadership in Care Coordination
NURS-FPX8010 Executive Leadership in Contemporary Nursing
NURS-FPX8012 Nursing Technology and Health Care Information Systems
NURS-FPX8014 Global Population Health
NURS-FPX8030 Evidence-Based Practice Process for the Nursing Doctoral Learner
NURS-FPX8045 Doctoral Writing and Professional Practice
NURS-FPX9100 Defining the Nursing Doctoral Project
NURS-FPX9901 Nursing Doctoral Project 1
NURS-FPX9902 Nursing Doctoral Project 2
NURS-FPX9903 Nursing Doctoral Project 3
NURS-FPX9904 Nursing Doctoral Project 4
NURS-FPX9980 Doctoral Project Development