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NUR-514 Organizational Leadership and Informatics Full CourseOrganizational Leadership and Informati


NUR-514 Organizational Leadership and Informatics Full Course

Organizational Leadership and Informatics Course Syllabus

Version 14.0

NUR-514 Organizational Leadership and Informatics Course Description

This course examines the role of leadership, organizational science, policy, and informatics in supporting safe, high-quality, cost-effective patient care within interprofessional, dynamic health care environments.

Learners explore various organizational relationships within healthcare systems and prepare to participate in the design of cost-effective, innovative models of care delivery and practice change proposals.

Professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision-making, and negotiation are introduced.

Learners discuss change management theories and evaluate the ethical, social, legal, economic, and political implications of practice change and healthcare informatics along with strategies for managing human, fiscal, and healthcare resources in a variety of organizational systems.

Learners also examine the uses of patient care, information systems, and communication technologies and discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.

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Pre-Requisites

None

Co-Requisites

None

NUR-514

Course Materials

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

Nursing Informatics and the Foundation of Knowledge

Description:

McGonigle, D., Mastrian, K. G. (Eds.). (2018). Nursing informatics and the foundation of knowledge(4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284121247

This text will be used as a resource throughout your program. Download the book in this course so it can be accessed as needed in subsequent courses.

NUR-514 Course Objectives

Description:

In this course, the learner will:

  1. Explore various health care systems and organizational relationships (e.g., stakeholders, economic, financial, political, ethical issues, organizational structure, and delivery of care, including mission/vision/philosophy and values).
  2. Discuss professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision-making, and negotiation.
  3. Discuss change management theories and strategies and the ethical, social, legal, economic, and political implications of practice change on nursing practice decisions.
  4. Analyze the impact of healthcare policy on healthcare organizations and cost-effective quality care.
  5. Evaluate strategies for managing human, fiscal, and healthcare resources in the design of cost-effective, innovative models of care delivery or practice change proposals.
  6. Explore current and emerging patient care, information system, and communication technologies that can deliver and enhance safe, high-quality, cost-effective patient care and health outcomes.
  7. Examine the implications of health care informatics and the role of the advanced registered nursing specialties leader on performance measures and standards related to quality.
  8. Discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.
  9. Evaluate legal (HIPAA), ethical, reimbursement, emerging technologies, and interprofessional issues related to informatics and information systems.

LopesWrite

Description:

Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.

APA Writing Style

Description:

APA Style is required for all writing assignments in this course, where indicated. Please prepare these assignments according to the APA Style Guide, located in the Student Success Center.

You may want to consider purchasing a copy of the APA style guide as this will be a useful resource throughout your program

The Writing Process

Description:

View “The Writing Process” media presentation for information on how to strengthen your writing for future assignments.

University Policy Handbook

Description:

Read the Code of Conduct and Academic Standards section of the University Policy Handbook.

Library Walk-Through Tutorial

Description:

View the “Library Walk-Through Tutorial.”

Academic Integrity

Description:

Read the “About LopesWrite” and “Plagiarism” sections of the Academic Integrity page of the GCU website.

GCU Library: General Research Guide

Description:

Review the “General Research” guide, located on the GCU Library website.

GCU Library: Persistent Links

Description:

Review “Persistent Links,” located on the GCU Library website, to learn how to locate persistent links for library articles, videos, etc.

RefWorks and EndNote: RefWorks and EndNote Login

Description:

Manage your citations with the RefWorks tool, located on the GCU Library website. RefWorks automates the creation of your reference lists in the format of your choice (APA, MLA, etc.).

GCU Library Research Guides: Citing Sources

Description:

Reference the “GCU Library Research Guides: Citing Sources” resource for information on how to cite sources properly.

APA Writing Checklist

Description:

Use the “APA Writing Checklist” to act as a checklist for each paper you will write throughout your GCU graduate program.

Discussion Forum Guidelines and Example

Description:

Review the “Discussion Forum Guidelines and Example” document for your weekly discussion forum participation.

Topic 1: Health Care Systems, Organizational Relationships, and Interprofessional Health Care Environments

Description

Objectives:

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

Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

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

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

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

Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education

Description:

Read “Interprofessional Collaboration: Three Best Practice Models of Interprofessional Education,” by Bridges, Davidson, Odegard, Maki, and Tomkowiak, from Medical Education Online(2011).

Core Competencies for Interprofessional Collaborative Practice: 2016 Update

Description:

Read “Core Competencies for Interprofessional Collaborative Practice: 2016 Update,” by the Interprofessional Education Collaborative (2016).

Using Systems Thinking to Envision Quality and Safety in Healthcare

Description:

Read “Using Systems Thinking to Envision Quality and Safety in Healthcare,” by Stalter and Mota, from Nursing Management (2018).

AONL Nurse Leader Competencies

Description:

Read “AONL Nurse Leader Competencies,” located on the American Organization for Nursing Leadership (AONL) website.

Tasks

Topic 1 DQ 1

Description:

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.

Topic 1 DQ 2 Example Solution

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

References:

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/

Topic 1 DQ 2

Description:

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.

Topic 1 Participation

Topic 2: Professional Leadership

Description 

Objectives:

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

Study Materials

Description:

 Read “From Trait to Transformation: The Evolution of Leadership Theories,” by Johns and Moser, from Education

(1989).

Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions

Description:

Read “Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions,” by Blizzard, Khoury, and McMurray (2015), located on the Campaign for Action website.

Leadership Styles: Choosing the Right Approach for the Situation

Description:

Read “Leadership Styles: Choosing the Right Approach for the Situation,” located on the Mind Tools website.

Transformational Leadership: Becoming an Inspirational Leader

Description:

 Read “Transformational Leadership: Becoming an Inspirational Leader,” located on the Mind Tools website.

Servant Leadership: Putting Your Team First, and Yourself Second

Description:

Read “Servant Leadership: Putting Your Team First, and Yourself Second,” located on the Mind Tools website.

What Is the Difference Between Management and Leadership?

Description:

Read “What Is the Difference Between Management and Leadership?” by Murray (2014), located onThe Wall Street Journal website.

An Alternative Approach to Nurse Manager Leadership

Description:

Read “An Alternative Approach to Nurse Manager Leadership,” by Henriksen, from Nursing Management (2016).

Nurse Manager Skills Inventory

Description:

Complete the “Nurse Manager Skills Inventory,” by the Nurse Manager Leadership Partnership (NMLP), located on the HWE Resources page of the American Association of Critical-Care Nurses (AACN) website. The resource is located under the “Authentic Leadership” heading.

Leadership Style Reflective Essay Assignment Self-Assessment Resources

Description:

These resources will be used to complete the Leadership Style Reflective Essay assignment, due in this topic. Please refer to the assignment details for additional instructions.

  1. Emotional Intelligence Assessment: “Emotional Intelligence Test”: http://testyourself.psychtests.com/testid/3038
  2. Personality Tests: “Big Five Personality Test”: https://testyourself.psychtests.com/category/1
  3. Learning Styles Assessment: “The VARK Questionnaire: How Do I Learn Best?”: http://vark-learn.com/the-vark-questionnaire/
  4. Values Assessment: “Values Profile”: https://testyourself.psychtests.com/testid/3620
  5. Diversity Assessment: “Cultural Competence Self-Test”:

https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/PROVIDERS-PARTNERS/SCPAconference/Cultural%20

What Is Servant Leadership?

Description:

Explore the “What Is Servant Leadership?” page of the Greenleaf Center for Servant Leadership website.

Grand Canyon University Initial Course Survey

Description:

In an effort for continuous improvement, Grand Canyon University would like you to take this opportunity to provide feedback about your experience with the university. Your participation is appreciated. Click on the link to begin the “Grand Canyon University Initial Course Survey.”

Tasks

APA Assignment: Leadership Style Reflective Essay

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 course materials 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 study materials. 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 Course Materials if you need assistance.

Topic 2 DQ 1

Description:

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.

Topic 2 DQ 2

Description:

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

Topic 2 DQ 2 Example Solution

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 Management12(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.

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
  2. Analyze factors driving organizational change within health care
  3. Evaluate change theories and collaborative models for promoting
  4. Evaluate the ethical, social, legal, economic, and political implications of practice

Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapter 5 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 7.

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

Read Chapter 1 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

Loom

Description:

Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the software or usage, navigate to the Loom Help Center

Tasks  

Implementing Change With an Interprofessional Approach Presentation

Description:

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 study materials 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
  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 Course Materials if you need assistance.

Topic 3 DQ 1

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

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 Participation

Description:

NA

Topic 4: Nurse Leadership and Health Care Policy and Advocacy

Description 

 Objectives:

  1. Propose strategies to support patient advocacy in health care policy making as an advanced practice
  2. Analyze the impact health care policy on health care organizations and cost-effective quality

Study Materials

Review Chapter 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

Read Chapters 11 and 13-15 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

Preparing Nurses for Leadership in Public Policy

Description:

Read “Preparing Nurses for Leadership in Public Policy” (2014), located on the Robert Wood Johnson Foundation website.

Arizona State Legislature

Description:

Explore your state legislature website and access legislation information. The link to the Arizona State Legislature website is provided, but learners living in other states should access their state departments. This resource will be used for the Topic 5 assignment.

Consumer Information and Insurance Oversight

Description:

Read “Consumer Information and Insurance Oversight,” located on the Programs and Initiatives page of the Centers for Medicare and Medicaid Services (CMS, 2019).

Guide to Healthcare Reimbursement Models

Description:

Read “Guide to Healthcare Reimbursement Models,


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