Norwich NR523 2021 January Complete Course Latest (Full)

NR523 Health Care System, Leadership Advanced Nursing Role

Week 1 Discussion

Case Review: Case Study 1.2 – Charity Water

In this case study, Scott Harrison experiences many successes in his quest to improve water quality on a global scale.

Identify three leadership traits or abilities that contributed to his successes.

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 2 Discussion

Discuss the characteristics of a high performing culture in health care. Reflect upon your own experiences as a nurse in your current organization and give an example where the organizational culture influenced an outcome. Was it a positive outcome, why and how did the culture impact results? Was it a negative outcome, how did culture influence the result and what would need to change for a better result?

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 3 Discussion

You are an Advanced Practice Nurse within a large health care system. You are part of the care team for Jane, a 55-year-old woman who for the past 6 months has been undergoing evaluation for atypical abdominal pain. Jane has been diagnosed with a rare tumor and following a second opinion at the nearby cancer treatment center, she has been recommended for a combination of surgical and oncologic measures (chemotherapy and radiation). Jane is married to Kim and they have an adopted 8-year-old boy. Kim, an artist, has been the primary childcare provider and Jane a software engineer has been the primary financial supporter for the household.

What important provider relationships will be important for you to establish in order to support person centered care for Jane?

How will you establish and maintain the communication?

What network opportunities would be helpful?

What anticipatory steps could you take to support possible future challenges?

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 4 Discussion

Question:

Review the Wildfire Interactive End Value statement in the Northouse chapter.

Then review the value statements of social and healthcare organizations in your community and/or practice area.

Post an “End - Final Value” for an advanced practice nurse in your current or desired future setting.

Discuss findings, differences, similarities with your classmates.

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 5 Discussion

Emerging digital health technology such as artificial intelligence, robotics, automation, big data and a variety of precision and hybrid and virtual health care models are giving rise to opportunities and challenges for nursing leaders.

Give one example from your readings or practice setting where technology has had a positive impact on person centered care. What are important considerations for nursing leaders in preparing for emerging digital health technology?

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 6 Discussion

According to McDaniel and Jordan (2009) and Johnson and Anderson (2020) all health care organizations are Complex Adaptive Systems. Consider the health care organization where you currently work or have worked in the past and describe how five of the attributes of CASs, consistent with General System Theory, are at play: Agent, Interconnections, Self-Organization, Emergence, Co-evolution.

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 8 Discussion

From your readings or your own practice experience, give an example of a quantity driven model for a health care service and an example of a value driven model.

What model is most effective for the desired outcome?

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 11 Discussion

For this discussion: Repeat the Leadership Traits Questionnaire from Northouse textbook. Compare your scores with your scores from Week 02.

Discuss and Reflect how your new scores compare with your scores from Week 02.

Discuss what has changed?

What characteristics will you value in leaders as you develop in your career?

How can you implement your leadership styles and traits at a system level?

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 2 Assignment  

Leadership Self-assessment Reflection

Complete the Leadership Traits Questionnaire from your Northouse textbook. Reflect upon your scores and submit a 3-page reflection paper (following APA Style Guide requirements). Address the following:

We each uniquely define Leadership – what is your definition?

Identify a health care leader this could be a well-known leader or someone from your own experience that most closely fits your definition and briefly discuss how?

Reflecting on leadership traits, what trait could you develop more fully to become a leader that fits your definition?

Refer to the Syllabus for point value of this assignment and to the MSN Grading Guidelines and Rubrics for assignment rubric. Your Activity Completion checkbox will be marked when you submit to this dropbox, remember to check your gradebook for your grade.

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 3 Assignment  

Theme Exercise

In the table below:

Column A identifies the common themes of Patient-Centered and Person-Centered Care with a brief description.

Column B is an example of a Challenge or Barrier to providing Patient-Centered and Person-Centered Care.

Column C Identifies how an individual leader might impact the challenge positively.

Column D identifies how an organization may positively impact that challenge.

Assignment: Column A identifies the common themes of Patient-Centered and Person-Centered Care with a brief description. Column B is an example of a Challenge or Barrier to providing Patient-Centered and Person-Centered Care.

In column C identify how an individual leader might impact the challenge positively, and in Column D, identify how an organization may positively impact that challenge.

Common Themes in Patient-Centered and Person-Centered Care

                A                                B                                              C                                         D

Patient-Centered and Person-Centered Care	Challenges and/or Barriers	Individual Leader-Impact Opportunities	Organizational Impact Opportunities
Empathy Compassion, understanding and responsiveness to the feelings of others	Nurses in a busy NICU with high turnover and low morale
Respect Regard for the attitudes, desires and diversity of others	Health care team siloed by provider type.
Engagement Having shared genuine interest in the outcomes	High level of traveler nurses in an ED
Relationship Strong sustainable relationships amongst the care team and with the patient	“Frequent flier” in a busy provider practice, chart review reveals 7 visits in the last 60 days all with a different provider.
Communication collaboration, listening and communicating in an open and honest manner	Patients presenting with internet based “Dr. Google” information as the basis of requests that are lacking evidence.
Shared Decision Making Rebalances the power between provider and care team	a patient with newly diagnosed metastatic cancer
Holistic Focus Understanding the overall nature of health and illness through a complex lens	addressing end of life care
Individual Focus Respecting individual preferences	a patient with diabetes resisting medication
Coordinated  Care Communicating care needs across the continuum	high levels of readmissions

 

 

References:

Weberg& Davidson. (2021). Leadership of Evidence-Based Innovation in Nursing and Health Profession(2nd ed.). Jones & Bartlett.

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 5 Assignment  

Healthcare Leadership Appraisal

Select a health care leader of your choice and using the six key traits of leadership discussed widely in leadership research and/or the seven characteristics of innovative leaders discussed in Weberg & Davidson as a framework, appraise how your selected leader exemplifies these traits. This leader may be a local or national leader (see suggestions). To support your appraisal, consider the following questions(5-7 pages following APA Style Requirements):

APPRAISAL         POINTS

Introduction: who is your leader ?– set the context and describe the position this leader holds in the health care system.                50

Impact: What contribution has this leader made?             50

Barriers: What barriers or challenges did they face?         40

Attributes/Traits: What leadership attributes or traits were most important in making their contribution?             40

Steps: How /what steps did this leader take accomplish the contribution?            40

Questions: If you were to meet this leader, what questions would you ask?        40

Leader Suggestions: (you are not limited to this list, leaders exist throughout and at all levels of organizations – choose a leader who inspires you)

American Presidents: Lyndon B. Johnson ( Medicare), Barack Obama ( Affordable Care Act)

Surgeon Generals: US Surgeon General, Dr. Luther Terry, first Surgeon General's Report on Smoking and Health, David Satcher, MD, PhD, US Surgeon General work on Health Care disparities.

Health Policy Leaders: Any of the member of the task force responsible for the IOM Report "The Future of Nursing: Leading Change, Advancing Health" IOM Consensus Report October 2010

Nursing Leaders: President of ANA or AANP

Your health system leaders: CEO, CNO, Chief Quality Leaders, Unit Leader

Public Health Leaders: Dr. Anthony Fauci, your state commissioner for Public Health, your Governor

Legislative leaders: national: Lauren Underwood, Eddie Bernice Johnson, Lois Capps local: what health care leaders are in your legislature? Are there nurses making change?

Community Leaders: Look to your own community, what health care organizations are active and who are the stand out leaders making change?

NR523 Health Care System, Leadership Advanced Nursing Role

Week 7 Assignment  

Performance Improvement

Select one Health Education, Leadership or Practice challenge and design a Performance Improvement or Innovation Change to address the challenge. Base the challenge on QSEN competencies, The National Patient Safety Goals, the IHI 5 Million Lives Campaign or the United Nations SDGs. This needs to follow APA Guidelines and be a maximum 4- 5 pages.

Your Performance Improvement should include the following:

What is your target area for improvement: describe the challenge, support with data.

Assess your current performance – support with data.

Identify the Improvement Opportunity.

Describe your pilot – what change would you implement?

How will you evaluate the change – what measures will you evaluate?

How would you spread and disseminate a successful change?

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 9 Assignment  

Cultural Diversity Awareness Reflection

Consider your professional nursing practice experiences. Discuss how your current or previous practice setting or organization supports or does not support diversity and inclusion. What is one improvement you would recommend and why? (750 words/2 pages following the APA Style requirements).

 

NR523 Health Care System, Leadership Advanced Nursing Role

Week 10 Assignment  

Transition to Practice

After reviewing your specific State Nurse Practice Act, State Board of Nursing Rules and Regulations and any other relevant state specific Laws and Regulations for Advanced Practice, outline your specific transition to practice considerations for your state including steps you will take to meet those requirements. This paper needs to be 4-6 pages, following the APA style requirements for this course.

Your report should include the following:

Licensing Requirements, including initial and ongoing licensing and education requirements.

Business and Professional Guidelines

Standards and Guidelines for Nurse Practitioners

Prescribing requirements for drugs and/or devices

Authorizations for procedures

Scope of Practice

Ethical Considerations