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NURS 6050/5050 PA003 Regulation for Nursing Practice Staff Development Meeting Presentation Example

NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment

NURS 6050/5050 PA003 Regulation Nursing Presentation Assignment Brief

Course: NURS 5050 – Policy and Advocacy for Improving Population Health

Assignment Title: NURS 6050/5050 PA003 Module03 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment

Assignment Overview

In this assignment, you will prepare a detailed PowerPoint presentation focusing on the regulation of nursing practice, comparing boards of nursing (BoNs) and professional nurse associations. This presentation is designed for a staff development meeting at a healthcare organization or agency, aiming to educate participants on the roles and impacts of these regulatory bodies.

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Assignment Objectives

• Understand Regulatory Framework: Explore the differences between boards of nursing and professional nurse associations to grasp their respective functions and impacts on nursing practice.
• Analyze State Board of Nursing: Investigate the composition and processes of your specific region or area’s board of nursing to understand its governance structure and membership.
• Examine State Regulations: Evaluate state regulations affecting general nurse scope of practice and advanced practice registered nurses (APRNs), assessing their influence on roles, healthcare delivery, costs, and access.

The Student’s Role

You are a knowledgeable presenter leading a staff development meeting focused on nursing regulation. Your goal is to impart essential knowledge about the regulatory landscape of nursing practice to fellow healthcare professionals.

Competencies Measured

• Critical Thinking: Analyze and compare regulatory structures and their implications for nursing practice.
• Communication Skills: Effectively convey complex information through a professional presentation format.
• Research Proficiency: Utilize authoritative sources such as the NCSBN and ANA websites to gather accurate and up-to-date information.

You Can Also Check Other Related Assessments for the NURS 6050/5050 – Policy and Advocacy for Improving Population Health Course:

NURS 6050/5050 PA001 Module01 Agenda Setting: Presidential Agendas Discussion Assignment Example

NURS 6050/5050 PA001 Module01 Agenda Comparison Grid and Fact Sheet or Talking Points Brief Assignment Example

NURS 6050/5050 PA002 Module02 Legislation Grid and Testimony/Advocacy Statement Assignment Example

NURS 6050/5050 PA004 Module04 Advocating for the Nursing Role in Program Design and Implementation Assignment Example

NURS 6050/5050 PA005 Module05 Assessing a Healthcare Program/Policy Evaluation Assignment Example

NURS 6050/5050 PA006 Module06 Global Healthcare Comparison Matrix and Narrative Statement Assignment Example

NURS 6050/5050 PA003 Regulation for Nursing Practice Staff Development Meeting Presentation Example

Slide 1: Introduction

• Title: Regulation of Nursing Practice: Understanding Boards of Nursing and Professional Associations

Speaker Notes:

• Welcome to today’s staff development presentation on the regulation of nursing practice. Today, we will explore the roles of boards of nursing (BoNs) and professional nurse associations, focusing on their impact on nurse practitioners and healthcare delivery.

Slide 2: Boards of Nursing vs. Professional Nurse Associations

Title: Understanding the Differences

• Boards of Nursing (BoNs):
  • State agencies regulating nursing practice (National Council State Board of Nursing, Inc., 2022).
  • Ensure public health and safety through licensure and oversight (Short & Loversidge, 2019).
• Professional Nurse Associations:
  • Private organizations advocating for nursing profession (American Nurses Association, 2021).
  • Focus on professional development and advocacy

Speaker Notes:

• BoNs oversee licensure and ensure nurses meet competency standards, whereas professional nurse associations promote professional development and advocate for nursing interests.
• Specifically, BoNs are state agencies responsible for regulating nursing practice to protect public health and safety. They oversee the licensure and discipline of nurses, ensuring compliance with state laws and standards.
• In contrast, professional nurse associations are private organizations that advocate for nurses’ interests and professional development.

Slide 3: Membership and Composition of State Boards of Nursing

Title: Composition of BoN

• State-specific board compositions (e.g., Florida Board of Nursing) (Florida Board of Nursing, 2022).
• Appointment process by Governor and confirmation by Senate (Toney-Butler & Martin, 2021).

Speaker Notes:

• Each state’s BoN comprises appointed members representing various stakeholders. For example, the Florida Board of Nursing (FBON) includes nurse practitioners, registered nurses, non-nursing professionals, and laypersons. Members are typically appointed by the Governor and confirmed by the Senate.

Slide 4: State Regulation Impacting General Nurse Scope of Practice

Title: General Nurse Scope of Practice

• Overview of state regulations (e.g., Florida Nurse Practice Act) (Florida Board of Nursing, 2022).
• Influence on nurse roles, responsibilities, and standards of care

Speaker Notes:

• State regulations define permissible duties and responsibilities for registered nurses, ensuring standardized and quality care delivery.
• In Florida, the Nurse Practice Act outlines the scope of practice for registered nurses. This regulation influences nurses’ roles by defining permissible duties and responsibilities. It impacts healthcare delivery by ensuring standardization and quality of care, which can influence patient outcomes and safety.

Slide 5: Impact on Healthcare Delivery, Cost, and Access (General Nurse Scope)

Title: Influence on Healthcare System

• How regulations impact healthcare delivery, cost, and access (Courtemanche et al., 2018).
• Examples of improved quality and efficiency in care delivery

Speaker Notes:

• State regulations contribute to improved healthcare outcomes and patient safety by setting standards for nurse practice.
• In Florida, the Nurse Practice Act outlines the scope of practice for registered nurses. This regulation influences nurses’ roles by defining permissible duties and responsibilities. It impacts healthcare delivery by ensuring standardization and quality of care, which can influence patient outcomes and safety.

Slide 6: State Regulation Impacting Advanced Practice Registered Nurses (APRNs)

Title: APRN Regulations

• Overview of APRN regulations (e.g., Florida APRN requirements) (Florida Board of Nursing, 2022).
• Requirements for education, certification, and practice autonomy

Speaker Notes:

• APRN regulations in Florida govern advanced practice roles, education requirements, and practice autonomy.
• Florida’s regulations for APRNs govern their education, certification, and scope of practice. Recent changes in regulations, such as increasing autonomy for APRNs, have expanded access to healthcare services, especially in underserved areas. This can potentially lower costs by utilizing APRNs’ expertise more efficiently.

Slide 7: Impact on Healthcare Delivery, Cost, and Access (APRNs)

Title: Impact of APRN Regulations

• Increased access to care and cost-effectiveness with APRN practice (Cleveland et al., 2019).
• Alleviation of healthcare provider shortages

Speaker Notes:

• APRNs play a vital role in expanding access to care, reducing costs, and improving healthcare efficiency.
• Regulatory changes, like those affecting APRN practice, have implications for healthcare delivery. Expanded roles for APRNs can alleviate physician shortages and improve patient access to care. Additionally, regulatory changes may impact healthcare costs by optimizing resource utilization and enhancing care efficiency.

Slide 8: Recent Changes in Regulation

Title: Evolution of Regulations

• Overview of recent changes (e.g., Affordable Care Act)
• Impact of regulatory changes on nursing practice

Speaker Notes:

• The Affordable Care Act and other legislative changes have influenced nursing practice, emphasizing patient-centered care and expanded roles for nurses.
• The evolution of healthcare policy, such as the Affordable Care Act (ACA), has significantly influenced nursing practice. Changes in regulations aim to improve healthcare access, quality, and cost-effectiveness. For instance, telehealth provisions during the COVID-19 pandemic have facilitated remote care delivery.

Slide 9: Future Trends and Challenges

Title: Looking Ahead

• Anticipated Future Trends in Nursing Regulation
  • Expansion of Scope for Advanced Practice Nurses: There is a growing trend towards expanding the scope of practice for advanced practice registered nurses (APRNs), allowing them to practice more independently and take on greater responsibilities (American Nurses Association, 2021).
  • Increased Emphasis on Telehealth: Telehealth is expected to continue evolving, with more states enacting policies to support and regulate telehealth services. This trend is driven by the need for accessible and convenient healthcare delivery, especially in rural and underserved areas (Park & Yu, 2018).
  • Enhanced Focus on Interprofessional Collaboration: Nursing regulation is likely to emphasize interprofessional collaboration to improve patient outcomes and healthcare delivery. This includes collaborative practice agreements and team-based care models (Park & Yu, 2018).
• Challenges and Opportunities for Nurses and Healthcare Systems
  • Regulatory Compliance and Adapting to Change: Nurses and healthcare systems will face challenges in adapting to evolving regulations, requiring continuous education and training to stay compliant (Short & Loversidge, 2019).
  • Addressing Healthcare Disparities: Nursing regulation will need to address healthcare disparities, focusing on equitable access to care and culturally competent practices (Courtemanche et al., 2018).
  • Leveraging Technology for Quality Care: Opportunities exist to leverage technology for improved patient care outcomes, including electronic health records, remote monitoring, and artificial intelligence applications (Park & Yu, 2018).

Speaker Notes:

• The future of nursing regulation is shaped by various emerging trends and challenges. Firstly, there is a movement towards expanding the scope of practice for APRNs, allowing them greater autonomy in delivering care. Additionally, telehealth is poised to become more prevalent, especially as policies supporting telehealth services continue to evolve across states. Interprofessional collaboration will also play a key role in future nursing regulation, emphasizing teamwork and coordinated care.
• In terms of challenges and opportunities, nurses and healthcare systems will need to navigate regulatory compliance and adapt to changing requirements. Addressing healthcare disparities and leveraging technology for quality care delivery will also be important focuses. By embracing these trends and addressing challenges, nurses can contribute to improving healthcare access and outcomes in the coming years.

Slide 10: Conclusion

Title: Key Takeaways

• Recap of key points on BoNs, professional associations, and state regulations
• Importance of staying informed and engaged in nursing regulation

Speaker Notes:

• Understanding the regulatory landscape is essential for nurses to advocate for patient care and navigate evolving healthcare environments effectively.
• State regulations significantly influence nursing practice, impacting healthcare delivery, costs, and access.
• By staying informed and engaged with regulatory changes, nurses can advocate for optimal patient care within the evolving healthcare landscape.

References

American Nurses Association. (2021). American Nurses Association. Retrieved from https://www.nursingworld.org/ana/

Courtemanche, C., Marton, J., Ukert, B., Yelowitz, A., & Zapata, D. (2018). Effects of the Affordable Care Act on health care access and self-assessed health after 3 years. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 55, 0046958018796361.

Florida Board of Nursing. (2022). Licensing and registration. Retrieved from https://floridasnursing.gov/licensing/

National Council State Board of Nursing, Inc. (2022). Nursing regulation. Retrieved from https://ncsbn.org/boards.htm

Park, H., & Yu, S. (2018). Policy issues in simulation-based nursing education and technology development. Health Policy and Technology, 7(3), 318-321.

Short, N. M., & Loversidge, J. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Jones & Bartlett Learning.

Toney-Butler, T. J., & Martin, R. L. (2021). Florida Nurse Practice Act Laws and Rules. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from https://www.ncbi.nlm.nih.gov/books/NBK532859/

Detailed Assessment Instructions for the NURS 6050/5050 PA003 Regulation for Nursing Practice Staff Development Meeting Presentation Assignment

Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

• Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
• Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:

• Describe the differences between a board of nursing and a professional nurse association.
• Describe the board for your specific region/area.
  • Who is on the board?
  • How does one become a member of the board?
• Describe at least one state regulation related to general nurse scope of practice.
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
• Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
  • How does this regulation influence the nurse’s role?
  • How does this regulation influence delivery, cost, and access to healthcare?
  • Has there been any change to the regulation within the past 5 years? Explain.  
• Include Speaker Notes on Each Slide (except on the title page and reference page)

Learning Resources

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 4, “Government Response: Regulation” (pp. 57–84)

American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765.

Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4 NURS 6050 Policy and Advocacy for Improving Population Health.

Required Media

Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author.

Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author.

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NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Example

NURS FPX 8030 Assessment 5 Creation of Policy or Procedure

NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Assignment Brief

Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Assignment Title: NURS FPX 8030 Assessment 5 Creation of Policy or Procedure

Understanding Assignment Objectives

In this assignment, you will be tasked with creating a new policy or procedure aimed at addressing a patient safety issue within a healthcare setting. The objective is to translate research findings into practical policies that can be implemented and sustained to promote patient safety and improve healthcare outcomes. This assignment is designed to assess your ability to apply evidence-based practices and leadership strategies in developing and implementing healthcare policies.

The Student’s Role

As a student undertaking this assignment, your role is to assume the position of the Director of Clinical Operations and Nursing Excellence within a medical center. Your responsibility involves developing and implementing policies that reflect best practices and evidence-based interventions to address patient safety concerns. This role requires critical thinking, research skills, and the ability to formulate comprehensive policies that can be effectively implemented in healthcare settings.

Competencies Measured

This assignment will assess your proficiency in several key competencies:

• Evidence-Based Practice (EBP): Demonstrating the ability to translate research findings into practice by identifying and addressing patient safety issues.
• Policy Development: Creating comprehensive policies that address specific healthcare challenges and promote patient safety.
• Leadership Skills: Applying evidence-based leadership strategies to facilitate policy implementation and support organizational decision-making.

You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement Example

NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization Example

NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature Example

NURS FPX 8030 Assessment 4 Methods and Measurement Example

NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Example

Purpose

The extended stress experienced by nurses due to burnout can lead to emotional and physical exhaustion, posing significant challenges within the healthcare sector. Nursing burnout negatively impacts both nurses and patients, resulting in reduced job satisfaction, lower quality patient care, higher rates of medical errors, and increased turnover rates. Contributing factors to nursing burnout include excessive work hours, inadequate staffing, lack of support, and exposure to traumatic events.

It’s crucial to address untreated burnout promptly as it can diminish nurses’ effectiveness and contribute to errors, ultimately affecting patient care quality (Galischa & Sutrimo, 2022). Many studies highlight the necessity of a well-planned policy to combat burnout, proposing various interventions. Healthcare organizations must implement strategies aimed at preventing and managing nursing burnout to support nurses’ well-being and ensure high-quality patient care.

Revised PICO(T)

Among qualified hospital nurses (P), does the implementation of a stress-releasing program (I) compared to no intervention or stress management (C) reduce nursing burnout and increase job satisfaction (O) within a six-month timeframe (T)?

A proper healthcare plan based on credible and recent evidence is essential for designing a policy to intervene in nursing burnout and improve patient care outcomes. This plan addresses critical issues such as staffing, nursing leadership, and overall job satisfaction, emphasizing the importance of taking proactive measures to address this pressing issue.

Population Affected by the Policy

The target population for the intervention to address nursing burnout comprises registered nurses (RNs) employed in acute care hospital settings, particularly those working in high-stress areas like critical care units, emergency departments, and medical-surgical units. Nurses in Intensive Care Units (ICUs) face particularly high stress due to factors such as high mortality rates, severe illness, and ethical dilemmas (Ramírez-Elvira et al., 2021).

This intervention also focuses on RNs who endure extended work hours, high patient-to-nurse ratios, and insufficient support and acknowledgment from their supervisors. It excludes other healthcare professionals like nursing assistants or licensed practical nurses, whose roles and responsibilities differ within the healthcare system.

The scope of this intervention is to provide tailored strategies and support to this specific group of RNs to mitigate the risk of nursing burnout and enhance their well-being and the quality of patient care they provide.

Definitions Section

In this project, it’s important to clarify some complex terms to aid understanding among individuals outside the healthcare field. Here are explanations of key terms used in nursing burnout prevention guidelines:

• Registered Nurse (RN): An RN is a healthcare professional who has completed a nursing program and passed the National Council Licensure Examination (NCLEX) to obtain a license for nursing practice.
• Burnout: Burnout refers to a state of physical, emotional, and psychological exhaustion caused by prolonged and intense stress. It occurs when individuals feel overwhelmed, emotionally drained, and unable to achieve their goals (Smith et al., 2023). In the context of nursing, burnout can result from insufficient staffing levels and excessive workload.
• Interprofessional Collaboration: This term describes the practice of healthcare professionals, such as physicians, social workers, and pharmacists, working together to deliver comprehensive and coordinated care to patients (Peltonen et al., 2019).
• Maslach Burnout Inventory (MBI): The MBI is a tool used to measure burnout rates among healthcare professionals. It assesses three dimensions of burnout: emotional exhaustion, depersonalization, and personal accomplishment (Williamson et al., 2018).
• Nursing Stress Scale (NSS): The NSS is a psychological assessment tool designed to measure stress levels specifically among nurses. It is commonly used in research to study the impact of nursing-related stress on nurses’ physical and mental health, job satisfaction, and causes of stress (Bautista et al., 2019).
• Job Satisfaction: Job satisfaction refers to an individual’s overall positive or negative feelings toward their job or occupation. It reflects the extent to which employees believe that their job meets their expectations, needs, and desires (BasuMallick, 2021).

Policy Statement

This policy aims to combat nurse burnout within our medical center through a comprehensive quality improvement plan. It mandates that all staff nurses adhere to evidence-based guidelines and practices outlined in the policy. The medical center’s administration is responsible for providing the necessary resources to support the plan’s objectives. The policy incorporates strategic measures such as stress reduction techniques, counseling services, fostering compassion, and implementing mentorship programs for nurses.

The organization anticipates a significant reduction in stress among the target population following the policy’s implementation. Specifically, the policy aims to alleviate stress and burnout among nurses by addressing workload issues and ensuring adequate staffing levels to enhance job satisfaction and improve patient care quality. Implementing this policy at the right time is critical to maintaining overall healthcare quality and ensuring the success and sustainability of the plan (O’Donoghue et al., 2021).

Instructions for Policy Implementation – Step-by-Step

Below are the detailed steps for implementing a policy within six months to address nursing burnout among registered nurses in a healthcare setting:

• Identify Factors Contributing to Burnout: Engage nurses in identifying key factors contributing to burnout. Utilize the Maslach Burnout Inventory (MBI) tool to evaluate emotional exhaustion, depersonalization, and personal accomplishment (Williamson et al., 2018).
• Assess Stress Levels: Implement a mobile-based electronic survey using the Nursing Stress Scale (NSS) to assess stress levels among nurses (Hendy et al., 2020). Ensure nurses feel comfortable providing honest responses without organizational pressure.
• Optimize Staffing and Workload: Address burnout by recruiting additional nursing staff to maintain appropriate patient-nurse ratios. This initiative aims to reduce workload, stress, and job dissatisfaction among nurses (Opoku et al., 2022).
• Provide Follow-up Counseling: After nurses encounter challenging situations, offer follow-up counseling to support their well-being and reduce burnout (Vincent-Höper et al., 2020). Allocate resources for additional personnel to conduct these counseling sessions as needed.
• Implement Mentorship Programs: Develop mentorship programs to support both new and experienced nurses. Investing in leadership roles for nurses through mentoring can enhance job satisfaction and retention rates (Ephraim, 2021).
• Foster Compassionate Work Environment: Promote empathy and compassion within the organization to alleviate stress among nurses (Ren et al., 2020). Valuing nurses’ contributions can lead to improved patient outcomes.

Conclusion

Nursing burnout presents a significant challenge in healthcare settings, impacting both nurse well-being and patient care quality. Contributing factors such as inadequate staffing, excessive workloads, and lack of support necessitate a comprehensive approach to addressing burnout. This includes identifying these contributing factors and utilizing validated tools like the Maslach Burnout Inventory (MBI) and Nursing Stress Scale (NSS) to assess stress levels. Implementing evidence-based interventions such as optimizing staffing levels, providing follow-up counseling, and fostering a compassionate work environment are essential components of this approach.

To sustain positive outcomes and drive long-term improvements, it is imperative to implement effective policies and procedures tailored to the specific needs of registered nurses (RNs) in high-stress environments. These initiatives are crucial for enhancing nurse well-being, improving job satisfaction, and ultimately elevating the quality of patient care within healthcare settings. Ongoing evaluation and adaptation of these interventions are critical to ensure continued success in combating nursing burnout and promoting a supportive work environment for healthcare professionals. By prioritizing evidence-based strategies and supportive measures, healthcare organizations can proactively address nursing burnout and enhance overall healthcare outcomes.

References

BasuMallick, P. K. (2021). A study of job satisfaction among healthcare employees. International Journal of Advanced Research and Publications, 5(5), 142–150.

Bautista, R. E., Salazar, A. B., Taboada, C. A., & Andal, D. B. (2019). Factors affecting job stress among nurses in a tertiary hospital in Bacolod City. Journal of Nursing Research, 12(4), 282–291.

Ephraim, N. (2021). Mentoring in nursing education: An essential element in the retention of new nurse faculty. Journal of Professional Nursing, 37(2), 306–319.

Galischa, H., & Sutrimo, A. (2022). Nursing Burnout and the quality of patient care in Indonesia. International Journal of Nursing Science, 12(1), 45–56.

Hendy, A., Abozeid, A., Sallam, G., Abboud Abdel Fattah, H., & Ahmed Abdelkader Reshia, F. (2020). Predictive factors affecting stress among nurses providing care at COVID‐19 isolation hospitals in Egypt. Nursing Open, 7(2).

O’Donoghue, A., Razi, R., Mouton, A., & Seibert, C. (2021). A study on improving burnout rates among nurses. Journal of Nursing Management, 29(3), 513–521.

Opoku, D. A., Ayisi‐Boateng, N. K., Mohammed, A., Sulemana, A., Gyamfi, A. O., Owusu, D. K., Yeboah, D., Spangenberg, K., Ofosu, H. M., & Edusei, A. K. (2022). Determinants of burnout among nurses and midwives at a tertiary hospital in Ghana: A cross‐sectional study. Nursing Open, 10(2).

Peltonen, L. M., Aho, A. V., Koivu, A., & Valimaki, M. (2019). Interprofessional collaboration and educational outcomes in nursing education. Nurse Education Today, 76(11), 234–239.

Ren, Y., Song, H., Li, S., & Xiao, F. (2020). Mediating effects of nursing organizational climate on the relationships between empathy and burnout among clinical nurses. Journal of Advanced Nursing, 76(11), 290–298.

Smith, J., Sutherland, C., & Christopher, M. (2023). Nursing Burnout and quality patient care: A review of literature. Journal of Clinical Nursing, 22(4), 511–519.

Vincent-Höper, S., Stein, M., Nienhaus, A., & Schablon, A. (2020). Workplace aggression and burnout in nursing—The moderating role of follow-up counseling. International Journal of Environmental Research and Public Health, 17(9), 3152.

Williamson, K., Lank, P. M., Cheema, N., Hartman, N., & Lovell, E. O. (2018). Comparing the Maslach burnout inventory to other well-being instruments in emergency medicine residents. Journal of Graduate Medical Education, 10(5), 532–536.

Detailed Assessment Instructions for the NURS FPX 8030 Creation of Policy or Procedure Nursing Paper Assignment

Description

Create a new policy for the medical center based on evidence using the attached Hospital Policy template.

Introduction

Quality improvement begins with the end in mind. Up until now, you have researched the practice problem and developed a focused, evidence-based intervention to address a patient safety problem. The next step would be to implement the practice change and evaluate the change to determine the effect it had on the population. Now, developing a policy will help sustain the change.

Along the way, you will learn that as a leader in a health care organization, you will not only facilitate the steps of evidence-based practice, but you will apply evidence-based leadership strategies to serve as a role model for decision making in your organization. Your skills and ability to promote and encourage evidence-based behavior and decision making among staff, providers, and other leaders will be invaluable to creating and sustaining an evidence-based organization and a culture of evidence. Your own leadership style will influence how you support and model evidence-based processes at your organization.

Introduction

The purpose of this assessment is to complete the stages in the EBP process, translating the research into practice. You will be developing a policy or procedure to address a patient safety issue in a healthcare setting. Incorporate information from prior assessment where appropriate.

Scenario

As the Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implemented and sustained at the medical center. The next step is to translate the evidence into practice. Policy development is an important final step. Without a formal policy or guideline, it is likely the change will not become permanent. Policies and procedures standardize care which in turn, improves patient safety.

Instructions

Create a new policy for the medical center based on evidence, using the  Hospital Policy Template [DOCX] .

1. Review the template before you begin filling in each section, and gather any materials or documentation you will need.
2. In the Subject/Title of Policy section of the  Hospital Policy Template [DOCX] , type the name of the policy.
3. In the Purpose section, explain the purpose of the policy in 1-2 short paragraphs. Include the following:

. Summarize the patient safety issue.

. Explain the gap or a problem in a health care or public health situation that caused the issue.

. Use supporting evidence from the literature to show how it determined the need.

. Explain how the evidence was gathered.

. Include your revised PICO(T) question.

. Explain why it was necessary to take action with the development of this policy.

4. In the Population Affected by the Policy section, identify and describe the populations affected by the change and how the scope of the problem was determined.

. Scope is the extent of the problem, or how wide-sweeping the issue is for the target population and the community.

. Describe the target population to be addressed by an intervention in enough detail that it is clear what population is included or excluded.

5. In the Definitions section, create definitions that explain the industry specific terms used throughout the document needed for the understanding of the policy.

. Explain the terms in a manner that is descriptive to non-industry personnel.

6. In the Policy Statement section, create a policy statement in a 3-5 sentence paragraph that includes the following:

. State the organization’s declaration of the plans giving a timeframe and scope of the policy implementation.

. Explain the organization’s intentions or goal regarding the patient safety issue.

. Clearly describe the policy plans, explaining that this is a quality improvement project based on evidence-based practices to address a specific patient safety issue.

7. In the Procedure section, elaborate on the step-by-step procedure that was outlined in the policy statement above in enough detail that one could replicate the process based on your description alone.

. Information needs to be clear and easy to read. Avoid using wordy paragraphs.

. Describe all the processes involved. This section could be in a numbered list or a detailed flowchart. Include the following:

. All participants with their specific responsibilities listed.

. Step-by-step description of the logistical flow of how the policy is to be implemented.

. Instructions for completing each step.

. Any supplies that may be needed.

. If a protocol or guideline already exists for your patient safety issue, use additional guidelines and literature to revise and create a procedure using your own words.

8. In the Resources section, include a complete reference list of all sources used in the development of the protocol as part of the policy template. Use APA format for the citations.

Additional Resources

• Use the  Hospital Policy Template [DOCX] provided.
• No smaller than 11 point font, Times New Roman.
• Single spaced format within the template.
• Minimum of 12 resources.
• APA formatting for citations and reference list

Hospital Policy Template

(Under each heading, write the information needed for the section. Once each section is completed, delete all instructions in parentheses.)

Subject/Title of Policy:

Purpose:

(1–2 short paragraphs. Include the following: 

Summarize the patient safety issue. Explain the gap or a problem in a health care or public health situation that caused the issue.

Use supporting evidence from the literature to show how it determined the need. Explain how the evidence was gathered.

Include your revised PICO(T) question.

Explain why it was necessary to take action with the development of this policy.)

Population Affected by the Policy:

(2–3 sentences.Describe the target population to be addressed by an intervention in enough detail that it is clear what population is included or excluded.) 

Definitions:

(Explain any industry specific terms used throughout the document needed for the understanding of the policy. Define in a manner that is descriptive to non-industry personnel.)

Policy Statement:

(3–5 sentence paragraph. Include the following:

State the organization’s declaration of the plans, giving a timeframe and scope of the policy implementation.

Explain the organization’s intentions or goals regarding the patient safety issue.)

Procedure:

(Elaborate on the step-by-step procedure that was outlined in the policy statement above in enough detail that one could replicate the process based on your description alone.)

References:

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NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Example

NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature

NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Assignment Brief

Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Assignment Title: NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature

Assignment Overview

The NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper is designed to enhance your understanding of scholarly publication appraisal within evidence-based practice (EBP) and its application in healthcare settings. This assessment focuses on evaluating the quality and relevance of research articles, developing annotated bibliographies, and proposing evidence-based interventions to address patient safety issues.

Assignment Objectives

By completing this assignment, you will:

• Develop skills in critically appraising scholarly publications to assess validity, bias, and relevance.
• Refine your ability to synthesize evidence from peer-reviewed literature to propose evidence-based interventions.
• Apply EBP principles to identify and evaluate interventions for healthcare improvement.

The Student’s Role

As a student in NURS FPX 8030, your role is to act as a healthcare professional responsible for assessing and improving patient safety within a clinical setting. This assignment simulates real-world scenarios where evidence-based decision-making is crucial for implementing effective interventions.

Competencies Measured

This assignment measures several key competencies:

• Differentiating qualitative, quantitative, and mixed research methods found in healthcare literature.
• Assessing the quality of research methods reported in peer-reviewed health care literature.
• Interpreting the results and practical significance of healthcare data analyses in the evidence-based practice process.
• Producing original written work that synthesizes information from credible sources in compliance with academic standards.

You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement Example

NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization Example

NURS FPX 8030 Assessment 4 Methods and Measurement Example

NURS FPX 8030 Assessment 5 Creation of Policy or Procedure Example

NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Example

Critical Appraisal of Evidence-Based Literature

Critical appraisal of evidence-based literature is a systematic process of evaluating research studies to assess the validity, relevance, and reliability of the evidence presented. This evaluation is crucial for informing healthcare decision-making and improving patient outcomes. In this paper, we focus on the issue of nurse burnout and explore interventions to address this challenge based on a thorough analysis of relevant literature.

Introduction

The global impact of the COVID-19 pandemic has placed unprecedented demands on healthcare systems, profoundly affecting nursing staff and exacerbating the pervasive issue of nurse burnout. The research underscores the significant rise in burnout rates among nurses during this crisis, with studies indicating that up to 70% of healthcare professionals experience burnout-related symptoms. This surge in burnout is further compounded by the persistent shortage of nursing staff, amplifying workloads and intensifying stress levels among frontline healthcare providers.

Addressing nurse burnout is imperative not only for preserving the well-being of healthcare professionals but also for safeguarding patient safety and maintaining high standards of care delivery. The detrimental effects of burnout, such as reduced job satisfaction and compromised mental health, can directly impact the quality of patient care and contribute to adverse patient outcomes. This paper employs evidence-based literature to explore interventions aimed at reducing burnout and improving job satisfaction among nursing professionals.

Revised PICOT Question

• Population: Nursing professionals working in hospital settings
• Intervention: Participation in a stress-releasing program
• Comparison: No intervention or standard practice
• Outcome: Reduction in burnout and improvement in job satisfaction
• Timeframe: Over a period of six months

Thesis Statement

Participation in stress-relieving programs for nursing professionals in hospital settings can significantly reduce burnout and enhance job satisfaction over a six-month period.

Clinical Appraisal Tool: GRADE

The GRADE (Grading of Recommendations Assessment, Development, and Evaluation) tool is a widely recognized critical appraisal framework utilized to evaluate evidence across various health issues, not limited to nurse burnout (Andrade et al., 2019). This tool provides a systematic approach to assess the quality of evidence and the strength of recommendations derived from research studies, enabling evidence-based decision-making in healthcare settings.

In the context of healthcare interventions, the GRADE tool considers multiple dimensions of evidence quality. Study design plays a crucial role in determining the level of evidence, with randomized controlled trials (RCTs) typically considered higher quality due to their ability to establish causal relationships (Andrade et al., 2019). This emphasis on study design ensures that interventions recommended based on GRADE assessments are supported by robust evidence.

Moreover, the GRADE approach evaluates the risk of bias within individual studies, acknowledging potential sources of systematic error that could influence research outcomes (Andrade et al., 2019). By accounting for bias, the GRADE tool enhances the reliability and credibility of evidence-based recommendations.

Inconsistency and indirectness are additional criteria considered by the GRADE tool. Inconsistency refers to discrepancies in findings across studies, while indirectness relates to the relevance and applicability of study outcomes to the specific health issue under consideration (Andrade et al., 2019). These criteria ensure that GRADE assessments are contextually relevant and aligned with the specific healthcare needs and populations being studied.

Imprecision and publication bias are further aspects evaluated by the GRADE tool. Imprecision refers to the uncertainty surrounding effect estimates due to small sample sizes or wide confidence intervals, while publication bias addresses the tendency for studies with positive outcomes to be published more frequently, potentially skewing the overall evidence base (Andrade et al., 2019).

By systematically evaluating these dimensions of evidence quality, the GRADE tool provides a structured and transparent method for synthesizing research findings and generating evidence-based recommendations across a wide range of health issues. This approach supports healthcare decision-makers in selecting interventions that are not only effective but also grounded in the best available evidence, ultimately enhancing patient outcomes and healthcare quality (Andrade et al., 2019).

Rationale for Choosing the GRADE Tool

The GRADE method was chosen for its comprehensive and robust approach to evaluating evidence quality and generating transparent recommendations. This tool is recognized for its ability to systematically assess various critical factors within research studies, ensuring that healthcare decisions are grounded in the most reliable and up-to-date evidence available.

One key aspect of the GRADE method is its systematic evaluation of study design, which allows for the critical assessment of the quality of evidence. This includes considerations of randomized controlled trials (RCTs), observational studies, qualitative research, and other study designs to gauge the strength and reliability of the evidence presented. By evaluating study design, the GRADE tool helps researchers and decision-makers discern the level of confidence that can be placed in the study outcomes.

Furthermore, the GRADE method assesses bias risk, which is crucial for understanding the potential limitations or sources of distortion within research findings. Bias can significantly impact the validity and reliability of evidence, and the GRADE tool provides a structured approach to identifying and addressing bias within individual studies.

In addition to study design and bias risk, the GRADE method considers other critical factors such as inconsistency, indirectness, imprecision, and publication bias. These factors collectively contribute to a comprehensive appraisal of the evidence, ensuring that healthcare decisions are informed by a nuanced understanding of the strengths and limitations of the available research.

Ultimately, by utilizing the GRADE tool, researchers and healthcare professionals can make evidence-based recommendations with a high degree of transparency and confidence. This method promotes accountability in decision-making processes, ensuring that interventions and policies are supported by the best available evidence and are more likely to achieve positive outcomes in clinical practice and healthcare delivery.

Annotated Bibliography

Lin et al. (2018)

Lin et al. (2018) conducted a randomized controlled trial (RCT) to evaluate the effects of a modified Mindfulness-Based Stress Reduction (MBSR) program on nurses’ stress, affect, resilience, and work satisfaction levels at general hospitals in mainland China. The study found that participation in the modified 8-week MBSR program resulted in decreased stress and harmful affect levels, improved positive affect and resilience, and a trend towards increased work satisfaction among the intervention group.

The findings of Lin et al. (2018) are relevant to the PICOT issue as they suggest that stress-relieving interventions like the modified MBSR program could potentially help nurses avoid burnout and experience greater work satisfaction. This research supports the development of stress-reduction plans for nurses within healthcare organizations, aiming to enhance work satisfaction and ultimately improve patient outcomes.

Ma et al. (2021)

Ma et al. (2021) explored the roles of servant leadership and psychological safety in mitigating nurse burnout during the COVID-19 pandemic. Using a quantitative research approach with data from 443 nurses in public hospitals in Pakistan, the study found a significant inverse relationship between psychological safety and nurse burnout, indicating that psychological safety mediates the effect of servant leadership on reducing burnout among nurses.

The research by Ma et al. (2021) has important implications for nurse management, emphasizing the need for human resource management policies that prioritize servant leadership training for nursing leaders. Implementing servant leadership practices can foster psychological safety among nursing professionals, leading to reduced burnout and increased work satisfaction, which positively impacts patient safety and healthcare quality.

Haizlip et al. (2020)

Haizlip et al. (2020) conducted a cross-sectional survey among nurses at a large academic medical center in the southeastern United States to explore the impact of “mattering” on nurse burnout and engagement. The study revealed that perceiving oneself as valued and cared for by others was associated with reduced burnout and increased engagement among nurses.

The findings of Haizlip et al. (2020) underscore the importance of mattering in promoting nurse well-being and engagement, suggesting that healthcare organizations can implement interventions to enhance matters among nurses, such as creating supportive work environments and recognizing nurses’ contributions to patient care.

Hofmeyer et al. (2020)

Hofmeyer et al. (2020) conducted a narrative review to explore strategies for promoting compassion and reducing burnout among nurses. The authors highlight the role of health system leaders in fostering compassionate work environments, providing adequate support and resources, and prioritizing nurses’ self-care and well-being. The study emphasizes the ethical dimensions of caring for patients during the COVID-19 pandemic and beyond.

The research by Hofmeyer et al. (2020) offers valuable insights for health system leaders and policymakers, guiding efforts to promote compassion and reduce burnout among nurses by addressing organizational factors and ethical considerations within healthcare environments.

Evaluation of Resources with Quality Appraisal Tool

In evaluating the quality of evidence from the selected studies using the GRADE tool, it is important to consider the strength of recommendations and levels of evidence. Lin et al. (2018) conducted a Randomized Controlled Trial (RCT), which is considered to provide a high level of evidence. The study utilized validated questionnaires to assess stress, mood, resilience, and work satisfaction, which are relevant outcomes for the research question. However, the study had limitations such as the lack of participant and researcher blinding, which could introduce bias. Additionally, the study was conducted only in mainland China, limiting the generalizability of the findings to other populations. Considering these constraints, the overall quality of evidence from this study may be moderate, and the recommendation can be viewed as weak.

Ma et al. (2021) employed a cross-sectional design, which typically provides lower levels of evidence compared to an RCT. The study used validated questionnaires to measure nurse burnout, psychological safety, and servant leadership. However, the use of a convenience sample and the cross-sectional nature of the study make it challenging to establish causation. Despite these limitations, the study’s results aligned with prior research and were relevant to the research question. Given the limitations, the overall quality of evidence for this study may be considered poor, and the recommendation may be viewed as weak.

Haizlip et al. (2020) also utilized a cross-sectional survey design to assess mattering, burnout, and engagement among nurses. The study used validated measures along with demographic and work-related factors. Similar to the previous study, the use of a convenience sample and cross-sectional design limits the ability to establish causation. However, the study’s findings were consistent with existing research and relevant to the research issue. Due to these limitations, the overall quality of evidence for this study may be rated as poor, and the recommendation may be considered weak.

Hofmeyer et al. (2020) employed a narrative review approach, which typically provides lower levels of evidence compared to an RCT or systematic review. The study reviewed existing literature on compassion and burnout in nursing, examining various initiatives to promote compassion and reduce burnout. While the study’s findings were consistent with prior research and relevant to the research issue, the lack of a systematic search and selection of literature may introduce bias. Overall, the quality of evidence from this study may be considered low, and given the study’s limitations, the recommendation may be viewed as of poor quality.

The studies reviewed provide valuable insights into factors that can enhance well-being and help mitigate nursing burnout. Despite varying levels of evidence and limitations, these studies contribute valuable information to guide strategies for addressing nurse burnout and promoting well-being within healthcare settings.

Intervention for Current Issue

Drawing from evidence-based sources, a combination of strategies can effectively mitigate nurses’ burnout and improve patient care outcomes. These strategies include fostering a compassionate work environment and providing support for nurses, promoting servant leadership, offering follow-up counseling, emphasizing the importance of mattering, and implementing mentorship programs. This multifaceted intervention is based on a comprehensive review of peer-reviewed literature and is designed to significantly enhance nursing outcomes while reducing burnout.

To address patient safety concerns in healthcare settings, three key interventions have been identified based on a thorough evaluation of evidence-based literature.

Firstly, establishing standardized communication protocols among healthcare teams can reduce the risk of misunderstandings and medical errors. Miscommunication is a leading cause of adverse events, which can be mitigated through the use of electronic medical records or structured communication methods like the SBAR approach.

Secondly, the adoption of patient safety checklists during clinical procedures such as surgeries, medication administration, and patient transfers can prevent errors by ensuring all necessary steps are followed. Checklists serve as a reminder for healthcare professionals to take essential safety precautions and confirm critical information.

Thirdly, increasing patient engagement and participation in healthcare decision-making can enhance patient safety outcomes. Empowering patients to voice their concerns, report safety issues, and actively participate in their care can significantly contribute to improving patient safety and reducing medical errors.

It is important to align these interventions with best practices at the state or national level while also considering local patient and organizational preferences. Regular evaluation and adaptation of these interventions based on performance assessments are crucial to achieving optimal patient safety outcomes and delivering high-quality care.

Advantages

The proposed multifaceted intervention not only addresses workload management and resource support for nurses’ mental health but also provides a comprehensive solution to mitigate stress and burnout, improve patient care outcomes, and enhance nurses’ job satisfaction.

Analysis of Evidence

The recommended intervention aims to reduce nursing burnout through various supportive measures such as compassion, mentorship, mattering, servant leader support, and counseling. Regular counseling sessions and attentive listening from servant leaders can provide nurses with an outlet to express their concerns and alleviate stress. This strategy emphasizes the importance of creating a supportive environment where nurses feel valued and empowered, ultimately contributing to the successful implementation of the intervention.

Conclusion

Addressing nurse burnout is essential for maintaining healthcare quality and ensuring the well-being of nursing professionals. Evidence-based interventions such as stress-reducing programs, compassionate leadership, and enhanced patient engagement offer promising strategies to mitigate burnout and improve job satisfaction among nurses. By synthesizing findings from a comprehensive review of evidence-based literature, this paper highlights the importance of effective interventions that address workload management, mental health support, and organizational factors to promote nurse well-being and enhance patient care outcomes. Utilizing critical appraisal tools like the GRADE method enables healthcare decision-makers to select interventions grounded in robust evidence, ultimately contributing to improved patient safety and healthcare quality.

References

Andrade, C., et al. (2019). Grading quality of evidence and strength of recommendations. Indian Journal of Psychiatry, 61(5), 83-86. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_222_19

Haizlip, J., et al. (2020). Mattering: How can organizations, patients, and peers affect nurse burnout and engagement? JONA: The Journal of Nursing Administration, 50(5), 267–273. https://doi.org/10.1097/nna.0000000000000882

Hofmeyer, A., et al. (2020). Fostering compassion and reducing burnout: How can health system leaders respond in the Covid-19 pandemic and beyond? Nurse Education Today, 104502. https://doi.org/10.1016/j.nedt.2020.104502

Lin, X., et al. (2018). Effects of modified mindfulness-based stress reduction (MBSR) on stress, affect, and resilience in general hospital nurses. Psychological Reports, 121(1), 42–59. https://doi.org/10.1177/0033294117714319

Ma, Y., et al. (2021). Curbing nurses’ burnout during COVID‐19: The roles of servant leadership and psychological safety. Journal of Nursing Management, 29(8). https://doi.org/10.1111/jonm.13414

Vincent-Höper, S., et al. (2020). Workplace aggression and burnout in nursing—The moderating role of follow-up counseling. International Journal of Environmental Research and Public Health, 17(9), 3152. https://doi.org/10.3390/ijerph17093152

Detailed Assessment Instructions for the NURS FPX 8030 Critical Appraisal of Evidence-Based Literature Paper Assignment

Description

Write a 5-7 page paper that includes an introduction and thesis statement. Develop an annotated bibliography that highlights important articles that support the thesis statement. Based on the evidence presented, propose one or more evidence-based interventions for the patient safety issue.

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Introduction

Assessing the relevance and quality of a scholarly publication is an essential skill for the refinement of evidence-based knowledge. You will learn about specific study methods and designs, and then you will be able to determine the level of evidence a study represents in EBP.

EBP plays an important role throughout the development of your capstone project, including selecting a researchable topic for improvement. For this assessment, you will learn about different appraisal tools, including a rapid appraisal, to apply in the EBP process. You will also learn how to conduct a comprehensive appraisal of qualitative research and how to translate qualitative evidence into practice (Melnyk & Fineout-Overholt, 2019).

You will also evaluate interventions from the evidence-based literature for merit and appropriateness. Some examples might include a particular type of evidence-based therapy, a new policy, a quality improvement initiative, et cetera. Consider these questions:

• Would the intervention be an appropriate solution for the clinical or practice problem?
• Is the intervention feasible for the organization?
• What type of resistance might we encounter?
• What impact could the outcome have on the organization?

Reference

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare (4th ed.). Wolters Kluwer Health.

The purpose of this assessment is to evaluate and critically appraise the available evidence pertaining to the patient safety issue. This is an important step in the evidence-based practice process. The evidence should be appraised for merit, implicit bias, and relevance to the topic. Moreover, evidence should be from current, peer reviewed sources. Clinical practice guidelines and consensus statements are usually updated every 10 years. Consider this guideline when evaluating the current literature.

Scenario

Keeping with the previous scenario, remember that as Director of Clinical Operations and Nursing Excellence, it is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. This includes ensuring the use of quality literature.

Instructions

Write a 5-7 page paper that includes an introduction and thesis statement. Develop an annotated bibliography that highlights important articles that support the thesis statement. Based on the evidence presented, propose one or more evidence-based interventions for the patient safety issue.

1. Review the Capella Library Guide on how to Create an Annotated Bibliography.
2. Review the Capella Library Guide on how to Critically Appraise the Evidence.
3. Review the Capella Writing Center Guide, In-text Citation: Paraphrasing, Summarizing, Quoting, focusing on how to paraphrase.
4. Create an introductory paragraph that includes a summary of the health care safety problem, your PICO(T) research question, and a thesis statement.

1. Revise a summary of the health care safety problem that you have created from one of your previous assessments.
   1. Improve it with details from the evidence and scholarly writing traits.
2. Revise your PICO(T) question based on what you have learned in your research.

1. 1. • Apply PICO(T) components within the question appropriately.
      • Refine PICO(T) components with detail and specificity.
      • Compose a professional level PICO(T) question that the researcher might have used as a foundation for the study.

3. Write a strong thesis statement. Review the Capella Writing Center Guide, Writing a Strong Thesis Statement.

1. Explain in a paragraph the critical appraisal tool that you are using to evaluate your articles.

1. 1. Include a statement about why you selected this critical appraisal tool.
2. Choose five articles from literature published within the last five years and write an annotative bibliography for each article. Each annotation should include the following:

1. 1. Type the APA citation for each article, and underneath it, include the following in the annotation:
   2. Write a brief summary of the study in the article in your own words, including the purpose, method, design, and results.

1. 1. • Include examples from the study to illustrate the quality of the study.
      • Provide scholarly support for the assertions made in your appraisal of the study.
      • Evaluate the quality of the study by applying a critical appraisal tool.
   2. Explain why the article is relevant to the patient safety issue.

1. 1. • Provide context about how the study contributes to the body of literature.

7. Propose 1-3 interventions that may improve or solve the patient safety problem.
   1. Interventions selected must come from evidence-based literature analysis.
   2. Interventions should also be crafted based on consideration of what is already recognized as best practice in your state or nationally, knowledge gained through experience and other experts, and local patient or organizational preferences.
8. Write a closing summary paragraph.
9. Submit a complete reference list of all sources used in the development of the protocol in APA format.

Additional Requirements

• 5-7 pages, not including references.
• Double spaced, Times New Roman, 12 point font.
• Minimum of eight resources, including textbook and course resources.
• Include the following headings to organize your paper:
  • Critical Appraisal Tool.
  • Annotative Bibliography.
  • Proposed Intervention.
• Reference page in APA format with appropriate citations.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 2: Differentiate qualitative, quantitative, and mixed research methods found in the literature.
  • Evaluate the resource quality using the critical appraisal tool including scholarly support.
• Competency 3: Assess the quality of the research methods reported in peer-reviewed health care literature.
  • Explain in a paragraph the critical appraisal tool used to evaluate articles.
  • Annotate each article by summarizing the study purpose, method, design, results, and context about how the study contributes to body of literature.
• Competency 5: Interpret the results and practical significance of health care data analyses in the evidence based practice process.
  • Propose an intervention that addresses the patient safety issue within a clinical or health care setting, supported by evidence-based analysis and consideration of recognized best practice.
• Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.
  • Write a scholarly introduction paragraph that includes the summary of the patient safety issue, the PICOT research question, and an appropriate thesis statement.
  • Summarize the paper in a well-organized closing paragraph.
  • Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.

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NURS FPX 8030 Building the Case for Healthcare Improvement Paper Example

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement

NURS FPX 8030 Building the Case for Healthcare Improvement Assignment Brief

Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

Assignment Title: NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement

Assignment Overview

In this assignment, you will engage in evidence-based practice (EBP) by identifying a patient safety issue within a healthcare setting and proposing a quality improvement (QI) project to address this challenge. The goal is to apply the six-step EBP process to develop a comprehensive understanding of the problem, evaluate supporting evidence, and propose evidence-based interventions.

Understanding Assignment Objectives

The primary objective of this assignment is to develop a deep understanding of the EBP process and its application in healthcare quality improvement. You will identify a pertinent patient safety issue, explore internal and external evidence supporting the need for change, assess organizational priorities, and propose interventions with desired patient outcomes.

The Student’s Role

You will assume the role of a Director of Clinical Operations and Nursing Excellence at a major metropolitan medical center. As a frontline leader, you are responsible for identifying and addressing healthcare safety issues using evidence-based interventions.

Competencies Measured

By completing this assignment, you will demonstrate proficiency in the following competencies:

• Apply the steps of the evidence-based practice process to a healthcare challenge:
  • Identify a patient safety issue requiring improvement.
  • Describe the significance of the issue to stakeholders and justify its organizational priority.
  • Explain desired patient outcomes and the potential impact of a quality improvement project.
• Interpret the results and practical significance of health care data analyses in the evidence-based practice process:
  • Document external sources from literature that support the need for change.
• Produce original written work, complying with Capella Writing Standards:
  • Conduct a professional presentation using well-designed slides and slide notes.
  • Apply APA formatting to in-text citations and references.

You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:

NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization Example

NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature Example

NURS FPX 8030 Assessment 4 Methods and Measurement Example

NURS FPX 8030 Assessment 5 Creation of Policy or Procedure Example

NURS FPX 8030 Building the Case for Healthcare Improvement Paper Example

Introduction

Ensuring patient safety is paramount in healthcare, aiming to prevent clinical errors and minimize patient suffering. A significant obstacle to achieving optimal patient safety is the persistent nursing shortage. This paper will delve into the critical issue of the nursing shortage, exploring its impact through internal and external evidence, organizational implications, and proposing a comprehensive quality improvement project to address this pressing challenge.

Patient Safety Issue: Nursing Shortage

The shortage of nursing staff is a crucial factor significantly influencing patient outcomes and healthcare quality. Extensive research underscores the direct correlation between adequate staffing levels and improved patient outcomes, including reduced hospital stays and mortality rates (Smith et al., 2020; Jones & Brown, 2019). In the United States, this challenge is compounded by a rapidly aging population, which places increased demand on healthcare services, further straining an already stretched healthcare workforce.

Internal Evidence of Nursing Shortage

Recent research within our healthcare organization highlights concerning trends among nursing staff. Surveys reveal alarmingly low levels of job satisfaction among nurses, with only a minority expressing contentment in their roles. Factors contributing to dissatisfaction include concerns about stability, working conditions, and compensation (Johnson et al., 2021). The COVID-19 pandemic has exacerbated workload pressures, leading to unprecedented levels of burnout and dissatisfaction among nursing professionals.

For instance, a survey conducted by our organization revealed that only 1 in 10 clinical nurses report satisfaction in their current positions. Furthermore, 36% of respondents expressed willingness to stay in their roles if specific improvements were implemented, highlighting the critical need for organizational interventions to address workforce challenges (Anderson & Wilson, 2020).

External Evidence of Nursing Shortage

On a national scale, projections indicate a looming crisis in nursing workforce supply. It is estimated that over the next few years, a significant portion of the nursing workforce will retire, exacerbating the shortage. Additionally, recruitment challenges, limited clinical training opportunities, and stringent regulatory requirements contribute to a shrinking pool of qualified nurses available to meet escalating healthcare demands (Brown & Carter, 2022).

For example, recent studies suggest that by 2022, more than 500,000 registered nurses are expected to leave the workforce, resulting in a deficit of over 1.1 million nurses (Smith et al., 2020). This anticipated shortage underscores the urgent need for strategic interventions to attract and retain qualified nursing professionals.

Organizational Priority for Intervention

The nursing shortage poses a direct and profound threat to patient care quality and safety within our organization. Extensive research has established a clear link between staffing deficiencies and adverse patient outcomes, including increased mortality rates, higher infection rates, and compromised care due to nurse fatigue (Taylor & Rogers, 2018). Addressing this critical issue is imperative to uphold our organizational commitment to providing high-quality care and ensuring patient safety.

For instance, studies have shown that understaffed hospitals experience higher rates of in-hospital mortality, infections, post-operative complications, and patient falls (Brown & Carter, 2022). Moreover, nurse fatigue resulting from prolonged working hours contributes to medication errors and delays in emergency care, further jeopardizing patient safety.

Proposed Quality Improvement Project

To effectively combat the nursing shortage and mitigate its adverse effects, a multifaceted quality improvement project is proposed. This project will focus on enhancing retention strategies, investing in nurse education programs, and leveraging technology to optimize staffing efficiency. Strategies such as implementing flexible scheduling, offering competitive compensation packages, and providing professional development opportunities will be integral to improving nurse satisfaction and retention rates (Anderson & Wilson, 2020).

Desired Patient Outcomes and Organizational Impact

The successful implementation of these interventions is expected to yield several positive outcomes. Improved nurse retention rates will contribute to enhanced patient care experiences, reduced adverse events, and optimized care coordination. By addressing the nursing shortage strategically, our organization aims to create a sustainable solution that positively impacts patient safety and healthcare quality.

Conclusion

In conclusion, the nursing shortage represents a critical healthcare challenge that demands immediate attention and concerted action. By leveraging internal and external evidence, acknowledging the organizational impact, and proposing a comprehensive quality improvement project, we can work towards mitigating the adverse effects of the nursing shortage on patient safety and care quality.

References

Anderson, L., & Wilson, M. (2020). Strategies for addressing the nursing shortage: A comprehensive approach. Journal of Healthcare Management, 45(3), 78-85.

Brown, R., & Carter, S. (2022). The impending nursing shortage: Projections and implications for healthcare organizations. Healthcare Trends, 12(2), 45-52.

Johnson, E., et al. (2021). Job satisfaction among nursing professionals: A survey-based analysis. Nursing Research Quarterly, 30(4), 112-125.

Jones, A., & Brown, K. (2019). Impact of nursing shortages on patient outcomes: A systematic review. Journal of Nursing Excellence, 15(1), 24-36.

Smith, J., et al. (2020). Forecasting the nursing shortage: Implications for healthcare policy. Health Policy Review, 8(4), 210-225.

Taylor, S., & Rogers, P. (2018). Nurse staffing and patient safety: A critical analysis. Healthcare Quality Journal, 25(2), 56-68.

Detailed Assessment Instructions for the NURS FPX 8030 Building the Case for Healthcare Improvement Paper Assignment

Present a five-minute PowerPoint presentation with voice over to introduce your patient safety issue, the supporting research, and possible intervention.

Introduction

Evidence-based practice (EBP) is the process of searching for, appraising, and integrating the most relevant, best research evidence to answer a clinical question or address a health care challenge. The best research evidence is weighed along with patient preferences and values, organizational data, and professional expertise. For this assessment, you will learn about each of the six steps of EBP in detail and acquire a working knowledge about EBP as a problem-solving approach used in many health care settings.

Of note, there are many published processes regarding the steps of EBP. Some processes have more steps and some have fewer. However, the fundamental concepts are the same. For the purposes of organization, we will use the six step EBP process below in the courseroom:

1. Ask the clinical question.
2. Acquire the best evidence.
3. Apprise the evidence.
4. Implement the evidence.
5. Evaluating the outcomes.
6. Disseminate findings.

Introduction

The purpose of this assessment is to identify your patient safety issue and further explain how the safety issue was identified, the impact on safety, and/or descriptions of the problem from clinical experts within your institution. Your goal is to identify internal resources or do a “needs assessment.” The internal resources will not require citation/references. You are welcome to draw from personal experiences and use creative liberty to make your case from an internal perspective.

Scenario

Throughout the course, we will focus on a patient safety issue of your choice and work through all six steps of the evidence-based practice (EBP) process. The first step is to “Ask the burning clinical question in PICOT format,” which you will find later in this assessment in the section titled “Mastering the First Step in EBP: PICOT.”

Now, let’s imagine that you are the Director of Clinical Operations and Nursing Excellence at a major metropolitan medical center encompassing many entities, including hospitals and outpatient medical centers. You report directly to the Chief Nursing Officer and serve as the front-line leader for clinical operations, including serving as a clinical resource for all nursing staff levels in both the acute-care and ambulatory settings.

It is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. Your primary goals are to focus on problems in health care safety and how to solve them with evidence-based interventions as a quality improvement (EBP/QI) project.

Instructions

Present a 5-minute PowerPoint presentation with voice over to introduce your patient safety issue, the supporting research, and possible intervention, using the following steps:

Consider patient safety issues that you have heard about in your practice, the medical field, the media, or your coursework. Select a patient safety issue to research throughout this course.

• Explain the patient safety issue that needs improvement.
• Describe the problem in detail using creative liberty or give specific examples of the issue in practice.

 Locate and review two examples of internal or practice site sources of evidence that support the need for change to address the patient safety issue.

• Describe how the sources were obtained, including a timeframe or number of patients involved.
• The internal resources will NOT require citations and references.

Locate and review two sources of evidence that the safety issue exists outside of your institution.

• We call these external resources. This information can come from peer-reviewed literature, clinical practice guidelines, consensus statements, local or national databases, national organizations, Joint Commission, and/or hospital compare (CMS). The external resources will require citations and references.
• Utilize Capella library resources to guide your research, including the library guide and an appointment with a librarian.
• Explain how these literature resources support the need for change related to the patient safety issue.
• Describe how each source is directly related to the patient safety issue.

Determine the organizational priority by describing why this patient care safety problem is of significant concern to stakeholders, patients, or community members. Give specific examples.

Describe your desired patient outcomes from a proposed intervention and the potential impact of the quality improvement project. Use at least one citation from literature to support the intervention.

Again, the patient safety issue and intervention or interventions identified for this assessment will also be used for all the assessments in this course, so take a look at those assessments now. Ensure the problem and interventions you select will work for the other four assessments.

Create 10-12 slides that reflect the issue you have selected, the evidence, and the possible interventions. You may use the following headings for your slides:

Title.

Name, course information.

Presentation Outline.

Patient Safety Issue.

Internal Evidence of Patient Safety Issue.

External Evidence of Patient Safety Issue.

Organizational Priority for Intervention.

Describe why problem is significant to stakeholders and give specific examples.

Propose a Quality Improvement Project.

Describe interventions and desired patient outcomes and potential organizational impact.

Include at least one citation from literature to support proposal.

References.

Record voice over for your slide presentation using PowerPoint features or Kaltura.

Submit PowerPoint slide deck with slide notes in PDF or Microsoft Word format and a video recording of your 5-minute presentation.

Additional Requirements

. 10-12 PowerPoint slides with slide notes.

. Five minute voice over recording of presentation slides.

. Minimum two external resources.

. Reference slide with APA citations.

. Submit slide deck, slide notes, and video recording.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

. Competency 1: Apply the steps of the evidence based practice process to a health care challenge.

. Identify a health care safety problem that needs to be improved.

. Describe why this health care safety problem is a concern to stakeholders, patients, or community members and should be an organizational priority.

. Explain your desired patient outcomes and the potential impact of the quality improvement project.

. Competency 5: Interpret the results and practical significance of health care data analyses in the evidence based practice process.

. Document two external sources from literature of evidence that support the need for change.

. Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.

. Conduct a professional presentation using well designed slides and slide notes.

. Apply APA formatting to in-text citations and references.

RUBRICS

1, Identify a health care safety problem that needs to be improved. Identifies a health care safety problem that needs improvement and describes the problem in detail using creative liberty or with specific examples.

2, Document two external sources from literature of evidence that support the need for change. Discusses external sources that support the need for change that are from literature. Explains how source is directly related to the patient safety issue.

3, Describe why this health care safety problem is a concern to stakeholders, patients, or community members and should be an organizational priority. Describes why the health care safety problem is a high priority and is of significant concern to stakeholders, patients, or community members and provides specific examples.

4, Explain your desired patient outcomes and the potential impact of the quality improvement project. Describes the desired state for an intervention in a health care setting and explains the impact of the quality improvement project with at least one citation from literature to support impact.

5, Conduct a professional presentation using well designed slides and slide notes. Conducts a professional presentation using well designed slides and slide notes. Speaks with confidence and explains the issue and intervention without too much jargon.

6, Apply APA formatting to in-text citations and references. Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references.

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NURS FPX 8010 Political Landscape Analysis Paper Example

NURS FPX 8010 Assessment 1 Political Landscape Analysis

NURS FPX 8010 Political Landscape Analysis Paper Assignment Brief

Course: NURS-FPX 8010 Executive Leadership in Contemporary Nursing

Assignment Title: NURS FPX 8010 Assessment 1 Political Landscape Analysis

Assignment Instructions Overview

This assignment aims to analyze the political landscape of a healthcare organization, focusing on formal and informal power structures and their impact on organizational culture, policies, and communications.

The Student’s Role

As a student undertaking this assignment, your role is to critically evaluate the formal and informal lines of power within the given healthcare organization scenario. You will need to assess how these power dynamics influence decision-making processes, particularly at the executive level, and propose recommendations based on your analysis.

Competencies Measured

This assignment measures several competencies, including:

• Analyzing formal and informal power structures in an organization.
• Incorporating organizational power dynamics into executive-level decision-making.
• Identifying the appropriate source of power for achieving strategic objectives.
• Recommending policy changes that align with a strategic plan.

You Can Also Check Other Related Assessments for the NURS-FPX 8010 Executive Leadership in Contemporary Nursing Course:

NURS FPX 8010 Assessment 2 Strategic Plan Appraisal Example

NURS FPX 8010 Assessment 3 Strategic Plan Development Example

NURS FPX 8010 Assessment 4 Quality Improvement Proposal Example

NURS FPX 8010 Political Landscape Analysis Paper Example

Formal and Informal Lines of Power

Formal and informal lines of power are prevalent in healthcare organizations, shaping their functioning and leadership dynamics (Galliers, 2022). In hospitals, formal power is defined by positions like the President, Chief Nursing Officer (CNO), and Chief Financial Officer (CFO), outlined in the organizational hierarchy to clarify roles and responsibilities. Conversely, informal power emerges through relationships, trust, and networking within the organization, extending influence beyond formal roles. For example, the CNO holds both formal authority and informal influence, leveraging their position and connections to impact decisions and relationships.

Recognizing the formal power inherent in leadership roles is crucial, but equally important is cultivating informal power through relationship-building (Shirey, 2015). As a new CNO, it’s essential to collaborate with colleagues, respecting their input and fostering a positive work environment (Waring, et.al, 2018). Negative sentiments can undermine organizational cohesion, underscoring the need for maintaining a supportive atmosphere. Research emphasizes the significance of understanding organizational politics in navigating change processes and facilitating effective communication channels.

Comprehending power dynamics is essential for effective leadership in healthcare organizations. By embracing both formal authority and informal influence, leaders can navigate organizational politics and drive positive change within their organizations, fostering collaboration and achieving shared goals.

Organizational Power Influences on Executive-Level Decision-Making

Organizational power dynamics significantly influence executive-level decision-making processes in healthcare organizations. Understanding the rationale behind policies and decisions is crucial for leaders to fulfill their roles effectively (Galliers, 2022). In the constantly evolving healthcare landscape, it’s essential to grasp the implications of policies for successful implementation. Seeking guidance from superiors and exploring alternative solutions are essential practices for new leaders in navigating these complexities.

Adapting to change and effectively communicating with stakeholders are crucial aspects of navigating organizational power dynamics (Waring, et.al, 2018). New leaders must adjust their approach to accommodate diverse perspectives and find solutions that meet the needs of all parties involved. Building trust and fostering collaboration are essential for leveraging both formal and informal power effectively.

Maintaining awareness of the organizational climate and being proactive in identifying opportunities for improvement are vital for success (Shirey, 2015). Strategic agility, the ability to seize opportunities and adapt to new strategies, is crucial in dynamic healthcare environments. Creating a positive work environment and promoting open communication are essential for driving progress and fostering collaboration among stakeholders.

As a new leader, I actively seek guidance from superiors to comprehend the rationale behind policies and ensure their successful execution. By embracing diverse perspectives and fostering collaboration, I aim to leverage both formal and informal power to address challenges and drive positive change.

The Impact of Power on Organizational Policy

Power dynamics significantly shape organizational policies within our healthcare institution (Waring, et.al, 2018). Our Chief Medical Officer (CMO) wields considerable formal and informal authority, owing to years of experience and community influence. While the CMO’s leadership is valued, embracing diverse perspectives is vital for driving innovation and progress. As a newcomer, I aim to offer fresh insights that prioritize diversity and cultural sensitivity in policy development. Collaborative decision-making, inclusive of input from various stakeholders, is crucial for achieving policies that meet the needs of our diverse workforce and patient population. By fostering an environment of open communication and leveraging the expertise of colleagues, we can navigate power dynamics effectively to enact meaningful changes that address pressing challenges, such as the increasing patient workload.

Conclusion

In conclusion, the analysis emphasizes the significant impact of formal and informal lines of power on leadership dynamics and decision-making processes within healthcare organizations. Understanding these power dynamics is essential for effective leadership, enabling leaders to navigate organizational politics and foster positive change. By recognizing and leveraging both formal authority and informal influence, leaders can effectively address challenges, adapt to change, and promote collaboration. Embracing diverse perspectives and fostering open communication are critical for driving innovation and progress in healthcare policy development. Ultimately, navigating power dynamics effectively allows healthcare leaders to enact meaningful changes that meet the needs of their workforce and patient population, thereby contributing to the overall improvement of healthcare delivery.

References

Galliers, R.D., Simeonova, B., & Karanasios, S. (2022). Power dynamics in organizations and the role of information systems. Information Systems Journal, 32(3), 233-241.

Shirey, M.R. (2015). Strategic Agility in Healthcare Leadership. . JONA: The Journal of Nursing Administration, 45(6), 305-308..

Waring, J., Minister, P., Clarke, J., et al. (2018). Healthcare leadership with political astuteness (HeLPA): a qualitative study of how service leaders understand and mediate the informal “power and politics” of major health system change. BMC Health Services Research, 18(1), N.PAG.

Detailed Assessment Instructions for the NURS FPX 8010 Political Landscape Analysis Paper Assignment

Assessment 1 Instructions Political Landscape Analysis

NURS FPX 8010 Capella Formal & Informal Power in Healthcare Organizations Assessment

Description

Using the case scenario provided, write a 3-page analysis of the organization’s political landscape, including formal and informal power structures at play and their impact on culture, policy, and communications.

Introduction

Understanding the political landscape of an organization is key when developing strategic priorities. Knowing the key players and how to leverage relationships will help you develop a strategic plan that is meaningful to all stakeholders. Gaining stakeholder buy-in is the key to success when attempting to meet the strategic goals outlined on a balanced scorecard.

This assessment provides an opportunity for you to gain insight into organizational power structures and their effects on organizational culture, policies, and communications.

Preparation

For this assessment, use the following case scenario:

You are a new nurse executive at a community-based hospital system in the southeastern region of the United States. The system is not-for-profit and serves five rural counties. The system comprises one flagship hospital, three smaller critical access hospitals, and a number of clinics and urgent care centers. The health care system serves a diverse population of insured, Medicare, Medicaid, and uninsured patients. The hospital is Joint Commission accredited and for three years in a row has been rated as a Top 100 Hospital.

Historically, the hospital system has been physician-centric, meaning that the physician staff have had the power to influence change, policy, and protocol. The current chief executive officer (CEO) was recently hired from a large university-affiliated hospital system. The chief medical officer (CMO) started the organization’s orthopedic program (one of the most lucrative service lines) and has been with the organization for more than 25 years. He is well respected in the local community and serves on a number of community boards. In light of this strong influence from the department of medicine, nursing has struggled over the past five years. You are the second chief nursing officer (CNO) in four years. The hospital board is applying pressure to seek Magnet designation, which was recently lost due to poor leadership by your predecessor.

The hospital has recently adopted the hospitalist model to cover all in-patients. The hospitalist group was developed by physician leaders in the organization and operates as a separate department within the organization. The hospitalist group desires to become a limited liability corporation (LLC) to maximize benefit offerings but needs a larger staff to make this happen. They have presented a proposal to executive leadership to transfer all advance practice registered nurses (APRNs) working in the organization (there are more than 50) to the hospitalist group, which is housed under the department of medicine. The CMO is spearheading this initiative. Traditionally, ARPNs were hired and managed by the department of nursing.

As the new CNO, you have been approached by a group of 15 APRNs who are against the transition as it will severely impact their scope of practice, in addition to affecting their paid time off, salary, and work hours. The CMO has offered to make APRNs eligible for the annual physician hospitalist bonus structure, as an incentive. At the same time, the CMO has informally proposed that a new policy be created for APRN hospital privileges. If the APRNs choose not to join the hospitalist group, they will not be eligible for hospital privileges. In the state in which the organization is located, a supervising physician is required for APRN practice.

Instructions

Analyze the organization’s political landscape. Examine formal and informal power structures at play and how they affect organizational culture, policies, and communications at all levels.

Analysis Format and Length

Format your document using APA style.

• Use the  APA Style Paper Tutorial [DOCX]to help you in writing and formatting your analysis. Be sure to include:

. A title page and references page. An abstract is not required.

. A running head on all pages.

• Use the following section headings to ensure thorough content coverage and flow.

. Formal and Informal Lines of Power.

. Organizational Power Influences on Executive-Level Decision-Making.

. The Impact of Power on Organizational Policy.

. Sources of Power.

• Provide a short conclusion to your analysis in the form of a summary or editorial.
• Your analysis should be 3 pages in length, excluding the title and references pages.

Evaluation

The following tasks correspond to the grading criteria in the assessment scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

• Analyze the formal and informal lines of power within the organization in the case study.

1. Describe the informal and formal lines of power within this organization.
2. What source of power is being used by the different stakeholders? For example: authority, rewards, coercion, expertise, reputation, personal power.
3. Describe the effects of power structures on organizational culture, policies, and communications at all levels.

• Incorporate organizational power dynamics as a factor in executive-level decision making.

2. Based on your analysis of internal power structures and your perspective as CNO, what would be the best way to respond to the concerns of the ARPNs in this scenario, and why?
3. What support for your response can be found in the evidence-based literature?
4. What underlying assumptions might influence your decision making?

• Assess the potential impact or influence of power on this change in organizational policy.

3. What is the basis for your conclusions?

• Identify the appropriate source of power for achieving the CNO’s primary strategic objective.

4. For example: authority, rewards, coercion, expertise, reputation, personal power.
5. What evidence do you have to support your conclusion?

• Articulate meaning relevant to the main topic, scope, and purpose of the prompt. 

5. Write with a specific purpose and audience in mind.
6. Adhere to scholarly and disciplinary writing standards.
7. Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.

• Apply APA formatting to in-text citations and references.

DEMONSTRATION OF PROFICIENCY

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 2: Analyze formal and informal power structures in an organization.
  • Analyze the formal and informal lines of power within an organization.
  • Incorporate organizational power dynamics as a factor in executive-level decision-making.
  • Identify the appropriate source of power for achieving a primary strategic objective.
• Competency 4: Recommend policy changes that support a strategic plan.
  • Assess the potential impact or influence of power on organizational policy.
• Competency 5: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards.
  • Articulate meaning relevant to the main topic, scope, and purpose of the prompt.
  • Apply APA formatting to in-text citations and references.

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