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Resources
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Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapter 7 in Advanced Practice Nursing: Essential Knowledge for the Profession.
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Leadership in Nursing Practice: Changing the Landscape of Health Care
Read Chapter 9 in Leadership in Nursing Practice: Changing the Landscape of Health Care.
View Resource
Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education
Read “Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education,” by Bridges, Davidson, Odegard,
… Read More
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 Collaborat
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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
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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
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.
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/
Value-based health care was developed in response to the rising health care costs, poor quality outcomes, and shifting demographics; It is the underlying strategy in Healthcare Reform, also known as the Affordable Care Act (ACA) of 2010 which aimed at enhanced patient experience and outcomes, improved population health, and reduced health care expenditures (Huffman, 2020). Since the shift from payment for volume of services provided to payment for quality outcomes, health care organizations have put a lot of focus on quality metrics and patient experience for reimbursements. Patients demand quality and satisfaction at a low cost. The goal is for providers and nurses to keep people healthy for insurance companies to pay out less for services and that would reduce premiums for the consumer. The role of the advanced registered nurse has grown tremendously due to value-based health care. As leaders in health care nurses and APRNs are at the forefront of value base care as they carry the most influence on coordination of patient care outcomes and satisfaction. Key strategies to facilitate this enhanced coordination of care include a focus on patient and family engagement, self-management skills, interdisciplinary collaboration, and effective communication and these nursing interventions are the first step on the journey to reduce readmissions, improve patient outcomes, and reduce cost (Huffman, 2020). Value based health care has put a lot of emphasis on comprehensive patient education and prevention which is a vital role that advanced registered nurse play to teach self-care and avoid complications and costly hospital admissions. APRNs use their advanced knowledge and leadership skills to champion quality improvement and patient experience projects, they may increase financial reimbursement within the value-based system, thus demonstrating value to the health care institution (Constable et al., 2022). APRNs as leaders in health care create and influence policy that impacts quality outcomes, safety and patient experience. Value based health care will continue to provide opportunities for APRNS to use their expertise to improve clinical outcomes, health care safety, and patient experience while also demonstrating their value to health care systems (Constable et al., 2022)
Telemedicine is also growing as patients need access to everyone from general practitioners to specialists, regardless of their location and these services fit the needs of younger generations who may not have a primary care provider (PCP) and require on-demand services (Orand, 2019). Health care technology is continually advancing adding more tools for providers to help manage patients outside of hospitals and clinics and keep patients engaged in their health care and fostering selfcare and maintain a healthier lifestyle. Virtual visits and digital tools that enable remote patient monitoring can engage patients more consistently and deeply in their own care which is a critical component of any value-based care program (Ruby, 2021). Value based health care and telemedicine has shifted more focus to outpatient preventative care. With telemedicine allowing for more and easier access to practitioners will continue to increase the demand for more APRNs.
Word Count: 489
Constable, M., Mulkey, M. & Aucoin, J. (2022). Hospital value–based purchasing: How acute care advanced practice nurses demonstrate value. Journal of the American Association of Nurse Practitioners, 34(1), 12-17. https://doi: 10.1097/JXX.0000000000000606.
Huffman, M. (2020). Value-Based Care: An Executive Briefing. Nurse leader, 19(1). 82-86. https://doi.org/10.1016/j.mnl.2020.07.014
Orand, J. (2019). The Shift to Value-Based Healthcare and How It Impacts Optimum Reimbursement. Symplr. Retrieved from https://www.symplr.com/blog/the-shift-to-value-based-healthcare-and-how-it-impacts-optimum-reimbursement
Ruby, J. (2021). The shift to value-based care has accelerated in the wake of the pandemic. Med City News. Retrieved from https://medcitynews.com/2021/04/the-shift-to-value-based-care-has-accelerated-in-the-wake-of-the-pandemic/
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.
In nursing, system thinking is a process of awareness about clinical boundaries, authority, hierarchy of the medical field, and the awareness of interdependencies- meaning nurses displaying strong leadership skills can implement change for the better of the unit/hospital. It is important for nurses implementing system thinking skills to understand the importance of interrelationships among nurses and other healthcare professionals (Statler& Mota, 2018). It is imperative that nurses, doctors, therapists, etc work together to improve the patient’s outcome and make treatments run smoothly. Nurse leaders and educators can use their experience and skills in system thinking to help others understand the steps they can take and roles they play in reaching a common goal within their organization (Statler & Mota, 2018). A nurse can inspire others to take action by being role models in promoting interprofessional teamwork, leading change, and creating an environment of mutual respect and team collaboration (Statler & Mota, 2018).
IPEC was created to develop core competencies and to build upon each profession’s disciplinary competencies. The intention was to get students of different health professions engaged in other professions learning to better integrate population health approaches across different professions, leading to better collaborative work. Their goal is to teach a variety of healthcare disciplines to students to help aid in better interprofessional relationships (McKearney, n.d.). Because of IPEC, nurses and nurse leaders know their defined role in a patient’s care and can incorporate and interact with other professions to reach the common goal- a healthy patient outcome. By having strong interdisciplinary communication, patients can feel they are receiving proper care with a team that works together, rather than against each other, which I have witnessed many times. Doctors of other specialties will go against one of another specialty or talk negatively about the plan of care created by the other team. This does not give a patient faith in the care they will receive. Nurses and nurse leaders can help bridge this gap by accurately relaying information to each specialist care team involved. As a patient’s care team, each individual has their own specialized skill set, therefore working together leads to a higher functioning team. Another way nurse leaders can implement system thinking, is by encouraging others to create a fair, just environment. It is important that we take responsibility for our actions, own our mistakes, reporting near misses, reporting system breakdowns, such as communication issues, and lack of supplies essential for patient care (Statler & Mota, 2018). Nurse leaders and educators can use their skills to teach others how to create individualized care plans and get the patient involved in their care. This leads to more compliant patients with a better understanding of their health issues.
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References$
Stalter, A. M., & Mota, A. (2018). Using systems thinking to envision quality and safety in healthcare. Nursing management, 49(2), 32-39. https://journals.lww.com/nursingmanagement/fulltext/2018/02000/using_systems_thinking_to_envision_quality_and.7.aspx
McKearney, S. (n.d.). About Us. Interprofessional Education Collaborative. Retrieved August 8, 2022, from https://www.ipecollaborative.org/about-us
Nurse leaders must be understanding of the complexity and importance of interprofessional and organizational relationships. The responsibilities a leader carries are widely varied and continue to increase in significant ways. It is imperative for Interprofessional Education Collaborative (IPEC) to be incorporated and implemented from the beginning of one’s nursing career. This includes the initiation of their function and values from the start as nursing students. With the incorporation of the IPEC, the goal is to improve health care and advance the growing health population with an effective framework of medical professionals. “Students trained using an IPE approach are more likely to become collaborative interprofessional team members who show respect and positive attitudes towards each other and work towards improving patient outcomes” (Bridges, Davidson, Odegard, Maki & Tomkowiak, 2011). The importance of teamwork as a leader is imperative to the success of the overall mission. Working as an intensive care nurse leader has shown me that we cannot function alone, and we must find cohesion with the support and collaboration of interprofessional teams.
System thinking provides leaders with a deeper insight and utilization of up-to date practices that coincide with the infrastructure of the IPEC. “Systems thinking is a process of self-awareness in which the nurse knows boundaries specific to clinical reasoning, personal effort, reliance on authority, and awareness of interdependencies” (Stalter & Mota, 2018). A prime example is the increase incorporation of evidence-based practices with other professions to optimize care with the common goal of quality care. This coincides with one of the core competencies through values and ethics for interprofessional practice. Through collaboration of multidisciplinary teams, these practices are increasing the quality and safety of care throughout healthcare. This system coincides with the incorporation of a value-based health care system. In conclusion, implementing IPEC and integrating system think tools into our practice is a critical aspect of progressing forward in our professional development.
Bridges, D. R., Davidson, R. A., Odegard, P. S., Maki, I. V., & Tomkowiak, J. (2011). Interprofessional collaboration: three best practice models of interprofessional education. Medical education online, 16, 10.3402/meo.v16i0.6035. https://doi.org/10.3402/meo.v16i0.6035
Stalter, A. M., & Mota, A. (2018). Using systems thinking to envision quality and safety in Healthcare. Nursing Management, 49(2), 32–39. https://doi.org/10.1097/01.numa.0000529925.66375.d0
Word Count: 314
Objectives:
Resources
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Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapters 4 and 27 in Advanced Practice Nursing: Essential Knowledge for the Profession.
View Resource
Leadership in Nursing Practice: Changing the Landscape of Health Care
Read Chapters 2-4, 7, and 14 in Leadership in Nursing Practice: Changing the Landscape of Health Care.
View Resource
Great Leaders Inspire Great Followership
Read “Great Leaders Inspire Great Followership,” by Cruz, from Leadership Excellence (2014).
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=97399121&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost
Advancing the Nursing Profession Begins With Leadership
Read “Advancing the Nursing Profession Begins With Leadership,” by O’Neill, from Journal of Nursing Administration (2013
… Read More
https://lopes.idm.oclc.org/login?url=http://gateway.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=ovft&AN=00005110-201304000-00001&PDF=y
From Trait to Transformation: The Evolution of Leadership Theories
Read “From Trait to Transformation: The Evolution of Leadership Theories,” by Johns and Moser, from Education (1989).
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https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=4717838&site=ehost-live&scope=site
Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions
Read “Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions,” by Blizzard, Khoury, and McMurray (2015), loca
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Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions
Leadership Styles: Choosing the Right Approach for the Situation
Read “Leadership Styles: Choosing the Right Approach for the Situation,” located on the Mind Tools website.
http://www.mindtools.com/pages/article/newLDR_84.htm
Transformational Leadership: Becoming an Inspirational Leader
Read “Transformational Leadership: Becoming an Inspirational Leader,” located on the Mind Tools website.
http://www.mindtools.com/pages/article/transformational-leadership.htm
Servant Leadership: Putting Your Team First, and Yourself Second
Read “Servant Leadership: Putting Your Team First, and Yourself Second,” located on the Mind Tools website.
https://www.mindtools.com/pages/article/servant-leadership.htm
What Is the Difference Between Management and Leadership?
Read “What Is the Difference Between Management and Leadership?” by Murray (2014), located on The Wall Street Journa
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Leadership versus Management: What is the difference?
An Alternative Approach to Nurse Manager Leadership
Read “An Alternative Approach to Nurse Manager Leadership,” by Henriksen, from Nursing Management (2016).
https://journals.lww.com/nursingmanagement/Fulltext/2016/01000/An_alternative_approach_to_nurse_manager.13.aspx
Nurse Manager Skills Inventory
Complete the “Nurse Manager Skills Inventory,” by the Nurse Manager Leadership Partnership (NMLP), located on the HWE Resources p
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https://www.aacn.org/nursing-excellence/healthy-work-environments/hwe-resources
Leadership Style Reflective Essay Assignment Self-Assessment Resources
These resources will be used to complete the Leadership Style Reflective Essay assignment, due in this topic. Please refer to the assignm
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What Is Servant Leadership?
Explore the “What Is Servant Leadership?” page of the Greenleaf Center for Servant Leadership website.
https://www.greenleaf.org/wh
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.
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.
Word Count: 372
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
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?
There are many potential causes of conflict within a health care organizations. The biggest one that stands out to me is personality conflict. In any healthcare organization there are multiple people with different personalities. In a hospital for example you have the support staff, the clinical staff, the physicians, the managers and then upper management to name a few. All want very specific things and outcomes and these can clash at times. There are also different personalities that come into play as well. There are those that are very passive and just complete the tasks that they are told if if they don’t believe that they are right. There are those that are more middle of the road that will speak out if they feel passionately or strongly about something. Then there are those at want to questions everything or believe that they are right no matter what all time. There are also varying degrees in between. This is where conflict can arise when you have multiple people caring for a patient and believe what they are doing is right and what is best for the patient.
The nurse leader will be looked to to help manage conflict and bring about resolution. There are multiple strategies that the nurse leader can use to bring about resolution. The of the more common are compromise, collaboration and mediation. The nurse leader can help facilitate any of these methods of conflict resolution. They can help one or both parties assess what is needed and how a compromise of the two ideas or plans can be reached. The nurse leader can suggest collaboration with the two parties that they may work on the specific problem together and bring together their ideas into a unified solution. The nurse leader can also be a mediator between the two sides if compromise and or collaboration do not prove successful. They can help guide the two parties to come to an agreement and work on unified front.
The model that would be effective in addressing conflict is transformational leadership. This type of leadership “connects with shared values, involved with he team, inspires, motivates, and empowers others to reach a shared vision.” (Smith and Johnson, 2018) This theory would easily lend itself to conflict resolution. This theory focuses on the team aspect and shared values. By having that as a focus point the nurse leader can adapt to different situations and help to resolve conflict with the best outcome possible because it for the betterment of the team and the patient.
Word count: 422
Lahana, E., Tsaras, K., Kalaitzidou, A., Galanis, P., Kaitelidou, D., & Sarafis, P. (2017). Conflicts management in public sector nursing. International Journal of Healthcare Management, 12(1), 33–39. https://doi.org/10.1080/20479700.2017.1353787
Smith, C. & Johnson, C. (2018). Preparing Nurse Leaders in Nursing Professional Development. Journal for Nurses in Professional Development, 34 (1), 38-40. doi: 10.1097/NND.0000000000000404.
Objectives:
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Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapter 5 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 7.
View Resource
Leadership in Nursing Practice: Changing the Landscape of Health Care
Read Chapter 1 in Leadership in Nursing Practice: Changing the Landscape of Health Care.
View Resource
Loom
Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the softwa
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https://support.gcu.edu/hc/e
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?
An organizational change model that can be used in a dynamic health care environment is Lewin’s Change Model. Organizational change is managed in this model by using three stages. The first stage is the unfreezing stage. During this stage, practices that need improvement and understanding the current practices and
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