NR534 Discussions Latest 2022 August (Full)

NR534 Healthcare Systems Management

Week 1 Discussion

Creating a Philosophy of Leadership - A

Part 1: Individual

Whether or not it is written or verbally articulated, everyone has an idea or belief system about leadership that influences their behavior as a leader and a follower. Many factors combine that inform your leadership philosophy.

Discuss your personal beliefs, values, experiences, and current leadership principles and trends that influence your leadership philosophy.

In 3-5 sentences clearly articulate your personal leadership philosophy. This should begin with, "My philosophy of leadership is....."

Describe how your leadership philosophy relates to the position and the organization within which you currently work. How does it affect the work you do, how you make decisions, and the culture you promote?

Part 2: With Your Group

Discuss the commonalities and differences among the statements from the group.

How does your personal philosophy compare to the philosophy of your organization? How do you reconcile discrepancies between them?

What impact does congruency between your personal leadership and the organization's philosophy have on creating a person-centered, caring healthcare organization?

NR534 Healthcare Systems Management

Week 2 Discussion

Leadership Styles and Personality Types: Impact on Communication – A

Part 1: Individual

Identity your leadership style and personality typology using the following instruments:

Blake and Mouton Managerial Grid: Leadership Self-Assessement Questionnaire: https://www.bumc.bu.edu/facdev-medicine/files/2010/10/Leadership-Matrix-Self-Assessment-Questionnaire.pdf

Personality Typology Profile: http://www.humanmetrics.com/personality/type (Links to an external site.)

Discuss the dominant leadership style and personality type of each group member and compare the similarities and differences related to the steps of the communication cycle/feedback loop.

Part 2: With Your Group

Suppose your group is an ad hoc task force charged with finding a solution for reducing call-outs by staff. Based on what you've learned about the communication attributes of each other, create a scenario that depicts how you envision communication and collaboration on this project among this group. Discuss what considerations might be taken based on how the different members give and receive information.

NR534 Healthcare Systems Management

Week 3 Discussion

Open and Closed Systems: Impact of Decision Making Within – A

Facilitating: Over the next five weeks (3-7) you are engaging in group forums within which you explore issues related to weekly lesson topics. For one of these you will assume role of facilitator and the remainder of the weeks you are a participant. Your role as facilitator has specific guidelines and grading rubric which are available here: Group Discussion Facilitation Guidelines and Rubric. (Links to an external site.)

The grade for facilitation appears in the gradebook under Week 7: Facilitation.

To learn basic tips on what facilitation of a group means and how to perform it successfully, please also review the Group Facilitation Information Sheet. (Links to an external site.) There is not a separate electronic submission required for this assignment.

Participation: Engaging in group forums is a bit different from traditional discussion posts. In group forums you engage in dialogue addressing the components in the prompt with the guidance of the facilitator. The key to robust group forums is frequent, quality responses. The facilitator posts within the first 24 hours of the week to start the discussion. To promote thoughtful dialogue, you should respond as soon as able after the facilitator has posted. Review the discussion rubric for further guidelines on grading.

Part 1: Individual

Describe your organization as a closed or open system. Discuss how thinking differs between the two. Is there a difference in systems thinking in traditional healthcare versus complex adaptive systems?

Part 2: With Your Group

Systems thinking allows a more holistic perspective on decision making. Share examples of the types of decisions that occur at the unit, department, and organizational levels of the organization. Describe the impact of those decisions vertically, horizontally, and system-wide. Describe the effect of the decisions at the individual system level as well as the impact throughout the organization.

NR534 Healthcare Systems Management

Week 4 Discussion

Organizational Structure: Power and Lines of Authority – A

Part 1: Individual

Describe the organizational structure and the lines of authority within the healthcare system where you work. Identify the relationship between the type of power observed and the authority line.

Part 2: With Your Group

Share an example of a power differential gap or unclear authority lines you have observed or have been involved in. What accountability issues arose from the gap? How was group communication and/or collaboration affected by this gap? What strategies would you propose leaders could use to navigate power-differential gaps and blurred lines of authority?

NR534 Healthcare Systems Management

Week 5 Discussion

Organizational Culture and Climate on Group Process and Team Building – A

Individual:

You are the unit director of the emergency department and part of an ad hoc interdisciplinary committee newly formed to address a 30% rise in arrival-to- provider time over the past six months. Six months ago, the ED consistently recorded an arrival-to-provider time less than the national benchmark of twenty minutes. The arrival-to-provider time is presently over one hour. A root cause analysis study finds that arrivals to the ER have increased by 50% and the lobby is usually filled to capacity. Often patients must stand due to lack of adequate seating. FTEs have not been added and staffing is consistently short due to call-offs. Patients are not being discharged from inpatient beds in a timely manner. The task for the committee is to propose a solution for the problem. Looking at this through the lens of an evidence-based quality improvement process, what would you propose as the PICOT for this initiative? Who are the stakeholders represented in your group? (Remember, this is an internal organizational issue, and while patients are impacted by the issue and are the beneficiaries of the work done, they would not be included in this type of task force)

(for your review, see the example for developing a PICOT below or refer to the Nurse Executive Track CGE Academy webinar located in resources and announcements)

Group:

Discuss how the perspectives for the PICOT differ depending on the discipline represented by each stakeholder? What impact will they have on the group process and in team building? How is the group process and team building effected by the organization's culture and climate of transparency and safety? How will the outcomes of the committee be impacted?

NR534 Healthcare Systems Management

Week 6 Discussion

Evidence-based Decision-making and Models for Planned Change – A

You are the CNO of your current healthcare organization and have been told that the current organizational structure of the nursing department is "top heavy," resulting in financial loss for the institution in the last fiscal year. You've been instructed to restructure the department to flatten the line to reduce expenses. You must decide how you will do it and how you will implement the change.

Describe the decision-making framework or model you will choose and the rationale for choosing it.

Of the three change models—PDSA, Kotter, or Rogers—which would you choose to use and why? What makes the other two less useful? What influence did your leadership profile have on your choices?

NR534 Healthcare Systems Management

Week 7 Discussion

Attributes of a Transformational Healthcare System – A

What are the attributes of the learning organization and how does it align (or support) the complex adaptive healthcare system? What leadership styles are inherent in learning organizations that may not be totally supported in a traditional organizational culture? Using the cultural assessment you did a few weeks ago, how does your current organizational culture and climate align with the learning organizational attributes? What other information might you need before you could make that determination? Where would you obtain it? How does your philosophy of leadership and personal leadership profile align to the attributes of the learning organization? What is the role of the nurse leader in leading and creating a shift toward becoming a learning organization?

NR534 Healthcare Systems Management

Week 8 Discussion

Touchpoint Reflection – A

Reflection on Health Systems, Population Health, and Coalition Building

Experience

Conduct a mini-community health assessment of the area served by the healthcare system for which you work. Describe the services and programs related to the social determinants of health (SDOH) provided by your institution. Identify which ones are being addressed through other agencies.

Reflection

Reflect on the areas of population health within your community that are not being fully addressed by available services. Which SDOH are not being fully addressed by available services through your organization or other community agencies.

Implications

What are the implications for your healthcare system for developing services or programs that might address some of the gaps? What role would you have in developing coalitions or partnerships within your community to achieve these goals?