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Organizational
Foundations

As you strive to grow in your leadership skills and
abilities, you will find that the context in which you work influences your
motivation and areas of focus. In a similar vein, your commitment to developing
professionally can contribute toward organizational effectiveness.

To that end, it is critical to recognize the importance of
organizational culture and climate. In particular, through this week’s Learning
Resources, you may consider several questions: How do an organization’s
mission, vision, and values relate to its culture? What is the difference
between culture and climate? Moreover, how are culture and climate manifested
within the organization?

For this Discussion, you explore the culture and climate of
your current organization or one with which you are familiar. You also consider
decisions and day-to-day practices and the way they relate to the
organization’s mission, vision, and values.

To prepare:

Review the information related to planning and decision
making in health care organizations presented in the textbook, Leadership Roles
and Management Functions in Nursing: Theory and Application. Consider how
planning and decision making relate to an organization’s mission, vision, and
values, as well as its culture and its climate.

Familiarize yourself with the mission, vision, and values of
your organization or one with which you are familiar. Consider how the
statements and actions of leaders and others within the organization support or
demonstrate the organizational mission, vision, and values. In addition, note
any apparent discrepancies between word and deed. Think about how this
translates into expectations for direct service providers. Note any data or
artifacts that seem to indicate whether behaviors within the organization are
congruent with its mission, vision, and values.

Begin to examine and reflect on the culture and climate of
the organization. How do culture and climate differ?

Why is it important for you, as a master’s-prepared nurse
leader, to be cognizant of these matters?

By Day 3

Post a description of your selected organization’s mission,
vision, and values. Describe relevant data, or artifacts, words, and actions of
leaders and others in the organization that support, or perhaps appear to
contradict the organization’s mission, vision, and values statement. In
addition, discuss the organization’s culture and its climate, differentiating
between the two. Explain why examining these matters is significant to your
role as a nurse leader.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence, or research.

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.

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entering your message. Then click on the Submit button to post your message.

Module 2 discussion

Transitioning From
Closed to Open Systems

How do effective nurse leaders and others approach problem
solving and decision making in organizations? As suggested in this week’s
Learning Resources, systems theory provides a valuable way to assess situations
and prepare to address problems.

For this week’s Discussion, you identify an issue or process
that could be improved and apply knowledge and strategies related to systems
theory.

Note: You may find it helpful to view the Assignment
instructions and use the same problem for this Discussion.

To prepare:

Review the information presented in this week’s Learning
Resources on systems theory and the difference between open and closed systems.

Reflect on the practices and processes with which you are
familiar in your organization. Identify one problematic issue or process that
could be improved.

Consider the problem from a closed-system perspective. Then
think about how the issue or process you selected could be addressed by viewing
it from an open-system perspective. How would the transition from a closed- to
an open-system view help you and others to address the problem and improve
outcomes?

By Day 3

Post a description of the problem that you identified in
your selected organization. Explain the problem from a closed-system
perspective. Then, describe how the problem could be addressed by viewing it
from an open-system perspective, and explain how this modification would help
you and others improve health care outcomes.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence, or research.

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional
research.

Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.

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entering your message. Then click on the Submit button to post your message.

Week 3 discussion

Organizational
Structures and Leadership

In most health care settings, it is unlikely that you would
hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it
is helpful for any organization to delineate pathways of responsibility and
authority in an organizational chart, the lived experience of these structures
is most apparent through the inquiries and behaviors people share everyday.

In your own workplace, you may find yourself wondering, who
should I turn to when I have a practice dilemma? or Where can I go to learn
more about this issue? These questions speak to the intricacies of formal and
informal organizational structure and leadership.

To prepare:

Review the information presented in Chapter 12 of the course
text. Focus on the information about formal versus informal structure as well
as the types of organizational structures.

Consider the overall structure or hierarchy of your
organization or one with which you are familiar. Which organizational structure
best describes your organization—line (or bureaucratic), ad hoc, matrix,
service line, or flat? Note: It is possible to have a combination of structures
in one organization. Is decision making centralized or decentralized in this organization?

What is the role of committees, task forces, and councils in
the organization, and who is invited to join? Consider how this relates to
formal and informal leadership.

Reflect on how decisions are made within a specific
department or unit. Which stakeholders provide input or influence the
decision-making process? Assess this in terms of formal and informal
leadership.

To support your analysis, consider your own experiences and
investigate these matters by speaking with others at the organization and
reviewing available documents. Be sure to consider how the concepts of formal
and informal structure and leadership relate to one another and are
demonstrated in the organization and in the particular department or unit.

By Day 3

Post a depiction of your organization’s formal structure,
indicating whether it is best described as line, ad hoc, matrix, service line,
flat, or a combination. Describe how decisions are made within the organization
and within one department or unit in particular, noting relevant attributes of
centralized/decentralized decision making. Explain the influence of formal and
informal leadership on decision making within this department or unit.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence, or research.

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional
research.

Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.

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entering your message. Then click on the Submit button to post your message.

Discussion – Week 4

Critiquing a Change
Effort

As a nurse leader, you need to have the skills and knowledge
to collaborate and communicate with those who plan for and manage change. This
capacity is valuable in any health care setting and for many different types of
change. Furthermore, it is essential to be able to evaluate a change effort and
determine if it is promoting improved outcomes and making a positive difference
within the department or unit, or for the organization as a whole.

To prepare:

Review Chapters 7 and 8 in the course text. Focus on the
strategies for planning and implementing change in an organization, as well as
the roles of nurses, managers, and other health care professionals throughout
this process.

Reflect on a specific change that has recently occurred in
your organization or one in which you have worked previously. What was the
catalyst or purpose of the change?

How did the change affect your job and responsibilities?

Consider the results of the change and whether or not the
intended outcomes have been achieved.

Was the change managed skillfully? Why or why not? How might
the process have been improved?

By Day 3

Post a summary of a specific change within an organization
and describe the impact of this change on your role and responsibilities.
Explain the rationale for the change, and whether or not the intended outcomes
have been met. Assess the management of the change, and propose suggestions for
how the process could have been improved.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence, or research.

Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional
research.

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entering your message. Then click on the Submit button to post your message.

Week 5 discussion

Groups

The dynamic and increasingly complex world of health care
often requires nurses to work collaboratively on interprofessional teams. In
the group environment, individuals with unique skills and expertise come
together to focus on a common goal; however, groups must become cohesive before
they can become effective.

Your experiences working with groups—whether you perceive
them as positive, negative, or neutral—can be used to facilitate insight and
development. Health care, with its focus on interprofessional teamwork and
collaboration, offers ample opportunities and an imperative for continuous
learning.

For this Discussion, you focus on strategies for
facilitating the group process.

To prepare:

Review the information in this week’s Learning Resources
regarding the stages of group formation, problematic roles individuals play in
groups, and strategies for facilitating and maintaining positive group
collaboration. In particular, review Learning Exercise 19.14 of the course text.

Reflect on various groups with which you have been or are
currently involved. Select one specific group to analyze for the purposes of
this Discussion. Identify the purpose or task that the group is or was meant to
perform.

Consider the four stages of group formation (forming,
storming, norming, and performing). How would you describe the progression
between stages? Is there a stage in which you believe your group is or was
“stuck”?

Consider the task or group-building role you normally play
in a group setting. How could you apply the information from the Learning
Resources to improve your group participation and facilitation, as well as the
functioning of the group as a whole?

In addition, think about which individuals within your group
(including yourself) may fall into problematic roles such as the Dominator, the
Aggressor, or the Blocker. How have you and your group members addressed the
enactment of these roles and its impact on interactions? With information from
the Learning Resources in mind, what strategies would you apply now or going
forward?

By Day 3

Post a description of a group with which you have been or
are currently involved. Assess where the group is in terms of the four stages
of group formation. If you are reflecting on a past experience, explain if your
group moved through all four stages. Describe the task or group-building role
you typically play, or played, in this group. Then, explain what strategies
you, as a leader, can apply to better facilitate the group process and address
any problematic individual roles in the group.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional
research.

Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.

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entering your message. Then click on the Submit button to post your message.

Week 6 discussion

Power Dynamics

There is no graded Discussion Board assignment this week;
however, a Week 6 optional discussion board is available for your voluntary
participation. Bring to mind a nurse whose words, behaviors, or reputation
convey power. What is it about this individual that suggests power? How does
your perception of this person relate to your view of yourself as a nurse
leader and the image you associate with nursing?

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Week 7 discussion

Addressing Barriers
to Effective Communication

From moment to moment, a nurse leader’s day involves
communication—with patients, families, colleagues, supervisors, and so on.

Think of a particular day you spent working in a health care
environment, and consider three or four distinct points in time. For each point
of time, consider the following: With whom did you interact? Which forms of
communication did you use? What issues were communicated about—did they seem to
be light-hearted or sensitive? Straightforward or complicated? How would you
describe the pace of the interactions and your work?

As you consider these questions, it becomes clear that
communication can be quite complex, with many layers of meaning that shape the
experience for everyone involved. How could this awareness help you to
understand instances of ineffective communication when they arise?

To prepare:

Review the information in Chapter 19 of the course text, as
well as the assigned articles.

Reflect on an incident involving ineffective communication
within your organization or another health care setting. Consider this incident
through the lens of the communication process outlined in Figure 19.1 of the
course text.

What barriers contributed to this incident? What other
challenges may have influenced this situation?

Using the information presented in the other Learning
Resources, consider what could have been done to prevent or address the
ineffective communication. Why do you think the use of these strategies would
have resulted in better outcome(s)?

By Day 3

Post a summary of an incident involving ineffective
communication. Describe communication barriers and other challenges that
contributed to the incident. Propose one or more strategies that could have
been employed to promote a better outcome. Be sure to refer to elements of the
communication process.

Read a selection of your colleagues’ responses.

By Day 6

Respond by critiquing at least two of your colleagues’
postings on two different days using elements of the communication process and
recommend additional strategies to overcome the barriers. If you think other
factors may have contributed to the situation, provide an analysis with the
support of literature.

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entering your message. Then click on the Submit button to post your message.

Week 8 discussion

The Distinction
Between Leadership and Management

Think of the managers you have reported to thus far in your
career. Now consider the people you have worked with or know of that you would
consider leaders. Based on these experiences, what would you surmise about the
responsibilities of managers and leaders and about the distinctions between
these two categories in health care settings?

This week’s Learning Resources classify management and
leadership (which are often confused in everyday discussion) and explain their
significance for health care organizations. As you advance professionally, it
is critical to understand the distinctions between management and leadership
and how you can apply this knowledge for increasing effectiveness in your
workplace.

To prepare:

Review the information in the Learning Resources.

Conduct additional research on your own and select at least
two current, credible sources that contribute to your understanding of
management and leadership.

Reflect on how the roles of management and leadership differ
in supporting the organization to set and achieve goals.

Drawing upon specific examples from a current or previous
practice setting, bring to mind someone who seemed to be a leader but not a
manager and someone who seemed to be a manager but not a leader (generally
speaking, or within a specific circumstance). Be prepared to support your
assessment with specific behavioral descriptions found in the literature.

By Day 3

Post an analysis of how management and leadership roles
differ in terms of supporting an organization to set and achieve goals. In addition,
post descriptions of an individual who
demonstrates leadership behaviors but not management behaviors and an
individual who demonstrates management behaviors but not leadership behaviors.
Provide your rationale, identifying specific characteristics of effective
managers and leaders. (Note: Do not identify these individuals by name,
position, or location.)

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence, or research.

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Validate an idea with your own experience and additional
research.

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entering your message. Then click on the Submit button to post your message.

Week 9 discussion

Leadership Style

Throughout your career, you will work with many people who
display differing leadership styles. As a nurse leader, it is imperative that
you communicate well and get along with those whose leadership style does not
align with your preferences. It is also important to understand your own
leadership style, as this can prompt insight into how others relate to you and
what skills you may need to develop as your leadership responsibilities grow.

To prepare:

Review the information in the Learning Resources, including
the leadership styles identified in Chapter 2 of the course text.

Bring to mind a leader in your organization or one with
which you are familiar. Would you describe his or her style as authoritative,
democratic, or laissez-faire? Why?

Which characteristics or approaches demonstrated by this
person would you integrate into your own leadership style? Which ones would you
prefer not to integrate?

Think about how this leader’s style and resulting
interactions may impact health care quality and patient outcomes.

By Day 3

Post a description of a leader, distinguishing his or her
style as authoritative, democratic, or laissez-faire. Describe the
characteristics that inform your perception, and explain which ones you would
integrate into your own leadership style, as well as which ones you would
prefer not to integrate. Explain at least one potential effect of this
leadership style on health care quality and patient outcomes.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence, or research.

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.

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entering your message. Then click on the Submit button to post your message.

Week 10 discussion

Effective Ethical,
Moral, and Legal Leadership

In this ungraded and voluntary discussion board, please post
any questions or examples that may help your colleagues better understand an
ethical, moral, or legal dilemma.

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entering your message. Then click on the Submit button to post your message.

Week 11 discussion

Conflict Management
Styles

In Week 10, you considered how ethical, moral, and legal
dilemmas can provoke internal conflict when a nurse’s values are not in
alignment with the apparent demands of a situation or with others’ values, as
well as external conflict that can arise as these dynamics are played out. Of
course, conflict can also emerge through seemingly simple issues of little
consequence—little consequence, that is, except when they are not properly
managed.

Nurse leaders need to be familiar with conflict management
styles and the impact these styles can have on interpersonal dynamics, and,
ultimately, patient care. For this Discussion, you evaluate a situation marked
by conflict and consider how conflict management strategies could be applied to
promote positive results.

To prepare:

Consider a conflict situation you witnessed or were engaged
in within your practice setting. Then, proceed as follows:

Think about who was involved, how it was resolved (if it
was), and how it might have been handled more effectively.

Identify the conflict management style(s) employed by
various individuals, including ineffective responses or no response to the
situation.

Evaluate your personal response to this conflict.

What do your thoughts and actions in this and other conflict
situations reveal about your typical approach to conflict?

By Day 3

Post a description of how you handled or avoided a conflict,
as well as the results of your approach. Explain how would you respond to this
conflict today and/or what steps you would take to improve your comfort level
and skill for managing conflict in the future (including specific conflict
management strategies you would use). Explain how conflict management relates
to your effectiveness as a leader.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days using one or more of the following approaches:

Ask a probing question, substantiated with additional
background information, evidence or research.

Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden Library.

Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.

Click on the Reply button below to reveal the textbox for
entering your message. Then click on the Submit button to post your message.

Week 2 assignment

Assignment:
Application: Systems Theory

As noted in the Learning Resources, systems theory provides
a meaningful and beneficial means of examining challenges in health care
organizations. To do this effectively, however, it is essential to assess all
system components, as some may be relatively healthy while others are
problematic.

For this Assignment, you apply systems theory to the
examination of a problem in a department or a unit within a health care
organization. (Note: You may use the same problem you identified for the
Discussion as long as it meets the criteria for this assignment.)

To prepare:

Review the Meyer article, “Nursing Services Delivery Theory:
An Open System Approach,” in this week’s Learning Resources. Focus especially
on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).

Reflect on your organization or one with which you are
familiar. Within a particular department or unit in this organization, identify
a problem the staff is encountering.

Using Table 1 in the Meyer article as a guide, analyze the
department or unit, identifying inputs, throughput, output, cycles of events,
and negative feedback. Consider whether the problem you have selected relates
to input, throughput, output, cycles of events, and/or negative feedback.

Think about how you could address the problem: Consider what
a desired outcome would be, then formulate related goals and objectives, and
translate those goals into policies and procedures.

Research professional standards that are pertinent to your
identified problem.

Reflect on the organization’s mission statement and values.
In addition, consider how addressing this problem would uphold the mission and
values, while improving the organizational culture and climate. (Depending on
the organization you have selected, you may have explored these in the Week 1
Discussion.)

To complete:

By Day 7

Write a 3- to 5-page paper (page count does not include
title and reference page) that addresses the following:

Describe a department or unit within a health care
organization using systems theory terminology. Include a description of inputs,
throughput, output, cycles of events, and negative feedback.

Describe the problem you identified within the department or
unit using an open- systems approach, and state where the problem exists using
the systems theory model (input, throughput, output, cycles of events, or
negative feedback).

Based on this information, explain how you would address the
problem as follows:

Formulate a desired outcome.

Identify goals and objectives that would facilitate that
outcome.

Translate those goals and objectives into policies and
procedures for the department or unit.

Describe relevant professional standards.

Explain how your proposed resolution to the problem would
uphold the organization’s mission and values and improve the culture and
climate.

The Assignment, Systems Theory, is due by Day 7 of Week 2.

Reminder: The School of Nursing requires that all papers
submitted include a title page, introduction, summary, and references. The
Sample Paper provided at the Walden Writing Center provides an example of those
required elements. All papers submitted must use this formatting.

This Assignment is due by Day 7 of Week 2 (this week) and
must be submitted through the Week 2 Assignment Link.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the naming convention
“WK2Assgn+last name+first initial.(extension)” as the name.

Click the Week 2 Assignment Rubric to review the Grading
Criteria for the Assignment.

Click the Week 2 Assignment link. You will also be able to
“View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK2Assgn+last name+first
initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the
checkbox for I agree to submit my paper(s) to the Global Reference Database.

Week 4 assignment

Assignment:
Application: Planned Change

in a Department or Unit

Health care organizations are continuously immersed in
change from the emergence of new policies, to promote quality care and improve
patient safety to keeping pace with the rapid growth in knowledge and best
practices. Establishing a solid framework for planning and implementing change
is a wise move, as it provides a foundation for the extensive coordination that
will be needed to successfully facilitate the change.

For this Assignment, you propose a change at the department
or unit level and develop a plan for guiding the change effort.

To prepare:

Review Chapter 8 in the course text. Focus on Kurt Lewin’s
change theory, and contrast it with other classic change models and strategies.

Reflect on problems, inefficiencies, and critical issues
within a specific department, unit, or area in your organization or one with
which you are familiar. Select one issue as a focal point for this assignment,
and consider a change that could be made to address the issue.

Think about how the change would align with the
organization’s mission, vision, and values as well as relevant professional
standards.

Using one of the change models or strategies discussed in
Chapter 8, begin formulating a plan for implementing the change within the
department/unit. Outline the steps that you and/or others should follow to
facilitate the change effort. Align these steps to the change model or strategy
you selected.

Determine who should be involved in initiating and managing
the change. Consider the skills and characteristics that are necessary to
facilitate this change effort.

To complete:

By Day 7

Write a 3- to 5-page paper (page count does not include
title and reference page) that addresses the following:

Identify a problem, inefficiency, or issue within a specific
department/unit.

Describe a specific, realistic change that could be made to
address the issue.

Summarize how the change would align with the organization’s
mission, vision, and values as well as relevant professional standards.

Identify a change model or strategy to guide your planning
for implementing the change. Provide a rationale for your selection.

Outline the steps that you and/or others would follow to
facilit

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