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Evolution of the US Healthcare System NUR 514

Evolution of the US Healthcare System NUR 514

NUR 514 Topic 1: Health Care Systems, Organizational Relationships, And Interprofessional Health Care Environments

Objectives:

  1. Discuss the evolution of the U.S. health care system its impact on nursing and the delivery of care.
  2. Explain how interprofessional relationships increase collaboration and improve patient outcomes.
  3. Examine how leaders benefit from applying systems thinking.

Resources

Evolution of the US Healthcare System NUR 514

Advanced Practice Nursing: Essential Knowledge for the Profession – Read Chapter 7 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Leadership in Nursing Practice: Changing the Landscape of Health Care – Read Chapter 9 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education – Read “Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education,” by Bridges, Davidson, Odegard, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3081249/

Core Competencies for Interprofessional Collaborative Practice: 2016 Update

Read “Core Competencies for Interprofessional Collaborative Practice: 2016 Update,” by the Interprofessional Education Collaboration … https://ipec.memberclicks.net/assets/2016-Update.pdf

Using Systems Thinking to Envision Quality and Safety in Healthcare

Read “Using Systems Thinking to Envision Quality and Safety in Healthcare,” by Stalter and Mota, from Nursing Management …  https://journals.lww.com/nursingmanagement/fulltext/2018/02000/using_systems_thinking_to_envision_quality_and.7.aspx

AONL Nurse Leader Competencies

Read “AONL Nurse Leader Competencies,” located on the American Organization for Nursing Leadership (AONL) website. https://www.aonl.org/resourc

Evolution of the US Healthcare System NUR 514 Topic 1 DQ 1

Consider the evolution of the U.S. health care system. Discuss how the shift to value-based health care has impacted delivery of care and the role and responsibilities of the advanced registered nurse. Project what major evolving trends in the health care delivery system will affect nursing practice and how advanced registered nurses will influence the direction of health care.

Replies to RC

The healthcare system in the U.S. keeps evolving and yet still fragmented, and compared to other countries, the U.S. has higher healthcare spending. According to HEOR (n.d.), the U.S. healthcare system can be defined as a mixed system, as there is no universal coverage. There is government funding, which includes Medicare and Medicaid, and privately financed or from private health insurance plans and out-of-pocket payments.

In 2010, the Affordable Care Act (ACA) or “Obamacare,” or the comprehensive health care reform law, was enacted. Davalon (2022) stated that the ACA significantly changed the U.S. healthcare system by reducing the amount individuals and families paid for uncompensated care. The U.S. healthcare system began to experience a shift in how healthcare services are delivered and paid for after the ACA (Veradigm, n.d.). Many health care reforms have been implemented to emphasize quality of care over quantity (Veradigm, n.d.).

According to Veradigm (n.d.), “Value-based healthcare is a healthcare delivery framework that incentivizes healthcare providers to focus on the quality of services rendered, as opposed to the quantity.” As The University of Michigan (2021) stated, the three main goals of Value-Based Care are often referred to as the triple aim: better care for individuals, improved public health, and lower costs. In addition, BVC acknowledges that “higher health care costs do not lead to better outcomes” and that provider workflow designed to maximize throughput can lower the quality of Care (U.M., 2021).

BVC also promotes the kind of collaborative partnerships among providers, administrators, and patients that drive down costs while improving standards of Care (U.M., 2021). Comunale et al. (2021) stated that with the radical change in the healthcare system, hospital organizations had to evaluate new models of care that will support high-quality but low-cost care while maintaining timely patient access and reduced wait times. They stated that collaboration between physicians and Advanced Practice Providers (APPs) would be the key mechanism to providing care in the new care model. Nurse leaders have several roles to play in VBC; they can help expand the scope of advanced practice registered nurses’ practice across the U.S., reducing costs and expanding access to care (U.M., 2021).  Word Count: 356

References:

Comunale et al. (2021). Integrating Advanced Practice Providers into value-based care strategies: One organization’s journey to achieve success through interprofessional collaboration

https://www.acponline.org/system/files/documents/practice-resources/patient-interprofessional-education/teambased-care-toolkit/integratng_advanced_practice_providers_-jiep.pdf

Davalon (2022). History and Timeline of the Affordable Care Act (ACA)

https://www.ehealthinsurance.com/resources/affordable-care-act/history-timeline-affordable-care-actaca#:~:text=The%20ACA%20significantly%20changed%20the,who%20cannot%20afford%20a%20plan.

Heor, (n.d.). U.S. Healthcare System Overview-Background

https://www.ispor.org/heor-resources/more-heor-resources/us-healthcare-system-overview/us-healthcare-system-overview-background-page-1

Veradigm, (n.d.). What is Value-based healthcare? A comprehensive guide. https://veradigm.com/what-is-value-based-healthcare/#:~:text=Value%2Dbased%20healthcare%20is%20a,based%20upon%20patient%20health%20outcomes.

The University of Michigan, (2021). Value-Based Nursing Care Strategies & Readiness Checklist

https://online.nursing.umich.edu/blog/value-based-nursing-care-strategies-and-readiness-checklist/

Evolution of the US Healthcare System NUR 514  Topic 1 DQ 2

Based on your experience, explain how systems thinking helps leaders to build strong interprofessional and organizational relationships. Discuss some system thinking tools nursing leaders can apply to increase interprofessional collaboration to benefit patient outcomes or organizational initiatives. Make sure to incorporate the Interprofessional Education Collaborative (IPEC) competencies in your response.

NUR 514 Topic 2: Professional Leadership

Objectives:

  1. Differentiate between leadership and management.
  2. Analyze different leadership theories and styles.
  3. Analyze characteristics of the professional nurse leader and nursing leadership.
  4. Evaluate leadership and management strategies within health care organizations.
  5. Discuss potential causes of conflict, principles of negotiation, and conflict resolution models and strategies.

Evolution of the US Healthcare System NUR 514 Topic 2 DQ 1

Differentiate between “leading” and “managing.” Based on your experience in the health care industry, explain how an advanced registered nurse can lead well and provide management. Share at least one strategy you have used to effectively lead and manage staff within health care organizations Consider interactions with patients, team members, daily tasks, and responsibilities as you formulate your response.

Replies to AL

I have always seen managers and leaders as two separate roles. The title of manager comes with the job and authority they were given. A leader is a title that is earned with credibility and vision. Management focuses on efficiency, function and processes while leadership focuses on relationship, interactions and influence (Weberg et al., 2019). Not all managers are good leaders, and anyone can be a good leader. Managing is performing the defined technical skills and duties needed for maintaining a department of staff. Leading is inspiring, motivating or encouraging the team or individuals that do the work.

Advanced practice registered nurse can both lead and provide management. Advanced practice nursing leadership and its contribution to improving the care environment for patients and families, nurses and other healthcare providers, organizations and the healthcare system (Lamb et al., 2018). APRNs have the education, expertise and skills to manage and lead nurses and their peers within their organizations. They know the business of health care and its challenges to meet the expectations of the organizations they belong to. APRNs have the technical knowledge and research skills to develop policy and strategies towards organizational goals and quality outcomes. As leaders, APRNs can have the ability to influence nurses and patients towards shared goals. APRNs must have good and direct communication skills to inspired and challenge others to meet desire outcomes.

As a nurse manager one strategy I use to manage and lead my team is open, honest and effective communication.  I accomplish this with rounding daily with my team and patients. I first start my day with a morning huddle meeting with staff and reviewing our organizational and department goals and opportunities. I elicit feedback and advice from them on what are the barriers and issues that may prevent them from delivering good care and understand their concerns. And throughout the day I try to meet with each one individually starting off casually then some to a more simi-formal meeting. I tend to incorporate servant leadership with active listening, stewardship and growth. It is important to maintain trust and understanding between my staff and myself. When I round with patients I focus on active listening, providing empathy and making sure their individual needs are met.

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

Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2019). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Jones & Bartlett Learning. ISBN-13: 9781284146530

Evolution of the US Healthcare System NUR 514 Topic 2 DQ 2

Discuss potential causes of conflict occurring within health care organizations. What are some principles of negotiation and conflict resolution used by the nurse leader to address conflict? What model or leadership theory would be effective to use in addressing conflict?

NUR 514 Topic 3: Organizational Change Theories And Strategies

Objectives:

  1. Discuss the advanced registered nurse’s role as change agent within the interprofessional health care environment.
  2. Analyze factors driving organizational change within health care organizations.
  3. Evaluate change theories and collaborative models for promoting change.
  4. Evaluate the ethical, social, legal, economic, and political implications of practice change.

Topic 3 DQ 1

Describe an organizational change model that can be used in a dynamic health care environment. Based on this model, how is organizational change is managed? What role do stakeholders play during organizational change?

Topic 3 DQ 2

You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader and change agent, how would you approach the committee?  How could you draw from change theory to address these concerns and encourage collaboration on the committee?

Topic 2 APA Assignment: Leadership Style Reflective Essay

Assessment Description

The purpose of this assignment is to assist learners in developing effective communication by emphasizing the proper application of APA style. APA style is required for the graduate program.

Refer to the resources in the Class Resources and Student Success Center for assistance with APA. Use the APA Style Guide resource, located in the Student Success Center, to complete this assignment.

For this assignment, complete the following:

Self-Assessment

Self-awareness is essential for developing leadership skills. Recognizing your own strengths, weaknesses, and values, and understanding emotional intelligence and learning styles can help you to be a more effective nurse leader.

For this assignment, you have the opportunity to take a variety of self-assessments to learn more about yourself and identify your assets and weaknesses as a leader. This will assist you in discovering how you can improve your own self-leadership skills. You will be asked to think critically about your results and submit a reflection as directed below.

Refer to the topic Resources. Select and complete three self-assessments. Be sure to document the results of each assessment to assist you in completing the reflection portion of the assignment below.

Self-Assessment Reflection

Becoming self-aware is an ongoing process requiring introspection. The more often people practice self-reflection, the more opportunities they have to understand their own behaviors and adapt their approaches to working with other people, which can improve both your own and other’s abilities to meet their professional goals.

In a 1,000-1,250 word reflective essay, address the following:

  1. Provide a rationale and brief summary for selecting each self-assessment. Summarize the results you obtained on each assessment.
  2. Identify the leadership style that closely aligns to your philosophy of care and explain what appeals to you about that style.
  3. Reflect on how you might incorporate elements of that particular style as you exercise leadership in a practice or health care organization setting.
  4. Discuss any particular areas for improvement the assessments helped you identify and some steps for improving your leadership capabilities.
  5. Analyze the characteristics of an effective professional nurse leader, or individuals in nursing leadership. Discuss the characteristics and explain why they are effective for leadership in nursing.
  6. Analyze different leadership theories and leadership styles. Select one theory and leadership style, different from your own, and explain how they each support a professional nurse leader or individual in nursing leadership. Consider how the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Rubric Criteria

Summary of Self-Assessment Selections and Results

6.25 points

Criteria Description

Summary of Self-Assessment Selections and Results

  1. 5: Excellent

6.25 points

A comprehensive summary of why each self-assessment was selected and the results obtained on each assessment is thoroughly developed with supporting details.

  1. 4: Good

5.75 points

A summary of why each self-assessment was selected and the results obtained on each assessment is clearly provided and well developed.

  1. 3: Satisfactory

5.5 points

A summary of why each self-assessment was selected and the results obtained on each assessment is present.

  1. 2: Less Than Satisfactory

5 points

A summary of why each self-assessment was selected and the results obtained on each assessment is present, but it lacks detail or is incomplete.

  1. 1: Unsatisfactory

0 points

A summary of why each self-assessment was selected and the results obtained on each assessment is not included.

A Specific Leadership Style That Aligns With Philosophy of Care, Including Appeal

6.25 points

Criteria Description

A Specific Leadership Style That Aligns With Philosophy of Care, Including Appeal

  1. 5: Excellent

6.25 points

A comprehensive discussion of a specific leadership style that aligns with philosophy of care, including appeal, is thoroughly developed with supporting details.

  1. 4: Good

5.75 points

A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is clearly provided and well developed.

  1. 3: Satisfactory

5.5 points

A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is present.

  1. 2: Less Than Satisfactory

5 points

A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is present, but it lacks detail or is incomplete.

  1. 1: Unsatisfactory

0 points

A discussion of a specific leadership style that aligns with philosophy of care, including appeal, is not included.

Reflection on How to Incorporate Elements of the Leadership Style

6.25 points

Criteria Description

Reflection on How to Incorporate Elements of the Leadership Style

  1. 5: Excellent

6.25 points

A comprehensive reflection on how to incorporate elements of the leadership style is thoroughly developed with supporting details.

  1. 4: Good

5.75 points

A reflection on how to incorporate elements of the leadership style is clearly provided and well developed.

  1. 3: Satisfactory

5.5 points

A reflection on how to incorporate elements of the leadership style is present.

  1. 2: Less Than Satisfactory

5 points

A reflection on how to incorporate elements of the leadership style is present, but it lacks detail or is incomplete.

  1. 1: Unsatisfactory

0 points

A reflection on how to incorporate elements of the leadership style is not included.

Areas for Self-Improvement, Including Steps to Improve Leadership Capabilities

6.25 points

Criteria Description

Areas for Self-Improvement, Including Steps to Improve Leadership Capabilities

  1. 5: Excellent

6.25 points

A comprehensive discussion of areas for self-improvement, including steps to improve leadership capabilities, is thoroughly developed with supporting details.

  1. 4: Good

5.75 points

A discussion of areas for self-improvement, including steps to improve leadership capabilities, is clearly provided and well developed.

  1. 3: Satisfactory

5.5 points

A discussion of areas for self-improvement, including steps to improve leadership capabilities, is present.

  1. 2: Less Than Satisfactory

5 points

A discussion of areas for self-improvement, including steps to improve leadership capabilities, is present, but it lacks detail or is incomplete.

  1. 1: Unsatisfactory

0 points

A discussion of areas for self-improvement, including steps to improve leadership capabilities, is not included.

Characteristics of Effective Professional Nurse Leader

6.25 points

Criteria Description

Characteristics of Effective Professional Nurse Leader

  1. 5: Excellent

6.25 points

Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are thoroughly discussed. A detailed explanation for why these are effective for leadership in nursing is clearly presented.

  1. 4: Good

5.75 points

Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are discussed. An explanation for why these are effective for leadership in nursing is presented.

  1. 3: Satisfactory

5.5 points

Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are summarized. An explanation why these are effective for leadership in nursing is outlined.

  1. 2: Less Than Satisfactory

5 points

Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are only partially discussed.

  1. 1: Unsatisfactory

0 points

Characteristics of an effective professional nurse leader, or individuals in nursing leadership, are not discussed.

Application of Leadership Theory and Style Different Personal Style

6.25 points

Criteria Description

Application of Leadership Theory and Style Different Personal Style

  1. 5: Excellent

6.25 points

A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership are clearly explained. How the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation is thoroughly discussed.

  1. 4: Good

5.75 points

A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership are explained. How the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation is generally discussed.

  1. 3: Satisfactory

5.5 points

A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership are summarized. How the theory shapes the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation is outlined.

  1. 2: Less Than Satisfactory

5 points

A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership, are only partially discussed.

  1. 1: Unsatisfactory

0 points

A different theory and leadership style, and how they support a professional nurse leader, or individual in nursing leadership, are omitted.

Required Sources

6.25 points

Criteria Description

Required Sources

  1. 5: Excellent

6.25 points

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

  1. 4: Good

5.75 points

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

  1. 3: Satisfactory

5.5 points

Number of required sources is met, but sources are outdated or inappropriate.

  1. 2: Less Than Satisfactory

5 points

Number of required sources is only partially met.

  1. 1: Unsatisfactory

0 points

Sources are not included.

Title Page

6.25 points

Criteria Description

Title Page

  1. 5: Excellent

6.25 points

The title page is presented. The required format is applied correctly. There are no errors.

  1. 4: Good

5.75 points

The title page is presented. The required formatting is applied, although there may be one or two errors.

  1. 3: Satisfactory

5.5 points

The title page is presented. The required formatting is applied but there are minor errors.

  1. 2: Less Than Satisfactory

5 points

The title page reflects some required formatting, but overall it is not correctly applied.

  1. 1: Unsatisfactory

0 points

The title page is not formatted according to required style. The title page is omitted.

Introduction

12.5 points

Criteria Description

Introduction

  1. 5: Excellent

12.5 points

The introduction is presented. The required formatting is applied correctly. There are no errors.

  1. 4: Good

11.5 points

The introduction is presented. The required formatting is applied, although there may be one or two errors.

  1. 3: Satisfactory

11 points

An introduction is presented. The required formatting is applied but there are minor errors.

  1. 2: Less Than Satisfactory

10 points

An introduction is presented but the overall required formatting is not consistently or correctly applied.

  1. 1: Unsatisfactory

0 points

The introduction is not presented in required format. The introduction is omitted.

Main Body

18.75 points

Criteria Description

Main Body

  1. 5: Excellent

18.75 points

The sections of the main body are organized to reflect the main points of the author. The required formatting is applied correctly. There are no errors.

  1. 4: Good

17.25 points

The sections of the main body are clear. The required formatting is applied, although there may be one or two errors.

  1. 3: Satisfactory

16.5 points

The sections of the main body are generally identifiable. The required formatting is applied but there are minor errors.

  1. 2: Less Than Satisfactory

15 points

The main body is disorganized. Overall, the required formatting is not consistently or correctly applied.

  1. 1: Unsatisfactory

0 points

The required formatting is not used for the main body.

APA Style Citations

12.5 points

Criteria Description

APA Style Citations

  1. 5: Excellent

12.5 points

All sources are cited. The required style and format are correctly applied and are free from error.

  1. 4: Good

11.5 points

All sources are cited. The required style and format are applied and mostly correct. There may be one or two errors.

  1. 3: Satisfactory

11 points

Most sources are cited. One may be missing. The required style and format are typically applied. Some errors are present.

  1. 2: Less Than Satisfactory

10 points

Citation of sources is incomplete. The use of the required style for citation of sources is inconsistent and incorrect.

  1. 1: Unsatisfactory

0 points

Sources are not cited throughout. The required style is not used for citations. Sources are not included.

Appendix

6.25 points

Criteria Description

Appendix

  1. 5: Excellent

6.25 points

The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied correctly. There are no errors.

  1. 4: Good

5.75 points

The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied, although there may be one or two errors.

  1. 3: Satisfactory

5.5 points

The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied but there are minor errors.

  1. 2: Less Than Satisfactory

5 points

The APA Writing Checklist is attached in the appendix but is incomplete. The appendix reflects some of the required formatting, but overall it is not correctly applied.

  1. 1: Unsatisfactory

0 points

The appendix is not formatted according to the required style. The appendix and APA Writing Checklist are omitted.

References

6.25 points

Criteria Description

References

  1. 5: Excellent

6.25 points

Sources are completely and correctly documented on a References page, as appropriate to assignment and the required style, and format is free of error.

  1. 4: Good

5.75 points

Sources are documented on a References page, as appropriate to assignment and the required style, and format is mostly correct.

  1. 3: Satisfactory

5.5 points

The APA Writing Checklist is complete and attached in the appendix. The required formatting is applied but there are minor errors.Sources are documented on a References page, as appropriate to assignment and the required style, although some formatting errors may be present.

  1. 2: Less Than Satisfactory

5 points

Documentation of sources using a References page is inconsistent or incorrect, as appropriate to assignment and the required style, with numerous formatting errors.

  1. 1: Unsatisfactory

0 points

Sources are not documented. A References page is not included.

Thesis Development and Purpose

12.5 points

Criteria Description

Thesis Development and Purpose

  1. 5: Excellent

12.5 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

  1. 4: Good

11.5 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

  1. 3: Satisfactory

11 points

Thesis is apparent and appropriate to purpose.

  1. 2: Less Than Satisfactory

10 points

Thesis is insufficiently developed or vague. Purpose is not clear.

  1. 1: Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

6.25 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

  1. 5: Excellent

6.25 points

The writer is clearly in command of standard, written, academic English.

  1. 4: Good

5.75 points

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.

  1. 3: Satisfactory

5.5 points

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.

  1. 2: Less Than Satisfactory

5 points

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.

  1. 1: Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is employed.

NUR 514 Topic 3: Organizational Change Theories And Strategies

Topic 3 DQ 1
Assessment Description

Describe an organizational change model that can be used in a dynamic health care environment. Based on this model, how is organizational change is managed? What role do stakeholders play during organizational change?

Topic 3 DQ 2
Assessment Description

You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader and change agent, how would you approach the committee?  How could you draw from change theory to address these concerns and encourage collaboration on the committee?

Topic 3 DQ 2 Sample

It is evident from the case that there exists a conflict among the committee’s registered nurses. This conflict arises from the difference in ideologies regarding a recent position statement about the role of spiritual care. There is a need for change to ensure the incorporation of spiritual care in nursing care. However, some nurses oppose this idea and want this new care intervention to be reversed or revised. As a change agent, there are various change models that I could use to influence the committee members to collaborate and promote conflict resolution. Implementation of a spiritual care plan has created chaos, and chaos is normative in healthcare delivery, according to Weberg et al. (2018, p.15). To effect this change, I will consider both system and unit-specific needs.

I will incorporate both Chaos theory and Lewin’s Change theory in this situation. Chaos theory asserts that small system changes can significantly impact the outcomes and, thus, need to collaborate with every committee member to find the best solution (Olsson et al., 2020). Lewin’s change model will provide the basic steps to manage conflict and effect change. My approach to the committee will start by assessing the problem by recognizing both driving and restraining forces (Denisco, 2019). In the unfreezing phase, according to Lewin’s change model,

I will agitate the equilibrium state by providing evidence-based information regarding the need for change opposers of change to acquire more information regarding the need and benefits of change. This information provision will be considered as the most restraining and driving factors possible per Chaos Theory. In the change phase, I will influence all committee members to view the change from a new perspective that does not lean toward individual interests in the change. The collaboration with each committee member will aim to create a common goal in the change and refreezing phase. Therefore, applying both the Chaos and Lewin Theories will promote conflict resolution through collaboration and compromise to effect change.

References

Denisco, S. M. (2019). Advanced practice nursing: Essential knowledge profession: Essential knowledge for the profession (4th ed.). Jones & Bartlett.

Olsson, A., Thunborg, C., Björkman, A., Blom, A., Sjöberg, F., & Salzmann-Erikson, M. (2020). A scoping review of complexity science in nursing. Journal of Advanced Nursing, Jan. 14382. https://doi.org/10.1111/jan.14382

Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2018). Leadership In Nursing Practice (3rd ed.). Jones and Bartlett.

NUR 514 Topic 3 Implementing Change With an Interprofessional Approach Presentation

As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent and spurring positive change on behalf of patients, colleagues, and the industry.

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References.

Include the following in your presentation:

  1. Describe the background of the situation and the rationale for and goal(s) of the change. Consider the ethical, social, legal, economic, and political implications of practice change in your response.
  2. Outline the advanced registered nurse’s role as change agent within the interprofessional and dynamic health care environment.
  3. Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
  4. Discuss an appropriate change theory or model that could be used to achieve results. Explain why the theory or model selected is best for the situation. Include the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change in your response.
  5. As an advanced registered nurse, outline how you would initiate the change.
  6. Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.
  7. Predict what additional factors will drive upcoming organizational change for the organization and outline the advanced registered nurse’s role as change agent.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

NUR 514 Topic 4 DQ 2 Sample

Advanced practice nurses have a unique position that they can play in politics. “Nursing as a discipline and a science cannot neglect our role as whistleblowers and change agents.” (Dillard-Wright and Shields-Hass, 2021) As I transition into the role of an advanced registered nurse, I feel it is essential to understand the political climate of health care. As a patient advocate, I feel that becoming involved in healthcare politics is important.

First, I would research what local and state nursing organizations are actively involved in healthcare politics that have a mission and vision closely aligned with mine. I would become a member of the organization and see how I can participate in the political process. I could assist with conducting research, helping with proposing or writing up new legislation, assisting with community, or even being an expert advisor on a committee or to a politician.

Once comfortable in the local and/or state sector, I would expand my involvement nationally. It would be greatly beneficial to cut my teeth, so to speak, in smaller contact so that I can become familiar and comfortable with the political process. Writing letters and emails to our representatives is also important for nurses to get involved in politics. Attending rallies, town hall meetings and public events to become informed on current hot topics in health care is also a form of political involvement.

One of the simplest and most basic forms of political participation is voting. Educating oneself on the proposed bills, initiatives, and propositions on the ballot and making an educated vote is very important. Also, by participating in local, state and national elections, vote for the candidates that represent your healthcare views and have a similar vision for the future of healthcare. As an advanced practice registered nurse, it is important to advocate for the patients and be an agent of change in health care by actively participating in politics.

References

Dillard-Wright, J., & Shields-Haas, V. (2021). Nursing with the people: Reimagining futures for nursing. Advances in Nursing Science, 44(3), 195–209. https://doi-org.lopes.idm.oclc.org/10.1097/ANS.0000000000000361

NUR 514 Topic 5: Cost-Effective, Innovative Models Of Care Delivery

Topic 5 DQ 1
Assessment Description

Review the American Nursing Informatics Association (ANIA) website and discuss the resources that you found there. Discuss how the website might be used for networking in the nursing informatics profession. (1 page)

Topic 5 DQ 2
Assessment Description

Explain the role of the nurse leaders in implementing innovative care models. Explain how innovative modes of care affect collaboration between advanced registered nurses and other stakeholders in the industry. (1 page)

Topic 5 The Evolution of Nursing Informatics Presentation

As an advanced registered nurse leader, you have an opportunity effect change through the practice of nursing health informatics. Informatics has evolved over time to become what it is today. Using the resources provided in this assignment, prepare a 12-15 PowerPoint presentation. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References.

Include the following in your presentation:

  1. Define nursing informatics.
  2. Provide a brief history of the field of nursing informatics. Discuss how the specialty has evolved.
  3. Discuss how nursing informatics affects nursing leadership, clinical practice, administration, education, and research.
  4. Explain how organizational policy on health information systems can be affected or impacted by government regulation.
  5. Discuss nurse-led innovation as it relates to the advances in informatics and how informatics innovation can be used to improve the quality of patient care.
  6. Provide an example of the role of the nurse in transforming health care data into knowledge that can improve patient care using nursing informatics practice.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Resources already sent under the discussions

NUR 514 Topic 6: Improving Access And Quality Care Through Health Care Informatics And Health IT

Topic 6 DQ 1
Assessment Description

In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response. Why are heuristic principles (human factors/usability/user centered design) important for efficient clinical information systems such as CPOE and CDSS?

Topic 6 DQ 2
Assessment Description

Discuss the importance of interoperability between EHRs and other disparate systems and the impact on improving quality and access to care. How can workflow analysis be used to identify issues related to interoperability?

Topic 6 DQ 2 Sample

Electronic health record (EHR) interoperability refers to a system architecture designed to permit the electronic exchange of patient information between healthcare providers and EHR systems (Denisco, 2019).  On the other hand, a disparate system is a computer processing system designed to function as a fundamentally distinguished data processing system without interaction with other computer processing systems (Denisco, 2019). EHR interoperability has facilitated the incorporation of disparate healthcare systems into other healthcare systems, allowing an easier exchange of patient information across various healthcare facilities.

Additionally, interoperability diminishes ambiguity and enhances workflow, creating a conducive environment for healthcare delivery by ensuring that the right data is accessible to the right people at the correct time (Garrett, 2011). The availability of patient information is central to healthcare delivery. For instance, patient data is sensitive and guides screening, diagnosis, and subsequent treatment. EHR interoperability facilitates effective communication and care coordination, ensuring safe and quality care as patients move from one healthcare provider to the next.

Workflow analysis can be deployed to recognize issues related to interoperability. Workflow analysis examines and reviews an organization’s workflow structures to ensure the organization’s streamlined and efficient running (McGonigle & Mastrian, 2021). Workflow analysis reviews all the subprocesses in the EHR interoperability systems to ensure they are functioning efficiently. For instance, workflow analysis addresses interoperability-related concerns such as barriers to sharing information, validation of electronic requests, inconsistent information across EHR systems, and high costs of interoperability management due to inefficiency (McGonigle & Mastrian, 2021). Consequently, workflow analysis should be done on any EHR interoperability system to ensure a comprehensive understanding of its needs and enhance its efficiency.

References

Denisco, S. M. (2019). Advanced practice nursing: Essential knowledge for the profession: Essential knowledge for the profession (4th ed.). Jones & Bartlett.

Garrett, P. (2011, January 4). EMR vs EHR – What is the Difference? Health IT Buzz. https://www.healthit.gov/buzz-blog/electronic-health-and-medical-records/emr-vs-ehr-difference

McGonigle, D., & Mastrian, K. (2021). Nursing informatics and the foundation of knowledge (5th ed.). Jones and Bartlett.

Topic 6 Emerging Technology Brief

New health care innovations offer the advanced registered nurse an opportunity to apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging health care technology that you think has the potential to overcome current or emerging barriers to care.

Write a 500-750 word brief. Include the following:

  1. Provide an overview of the emerging technology and its role/function in health care. Consider its potential for improving access to care and promoting patient safety and quality.
  2. Describe ethical or legal issues that would accompany the incorporation of the technology.
  3. Explain the nurse’s informatics role in regard to the technology. Provide examples of the roles and job functions.
  4. Outline the role of workflow analysis, human factors, and user-centered design concepts for your chosen technology example.

Refer to the topic Resources for samples and resources to help you construct your brief.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Emerging Technology Brief Paper Sample

Emerging technology refers to any technology in development (Abdi et al., 2020). Emerging technologies usually have a considerable social and economic impact. Healthcare technology spans medications, vaccines, procedures, and systems to devices. Over the past decade, technology has spearheaded the advancement of the healthcare industry through various innovations in the diagnosis, prevention, and treatment of various disease states. Examples of emerging technologies include artificial intelligence (AI), telemedicine, extended reality, and wearables (Abdi et al., 2020). The subsequent sections of this paper will discuss the role of emerging technologies in healthcare, ethical and legal considerations, the nurse’s informatics role, and the importance of concepts such as workflow analysis, human factors, and user-centered design in technology.

Role of Emerging Technologies in Healthcare

Emerging technologies have significantly impacted the healthcare sector. New healthcare technology offers educational, supportive, organizational, informational, rehabilitative, preventive, diagnostic, and therapeutic solutions that considerably improve healthcare accessibility and providers’ capabilities (Schiavone & Ferretti, 2021). For instance, a virtual concierge allows patients to schedule appointments flexibly and provides real-time communication and advanced analytics.

Similarly, artificial intelligence facilitates better decision-making and minimizes medication errors, enhancing patient safety (Schiavone & Ferretti, 2021). This advanced technology also spearheads the efficiency and precise nature of the current treatment modalities. Wearables enable constant patient monitoring. Consequently, emerging technologies have improved healthcare efficiency, productivity, performance, and security without sacrificing accessibility or reliability.

Ethical or Legal Issues

Despite the overwhelming impact of emerging technologies in healthcare, these new technologies must be governed and regulated (Mathews et al., 2022). Ethical and legal concerns accompany the incorporation of technology. For instance, using technology to process patient information raises issues related to patient privacy, confidentiality, and autonomy.

Similarly, personal information may be misused, particularly by other parties, after it has been entered into the various online platforms. Likewise, the implementation of artificial intelligence has raised concerns over the replacement of jobs (Mathews et al., 2022). Finally, lack of oversight and acceptance of responsibility is a critical ethical concern as most healthcare technologies have blended ownership. Therefore, it is prudent to incorporate healthcare technologies to account for these concerns.

The Nurse’s Informatics Role

Nurse informaticists play a central role in technology. For instance, nurse informaticists act as a crosslink between clinicians and the IT staff. They facilitate communication between clinicians and IT staff, facilitating strategies for implementing, optimizing, procuring, and maintaining a technologically active healthcare environment. Similarly, informaticists consistently strive for quality improvement to support better clinical and patient outcomes through patient data analysis and isolation of patterns that facilitate clinical decision-making. Nurse informaticists also enhance patient safety through staff training and process improvements. Finally, nurse informaticists are involved in policymaking and act as patient advocates, ensuring the acceptability and prosperity of healthcare technologies.

Workflow Analysis, Human Factors, and User-Centered Design

Workflow analysis, human factors, and user-centered design are elemental concepts to consider for any healthcare technology. Workflow analysis, for instance, reviews, examines and evaluates structures and subprocesses of the technology to ensure efficiency (Staras et al., 2021). Meanwhile, human factors are critical to the utilization of technology. For example, individual attitudes and skills may impact adopting and using emerging technologies. Individuals must have the right attitude, skills, and expertise to utilize a given technology effectively.

Finally, technologies should be designed to have an appropriate user-centered design. User-centered interphase creates a user-friendly environment that facilitates the usability of the given technology (Dopp et al., 2019). Consequently, it is critical to consider human factors, user-centered design, and workflow analysis during the design and implementation of technology.

Conclusion

Emerging technologies are the driving forces behind the current advanced healthcare technology. These technologies improve healthcare organizations’ access to care, patient safety, and efficiency. Ethical and legal concerns related to technology must be recognized and addressed. Nurse informaticists play a central role in implementing and using healthcare technology. Finally, healthcare technologies should consider workflow analysis, human factors, and user-centered design while implementing healthcare technologies.

References

Abdi, S., de Witte, L., & Hawley, M. (2020). Emerging technologies with potential care and support applications for older people: Review of gray literature. JMIR Aging, 3(2), e17286. https://doi.org/10.2196/17286

Dopp, A. R., Parisi, K. E., Munson, S. A., & Lyon, A. R. (2019). Integrating implementation and user-centered design strategies to enhance the impact of health services: protocol from a concept mapping study. Health Research Policy and Systems, 17(1), 1. https://doi.org/10.1186/s12961-018-0403-0

Mathews, D. J. H., Balatbat, C. A., & Dzau, V. J. (2022). Governance of emerging technologies in health and medicine – creating a new framework. The New England Journal of Medicine, 386(23), 2239–2242. https://doi.org/10.1056/NEJMms2200907

Schiavone, F., & Ferretti, M. (2021). The FutureS of healthcare. Futures, 134(102849), 102849. https://doi.org/10.1016/j.futures.2021.102849

Staras, S., Tauscher, J. S., Rich, N., Samarah, E., Thompson, L. A., Vinson, M. M., Muszynski, M. J., & Shenkman, E. A. (2021). Using a clinical workflow analysis to enhance eHealth implementation planning: Tutorial and case study. JMIR MHealth and UHealth, 9(3), e18534. https://doi.org/10.2196/18534

NUR 514 Topic 8 Benchmark – Electronic Health Record Implementation Paper

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

In a paper of 1,500-1,750 words, discuss the following:

  1. Consider an opportunity for tracking care improvement. What key information would be needed in the database? Example: Time lapse from medication order documented in the EHR to delivery of medication to the patient for the cardiology service.
  2. Describe the role informatics plays in the ability to capture this data. What type of project management strategies and methodologies can be implemented to support informatics initiatives to help improve quality within the clinical practice?
  3. Discuss which systems and staff members would need to be involved in the design and implementation process. What is the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement initiatives within this setting?
  4. Outline strategies for implementing the new EHR proposal. Consider communication changes, transitioning to the new EHR, and managing resources (human, fiscal, and health care resources).
  5. Discuss what professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system.
  6. Describe the measures and steps you would take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective to measure effectiveness and ensure continuous quality improvement in practice?
  7. Explain what leadership skills and theories would be needed to facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing

2.3: Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.

5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care

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