NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
As you strive to grow in your leadership skills and abilities, you will find that the context in which you work influences your motivation and areas of focus. In a similar vein, your commitment to developing professionally can contribute toward organizational effectiveness.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
To that end, it is critical to recognize the importance of organizational culture and climate. In particular, through this week’s Learning Resources, you may consider several questions: How do an organization’s mission, vision, and values relate to its culture? What is the difference between culture and climate? Moreover, how are culture and climate manifested within the organization?NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
For this Discussion, you explore the culture and climate of your current organization or one with which you are familiar. You also consider decisions and day-to-day practices and the way they relate to the organization’s mission, vision, and values.
- Review the information related to planning and decision making in health care organizations presented in the textbook, Leadership Roles and Management Functions in Nursing: Theory and Application. Consider how planning and decision making relate to an organization’s mission, vision, and values, as well as its culture and its climate.
- Familiarize yourself with the mission, vision, and values of your organization or one with which you are familiar. Consider how the statements and actions of leaders and others within the organization support or demonstrate the organizational mission, vision, and values. In addition, note any apparent discrepancies between word and deed. Think about how this translates into expectations for direct service providers. Note any data or artifacts that seem to indicate whether behaviors within the organization are congruent with its mission, vision, and values.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
- Begin to examine and reflect on the culture and climate of the organization. How do culture and climate differ?
- Why is it important for you, as a master’s-prepared nurse leader, to be cognizant of these matters?
Post a description of your selected organization’s mission, vision, and values. Describe relevant data, or artifacts, words, and actions of leaders and others in the organization that support, or perhaps appear to contradict the organization’s mission, vision, and values statement. In addition, discuss the organization’s culture and its climate, differentiating between the two. Explain why examining these matters is significant to your role as a nurse leader.
Understanding Inter-Professional Leadership in Healthcare
The healthcare industry is no stranger to teamwork and has increasingly utilized inter-professional teams. But what are inter-professional teams? Simply stated an inter-professional team is a group of people trained in different professional disciplines that need to work together on one team. The use of inter-professional teams has become extremely important in healthcare. Within the healthcare industry, there are times when the need arises for a diverse group of people to work together. If there is a solid understanding of inter-professional teamwork patients will be taken care of properly and safely. These teams are usually comprised of a physician, a nurse, marketing people, finance people, occupational therapists, social workers and so on. It can be quite a big mix of people, not only from different kinds of education but even different levels of education.
However, getting a group of individual with varying professional backgrounds can be problematic. One of the biggest challenges with these teams is that people are used to being experts in their own field. When you are used to being the expert you get used to people taking direction from you. Experts need to learn to become more open to learning, creating a learning environment, and enabling members of a team to feel safe. Team leadership becomes a major challenge, when everyone is seen as an expert. Another challenge is the use of jargon. For example, an accountant and a nurse can be trying to convey the same message but use completely different terms. So, agreeing on a common language is critical for the fast-paced healthcare environment.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
Organizational leadership for building effective health care teams
The movement toward accountable care organizations and patient-centered medical homes will increase with implementation of the Affordable Care Act (ACA). The ACA will therefore give further impetus to the growing importance of teams in health care. Teams typically involve 2 or more people embedded in a larger social system who differentiate their roles, share common goals, interact with each other, and perform tasks affecting others. Multiple team types fit within this definition, and they all need support from leadership to succeed. Teams have been invoked as a necessary tool to address the needs of patients with multiple chronic conditions and to address medical workforce shortages. Invoking teams, however, is much easier than making them function effectively, so we need to consider the implications of the growing emphasis on teams. Although the ACA will spur team development, organizational leadership must use what we know now to train, support, and incentivize team function. Meanwhile, we must also advance research regarding teams in health care to give those leaders more evidence to guide their work.
Inter professional Care and Role of Team Leaders
Inter professional care is an essential part of the health service delivery system. It helps to achieve improved care and to deliver the optimal and desired health outcomes by working together, sharing and learning skills. Health care organization is a collective sum of many leaders and followers.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper Successful delivery of inter professional care relies on the contribution of inter professional care team leaders and health care professionals from all groups. The role of the inter professional care team leader is vital to ensuring continuity and consistency of care and to mobilize and motivate health care professionals for the effective delivery of health services. Medical professionals usually lead inter professional care teams. Inter professional care leaders require various skills and competencies for the successful delivery of inter professional care.
Why inter professional collaboration?
To provide proper care and improve patient outcomes, today’s nurses must collaborate effectively with members of the healthcare team from other disciplines. That means working together as team members and team leaders. To do that, they must understand each member’s education, scope of practice, and areas of expertise. Learning the language, norms, and special foci of other disciplines fosters more effective use of resources and knowledge.
In 2009, six healthcare education associations in the United States established the Inter professional Education Collaborative: American Association of Colleges of Nursing, American Association of Colleges of Osteopathic Medicine, American Association of Colleges of Pharmacy, American Dental Education Association, Association of American Medical Colleges, and Association of Schools of Public Health. Together, these organizations have worked to define inter professional collaboration and four core competencies: 1) values and ethics for inter professional practice, 2) roles and responsibilities for collaborative practice, 3) inter professional communication practices, and 4) inter professional teamwork.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
To sum up these competency domains, embracing the values and ethics of inter professional practice means working together while respecting the expertise of those in other disciplines. Being aware of the professional roles and responsibilities of other team members; communicating effectively with patients, families, and other healthcare professionals; and building relationships to plan, implement, and evaluate safe care all contribute to the health of patients and communities. The American Association of Colleges of Nursing has integrated these collaborative expectations into its “essentials” for baccalaureate, master’s, and doctoral education for advanced practice, and they are also included in the educational expectations of other healthcare disciplines.
In 2010, the World Health Organization issued a statement of support for inter professional education—emphasizing that, to strengthen global healthcare, students must learn with, from, and about members of other health professions. In 2016, further revisions by the Inter professional Education Collaborative established inter professional collaboration as an overall focus of the four competencies and called for increased emphasis on population health.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
Our inter professional journey
As a pediatric nurse practitioner and a community health nurse who seek to improve the health of vulnerable populations, we have broadened our focus by collaborating with physicians, nurse colleagues, and other health professionals. For example, to improve the health of elementary school students, we formed an interdisciplinary community health collaborative.
Working with the school system offered, in turn, new opportunities to collaborate with others, both within and outside the healthcare system. An eight-week program by nursing, physical education, and exercise science faculty for second-grade children that involved undergraduate students, school administrators, nurses, physical education teachers, classroom teachers, and parents expanded to include collaborative partnerships with 10 community organizations that work together to improve child health in an urban community. By involving undergraduate students in our inter professional project to improve patient health outcomes, we model inter professional collaboration. Having a common focus enables multiple disciplines to combine their expertise.
Historically, inter professional education was not included in the curricula for healthcare professionals. Instead, students preparing for each discipline were educated in isolation from students of other disciplines, and there was little knowledge of the educational requirements or scopes of practice of other health professions. Today, students are being prepared to be members of an interdisciplinary healthcare team and are learning to focus on each patient as an individual, rather than a treatment or diagnosis.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
The future of inter professional collaboration
Benefits of inter professional collaboration—for nurses, other healthcare professionals, and patients—include improved patient outcomes, fewer preventable errors, reduced healthcare costs, and improved relationships with other disciplines. Enhanced communication among disciplines also leads to decreased workloads for all health professionals by minimizing duplicated effort and increasing knowledge. Building relationships with professionals in other disciplines leads to better understanding.
Are you ready to embark on an inter professional collaborative journey? Before doing so, ask yourself these questions: What population are you focusing on? How can you collaborate inter professionally? What opportunities exist for you to collaborate inter professionally? What disciplines outside of healthcare could you collaborate with? What organizations could you collaborate with?NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
Background Interdisciplinary team work is increasingly prevalent, supported by policies and practices that bring care closer to the patient and challenge traditional professional boundaries. To date, there has been a great deal of emphasis on the processes of team work, and in some cases, outcomes. Method This study draws on two sources of knowledge to identify the attributes of a good interdisciplinary team; a published systematic review of the literature on interdisciplinary team work, and the perceptions of over 253 staff from 11 community rehabilitation and intermediate care teams in the UK. These data sources were merged using qualitative content analysis to arrive at a framework that identifies characteristics and proposes ten competencies that support effective interdisciplinary team work. Results Ten characteristics underpinning effective interdisciplinary team work were identified: positive leadership and management attributes; communication strategies and structures; personal rewards, training and development; appropriate resources and procedures; appropriate skill mix; supportive team climate; individual characteristics that support interdisciplinary team work; clarity of vision; quality and outcomes of care; and respecting and understanding roles. Conclusions We propose competency statements that an effective interdisciplinary team functioning at a high level should demonstrate.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
According to the World Health Organization, “Inter professional education (IPE) occurs when two or more professions learn about, from, and with each other to enable effective collaboration and improve health outcomes.”
IPE focuses on the following four domains, which will be addressed throughout the student’s program:
- Inter professional Teamwork and Team-Based Practice
- Inter professional Communication Practices
- Rules and Responsibilities for Collaborative Practice
- Values and Ethics for Inter professional Education Practice
Collaborative practice in healthcare occurs when multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, caregivers and communities to deliver the highest quality of care across settings.
Practice includes both clinical and non-clinical health-related work, such as diagnosis, treatment, surveillance, health communications, management and sanitation engineering.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
Authors have commented on the limited use of theory in the inter professional field and its critical importance to advancing the work in this field. While social psychological and educational theories in the inter professional field are increasingly popular, the contribution of organizational and systems theories is less well understood. This paper presents a subset of the findings (those focused on organizational/systems approaches) from a broader scoping review of theories in the organizational and educational literature aimed to guide inter professional education and practice. A detailed search strategy was used to identify relevant theories. In total, we found 17 organizational and systems theories. Nine of the theories had been previously employed in the inter professional field and eight had potential to do so. These theories focus on interactions between different components of organizations which can impact collaboration and practice change. Given the primarily educational focus of the current research, this paper offers new insight into theories to support the design and implementation of inter professional education and practice within health care environments. The use of these theories would strengthen the growing evidence base for both inter professional education and practice – a common need for its varied stakeholders.
The complexity of modern interdisciplinary health care practices, where different specialties work together to solve complex problems, challenges traditional approaches to organizational development and quality improvement. An example of this is surgery. This article describes and evaluates an action-oriented method to facilitate organizational development and innovation at an operating unit, centered on inter professional aspects of health care, a method that shares some features with action learning. At its core the method had a group with members from all specialties in an operating team, who participated in regular meetings facilitated by a process leader, according to experiential learning principles. The group was evaluated using mixed methods (including interaction process analysis (IPA)), of which video recorded group meetings and interviews constituted the main sources of data. Results showed that the group achieved a successful organizational change. Indications of the success of the group process were the low level of conflicts and the high level of task focus. Inter professional boundaries appeared to be bridged as all members participated in formulation of both problems and solutions while not being afraid to voice different opinions. Problems could be attributed to lack of awareness of the group at the operating unit at which the intervention took place.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
Systems Leadership enables the leaders in an organization to create the conditions where people at all levels can work productively to their potential.
It uses sound principles about human behavior to create models of good leadership, organizational strategy, systems design and social process. It provides leaders with tools that help to predict people’s behavior in their organization. It also helps to build effective systems which drive productive behavior and lead to a more effective realization of the organizations purpose.
Systems Leadership has been developed by Dr Ian MacDonald throughout his career as an academic and a management and organizational behavior expert, Professor Catherine Burke of the University of Southern California and Karl Stewart, first as a Managing Director and now as a consultant. It has a basis in the work of Elliot Jaques and has since been added to by other MAC Associates and clients.NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
Systems thinking is a management discipline that first observes discrete functions and interactions between components. In education that would be the interactions among st teachers, learners, administrators, digital content and learning goals. Systems thinking then uses that data to derive a useful construct, a system, that creates efficiency and utility for all. Sometimes this system is multiple systems of multiple functions. What is happening right now nationwide in the transition to digital by schools is considerable confusion, overlap, and inefficiency at the software and content level. A majority of tech transition constructs by schools are piecemeal documents and a patchwork of apps. Many times, these are wonderful but isolated islands of teacher-driven ingenuity, with little or no over-arching system tactics. It’s time to have Systems Leadership.
Today’s school leaders need to understand what it means to program a computer, to harness an automatic technological workflow. This is “systems thinking” and is at the core of what currently drives the economy. Being able to harness machines to do the heavy lifting of the institution is a very different reality than leaning only on people. This does not mean teachers will be irrelevant, it means all school staff will be highly leveraged. NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
The leadership of today thinks first of how to get the problem automated by some technology, then how to organize and array human components. This is the giant leap forward for education as it moves closer to the business enterprise model. For five generations, the span of attention of school leadership has been focused on the basics of the Industrial Age: buildings and grounds, staffing, goal-setting, curriculum-as-raw-material, and managing the schedules.
A well-wrought software technology stack, built into a complete “software house” for the institution, creates highly synced efficiencies and flexibility. It has the capability of replacing the existing structure with a digital “unstructure” for every element of the past, and yes, including teaching-on-demand over the internet when a substitute or expert is required.
The Blended Administration
Systems thinking was defined in Systems Thinking Basics by authors Virginia Anderson and Lauren Johnson as a big-picture view of the whole. Districts and schools should not only recognize the interconnections between their operations digitally and their methods of educating via teachers and screen learning, but they must work to unify all of it together. Call it “Blended Administration” to mirror the classroom “Blended Learning” trend, a higher harmonic of technical sophistication. This is the ever-changing shift education has entered with the incursion of more technology. NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
At issue is the ability to see the software systems orchestrating a whole. When leaders are not familiar with the qualities and quantities of information or software development, and how that information serves to run the organization, not just serve users, they tend to let everyone decide how to use technology in a giant free-for-all. This results in activities where the same 6th-grade lessons are different teacher-by-teacher, which might be great for them as teachers, but in terms of results, the school is now looking at unpredictability for channeling customization’s.
Additionally, teachers doing a whole lot of document-based and video-based lesson planning, even with simple workflows and assignment envelopes, are not necessarily creating highly engaging learning because they are not animators, coders, or digital instructional designers who can craft great user experiences. Rationalization gets further distant because the act of having to build so many topics reduces the customization in home-grown digital lessons. NURS 6053 – Inter professional Organizational and Systems Leadership Case Study Paper
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