NURS FPX 6212 Assessment 4
Name
Capella University
FPX-6212
Professor Name
28 March, 2024.
Planning for Change: A Leader’s Vision
Hi, I am Susie. I hope you all are well. Today the topic I am going to represent is planning for change in a leader’s vision. Ernst Bertner’s unshakable commitment not only made his vision a reality but also encouraged and inspired others to help accomplish this incredible feat. When a leader makes changes meant to improve the quality and safety of an organization. A leader needs to paint a vivid and convincing image of the ideal future state, stressing the advantages of change and how it would improve quality and safety. In addition, the leader must outline the objectives to be met, the adjustments that must be made, and the resources needed to carry them out. It is important to specify the tactics and techniques that will be used. It is essential to convey the change’s vision and justification effectively. Acquiring the backing and dedication (buy-in) of important stakeholders, including staff members, clients, partners, and investors, is necessary for this. People must be encouraged and inspired by leaders to support the change initiative.
This may entail resolving concerns, promoting excitement, and emphasizing the value offered. Effective leaders work together to address obstacles that may come up throughout the transition process (Balch, 2021). This calls for candid communication, cooperation, and a readiness to modify plans in response to criticism and new problems. Although the text doesn’t go into great detail on planning for quality and safety, we can assume that the plan would probably cover things like risk identification and an analysis of present procedures to pinpoint potential trouble spots that may jeopardize quality or safety. It would probably also entail establishing rules, policies, and protocols to guarantee the reliable and secure provision of services. Monitoring success requires establishing metrics to assess changes’ effects on quality and safety outcomes and quantify progress. Another crucial component is providing employees with the information, abilities, and tools they need to adopt new practices while keeping an eye on quality and safety. Leaders may reduce interruptions, enhance quality and safety within the business, and increase the chance of successful implementation by carefully planning and directing the change process. He anticipated that the TMC would draw top medical experts from various disciplines, creating an exclusive setting for cutting-edge research and discoveries. The Texas Medical Center is evidence of Bertner’s audacious plan and fervent leadership today. It is the world’s largest medical facility by any standard (Balch, 2024).
Key Components of a Plan to Develop or Enhance a Culture of Safety
Creating or improving a safety culture is creating an atmosphere where all members of the company value safety and work together to avoid mishaps and injuries. It takes more than just adhering to the law; it takes a common understanding and dedication to everyone’s safety. Within a company, the tone is established by senior executives. It is vital that they demonstrate a commitment to safety. According to National Safety Council research, leaders in companies with strong safety cultures are two to three times more likely to be heavily active in safety-related activities than leaders in companies with poor cultures. Participating in safety inspections, addressing safety at meetings on a regular basis, and praising staff members for their efforts to maintain safety are a few examples of this leadership participation. It is everyone’s duty to ensure safety.
Companies with strong employee participation in safety programs report 60% fewer injuries. Open communication, chances for employee input on safety protocols, and employee participation in safety committees are some ways to promote this kind of involvement. These rules have to be simple for staff members to comprehend and adhere to, and they ought to be successfully disseminated across the company. OSHA, the Occupational Safety and Health Administration, states that having well-defined safety protocols can lower recordable incident rates by 6%. It is crucial to provide workers with the information and abilities they need to do their jobs safely. This entails offering instruction on particular safety risks, how to use personal protective equipment (PPE), and how to handle emergencies. It is advised by the American Society of Safety Professionals (ASSP) that safety training be updated regularly to reflect emerging risks and technological advancements. It is essential to motivate staff members to report any safety accidents, near misses, and dangers. This enables inquiries and remedial measures to stop such incidents in the future. A good safety culture, according to the National Safety Council, stresses learning from events rather than merely penalizing them. Organizations may spot patterns and focus their safety efforts where they are most needed by evaluating incident data. Organizations may create a strong safety culture that puts everyone’s health first and promotes a work environment where safety is a fundamental value rather than an afterthought by concentrating on five important areas (Curran et al., 2024).
Analyzing Organizational Functions, Processes, and Behaviors Impacting Quality and Safety
According to a Gallup poll, just 15% of workers are actively involved in their jobs. Effective leadership may greatly enhance this. Leaders who are personable, open, and appreciate staff feedback may promote a climate of trust and cooperation. Increased worker involvement, output, and creativity may follow from this. Companies with strong employee engagement beat those with low engagement by 20% to 30% in terms of profitability, according to a 2017 McKinsey & Company analysis. The fundamental ideas that shape an organization’s conduct are its values. Leaders who regularly make decisions that support these principles communicate to their staff exactly what matters. For instance, executives may place a higher priority on funding customer service education and feedback systems if the firm places a high importance on customer happiness. The Society for Human Resource Management (SHRM) found that businesses with strong values statements have greater profitability and productivity by 20% and 17%, respectively. A constant emphasis on quality and safety can result in notable performance gains. Organizations may lower mistakes, accidents, and rework by funding quality control procedures and safety training. improved customer happiness, fewer recalls or safety problems, and eventually improved profitability are the results of this.
Research conducted by the American Society for Quality (ASQ) found that businesses with superior quality standards have defect rates that are two to four times lower than those of their rivals. In conclusion, an organization’s culture and performance are fundamentally influenced by its leadership style, values, and dedication to quality and safety. These factors go beyond simple platitudes. Leaders may establish a productive, effective, and engaging work environment by giving these factors top priority (Xue et al., 2019). Communication that is ineffective or nonexistent can have detrimental effects. According to a Joint Commission study, more than half of all sentine events unexpected incidents that result in death or serious injury have communication breakdowns as their primary cause. Fostering cooperation and teamwork requires open communication. Better problem-solving and coordinated efforts toward quality and safety goals are made possible when staff members feel at ease sharing information, worries, and ideas. According to a research published in the Harvard Business Review, organizations with highly collaborative teams outperform those with poor cooperation by 21% in profitability and by 60% in quality.
Transparency and trust are fostered inside a company via effective communication. Employee engagement and investment in meeting quality and safety goals are higher when they feel informed and involved. Workers who trust their leaders are 12 times more likely to be engaged at work, according to Society for Human Resource Management (SHRM) research. Employee burnout and an overwhelming workload might result from understaffing. This may have a detrimental effect on concentration and detail-orientedness, raising the possibility of mistakes and safety lapses. According to research in the Journal of Nursing Administration, there is a threefold increase in the likelihood of patient safety incidents involving nurses working in units with insufficient staffing. It is essential to have a workforce with the necessary knowledge and abilities. This enables employees to carry out their tasks efficiently and spot any issues before they arise. According to a survey conducted by the American Society for Quality (ASQ), organizations with highly qualified workers report 20% greater customer satisfaction and 30% less employee turnover. Sufficient workforce numbers facilitate effective operations and punctual task fulfilment. This enables appropriate attention to be paid to safety and quality controls without undue pressure or quick cuts. According to McKinsey Global Institute research, businesses that maximize employee efficiency might see up to a 25% increase in production. In summary, efficient personnel and communication are essential investments in maintaining quality and safety inside a business. They are not only operational requirements. Organizations may establish a work environment that reduces risks, encourages cooperation, and ultimately produces better outcomes by giving priority to these areas (Jiang et al., 2022).
NURS FPX 6212 Assessment 4: Knowledge Gaps and Uncertainties
Error risk can be raised by uncertainties, incomplete knowledge, and unresolved questions. Companies with strong safety cultures had 60% fewer safety accidents than those with poor cultures, according to a National Bureau of Economic Research research. Organizations can reduce possible risks and safety breaches by proactively addressing knowledge gaps that are identified. Regulations, best practices for the sector, technological advancements, and consumer expectations are all always changing. According to a Deloitte survey from 2022, 73% of CEOs think that in the next three years, technology disruption will have a major influence on their industry. Organizations may stay informed, modify their plans, and guarantee that their quality and safety standards are current by detecting knowledge gaps associated with these developments. Reaching objectives related to quality and safety requires making well-informed decisions. According to Bain & Company research, businesses that use data and insights to inform their choices generate 5% to 9% more revenue than those that depend exclusively on gut feeling. Organizations can get more data, do out research, or consult experts by identifying the areas of ambiguity.
This enables them to optimize quality and safety measures through data-driven decision-making. For instance: Organizations may have concerns over the interpretation, applicability, and possible impact of newly enacted rules on currently in place practices. Technology is advancing quickly, which might create concerns about possible safety risks or how to securely incorporate new technologies into current procedures. Consumer demands for dependability and security are ever-changing. In order to meet or surpass these expectations, organizations must be aware of these changes and identify any knowledge gaps in the relevant areas. Organizations may attain higher quality and safety standards, make well-informed decisions, and adjust to changing circumstances by proactively recognizing knowledge gaps and aggressively finding solutions (Leon et al., 2023).
NURS FPX 6212 Assessment 4: Identifying Current Quality and Safety Outcome Measures
Quality and safety-focused organizations must monitor their performance. Key outcome indicators must be defined and measured in order to do this. These metrics offer insightful information about the extent to which the company is fulfilling its quality and safety objectives.
A clear picture of the organization’s performance in terms of quality and safety is given by outcome indicators. Organizations may spot patterns, gauge target progress, and evaluate the success of their quality and safety programs by monitoring these measures over time. It is possible to identify areas in which the organization is not meeting its quality and safety requirements by using outcome indicators. This makes it possible to allocate resources and make focused improvements to solve certain problems. It is possible to measure outcome indicators to industry standards or best practices. This makes it possible for enterprises to assess how they perform in relation to others and pinpoint opportunities for improvement. This category focuses on patients’ real health following treatment. Examples include The number of fatalities that occur during a given period of time (such as 30 days) after a certain surgery or therapy. Better treatment is indicated by lower death rates. the proportion of patients who return to the hospital within a given period of time (such as 30 days) following an earlier hospital stay. Better care coordination and maybe fewer problems are indicated by lower readmission rates.
The frequency with which patients get illnesses while they are in the hospital (also known as hospital-acquired infections or HAIs). Better cleanliness habits and infection control strategies are indicated by lower infection rates. The patient’s satisfaction with the care they received is evaluated by this metric. For example, consider: Patient satisfaction surveys ask patients how satisfied they are generally with many parts of their treatment, including pain management, interactions with nurses and physicians, and the atmosphere of the hospital as a whole. Patient Experience Scores serve as a summary of patient opinions about different facets of treatment and can be used to compare one’s performance to that of other medical professionals. Organizations may obtain important insights into their quality and safety performance by concentrating on these outcome indicators as well as those pertinent to their particular field. They may then utilize this data to guarantee they are giving their patients the best treatment possible and to spur ongoing improvement. A thorough comprehension of quality and safety extends beyond the final product. Process, structural, and cost measures are crucial for the following reasons: Process Measures look at the way that care is provided. Observing established procedures, such as clinical recommendations, can greatly enhance the results for patients.
For example, a research indicated that hospitals with strong adherence to recommended treatment protocols for heart attacks had 18% reduced death rates. Hand cleanliness and the proper distribution of medications are also very important. Improved hand hygiene compliance can cut healthcare-associated illnesses by up to 50%, according to the World Health Organization, while an Institute of Medicine research predicts that 440,000 prescription mistakes occur in hospitals yearly. Structural Measures evaluate the basis for providing healthcare. Having enough employees is crucial. According to an American Nurses Association research, problems and fatalities are less common at hospitals with lower nurse-to-patient ratios. A workforce with proper training is also essential. According to an analysis by the Agency for Healthcare Research and Quality, hospitals that spend money on staff development find improvements in patient outcomes and a decrease in the number of complications. Equivalently vital is equipment that operates properly. According to a Joint Commission investigation, equipment malfunctions may be a factor in patient safety occurrences. Regular updates and maintenance on equipment can help reduce these dangers.
Cost measures take care of the care’s cost-effectiveness. Reducing unnecessary hospital visits can increase productivity and release funds. Hospitals with shorter average stays also had lower total healthcare expenses, according to Centers for Medicare & Medicaid Services research. Moreover, preventing hospital-acquired diseases (HACs) lowers expenses and increases safety. According to Centers for Disease Control and Prevention research, HACs raise US healthcare expenditures by $40–48 billion a year. Organizations may obtain a more comprehensive knowledge of their quality and safety performance by taking into account all of these metrics: outcomes, procedures, structures, and costs. After that, this data may be utilized to pinpoint problem areas, allocate resources as efficiently as feasible, and eventually provide the finest treatment possible at a reasonable cost.
Navigating the Steps for Achieving Improved Outcomes
Caregivers can construct a well-defined strategy with a greater likelihood of attaining desired results by creating goals that satisfy these requirements. Overly general objectives like “improve patient care” are unfocused. A well-defined objective makes it evident what you hope to accomplish. One specific aim may be to “Reduce hospital-acquired infections (HAIs) by 15% within the next year”. How will your progress be monitored? There is a distinct success metric for a quantifiable aim. The 15% reduction goal in the HAI reduction example is a quantifiable goal. Goals should be demanding but also reasonable. Take into account the responsibilities, resources, and any roadblocks. An too-lofty objective may be demoralizing. The objective must be in line with the general aims and vision of the healthcare institution. For instance, a targeted objective aimed at lowering readmission rates would be appropriate if it were the main focus. A deadline instills attention and a sense of urgency.
A time-bound aim lays down a deadline for accomplishing the intended result. The goal of attaining a 15% decrease “within the next year” in the HAI reduction example establishes a precise timeline. A clearly stated objective makes it easier for everyone to grasp what has to be done and offers a road map for action. A defined timeframe and quantifiable milestones encourage people and teams to stay on course and foster a sense of progress. SMART objectives facilitate the smart allocation of resources and the prioritization of efforts in order to achieve the desired results. In general, SMART goal-setting gives caregivers the ability to build a precise, doable strategy that is in line with their vision for better healthcare delivery. Better patient outcomes are eventually a result of this methodical approach, which cultivates a results-oriented attitude. Any business hoping for success has to understand what influences its target. These factors may originate from the company itself (internal environment) as well as from the larger industry and surroundings (external environment).
Organizations may make educated judgments, modify their tactics, and eventually accomplish their objectives by recognizing these important variables. The organization’s internal strengths and shortcomings are included in the internal environment. Intangible and tangible resources like as money, buildings, technology, data, brand reputation, and intellectual property are all considered assets. These resources have the potential to provide the company a competitive edge or to hinder its capacity to accomplish its objectives. One important internal factor is the workforce’s experience, education, and skill level. While poor morale or skill gaps might impede advancement, a highly competent and motivated team can be a big benefit. The ability of the company to innovate can be a key factor in its success. This involves having the capacity to create novel goods, services, and procedures that satisfy changing consumer demands and outperform rivals.
The larger market dynamics and trends that have an effect on the business are included in the external environment. Comprehending the advantages, disadvantages, tactics, and products of your rivals is crucial. With this information, you can successfully position your target audience and set yourself apart. Remaining up to date with industry trends is essential for adapting and remaining relevant. These trends include evolving customer preferences, legislative changes, and technology breakthroughs. It’s critical to comprehend the requirements, preferences, and expectations of your target audience. This covers their preferred methods of communication, pain spots, and purchasing habits. You may obtain information and insights about your target market, rivals, and market trends by conducting market research. Key impacts can then be determined using this data. Using focus groups, questionnaires, and other techniques to actively seek out client input can yield insightful information about their preferences and issues. This input can assist in determining the ways in which outside variables are impacting your intended audience. Through the adoption of a complete strategy that takes into account both external and internal elements, companies may learn more about the main impacts on their objective. Their ability to make well-informed judgments, devise efficient tactics, and eventually accomplish their objectives is enhanced by this information (Brous, 2019).
Forging a Vision for Developing and Sustaining a Culture of Quality and Safety in Organizations: The Nurse Leader’s Role
As the primary caretakers, nurses play a crucial part in the intricate web of rules that govern the healthcare business. Sadly, unexpected problems can occur even in the most regulated settings. Legal claims alleging malpractice may arise when bad patient results occur, hence starting a convoluted legal procedure. Nurses may become embroiled in this kind of dispute because of their crucial role in providing care. A case scenario will also be provided to highlight the function of a nurse in an orthopaedic malpractice case. Roughly one in four doctors will be the target of a malpractice lawsuit at some point in their careers, according to a study by the National Bureau of Economic Research. Although there is no evidence that is particular to nurses, they may be identified in suits of this kind because of how frequently they deal with patients. Even if nurses are not found to be at fault, being part in a legal lawsuit may be unpleasant. Part of that nervousness may be reduced by being aware of the procedure and their rights. In court, emphasizing the vital role nurses play in patient safety and high-quality treatment can be a potent legal defence tactic. By giving a general understanding of the litigation process, nursing licensure issues, and key legal terminologies, it seeks to instil confidence. Imagine working for a healthcare business where providing the best possible treatment isn’t simply the goal—rather, it’s a core value that permeates the whole structure. This is the force behind a strong culture of safety and excellence. The Cornerstones of Cooperation, Trust, and Constant Improvement. In this picture of the future, the core values of this extraordinary culture are cooperation, trust, and ongoing progress. Crain et al.’s study from 2021 emphasizes how important nurse leaders are in creating this atmosphere. These executives set the tone, lay out the rules, and give staff members constant direction and assistance. Nurse leaders model the appropriate actions and attitudes in order to promote quality and safety. They cultivate a sense of accountability and ownership by actively involving personnel in meaningful ways. They also understand that obtaining the highest level of quality and safety necessitates collaboration. This knowledge translates into encouraging interprofessional collaboration, a tactic that is backed by research conducted in 2019 by Figueroa et al. Nurse leaders take an active role in providing chances for staff members to exchange knowledge, exchange best practices, and work together on projects that improve the standard of care. Setting Open Communication as a Top Priority: Transparent and open lines of communication are essential for establishing trust and encouraging teamwork. Leaders in nursing should aggressively seek out staff input, provide safe locations for them to air grievances and welcome recommendations for enhancements. Investing in Education and Training: Providing great care requires a workforce that is informed and well-trained. In order to provide their staff with the most up-to-date clinical procedures, technology, and quality and safety standards, nurse leaders should make sure they have access to continual education and training. Continuous progress inside the firm is fueled by this investment in professional growth (Vepraskas et al., 2022).
Building Consensus and Support for Developing or Enhancing a Culture of Safety
A quality and safety-oriented business of the future will include nurse leaders who serve as pillars of excellence. According to an American Nurses Association research, a startling 90% of healthcare workers feel that teamwork is crucial for patient safety. These leaders set the tone from the top and promote a collaborative workplace. Nurse leaders enable their teams to provide outstanding care by promoting collaboration and providing continuous assistance to employees. The company places a high priority on interprofessional cooperation, demonstrating its dedication to collaboration outside the nursing field. Healthcare professionals such as doctors, therapists, pharmacists, and others collaborate effectively, utilizing their collective knowledge to improve patient outcomes.
Lastly, all facets of the organization’s activities are infused with an uncompromising commitment to continual improvement. This dedication is demonstrated by data-driven decision-making, an open communication culture that values criticism, and a constant search for best practices. Through these initiatives, the company creates a culture in which quality and safety are the cornerstones upon which excellent patient care is provided, not merely objectives to be achieved. The study found that the perceived degree of unfair advantage is used by the gaming community to distinguish between enhancers. Compared to milder enhancers, there was noticeably less worry about medications, hard narcotics, and brain stimulation approaches. This shows that there is a sense of justice in the community and that unethical benefits are distinguished from less harmful practices. It’s interesting to note that the study also discovered that players who were more involved in the competitive scene were less inclined to believe in enhancers. This demonstrates how the majority of esports participants want fair play (Friehs et al., 2024).
Conclusion
Fostering collaboration among staff members and establishing confidence are dependent on open communication channels and transparency. According to a Robert Half poll, 86% of workers think that leadership openness is extremely or somewhat important. Vila Health Hospital may actively seek recommendations for improvement, provide safe areas for employees to express issues and welcome feedback. Having a personnel that is competent and well-trained is essential to providing excellent care. The American Nurses Association stresses that lifelong learning is critical for nurses.
Vila Health Hospital has to make sure that its staff members have access to continuous training and instruction on the newest technology, clinical procedures, and quality and safety regulations (Fan et al., 2024). This expenditure on professional development supports the organization’s ongoing progress. Data-Driven Decision-Making: Vila Health Hospital can pinpoint areas for improvement and track advancement toward quality and safety goals by using data to inform decision-making. According to Harvard Business Review research, data-driven businesses outperform their rivals in terms of profitability and productivity by 5%. Vila Health Hospital can make well-informed decisions that maximize patient care and safety by utilizing data analytics. Developing Staff Support and Nurse Leaders: Nurse leaders are essential in laying out the guidelines and standards for a culture of safety and excellence.
The American Organization of Nurse Executives conducted research that emphasizes how important nurse leaders are in creating safe work environments. Vila Health Hospital should provide nurse leaders with the authority to mentor and assist staff members on a continuous basis. This fosters a climate of cooperation and safety-first thinking by fostering a sense of accountability and ownership. Vila Health Hospital can create a culture where quality and safety are the cornerstones of outstanding patient care, not merely goals, by giving priority to these emphasis areas. Vila Health Hospital can guarantee that its patients receive the finest care possible by encouraging interdisciplinary cooperation and a commitment to continual development (Fan et al., 2024).
NURS FPX 6212 Assessment 4: References
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Balch, C. M. (2024). Ernst Bertner: A Surgeon with Prescient Vision for the Largest Medical Center in the World. Annals of Surgical Oncology. https://doi.org/10.1245/s10434-024-14894-w
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Curran, V. R., Hollett, A., Simmons, K., Stuckless, T., & Radu, G. (2024). A Phenomenological Study of Postgraduate Medical Trainees’ Incidental Learning Experiences and Psychological Well-Being During the COVID-19 Pandemic. Cureus. https://doi.org/10.7759/cureus.54937
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Jiang, S., Hu, J.-Y., & Cheng, H.-W. (2022). The Impact of Probiotic Bacillus subtilis on Injurious Behavior in Laying Hens. Animals, 12(7), 870. https://doi.org/10.3390/ani12070870
Vepraskas, S., Osorio, S. N., Bauer, S. C., Stephany, A., & Gage, S. (2022). Improving Documentation of Postdischarge Issue Mitigation during Postdischarge Phone Calls. Pediatric Quality & Safety, 7(6), e618. https://doi.org/10.1097/pq9.0000000000000618
Balch, C. M. (2021). The Politics of Recruiting Dr. R Lee Clark Jr. as the First Permanent Director of The University of Texas MD Anderson Hospital for Cancer Research. Annals of Surgical Oncology, 29(1), 733–749. https://doi.org/10.1245/s10434-021-10736-1
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