south nsg6620 all week discussions latest 2017 october

Week 1 -Assignment 2
Discussion

Discussion Question 1: Mission and Vision Statement.

Every healthcare organization must have a mission and vision
statement to guide it. Mission and vision statements often come in a variety of
formats. Only when there is alignment between the nurse administrator and the
organizational mission and vision statement, there is synergy and a sense of
purpose. For example, knowing where the organization wants to go assists nurse
administrators in helping meet the mission and vision statement through the
tasks they undertake along with their subordinates.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Describe one example of what happens when the nurse
administrator’s values are not congruent with the organizational mission and
vision statement.

Locate the mission and vision statement of your current or
previous healthcare organization. If you are not working in the field of
healthcare, find a mission and vision statement of a healthcare organization
using the Internet.

Does this mission and vision statement provide clarity to
the organizational direction? Provide a rationale for your answer.

As a nurse administrator, how would you assist subordinates
to become familiar with this statement?

Select and research a department of nursing. Then, write a
mission and vision statement for this department.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described one example of what happens when the nurse
administrator’s values are not congruent with the organizational mission and
vision statement.

Explained whether a selected mission and vision statement
provides clarity to the organizational direction.

Recommended ways in which a nurse administrator can assist
subordinates become familiar with the selected mission and vision statement.

Wrote a mission and vision statement for a nursing
department.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

Discussion Question
2: CNO and Medical Staff

CNOs must be skilled and competent communicators to lead and
manage the collective work of medical staff members at all levels. Reviewing
healthcare literature can help you learn a lot about fostering and promoting
interprofessional collaboration in healthcare.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Define and describe the role of the CNO related to medical
staff.

Define interprofessional collaboration.

What happens to patient outcomes and quality care when there
are disagreements between medical staff and nursing personnel regarding aspects
of operations?

As a CNO, describe at least one strategy you would apply in
clarifying expectations of other healthcare team members including the medical
staff?

Comment on the postings of at least two peers.

Evaluation Criteria:

Defined and described the role of the CNO related to medical
staff.

Defined the concept of interprofessional collaboration.

Explained the impact of disagreements between medical staff
and nursing personnel regarding aspects of operations on patient outcomes and
quality care.

Recommended at least one strategy to clarify expectations of
other healthcare team members including the medical staff.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers

Week 2 – Assignment 1
Discussion

Discussion Question 1: Quality Improvement Projects and the
CNO

There has likely never been a time in which healthcare
organizations have had to face challenges greater than those in the
twenty-first century. For example, in previous decades, bedside nurses cared
for patients and were promoted into nursing leadership and nurse executive
roles based on the fact that they were “good nurses.” This paradigm no longer
exists in contemporary healthcare delivery settings including long-term care,
acute care, and community-based settings. The CNO must be prepared to lead and
have competency in guiding, leading, and restructuring healthcare delivery
systems that are competitive and provide safe, affordable, and efficient
quality care at the right time, each time, and every time. CNOs must have
skills and competencies that allow them to drive healthcare system changes to
meet societal healthcare needs for diverse populations.

You are the CNO in your healthcare organization. Considering
this, use the readings for the week, the South University Online Library, and
the Internet to respond to the following:

Provide a list of guidelines you would use to develop the
quality falls program and the medication safety performance improvement project
in your organization.

What challenges would you face in the development of these
programs?

Evaluate two competencies you must have to successfully
develop these programs.

What will you do if a quality improvement project is needed
and there is not enough money in the budget at the time or if the project will
add costs that exceed the operating budget?

Comment on the postings of at least two peers.

Evaluation Criteria:

Provided a list of guidelines you would use to develop the
quality falls program and the medication safety performance improvement project
in your organization.

Explained the challenges you would face in the development
of these programs.

Evaluated two competencies you must have to successfully
develop these programs.

Recommended ways to handle the situation if a quality
improvement project is needed and there is not enough money in the budget at
the time or if the project will add costs that exceed the operating budget.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

DQ2

Discussion Question
2: Nurse Sensitive Indicators and the CNO

Nurse sensitive indicators reflect the structure, process,
and outcomes of nursing care in a healthcare organization. Key factors
influencing nurse sensitive indicators include the structure of nursing care,
skill level of nursing staff, and education or certification of nursing staff.
Greater quality or quantity of nursing care results in an improvement in
patient outcomes that are closely linked to nurse sensitive indicators.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Examine the role of a CNO in relation to nurse sensitive
indicators, such as the following:

Central line-associated bloodstream infection (CLABSI)

Catheter-associated urinary tract infection (CAUTI)

Ventilator-associated pneumonia (VAP)

Pressure ulcers

As a CNO, what process will you use for developing a nurse
sensitive indicator?

Estimate the time it takes to create and approve a nurse
sensitive indicator.

Comment on the postings of at least two peers.

Evaluation Criteria:

Examined the role of CNO in relation to nurse sensitive
indicators, such as CLABSI, CAUTI, VAP, and pressure ulcers.

Described the process utilized for developing a nurse
sensitive indicator.

Estimated the time it takes to create and approve a nurse
sensitive indicator.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

Week 3 – Assignment 1
Discussion

Discussion Question
1: Shared Governance Structure and the CNO

During the 1980s, nursing and healthcare were suffering from
challenges of an acute nursing shortage, rampant nurse turnover, and issues
with nurse retention. In the mid-1980s, shared governance was instituted to
incentivize and empower nurses. Shared governance is an innovative
organizational model promoting staff control and autonomy over nursing practice
in areas that were previously controlled by managers.

The concept of shared governance may be a challenge to
understand because it is not uniformly applied or operationalized and because
of the great diversity in shared governance models. Nurses working in
organizations with shared governance models are more empowered and have higher
levels of satisfaction in their roles.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Compare the roles of the CNO and nursing directors or
managers in a shared governance structure.

What steps can the CNO take to enable smooth operations in
such a structure?

Identify two challenges CNOs face when working with a shared
governance structure.

Compare and contrast a model of shared governance with an
authoritarian or autocratic CNO.

Examine the role of the CNO in working to set parameters for
nurses in a shared governance structure.

Comment on the postings of at least two peers.

Evaluation Criteria:

Compared the roles of the CNO and nursing directors or
managers in a shared governance structure.

Listed steps the CNO can take to enable smooth operations in
such a structure.

Identified two challenges CNOs face when working with a
shared governance structure.

Compared and contrasted a model of shared governance with an
authoritarian or autocratic CNO.

Examined the role of the CNO in working to set parameters
for nurses in a shared governance structure.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

DQ2

Discussion Question
2: Staff Concerns and the CNO

Often, gossip mills and rumors tend to circulate very
quickly throughout healthcare organizations even though everything is supposed
to be confidential. Good and bad news travel quickly; one of the greatest
challenges the CNO or vice president for patient care services (VPPCS) faces is
to control and share information with the staff members so that they receive
the same message in the same way at the same time.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

What role does the CNO or VPPCS play in addressing the
concerns of the entire staff in nursing town-hall meetings? Why is this role
important?

Provide an example of a need for the CNO or VPPCS to
schedule an entire staff town-hall meeting.

How can the CNO or VPPCS minimize gossip and information via
the “grapevine” before an entire staff town-hall meeting?

How would you craft an agenda and circulate it for a
town-hall meeting?

How can the CNO or VPPCS integrate the use of electronic and
social media into addressing staff concerns in twenty-first-century healthcare
organizations?

Comment on the postings of at least two peers.

Evaluation Criteria:

Described the role of the CNO or VPPCS in addressing the
concerns of the entire staff in nursing town-hall meetings, and explained the
importance of this role.

Provided an example of a need for the CNO or VPPCS to
schedule an entire staff town-hall meeting.

Suggested ways in which the CNO or VPPCS can minimize gossip
and information via the “grapevine” before an entire staff town-hall meeting.

Explained how you would craft an agenda and circulate it for
a town-hall meeting.

Recommended ways in which the CNO or VPCSS can integrate the
use of electronic and social media into addressing staff concerns in
twenty-first-century healthcare organizations.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

Week 4 – Assignment 1
Discussion

Discussion Question
1: Strategies for Establishing Operational Budgets

An operational budget is the plan for an organization or
unit for daily operating expenses. The operational budget is very similar to
how one manages a personal home budget but on a grander scale. For example,
there is a balance between accounts receivable and accounts payable, and then
there is either a surplus or deficit at the end of the budget period. Most
budget periods are a fiscal year or a calendar year.

The unit operating budget is the most critical budget in
which unit managers must be involved and have the most control over. Extensive
information is needed to prepare the operational budget. For example, the
operational budget typically requires information related to workload budgets
with activity reports, units of service, and workload calculations like HPPD;
expense budgets for personnel, staffing, and supplies equipment; the overhead
budget; and the revenue budget. Nurses in the unit are often part of the
operational budget to examine, or be aware of, weekly or monthly budget
variances. This helps the unit function with a positive versus a negative
revenue stream.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Describe at least two strategies for establishing
operational budgets.

Examine the advantages and disadvantages of using each
strategy.

Explain the strategies your nurse manager or CNO uses to
gather and secure the most timely and relevant information to shape future
operating budgets.

Identify two challenges the nurse manager or CNO faces with
this task.

Examine implications for the nurse manager or CNO when the
unit operating budget is running in the “red” or has numerous negative monthly
variances.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described at least two strategies for establishing
operational budgets.

Examined the advantages and disadvantages of using each
strategy.

Explained the strategies your nurse manager or CNO uses to
gather and secure the most timely and relevant information to shape future
operating budgets.

Identified two challenges the nurse manager or CNO faces
with this task.

Examined implications for the nurse manager or CNO when the
unit operating budget is running in the “red” or has numerous negative monthly
variances.

Justified your answers with appropriate research and
reasoning.Commented on the postings of at least two peers.

DQ2

Discussion Question
2: Strategies for Establishing an FTE Budget

Budgeting is a critical and essential component of nursing
and patient care. Without proper support for nurses to provide patient-centered
care, the organizational mission and goals will not be met.

Full-time equivalent (FTE) measures the number of employees
working in an organization, assuming they all work on a full-time basis. It
measures each employee’s involvement in the organization. Unit managers and
CNOs must have fundamental skills and competencies to establish an FTE budget.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Describe various strategies used for establishing an FTE
budget.

Examine the advantages and disadvantages of each strategy.

Discuss how the unit manager or CNO elicits input into the
FTE budget.

Describe one software program utilized by the unit manager
or CNO to formulate an FTE budget.

Identify the timeline a nurse manager or CNO would utilize
to plan the development of an FTE budget.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described various strategies used for establishing an FTE
budget.

Examined the advantages and disadvantages of using each
strategy.

Discussed how the unit manager or CNO elicits input into the
FTE budget.

Described one software program utilized by the unit manager
or CNO to formulate an FTE budget.

Identified the timeline a nurse manager or CNO would utilize
to plan the development of an FTE budget.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

Week 5 – Assignment 1
Discussion

Discussion Question
1: The Average Daily Census (ADC) and the Target Budget

One of the greatest challenges unit managers and CNOs face
is predicting and working with the average daily census (ADC), particularly as
it relates to the target budget.

The average daily inpatient census refers to the number of
patients present at the official census-taking time each day. For example, a
patient admitted to the coronary care unit at 1:00 pm and who dies at 4:00 pm
the same day is a patient admitted and discharged the same day. The ADC is
typically calculated each night at midnight. It is a challenge to predict what
the ADC will be on any given day.

The target budget is targeted or predicted in the zero-based
operating budget based on the previous years’ ADC. The target budget is
typically projected at least one year in advance. A lot of information goes
into the computation of a target budget, and there are many variances once the
budget is formulated and approved.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Explain how the ADC contributes to the target budget.

Describe two major challenges in determining the actual
target budget and ADC.

Identify two major challenges for unit managers and CNOs due
to the variances between the actual target budget and the ADC.

Comment on the postings of at least two peers.

Evaluation Criteria:

Explained how the ADC contributes to the target budget.

Described two major challenges with the actual target budget
and ADC.

Identified two major challenges for unit managers and CNOs
due to the variances between the actual target budget and the ADC.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

DQ2

Discussion Question
2: Return on Investment

Return on investment (ROI) is a financial performance
measure used to evaluate and determine the efficiency of an investment on a
number of different measures. The ROI is calculated by examining the benefit
(return) of an investment divided by the cost of the investment. The result of
this calculation is a percentage or a ratio. For example, the formula for ROI
is as follows:

ROI = (Gain from the investment – Cost of the investment) /
Cost of the investment

It should be noted that there is more than one way
healthcare organizations may compute and calculate the ROI for a new service or
product line. The ROI is not always calculated in direct dollars, but it may be
calculated as the ability to contribute to the organizational mission and
philosophy. For example, a nonprofit healthcare organization may want to
partner with a local community endeavor and establish a free clinic with
low-dollar ROI but with a tremendous feeder of new patients to primary care services
within the organization.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Develop an ROI for a new project (such as the implementation
of a new Level 3 neonatal intensive care unit [NICU]).

Summarize the issues and challenges in formulating an
accurate ROI for a new product or service line.

Identify two major challenges and two major barriers for
unit managers or the CNO accountable for ensuring ROI on a new product or service
line.

Comment on the postings of at least two peers.

Evaluation Criteria:

Developed an ROI for a new project (such as the
implementation of a new Level 3 neonatal intensive care unit [NICU]).

Summarized the issues and challenges in formulating an accurate
ROI for a new product or service line.

Identified two major challenges and two major barriers for
unit managers or the CNO accountable for ensuring ROI on a new product or
service line.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

Week 6 – Assignment 1
Discussion

Discussion Question
1: Role of the Nurse Executive

There are numerous definitions of what it means to be a
nurse executive. The definition may change according to the work environment in
your healthcare organization. Some literature refers to the nurse executive as
a nurse administrator. The nurse executive must have knowledge, skills, and
competencies that foster and promote nursing leadership within the healthcare
organization. Nurse executives are in a key leadership role in healthcare
organizations and have the capacity to effect positive change and promote a
culture of community and excellence.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Examine the role of the nurse executive in a clinical area
with staff, patients, and providers. Explain why this role is important.

Explain why the nurse executive needs to delegate. What are
some of the challenges nurses face during delegation?

Evaluate the role of the nurse executive in succession
planning for the healthcare organization.

Examine the educational preparation and national certification
requirements for a nurse executive.

Comment on the postings of at least two peers.

Evaluation Criteria:

Examined the role of the nurse executive in a clinical area
with staff, patients, and providers, and explained why this role is important.

Explained why the nurse executive needs to delegate. What
are some of the challenges nurses face during delegation?

Evaluated the role of the nurse executive in succession
planning for the healthcare organization.

Examined the educational preparation and national
certification requirements for a nurse executive.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

DQ2

Discussion Question
2: Characteristics of an Effective Team

As the saying goes, “There is no I in team.” There is
another saying, “The whole world is a team.” These two sayings support the fact
that everyone in healthcare organizations must work together for the good of
patients. There is much in healthcare literature focusing on the role of
high-performance teams and their impact on patient quality, patient safety, and
healthcare worker satisfaction. One of the greatest “value-added” benefits of
high-performance teams is the collaboration and sharing of essential information
to enhance quality and patient outcomes. In modern healthcare organizations,
effective teams are critical to providing patient and healthcare worker
satisfaction.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Describe at least three characteristics of an effective
team.

Identify two challenges with interprofessional healthcare
teams with respect to the various roles.

Describe one high-performing team in which you are currently
engaged or have engaged in the past. What are the reasons for the success or
failure of this team?

Examine how education models created for interprofessional
healthcare students may develop high-performing healthcare teams.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described at least three characteristics of an effective
team.

Identified two challenges with interprofessional healthcare
teams with respect to the various roles.

Described one high-performing team in which you are
currently engaged or have engaged in the past, and explained the reasons for
the success or failure of this team.

Examined how education models created for interprofessional
healthcare students may develop high-performing healthcare teams.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

Week 7 – Assignment 1
Discussion

Discussion Question
1: Nurse Leader and Organizational Culture of Caring

Caring is the primary reason nurses enter the field of
nursing, and the concept of caring is often thought of as the essence of
nursing. Not only do nurses care for patients but they also have to care for
each other. Sometimes, nurses tend to focus so much on patients and their
families that they forget to care for themselves and one another. This is a
major source of compassion fatigue causing nurses to leave the healthcare
organization or, worse yet, to totally leave the nursing profession.

Compassion fatigue is the cumulative impact of physical,
emotional, and psychological exposure to trauma, stressful events, and the care
for patients or nursing colleagues who face many challenges. Compassion fatigue
can sabotage nurses in healthcare organizations as it is challenging, and
nurses may be harmed by the very work to which they are so devoted. Nurses must
be aware of what it means to create a community within the workplace and to
offer support and resources to retain nurses the organization has worked so
diligently to recruit.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Describe the role of the nursing leader in building a
community and creating joy in the workplace.

How does an effective leader create an organizational
culture of caring, respect, and dignity for all? Identify one strategy you
would use in your own healthcare organization.

Describe two negative outcomes on recruitment and retention
of nurses when a culture of community does not exist in the healthcare
workplace.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described the role of the nursing leader in building a
community and creating joy in the workplace.

Explained how an effective leader creates an organizational
culture of caring, respect, and dignity for all, and identified one strategy
you would use in your own healthcare organization.

Described two negative outcomes on recruitment and retention
of nurses when a culture of community does not exist in the healthcare
workplace.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

DQ2

Discussion Question
2: Performance Appraisals and the Nursing Leader

Performance appraisal is a mechanism or strategy for sharing
performance feedback with all employees based on a defined set of performance
criteria. Nurses need feedback to flourish and grow as well as develop career
goals and a career trajectory. Typically, there are organizational policies
guiding time for and methods of performance appraisal. Performance appraisals
must be conducted on a regular basis applying the organizational policy and
performance appraisal guidelines. They should not be conducted as a punitive
process but as a formative process to assist employees in learning and growing
to become even more valuable to the healthcare organization. There are a
variety of formal and informal processes for performance appraisal. The key
purpose of a performance appraisal is to support and assist in professional
growth.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Describe the role of the nursing leader related to coaching
and guiding of staff during a performance appraisal.

Describe the role of the nursing leader in determining
performance appraisal criteria.

Examine the need of the nursing leader to be a role model in
giving performance improvement data for novice and experienced nurses.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described the role of the nursing leader related to coaching
and guiding of staff during a performance appraisal.

Described the role of the nursing leader in determining
performance appraisal criteria.

Examined the need of the nursing leader to be a role model
in giving performance improvement data for novice and experienced nurses.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

Week 8 -Assignment 1
Discussion

Discussion Question
1: Key Attributes for Successful Communication

One of the major challenges in nursing and healthcare is
learning to communicate effectively and safely with other nurses, staff, the
interprofessional healthcare teams, patients, and patients’ families. Nurses
and other healthcare workers are often stressed and overworked as they deal
with major complexities moment-to-moment during their work hours. Nurses and
nurse leaders need to have difficult conversations with staff and patients. For
example, part of being an accountable nurse or leader is being a good
communicator and having critical conversations even when the conversations
involve giving bad news or feedback for improvement. Communication is a
powerful skill and a competency that is an integral part of every nurse leader’s
role. It is not enough just to communicate; the challenge in a
twenty-first-century healthcare organization is to communicate effectively in
written words, through body language, and by being mentally and emotionally
present during every conversation.

Using the readings for the week, the South University Online
Library, and the Internet, respond to the following:

Describe the key attributes of successful communication and
relationship management strategies.

Describe the role of the nurse leader in improving
communication to enhance nursing professionalism.

Identify two challenges you face when communicating during a
conflict.

Discuss communication strategies you would use as a nurse
leader to terminate an employee who has violated the organizational policy.

Describe how being emotional during a communication
involving conflict can be ineffective and compromise successful communication.

Comment on the postings of at least two peers.

Evaluation Criteria:

Described the key attributes of successful communication and
relationship management strategies.

Described the role of the nurse leader in improving
communication to enhance nursing professionalism.

Identified two challenges you face when communicating during
a conflict.

Discussed communication strategies you would use as a nurse
leader to terminate an employee who has violated the organizational policy.

Described how being emotional during a communication
involving conflict can be ineffective and compromise successful communication.

Justified your answers with appropriate research and
reasoning.

Commented on the postings of at least two peers.

DQ2

Discussion Question
2: Decision Making

Decision making is a skill and a competency nurse leaders
must use in every act, word, and deed. A decision involves making a choice
between alternatives, and it really is an act of choosing the best plan of
action given the information at hand at the time the decision is made. Nurse
leaders must be d

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