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Benchmark - Effective Approaches in Leadership and Management

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
  2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
  4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
  6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Answer: Benchmark - Effective Approaches in Leadership and Management

Nursing Leadership and Management – Quality Improvement Initiative

 

 

Name

 Institutional Affiliation

Course

 Instructor

Date

 

 

 

Nursing Leadership and Management – Quality Improvement Initiative

Purpose of the Quality Improvement Initiative

Communication, between healthcare providers, or between patients and healthcare providers is important in all healthcare settings. Evidence suggests that failure in communication results in adverse patient outcomes (Alhamid et al., 2016). In the context of nursing, effective communication is essential for enhancing patient outcomes. Among the most important areas in nursing is handoff communication. Handoff reports are important since they provide nurses with a meaningful and effective method of transferring accountability and responsibility. Furthermore, they are instrumental in supporting ritualistic functions, enhancing shared values, and building team cohesion (Galatzan & Carrington, 2018). The reports are an integral component in the daily routine of each nurse. However, for these reports to be meaningful and effective, it is important that they are timely, accurate, concise, clear, complete, and cost effective, for both incoming and outgoing nurses. Therefore, the purpose of the quality improvement initiative is to implement a low cost standardized electronic handoff tool.

The target population or audience

            Miscommunication during handoffs is a one of the major causes of serious medical errors in the United States. Each year, around 44,000 to 98,000 patients die while in hospital because of avoidable medical errors (Jiang et al., 2017). Furthermore, two thirds of these deaths are occur because of errors in communication, particularly during hand-offs (Alhamid et al., 2016). Therefore, the target population or audience for the quality improvement initiative will be nurses, who are primarily involved in the handoff process. Introducing an electronic handoff process would significantly influence their communication with their peers, thus minimizing communication errors especially during handoffs.

The Benefits of the Quality Improvement Initiative

With the quality improvement initiative, one of the expected outcomes is improved patient outcomes. These outcomes are important considerations when analyzing the handoff process. Past studies have shown that a correlation exists between nursing management errors in areas such as documentation and communication and completeness and accuracy of handoff reports. Some of the adverse outcomes include falls and prolonged hospital stays (Pariha et al., 2018). Therefore, the implementation of the quality improvement would be expected to reduce adverse outcomes, thus enhancing the overall quality of care.

            Another expected outcome is improvements in nurses’ outcomes. Evidence suggests that the implementation of standardized handover reports results in improved work satisfaction among nurses (Jiang et al., 2017). Furthermore, the implementation of the initiative would be expected to reduce incidental nursing overtime, and at the same time enhance nursing documentation. These improvements are in line with past studies, whereby healthcare facilities experienced similar improvements after implementation of a standardized electronic handoff systems.

The Interprofessional Collaboration that Would be Required to Implement the Quality Improvement Initiative

            The successful implementation of the quality improvement initiative will depend on the degree of interprofessional collaboration within the healthcare facility. Collaboration with the information technology department will be essential in the implementation of the handoff application. The department will assist in the design of the team, including creating a template and using the services of other external IT experts. Moreover, the input of nurses will be instrumental in the implementation of the initiative. Nurses will provide insights since they experience patient handoffs almost when undertaking their duties, hence understand the components that may make the application more effective. Besides, the support of the management would also be essential since it will be responsible for actions such as allocating the needed funds, and ensuring that the project is within the set timelines. The collaboration with other stakeholders, such as patients and doctors, would also be necessary for the initiative to succeed.

The Cost or Budget Justification

            Most of the Electronic Health Record (EHR) systems available in the market today lack dedicated systems that can support patient handoff activities (Galatzan & Carrington, 2018). As such, it would be imperative to develop an electronic application that supports patient handoff and can be integrated with the commercial HER that the healthcare facility uses. Moreover, it would be important for the application to develop user-customized and printable reports, and should include different types of EHR data including medications, allergies, laboratory test results, 24 hour vital signs, code status, and isolation requirements (Jiang et al., 2017). The development of the handoff tool will require the services of programmers considering that it will be customized to the requirements of the healthcare facility. The total cost for the development of the application would be around $20,000. The amount would cover the development costs, continuous support for a period of one year, and the training of nurses and other involved stakeholders.

The basis upon which the quality improvement initiative will be evaluated

            Evaluating the success of the quality improvement procedure will require conducting pre and post-implementation surveys, observations, and interviews. Additionally, it will include recording elements such as incidental overtime and taking note of the quality of patient outcomes and nurse satisfaction before the implementation of the quality improvement initiative before and after the implementation of the initiative (Galatzan & Carrington, 2018). The data gathered would be subjected to a statistical analysis to establish whether there is a correlation between the dependent and the independent variables. The independent variable will be the standardized handoff process, while the dependent variables will include nurse satisfaction, patient outcomes, adverse events, and quality of care. The researcher will hypothesize that the implementation of the quality improvement initiative will result in improvements in the dependent variables.

References

Alhamid, S. M., Lee, D. X.-Y., Wong, H. M., Chuah, M. B., Wong, Y. J., Narasimhalu, K., Tan, T. T., & Low, S. Y. (2016). Implementing electronic handover: interventions to improve efficiency, safety and sustainability. International Journal for Quality in Health Care, 28(5), 608–614. https://doi.org/10.1093/intqhc/mzw082

Galatzan, B. J., & Carrington, J. M. (2018). Exploring the State of the Science of the Nursing Hand-off Communication. CIN: Computers, Informatics, Nursing, 1. https://doi.org/10.1097/cin.0000000000000461

Jiang, S. Y., Murphy, A., Heitkemper, E. M., Hum, R. S., Kaufman, D. R., & Mamykina, L. (2017). Impact of an electronic handoff documentation tool on team shared mental models in pediatric critical care. Journal of biomedical informatics69, 24–32. https://doi.org/10.1016/j.jbi.2017.03.004

Pariha, S., Saeed, S., Qureshi, S., & Altaf, S. (2018). Implementation of a low-cost standardized handoff system (IPASS) in a pediatric hematology/oncology unit: Lessons from a low-middle income country. Journal of Clinical Oncology, 36(30_suppl), 278–278. https://doi.org/10.1200/jco.2018.36.30_suppl.278          

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