As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.

Scenario 1

You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?

Scenario 2

You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.

By Day 3

Select one of the scenarios, and post the following:

Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. 

  

The final step is to develop the plan discussing the steps clearly and succinctly. The plan must be evidence based .

By Day 4

Post an explanation of how you could apply key interventions supported by the scholarly research evidence to potentially help resolve the issue in measurable ways. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

 

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250 word .. 

 also,  Respond to  two posts— look to files… 

Commonwealth  Health Corporation and Graves Gilbert Clinic are two health care  organizations that service the south-central Kentucky region. Read the  ‘About us’ pages (or any other relevant pages) of these two  organizations.

http://www.chc.net/about_us.aspx

1. Briefly discuss what you think are the two essential differences between these organizations
2. How  these differences impact how they project the organization’s image  through their mission, vision and values statements, and how they may  market their services (similarities or differences).  
3. You  may include any experience or encounter you may have had that might  impact your view of either of these organizations and whether the  organization is living up to its mission.  (Please do not share any  private health information.)
4. Please be sure to cite any additional references you may use.  

 

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 Provide brief description of an electronic health record system (explain the features of the system and comment on your experience in using the system. Do you find the system easy to use? What features did you find useful? What features would you like to see added?) Explain your answers and identify at least four challenges in the implementation of electronic health records and provide an example of each challenge. Develop strategies for addressing each challenge based on what has been demonstrated to be successful. Cite your resources.

 

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Consider performing a health history on someone that may not be able to provide you with answers, such as an infant, child, an elderly person, a developmentally disabled individual, or patients who speak a language you do not know.

• What strategies would you employ to obtain a complete the health history?
• Provide a rationale for why you think these strategies would be effective.

 

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Consider factors (such as disease process, musculoskeletal changes, or environmental risks) that can influence the evaluation of the lungs and thorax and discuss how you will adjust the H&P around these factors?

Your response should include evidence of review of the course material, websites, and literature through proper citations using APA format.

 

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