(Answered) NHS_FPX6210 Care Setting Environmental Analysis | Homework Solution

Care Setting Environmental Analysis

Write a 4-7 page analysis of your care setting that supports development of a strategic plan and includes both the discovery and dream phases of an appreciative inquiry (AI) project and a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the care setting.

Introduction

Identifying analysis techniques for assessing competitive advantage is important for building healthcare strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your healthcare environment to determine whether what is being accomplished in your organization, department, team, community project, Care Setting Environmental Analysis or other care setting is making a positive difference.

Note: You will use the results of this analysis to develop a strategic plan in Assessment 2.

Preparation

You have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve healthcare quality and safety in your organization, department, team, community project, or other care settings. To accomplish this, you will take two approaches to the analysis:

1. Complete the discovery and dream phases of an appreciative inquiry (AI) project.
2. Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis.
3. To help ensure that your analysis is well-received, the requester has suggested that you:

• Present your analysis results in four parts: 
  • Part 1: Appreciative Inquiry Discovery and Dream.
  • Part 2: SWOT Analysis. Care Setting Environmental Analysis
  • Part 3: Comparison of Approaches.
  • Part 4: Analysis of Relevant Leadership Characteristics and Skills.
• Your analysis should be 4–7 pages in length.

Note: Remember, you can submit all, or a portion, of your draft plan to Smarthinking for feedback before you submit the final version for this assessment. However, be mindful of the turnaround time for receiving feedback, if you plan on using this free service.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, Care Setting Environmental Analysis or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

One key aspect to being an effective leader, manager, or administrator is an awareness of your leadership strengths, weaknesses, and style.

• How would you assess your general leadership, communication, and relationship-building skills?
• How would describe your leadership style?
• Imagine the future for a care setting that is your place of practice or one in which you would like to work.
• What aspirational goals can you envision that would lead to improvements in health care quality and safety?
• How well do these goals align with the mission, vision, and values of your care setting?

Analysis Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. Care Setting Environmental Analysis In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed. Writing, Supporting Evidence, and APA Style

• Communicate professionally when conducting interviews and collecting data.
• Write clearly, with professionalism and respect for stakeholders and colleagues.
• Integrate relevant sources of evidence to support your assertions. 
  • Cite at least 3–5 sources of scholarly or professional evidence.
  • Include relevant interview information. Care Setting Environmental Analysis
• Format your document using APA style. Use the APA Style Paper Tutorial [DOCX]. Be sure to include: 
  • A title page and reference page. An abstract is not required. Care Setting Environmental Analysis
  • A running head on all pages.
  • Appropriate section headings.
  • Properly formatted citations and references.
• Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis. Care Setting Environmental Analysis

Part 1: Appreciative Inquiry Discovery and Dream

• Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. 
  • Collect stories from your care setting. You may collect stories through interviews or conversations with colleagues or provide your own.
  • Explain how your stories are related to quality and safety goals.
  • Describe the evidence you have that substantiates your stories.
  • Identify the positive themes reflected in your stories. Care Setting Environmental Analysis
  • Describe other evidence (for example: data, awards, accreditations) that validates your care setting’s positive core. Care Setting Environmental Analysis
• Propose positive, yet attainable, quality and safety improvement goals for your care setting. 
  • Explain how accomplishing these goals will lead to ethical and culturally-sensitive improvements in quality and safety.
  • Explain how your proposed goals align with your care setting’s mission, vision, and values.

Part 2: SWOT Analysis

• Conduct a SWOT analysis of your care setting, with respect to quality and safety goals. 
  • Provide a narrative description of your analysis. Care Setting Environmental Analysis
  • Identify the assessment tool you used as the basis of your analysis.
  • Describe your key findings and their relationships to quality and safety goals.
• Describe one area of concern that you identified in your SWOT analysis—relevant to your care setting’s mission, vision, and values—for which you would propose pursuing improvements. 
  • Explain how this area of concern relates to your care setting’s mission, vision, and values.
  • Explain why you believe it will be necessary and valuable to pursue improvements related to this area of concern. Get Sampling Methods Homework Help Now!! Care Setting Environmental Analysis
    

Part 3: Comparison of Approaches

Compare the AI and SWOT approaches to analysis and reflect on the results.

• Describe your mindset when examining your care setting from an AI perspective and from a SWOT perspective.
• Describe the types of data and evidence you searched for when taking an AI approach and a SWOT approach.
• Describe the similarities and differences between the two approaches when communicating and interacting with colleagues.

Part 4: Analysis of Relevant Leadership Characteristics and Skills

Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach. Care Setting Environmental Analysis

• Explain how these characteristics and skills would help a leader facilitate a successful AI-based project and a successful SWOT-based project.
• Comment on any shared characteristics or skills you identified as helpful for both AI and SWOT approaches.
• Competencies Measured
  By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Care Setting Environmental Analysis
• Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations. 
  • Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an appreciative inquiry (AI) and a strengths, weaknesses, opportunities, and threats (SWOT) approach.
• Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals. 
  • Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. Care Setting Environmental Analysis
  • Conduct a SWOT analysis of a care setting, with respect to quality and safety goals.
  • Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved.
  • Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others.
• Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making. 
  • Propose positive, attainable quality and safety improvement goals for a care setting.
• Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments. Care Setting Environmental Analysis 
  • Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.
  • Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

Care Setting Environmental Analysis Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.	Does not list stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.	Lists but does not synthesize stories and evidence, or fails to clearly relate stories and evidence to quality and safety goals.	Synthesizes stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. Care Setting Environmental Analysis	Synthesizes stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the synthesis).
Propose positive, attainable quality and safety improvement goals for a care setting.	Does not propose positive goals for a care setting.	Proposed goals are positive but not attainable, or will not lead to ethical and culturally sensitive improvement of organizational quality and safety, or are not clearly aligned with the care setting’s mission, vision, and values.	Proposes positive, attainable quality and safety improvement goals for a care setting.	Proposes positive, attainable quality and safety improvement goals for a care setting, and identifies assumptions on which proposed goals are based. Care Setting Environmental Analysis
Conduct a SWOT analysis of a care setting, with respect to quality and safety goals.	Does not present the findings of a SWOT analysis of a care setting.	Conducts a SWOT analysis of a care setting that is not clearly focused on quality and safety goals. Care Setting Environmental Analysis	Conducts a SWOT analysis of a care setting, with respect to quality and safety goals.	Conducts a SWOT analysis of a care setting, with respect to quality and safety goals, and impartially considers conflicting data and other perspectives.
Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved.	Does not describe an area of concern identified in a SWOT analysis that should be improved.	Describes an area of concern identified in a SWOT analysis, but does not show its relevance to a care setting’s mission, vision, and values.	Describes an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved.	Describes an area of concern identified in a SWOT analysis— relevant to a care setting’s mission, vision, and values—that should be improved. Identifies criteria that could be used to evaluate such an improvement.
Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others.	Does not describe data gathering and interactions with others. Care Setting Environmental Analysis	Describes data gathering and interactions with others, but does not compare these activities using an AI and SWOT approach to analysis.	Compares the AI and SWOT approaches to analysis with regard to data gathering and interactions with others.	Compares the AI and SWOT approaches to analysis with regard to data gathering and interactions with others, and acknowledges one’s own assumptions and biases.
Analyze the leadership characteristics and skills most desired in the person leading potential	Does not analyze leadership characteristics and skills most desired in the person leading	Analyzes leadership characteristics and skills most desired in the person leading potential performance	Analyzes the leadership characteristics and skills most desired in the person leading potential	Analyzes the leadership characteristics and skills most desired in the person leading potential performance improvement

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CRITERIA performance improvement projects, taking both an AI and SWOT approach.	NON-PERFORMANCE potential performance improvement projects. Care Setting Environmental Analysis	BASIC improvement projects, but does not clearly distinguish between an AI and SWOT approach.	PROFICIENT performance improvement projects, taking both an AI and SWOT approach.	DISTINGUISHED projects, taking both an AI and SWOT approach. Identifies areas of uncertainty or knowledge gaps. Care Setting Environmental Analysis
Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.	Does not communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues.	Communication is not consistently clear and professional; errors in grammar or mechanics distract from the message, or communication lacks respect for stakeholders or colleagues.	Communicates analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues. Care Setting Environmental Analysis	Communicates analyses clearly, logically, and persuasively, demonstrating professionalism and respect for stakeholders and colleagues. Grammar and mechanics are virtually error-free.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.	Does not integrate relevant and credible sources of evidence to support assertions; does not correctly format citations and references using APA style. Care Setting Environmental Analysis	Sources lack relevance or credibility, are poorly integrated, or are incorrectly formatted.	Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.	Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free.

 

 

SAMPLE ANSWER

Care Setting Environmental Analysis: Wound Center

Capella University

NURS-FPX6210 Leadership and Management for Nurse Executives

October 11, 2021

Care Setting Environmental Analysis: Wound Center

The Wound Center (WC) at Regional Medical Center (RMC) in Orangeburg, SC, was one of the departments with the highest retention and satisfaction rates in the entire hospital. Although it was one of the smaller departments in the hospital, it treated over 60 patients a day in the clinic and at least 2o inpatients a day. Care Setting Environmental Analysis The WC staff was comprised of an infectious disease/certified wound specialty physician, a certified wound, ostomy, continence nurse practitioner, seven registered nurses all certified in wound care with two also certified in ostomy care, a physical therapist with two assists, a medical office assistant and front desk staff.

The clinic had long wait times and long hours, but the clinic had little to no team turnover. This paper will analyze how the clinic kept its staff retention high by looking at the discovery and dream phases of Appreciative Inquiry and conducting a strengths, weakness, opportunity, and threats (SWOT) analysis.

Synthesizing Stories

The center was an ambulatory care setting that saw patients from the community, local nursing facilities, and transfers from other hospitals in the outpatient setting. The staff was also responsible for treating any inpatient with a wound or needing specialized care from the WOCN. With such a heavy patient load, there were times that the staff would work upwards of 14 hours a day, five days a week, and patients would leave without being seen due to the long wait times in the clinic.

A patient’s experience at a clinic can determine their perspective on their treatment and experience overall (Le et al., 2019). Although the days were long and hard, the staff retention in this department was 100%. How did a department that saw nearly as many patients as emergency departments, work long hours, and rarely get breaks, manage to keep 100% retention? Care Setting Environmental Analysis A survey was conducted that asked several questions regarding retention and what made this clinic run so smoothly.

Many of the employees stated that they stayed because of the teamwork. When rooms got backed up, other staff would pitch in and lend a hand. The front desk staff said that they would keep the patients in the waiting room updated on the progress in the back and let them know how long their wait would be; they felt this helped to keep the waiting room satisfied with their wait time if they knew how much longer they would be waiting. One staff member decided that instead of having patients have their vital signs and questions asked about updates in medicines and medical history done in the room with a nurse, she would begin the process in an alcove in the clinic.

She would check vital signs and blood sugars and update medications and new problems before taking patients to rooms. This made the patient feel like their visit had started, and they were one step closer to seeing the doctor or nurse practitioner. Care Setting Environmental Analysis It broke up the wait time and made it seem shorter since they had already had contact with a staff member. Identifying these patient bottlenecks helps with workflow and patient and staff satisfaction. By maximizing efficiency, health care systems have taken principles f the LEAN Sigma Six strategies and adapted them to their setting (Amerine et al., 2017). This method worked well in the clinic setting at RMC.

The team members stated that they felt like a family. They had all been working together for about five years, and there was a genuine camaraderie among them. Their retention was so high because they knew each other’s work ethic, and each member had their particular skill that kept the team moving forward. They were all high achievers and hard workers. They thrived in the chaos and business of the clinic. Care Setting Environmental Analysis

One staff member shared that the staff that works in the clinic were handpicked. When inpatient rounds were made, the nurses would watch the floor staff and see who made an effort to assist the clinic nurses, who would ask them questions about the wound and ostomy care, how did the patients present: were they clean and dry, was their dressing changed, was their room neat, little things that would tell the clinic nurses a little insight in the floor nurses care.

By handpicking the staff, they knew that they would get a high-caliber team to work with, and by watching and interacting with staff, they got a feel for if the potential staff would make a good fit in the clinic and if they would stay for years. Retention is dependent on factors like workload, effective collaboration, professional solid practice roles, and a healthy work environment (Susan Trossman, n.d.) RMC is having a significant nursing turnover and issue with retention. Care Setting Environmental Analysis

They have requested an evaluation of how the WC could keep their nursing staff and reduce turnover. The goal is to increase nursing retention on the units and increase staff satisfaction. To effectively evaluate the possibility for the facility to increase nurse retention, the use of Appreciative Inquiry (AI) and SWOT analysis will be used to review nursing turnover rates and facilitate ways to improve nurse retention and recruitment. Upon completion of the analysis documentation, the results will be submitted to upper management for review and presentation to the board.

Appreciative Inquiry Discovery and Dream

What is Appreciative Inquiry (AI)? AI creates change by asking intentional questions focusing on discovery, dream, design, and destiny (MacCoy, 2014). AI looks for the best in people, the organization, and the strengths (AI Commons, 2015). The first two phases of AI were used in assessing the WC. During the discovery phase, it was found that the WC had high retention rates of their staff. The staff cared for more than 60 patients a day that included inpatients and outpatients.

All the clinical team is board-certified, and ancillary staff all had previous experience in a clinic setting.  Patient care safety is a number one goal for all health care facilities. Having a high nurse retention rate shows that the staff you have. The WC is known for its excellent care, and the only advertisement it receives is word of mouth from present and former patients. Care Setting Environmental Analysis

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data, provided by facility management, shows this department, clinic, has been in the top percentile for patient and staff satisfaction for the past ten years. As mentioned above, staff find that their teamwork and innovative ideas keep them at the clinic and keep patients happy. The team has the skill of engagement; they are compassionate, energetic, and love their job. They are fully vested in their work. The WC staff reported the following positive engagement experiences:

1) I understand what is expected of me from my supervisor;

2) We deliver high-quality care and are rewarded for such;

3) the employees in this department have mutual respect for one another and their opinions and protect one another, and the patients;

4) the physician and nurse practitioner value my opinion and are ever ready to teach and give constructive criticism; 5) I enjoy working with my team; Care Setting Environmental Analysis

6) I am encouraged to grow professionally through education, research, and publications.

Nursing managememt at RMC must formulate an action plan to promote nursing retention throughout the hospital and use the WC as a model. All nursing staff needs to make an effort to stay informed and express their ideas and desires to help with retention. This can be done by attending and contributing to monthly staff meetings, attend council meetings, read nursing bulletin boards, and participate in upcoming continuing education, to name a few.

All healthcare institutions have similar missions, to care for their community, but the WC also has a mission related to their staff. Their mission is to make everyday fun while working together as a team and teach something new every day, whether to staff or patients. The dream phase of the AI approach leads to several opportunities to create a mission for the RMC staff as a whole and increase nurse retention at the facility. Care Setting Environmental Analysis

Nurse retention is a current problem for RMC, even before COVID. The dream phase includes bonuses for nurses who have been at the facility for five or more years, in-house continuing education to meet state education requirements, tuition reimbursement, and merit/ Press Gainey raise increases every year. Care Setting Environmental Analysis Using AI, the facility will identify what is working well, define why it is working well, and clarify how to continue it (Halm & Crusoe, 2018).

Strengths, Weakness, Opportunities, and Threats(SWOT)Analysis

There are four elements to the SWOT analysis approach: strengths, weaknesses, opportunities, and threats (Hollingsworth & Reynolds, 2020). Strengths and opportunities are internal factors that help the WC achieve the goal of 100% retention. Weaknesses and threats are external factors that prevent goals from being completed.

Leadership should conduct a SWOT analysis on a yearly or even as-needed basis. It should occur when nurse retention and recruiting, patient satisfaction, or safety issues are identified ( Hollingworth & Reynolds, 2020). The assessment usually includes managers and other stakeholders, like nursing, physicians, and clerical assistants in this setting who have a vested interest in the organization. Care Setting Environmental Analysis A SWOT analysis can ensure a valuable and correct connection between management and the internal and external environment of the healthcare setting (Swysen et al., 2012).

Leadership wants nurse retention to improve and has seen that high retention is possible at RMC, as evidenced by the 100% retention rate of the WC. A SWOT analysis was conducted during a strategic planning meeting to decide if this was a workable plan. The strengths were noted as Care Setting Environmental Analysis 1) the WC has been around since 1998 and has only added staff, 2) the community needs RMC as it is the closest hospital 3) the hospital has an affiliation with the local technical school and therefore has access to new nurse graduates, and 4) the WC traits can easily be reproduced to assist with nurse retention.

The weaknesses identified by the team include 1) RMC does not have the best reputation for patient care due to nursing shortage, 2)there are no competitive wages to keep nurses, 3) the benefits program does not include an appealing retirement process, 4) there is little promotion from within to keep nurses from wanted to climb the ladder. Even though these weaknesses are significant, the opportunities are ample. Care Setting Environmental Analysis

The identified opportunities are 1) use the new graduates to fill nursing positions as they have done their clinicals here and are familiar with the culture, 2) add a sign-on bonus plan and competitive wage program and referral bonuses to entice staff to come and stay, 3) include state retirement as the hospital is affiliated with the county and state government, and 4) implement a program to teach staff about the management positions in the hospital and promote from within the hospital. Care Setting Environmental Analysis

Lastly, the threats that may impede this plan are as follows: 1) larger hospitals are 30 minutes from RMC and already offer higher wages and bonuses, 2) Fewer students are applying for nursing school at the local college, 3) the new CEO and CNO are not from this area and have not learned the RMC way, and 4) former employees are getting bonuses to get new hires to the other hospitals and taking staff from RMC.

It is essential to focus on the positives of this analysis and consider the implications for safety and quality. Patient safety is the most prominent area of concern. Having issues with nurse retention comes the risk of patient safety, staff burnout, and increased nurse-to-patient ratios that are not attractive to potential employees. Leadership must decide if it is fiscally and financially possible to give raises and sign-on bonuses. If these areas cannot be implemented, nurses will go elsewhere, mainly because low staffing means higher ratios. Care Setting Environmental Analysis

AI and SWOT Comparison

Both AI and SWOT work to create improvements in processes and outcomes. AI focuses on positivity and increased value. It can be used to promote workforce engagement and learning within the organization and promote positive change in a health care context (Trajkovski et al., 2013). Focusing on what is working can help promote positive change. AI involves interviewing the involved persons and collecting data using open-ended questions (MacCoy, 2014).

SWOT analysis is a systematic way of thinking and exploring areas for development in your field, resource usage (including physical, personal, and intellectual resources), and areas of vulnerability needing improvement or expansion (“Strengths, Weaknesses, Opportunities, and Threats,” 2008). Care Setting Environmental Analysis While both tools use specific and relevant components for data collection, AI focuses on positivity. SWOT only looks at factors at a certain point in time and times change the SWOT analysis does not allow for the changes.

Leadership Skills

Transformational leadership is one of the most used styles in healthcare (The University of Alabama Huntsville, n.d.). Transformational leadership can be defined as “an ethically-based leadership model that integrates a commitment to values and outcomes by optimizing the long- term interests of stakeholders and society and honoring the moral duties owed by organizations to their stakeholders (Caldwell, 2012). Care Setting Environmental Analysis

Transformational leaders are proactive, seeking mutually beneficial opportunities for both the organization and the individual team members. They seek to promote success in the workplace by making changes. Transformational leaders are excellent at influencing others, which makes it easy for people to manipulate a situation, and since they spend a lot of time helping team members, they can be seen as showing favoritism, also transformational leaders focus on long term goals and may lose sight of the details along the way Care Setting Environmental Analysis (Indeed Editorial Team, n.d).

The AI approach, which focuses on positive and affective aspects of a project, and the transformational leadership style that focuses on an individual’s knowledge and expertise are both supportive and innate combinations. The transformational approach looks at the group as a whole while also giving attention to individuals as needed. Transformational leaders engage the group.

For the SWOT approach, transformational leaders can be influential as they look at strengths and weaknesses, opportunities and threats for a project that requires open communication. Care Setting Environmental Analysis With a mutual goal of satisfying the stakeholders, SWOT analysis and transformational leaders work well.

Conclusion

While AI and SWOT analysis are different assessment tools, they share the common goal of pursuing growth opportunities. Both assessments are sources of truth during the strategic planning process; however, over-emphasis for either evaluation may lead to a skewed prediction. A skilled transformational leader can evaluate existing or planned programs using analytical tools and effectively design a financially viable plan and supportive of high-quality outcomes.

Using the WC as a model for nurse retention, RMC should recruit nurses and retain those nurses for years to come.

References

AI Commons. (2015). Appreciative inquiry commons – the appreciative inquiry commons. The Appreciative Inquiry Commons. https://appreciativeinquiry.champlain.edu/

Amerine, J. P., Khan, T., & Crisp, B. (2017). Improvement of patient wait times in an outpatient pharmacy. American Journal of Health-System Pharmacy, 74(13), 958–961. https://doi.org/10.2146/ajhp160843

Caldwell, C. (2012). Moral leadership: A transformative model for tomorrow’s leaders (strategic management collection). Business Expert Press. https://doi.org/https://www.businessexpertpress.com/books/moral-leadership-transformative-model-tomorrows-leaders/

Halm, M. A., & Crusoe, K. (2018). Keeping the magnet flame alive with appreciative inquiry.

JONA: The Journal of Nursing Administration, 48(6), 323–328. Care Setting Environmental Analysis https://doi.org/doi:10.1097/NNA.0000000000000622

Hollingsworth, A., & Reynolds, M. (2020). The ED nurse manager’s guide to utilizing SWOT analysis for performance improvement. Journal of Emergency Nursing, 46(3), 368–372. https://doi.org/10.1016/j.jen.2020.02.006

Indeed Editorial Team. (n.d.). Care Setting Environmental Analysis Common weaknesses of transformational leadership and how to avoid them. https://www.indeed.com. Common Weaknesses of Transformational Leadership and How To Avoid Them

Le, V., Wagar, E. A., Phipps, R. A., Del Guidice, R. E., Le, H., & Middleton, L. P. (2019).

Improving patient experience of wait times and courtesy through electronic sign-in and notification in the phlebotomy clinic. Archives of Pathology & Laboratory Medicine, 144(6), 769–775. https://doi.org/10.5858/arpa.2019-0139-oa

MacCoy, D. J. (2014). Appreciative inquiry and evaluation – Getting to what works. The Canadian Journal of Program Evaluation, 29(2), 104–127. https://doi.org/10.3138/cjpe.29.2.104

Swysen, K., Lousbergh, B., Deneckere, S., & Vanhaecht, K. (2012). The use of a SWOT analysis as a strategic management tool in mental health care. Care Setting Environmental Analysis International Journal of Care Pathways, 6(4), 146–151. https://doi.org/10.1258/jicp.2012.012009

The University of Alabama Huntsville. (n.d.). Transformational leadership in nursing. https://online.uah.edu. https://online.uah.edu/articles/msn/transformational-leadership.aspx

Trajkovski, S., Schmied, V., Vickers, M., & Jackson, D. (2013). Care Setting Environmental Analysis Using appreciative inquiry to transform health care. Contemporary Nurse, 45(1), 95–100. https://doi.org/10.5172/conu.2013.45.1.95