(Solved) NURS 4220 Week 5 Discussion: Leadership Strategy | Homework Solution
Table of Contents
Table of Contents
Week 5 Discussion: Leadership Strategy
As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.
Scenario 1
You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, Leadership Strategy outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?
Scenario 2
You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a family doctor and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network.
About 25 CHF patients have been lovingly, but inappropriately, called frequent fliers because of their inability to manage their own care, their frequent visits to the ED, and their one night stays Leadership Strategy paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.
By Day 3
Select one of the scenarios, and post the following:
Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Leadership Strategy Justify your selection.
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist).
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Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). Leadership Strategy (Refer to AWE Checklist, Capstone)
By Day 7
Read two or more of your colleagues postings from the Discussion question (support with evidence if indicated). Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues postings. Leadership Strategy Post a Discussion entry on three different days of the week.
Leadership Strategy in Scenario 2:
In the outpatient cardiology clinic scenario, where frequent visits to the emergency department (ED) are primarily driven by patients’ inability to manage their congestive heart failure (CHF) effectively, an appropriate leadership strategy would be to implement a patient-centered care approach facilitated by transformational leadership. Patient-centered care emphasizes understanding and addressing patients’ unique needs, preferences, and circumstances to optimize health outcomes and enhance satisfaction.
Transformational Leadership: Transformational leadership involves inspiring and motivating team members to achieve common goals through a shared vision, fostering innovation and creativity in problem-solving. In the context of the outpatient cardiology clinic, a transformational leader would empower staff nurses to take ownership of patient care and develop personalized strategies to support CHF patients in managing their condition effectively.
Patient-Centered Care: Patient-centered care prioritizes the active involvement of patients in decision-making processes, tailoring care plans to meet their individual needs and preferences. In this scenario, a patient-centered approach would involve conducting comprehensive assessments to identify barriers to self-care among CHF patients, such as medication non-adherence, lack of social support, and limited health literacy.
Strategies:
- Patient Education: Develop educational materials and conduct regular educational sessions to improve patients’ understanding of CHF, medications, dietary restrictions, and self-care techniques.
- Care Coordination: Establish a care coordination team comprising nurses, social workers, and community resources to provide personalized support and connect patients with necessary services, such as home health care and transportation assistance.
- Medication Management: Implement medication reconciliation processes to ensure patients’ medications are accurately documented and monitored. Provide medication management support, including medication reminders and adherence counseling.
- Remote Monitoring: Utilize technology-enabled remote monitoring devices to track patients’ vital signs and symptoms remotely, enabling early detection of exacerbations and timely interventions.
- Behavioral Interventions: Offer behavioral interventions, such as cognitive-behavioral therapy and motivational interviewing, to address psychosocial factors contributing to patients’ poor self-management behaviors.
Justification: Transformational leadership is well-suited to this scenario as it fosters collaboration, innovation, and empowerment among staff nurses, enabling them to develop and implement patient-centered strategies tailored to the unique needs of CHF patients. By adopting a patient-centered approach and leveraging interdisciplinary teamwork, the clinic can effectively address the root causes of frequent ED visits and improve health outcomes for CHF patients.
Reference: Smith, J., & Dudley, N. (2019). The Impact of Transformational Leadership on Organizational Performance: A Review and Research Agenda. Journal of Leadership, Accountability and Ethics, 16(1), 88-96.
