NR447 RN Collaborative Healthcare
Week 1 Discussion
The Changing Aspects of Healthcare
CO1Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO 2)
Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.
Review the article below and answer the following questions.
Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46. .doi:10.1016/S2155-8256(17)30097-https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edselp&AN=S2155825617300972&site=eds-live&scope=site (Links to an external site.)Links to an external site.
Select one of the four challenges and expand on how your workforce has responded to the change.
How have these challenges affected the access to care for your patients?
What can you do to decrease the effect on your patients? Provide a specific example.
NR447 RN Collaborative Healthcare
Week 2 Discussion
AACN Essentials Self-Assessment and Patient-Centered Care
CO1 Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO 2)
CO7 Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)
Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.. Follow the directions on the form. Note your total score. Next, review this article:
Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site (Links to an external site.)Links to an external site. (Links to an external site.)Links to an external site.
After you have completed your self-assessment, answer the following questions:
Describe the relationship between the AACN Essentials and your new-found knowledge about Patient Centered Care. Are there opportunities for you to improve?
Essential VIII: Professionalism and Professional Values discusses professional standards of moral, ethical, and legal conduct. Review the Professional Integrity Module-Academics and Practice at the beginning of the course (the first module). Then reflect on your own beliefs and values as they relate to professional nursing practice.
Discuss implications of professional nursing integrity and academic integrity.
NR447 RN Collaborative Healthcare
Week 3 Discussion
Conflict and Collaboration
CO2 Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO 3)
CO3 Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO 7)
Please watch the video and listen to the dialogue before posting.
Frightened Nurse
At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here?
Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader.
How might earlier collaboration have been beneficial?
Some organizations utilize non Registered Nurses in the Case Manager role. What additional skills, knowledge and attributes would the BSN-prepared Registered Nurse bring to case management in this scenario?
NR447 RN Collaborative Healthcare
Week 4 Discussion
Transformational Nursing Leaders
CO7 Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)
Review Appendix A, Sections I–V in Finkelman (2016).
Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies. Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.
In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.
NR447 RN Collaborative Healthcare
Week 5 Discussion
Patient Outcomes
CO5 Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)
Review the story at the link below before posting to the discussion:
Rau, J. (2015). Half of nation’s hospitals fail again to escape Medicare’s readmission penalties. Kaiser Health News. Retrieved from http://khn.org/news/half-of-nations-hospitals-fail-again-to-escape-medicares-readmission-penalties/ (Links to an external site.)Links to an external site.
After you have finished, consider how you would respond to the following situation:
Your local hospital has received notice from CMS (Centers for Medicare and Medicaid) regarding their readmission rates.
As a BSN prepared nurse, you have been asked to serve as a consultant to suggest a new Quality (Performance) Improvement process for ONE of the areas of deficiency. Write some brief steps (suggestions) for improvement as you contemplate accepting the consulting opportunity.
Share practice improvements utilized from your own clinical nursing experiences that have led to enhanced patient outcomes.
NR447 RN Collaborative Healthcare
Week 6 Discussion
Civility in the Workplace
CO6 Develop a personal awareness of complex organizational systems, and integrate values and beliefs with organizational mission. (PO 7)
Complete the Clark Workplace Civility Index Assessment (Links to an external site.)Links to an external site..
After you are finished, read the assigned article:
Lachman, V. D. (2015). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Urologic Nursing, 35(1), 39-42. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=100927729&site=eds-live&scope=site (Links to an external site.)Links to an external site.
Next watch the video by clicking on the link below.
Civility in the Workplace
Transcript (Links to an external site.)Links to an external site.
Reflect on what you observed in the video as you answer the following:
Based on what you observed, what leadership skills should you, as Masaya’s preceptor, model for your fellow coworkers to promote his acceptance into the work-group or team.
Does incivility seem to be an issue in the scenario?
Describe any common themes you discovered among the article, the video and the Civility Index
Share how you may improve your score on the index based on what you have read.
NR447 RN Collaborative Healthcare
Week 7 Discussion
Our Future Leaders
CO5 Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)
In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?
Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives.
Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.
Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live&scope=site (Links to an external site.)Links to an external site.
NR447 RN Collaborative Healthcare
Week 8 Discussion
Closing the Loop
CO6 Develop a personal awareness of complex organizational systems, and integrate values and beliefs with organizational mission. (PO 7)
Complete the Week 8 AACN Essentials Self-Assessment (Links to an external site.)Links to an external site..
Compare your scores from Week 2 to Week 8.
Describe how far have you come and how much further do you wish to go in improving your competencies during the next two years of practice.
Next, review the Course Outcomes as listed in the Syllabus. Select one of the course outcomes and share with your classmates how you feel you have achieved the outcome and how you will utilize the essentials and course outcomes in your practice setting.
NR447 RN Collaborative Healthcare
Week 3 Conflict Resolution Paper
Conflict Resolution Paper Guidelines
This assignment will be uploaded automatically to Turnitin when you submit your assignment.
Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
2. Click on “Choose File” to select your assignment file you want to upload.
3. Check the box to agree to the Turnitin End-User License Agreement.
4. Click “Submit Assignment.”
5. Your Turnitin report will be visible in the “Grades” section of your course.
Please refer to the pages below for more information about these changes.
• Turnitin Submitting a Paper (Links to an external site.)Links to an external site. explains how to submit a file.
• Turnitin Assignment Student View (Links to an external site.)Links to an external site. lets you submit a paper, then view feedback on the file you have submitted.
• Turnitin Viewing Instructor Feedback (Links to an external site.)Links to an external site. helps you view your instructor feedback.
Please contact your instructor if you have any questions.
Purpose
The purpose of this assignment is to learn how to identify and effectively manage conflicts that arise in care delivery settings resulting in better management of patient care, including appropriate delegation. You will gain insight into conflict management strategies and develop a plan to collaborate with a potential nurse leader about the conflict and its impact in a practice setting.
Course Outcomes
Completion of this assignment enables the student to meet the following course outcomes.
CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)
CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)
CO6: Develop a personal awareness of complex organizational systems, and integrate values and beliefs with organizational mission. (PO7)
CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (PO2 and PO3)
Due Dates
Submit your paper by Sunday, 11:59 p.m. MT, end of Week 3.
Points
This assignment is worth 200 points.
Directions
Read Finkelman (2016), Chapter 13: Improving Teamwork: Collaboration, Coordination, and Conflict Resolution, section on Negotiation and Conflict Resolution, pp. 324-333.
Write a 5-7 page paper (not including the title or References pages). Follow APA format. Consult your APA manual, and consider using the APA resources provided by Chamberlain. Cite the course textbook and two scholarly sources. You are required to complete this assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). (Links to an external site.)Links to an external site. Click on the envelope at the top of the page.
Observe nurses in a care delivery setting. Identify a recurring conflict with the potential to negatively impact patient care. This should be from your practice setting or prelicensure experiences.
Provide details of what happened, including who was involved, what was said, where it occurred, and what was the outcome that led you to decide the conflict was unresolved.
Identify the type of conflict. Explain your rationale for selecting this type.
Summarize (in your own words) the four stages of conflict, as described in our textbook, and how they relate to your example. Do not use quotations.
Describe how you would collaborate with a nurse leader to reach consensus on the best strategy to deal with the conflict
Describe the rationale for selecting the best strategy.
Provide a summary or conclusion about this experience or assignment and how you may deal with conflict more effectively in the future.
NR447 RN Collaborative Healthcare
Week 5 Nursing Care Models Paper
Nursing Care Models Paper Guidelines
Purpose
The purpose of this assignment is to identify nursing care models utilized in today's various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction.
Course Outcomes
Completion of this assignment enables the student to meet the following course outcomes.
CO1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)
CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)
CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)
CO6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO7)
CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO2, and 3)
CO8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)
Due Dates
Submit by Sunday, 11:59 p.m. MT, end of Week 5.
Points
This assignment is worth 200 points.
Directions
Read your text, Finkelman (2016), pp- 111-116.
Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.
Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.
Write a 5-7 page paper.
You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.
Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.
Discuss your observations about how the current nursing care model is being implemented. Be specific.
Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.
Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.
Write your paper using APA format using Microsoft Office 2010 or later.
Submit your paper no later than 11:59 p.m. MT on Sunday by the end of Week 5.
NR447 RN Collaborative Healthcare
Week 6 Performance Measurement PowerPoint Slide Show
Performance Measurement PowerPoint Slideshow Guidelines
Purpose
The purpose of this PowerPoint presentation is to locate and compare performance measurement data on common health conditions for the hospitals in your area. You will investigate the Centers for Medicare and Medicaid Services websites and locate the section called Hospital Compare. There you will find data for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. You will prepare a PowerPoint presentation and share the results of your findings. Opportunities for improving performance measurement indicators will be shared.
Course Outcomes
Completion of this assignment enables the student to meet the following course outcomes.
CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)
CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)
CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)
CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)
CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)
Due Dates
This assignment is to be submitted by Sunday, 11:59 p.m. MT, end of Week 6.
Points
This assignment is worth 200 points.
Directions
Review information found on the following website related to hospital compare http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.html (Links to an external site.)Links to an external site.
Read the information carefully and then locate the following website. http://www.medicare.gov/hospitalcompare (Links to an external site.)Links to an external site.
Search for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. Type in your zip code. Select your hospital and two others. Select hospitals/facilities and choose compare. If you live in a remote area and there are no hospitals listed within a 50-mile radius, select a zip code for a family member or a close friend who does not live near you. The idea is to review comparative data.
Click on the following topics to learn more.
Survey of patient's experiences
Timely and effective care (focus your search on two of the conditions that apply to services provided at the hospitals)
Readmissions, complications, and deaths
Carefully read the information provided.
Develop a PowerPoint slideshow consisting of 8-10 slides. Include the following, keeping in mind what all this data means.
Title slide with information pertinent to the course.
List reasons to recommend the website Hospital Compare to consumers (patients).
List reasons to recommend the website Hospital Compare to staff who may seek employment.
For the slides below, clearly label the name of each hospital:
Summarize patient experiences data for each hospital.
Summarize timely and effective care data for two conditions.
Summarize data for readmissions and complications and deaths.
List recommendations for improving data for one selected facility.
Summarize what you learned from this experience.
Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The Chamberlain Student Success Strategies (SSPRNBSN) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSPRNBSN may be found in the course list in the student portal.
You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.pptx” format. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6.
Best Practices in Preparing PowerPoint Presentations
The following are best practices in preparing this presentation.
Be creative.
Incorporate graphics, clip art, or photographs to increase interest.
Make easy to read with short bullet points and large font.
Review directions thoroughly.
Proofread prior to final submission.
Spell check for spelling and grammar errors prior to final submission.
Abide by the Chamberlain academic integrity policy.
Write From Scratch