A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject. 

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations. 

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

• Review the Resources and examine the leadership theories and behaviors introduced.
• Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
• Reflect on the leadership behaviors presented in the three resources that you selected for review.

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Resources:

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

3-4 references

• Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
• Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
• Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

 

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Health Care Reform and the Role of NP

Discussion #1

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. How do you think we can improve this understanding of the nurse practitioner role?

Discussion Grading Criteria:

 Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. 

Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format. 

The initial post must be of at least one paragraph. The post requires include: your point supported by relevant, specific information to support your claim. Aim for three to five or more sentences per paragraph. The citations and references require on APA format.

 

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Discussion 1: The Influence of Mission and Vision on Planning

As you read the following mission statements, think about what you might deduce about each organization:“Nurses advancing our profession to improve health for all,” American Nurses Association“The American Red Cross prevents and alleviates human suffering in the face of emergencies by mobilizing the power of volunteers and the generosity of donors,” American Red Cross“The mission of Southwest Airlines is dedication to the highest quality of Customer Service delivered with a sense of warmth, friendliness, individual pride, and Company Spirit,” Southwest Airlines“To inspire hope and contribute to health and well-being by providing the best care to every patient through integrated clinical practice, education and research,” Mayo Clinic“Provide telehealth solutions and executive medical research management to enhance and support military healthcare and promote innovative medical technologies,” Telemedicine & Advanced Technology Research Center (TATRC)“Google’s mission is to organize the world’s information and make it universally accessible and useful,” GoogleAn organization’s mission describes its core purpose. In partnership with the organization’s vision, which communicates a future-focused direction, the mission provides a basis for planning and decision making at all levels of the organization.For this Discussion, you compare mission and vision statements from multiple organizations and consider how these statements relate to planning.To prepare:Review the information related to the planning hierarchy and mission and vision statements in this week’s Learning Resources.Research the mission and vision statements of three different types of organizations: a for-profit health care organization, a not-for-profit health care organization, and an organization outside of health care. As you examine the organizations’ mission and vision statements, consider the following:                   How effectively do the mission statements articulate the organization’s purpose?How effectively do the vision statements reflect future aims?Do the mission and vision statements convey who (which groups) the organizations serve? Do they indicate obligations to various stakeholders?Are the statements an appropriate length?What do you glean about how leaders in health care and in other industries envision and convey mission and vision?What do you discern about the interdisciplinary nature of crafting mission and vision statements by looking across organizations, including those outside of health care?Identify key insights you have gained by comparing the mission and vision statements of these three organizations.Consider how an organization’s mission and vision relate to the planning hierarchy. For each organization you have selected, think about how the mission and vision could or should influence planning. What elements of each mission and vision stand out as especially significant?

By Day 3Post a comparison of the mission and vision statements of the three organizations selected. Explain how specific elements of each organization’s mission and vision statements might inform planning in that organization. Include references/links for the organizations’ mission and vision statements in your post.

Required Readings

Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.Review Chapter 4, “Just What Is Strategic Planning?” (pp. 57–82)Chapter 7, “The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursing’s Future Action” (pp. 117–143)                                                Chapter 7 addresses elements of the strategic planning process, which includes mission and vision.Cady, S. H., Wheeler, J. V., DeWolf, J., & Brodke, M. (2011). Mission, vision, and values: What do they say? Organization Development Journal, 29(1), 63–78.Retrieved from the Walden Library databases. This article addresses research on mission, vision, and values from 300 different organizations.Desmidt, S., Prinzie, A., & Decramer, A. (2011). Looking for the value of mission statements: A meta-analysis of 20 years of research. Management Decision, 49(3), 468–483.Retrieved from the Walden Library databases. This article looks at the relationship of organizational mission and financial performance. It includes a discussion of what a mission statement is and the purpose(s) it serves.Hirota, S., Kubo, K., Miyajima, H., Hong, P., & Won Park, Y. (2010). Corporate mission, corporate policies and business outcomes: Evidence from Japan. Management Decision, 48(7), 1134–1153.Retrieved from the Walden Library databases. The authors examine the implications of the mission statement for organizational practices and performance.King, D. L., Case, C. J., & Premo, K. M. (2012). An international mission statement comparison: United States, France, Germany, Japan, and China. Academy of Strategic Management Journal, 11(2), 93–119.Retrieved from the Walden Library databases. This article examines the content of mission statements, stakeholder involvement, and the development of goals and objectives.

 

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According to the CDC, “in the United States, the proportion of the population aged >65 years is projected to increase from 12.4% in 2000 to 19.6% in 2030,” (CDC, 2003, para. 2). Caring for this aging population is going to be one of the greatest challenges facing the health care industry. Not only will the number of individuals requiring care rise, but so will the cost. As poignantly stated by Crippen and Barnato, “unless we change the practice of medicine and reduce future costs, and explicitly address the ethical dilemmas we face, there may come a time when our kids simply cannot afford us” (2011, p. 128). 

In this Discussion, you will examine the ethical issues that the United States and other nations must address when faced with the health care challenges of an aging population.

To prepare:

• Consider the ethical aspects of health care and health policy for an aging population. 
• Review the Hayutin, Dietz, and Mitchell report presented in the Learning Resources. The authors pose the question, “What are the economic consequences, now and for future generations of taxpayers if we fail to adapt our policies to the changing reality of an older population?” (p. 21). Consider how you would respond to this question. In addition, reflect on the ethical decisions that arise when dispersing limited funds.
• Contemplate the impact of failing to adjust policy in accordance with the changing reality of an older population.
• Reflect on the ethical dilemmas that arise when determining expenditures on end-of-life health care. 

Post an explanation of the ethical standards you believe should be used in determining how resources should be allocated for an aging population and end-of-life care. Then, provide an analysis of the ethical challenges related to the preparation for the provision of such health care.

 

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 Are healthcare patients and unlicensed personnel(e.g., nurse aides, housekeepers, orderlies) knowledgeable enough to participate on quality improvement teams? 

 

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