NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

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Assessment 1: Care Setting Environmental Analysis
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Student Name
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Capella University
Course Name
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Prof Name
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Part 1 - Appreciative Inquiry Discovery and Dream
Synthesis of Stories and Evidence of Excellence in Quality and Safety
Goals
The Cleveland Clinic in Ohio has showcased substantial advancements in improving patient
care and overall health quality. The organization's commendable progress in combatting sepsis,
reducing hospital-acquired infections, and effectively managing chronic diseases attests to its
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commitment to excellence. Cleveland Clinic's success in diminishing sepsis-related mortality
highlights the powerful integration of technology and healthcare. Utilizing real-time monitoring
and predictive modeling tools, the Clinic has witnessed a significant 30% decline in
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sepsis-related deaths over five years (Fan et al., 2023).
Furthermore, the Clinic's unwavering adherence to preventive measures, including hygiene
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protocols and targeted staff education, is evident in its accomplishment of a 20% decrease in
hospital-acquired infections over three years (Ojanperä et al., 2022). Another noteworthy
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achievement is the innovative management of chronic diseases, particularly heart failure.
Leveraging big data analytics, the organization identifies potential risks and devises
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personalized care plans, resulting in a substantial improvement in patient outcomes. The
readmission rate for heart failure patients has decreased by 15% over two years (Averbuch et
al., 2022).
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These narratives underscore Cleveland Clinic's dedication to patient safety and high-quality
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care, aligning with its quality and safety goals. The reduction in sepsis-related deaths,
hospital-acquired infections, and hospital readmissions illustrates the Clinic's commitment to
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outstanding patient care. While these achievements are supported by data, there are knowledge
gaps and uncertainties regarding specific methods employed in sepsis care predictive modeling
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and the explicit link between big data analytics and improved patient outcomes in chronic
disease management.
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Proposal of Positive, Attainable Improvement Goals for Quality and Safety

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Despite significant accomplishments, Cleveland Clinic has identified areas for improvement. As
a progressive healthcare institution, it continually seeks ways to elevate service quality, safety
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measures, and community impact. With its established infrastructure, skilled personnel, and
commitment to community service, Cleveland Clinic is well-positioned to build on its
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achievements and address areas needing improvement (Meehan & Sharp, 2023). The
proposed improvement goals assume the Clinic's commitment to continuous learning, and
growth, and the potential to enhance nurses' training to better meet the diverse needs of the
community, thereby improving patient outcomes and overall service quality.
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Goals Leading to Ethical and Culturally-sensitive Improvement
To enhance service quality and safety further, Cleveland Clinic should prioritize expanding and
enriching community-focused programs and strengthening nursing staff training. This dual
approach aims to catalyze enhancements in service quality and safety while fostering ethical
and culturally sensitive improvements. Investing in community-focused programs can broaden
the Clinic's outreach, addressing health disparities and promoting health equity. Strengthening
nurse training will facilitate the delivery of culturally sensitive care, cater to diverse community
needs, and build a resilient healthcare workforce (Zhao et al., 2022).
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Alignment of Goals with Cleveland Clinic's Mission, Vision, and Values
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The proposed goals align with Cleveland Clinic's core mission of providing comprehensive,
high-quality, and patient-centered care. By intensifying community-focused programs, the Clinic
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could extend its influence beyond hospital premises, fostering healthier communities.
Simultaneously, bolstering nurse training initiatives resonates with Cleveland Clinic's vision of
cultivating a culture of continuous learning and excellence across all service aspects. These
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endeavors align with the Clinic's values of respect, integrity, and innovation, contributing to
positive changes in the broader community (Cleveland Clinic, n.d.).
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Part 2: SWOT Analysis
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SWOT Analysis for Quality and Safety Goals
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To evaluate Cleveland Clinic's current state concerning quality and safety goals, a SWOT
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analysis was conducted. The SWOT framework, a strategic planning tool, provides a
comprehensive overview of an organization's strengths, weaknesses, opportunities, and threats
(Sisto et al., 2022). This analysis involved internal evaluation, external research, and
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stakeholder interviews.
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SWOT Analysis for Cleveland Clinic

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Strengths:
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1. Excellence in patient care

2. Innovative approaches in healthcare delivery
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Weaknesses:
1. Inefficiency in some community programs

2. Lack of training in specific areas
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Opportunities:
1. Expansion of telehealth services

2. Collaboration with community organizations
Threats:
1. Regulatory changes
2. Competition from other healthcare providers
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The SWOT analysis emphasizes Cleveland Clinic's dedication to superior patient care and
innovative healthcare delivery as notable strengths. These strengths significantly contribute to
its quality and safety objectives. Identified weaknesses, such as underperforming community
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initiatives and staff training deficits, could impede goal attainment. Opportunities, such as
telehealth expansion and collaborations with local organizations, represent avenues for
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improvement. External threats, like regulatory changes and competition, could hinder progress
toward goals.
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The SWOT analysis reveals a significant concern: the inefficiency of certain community
programs within Cleveland Clinic's service spectrum. Upgrading these initiatives is crucial to
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fulfill the Clinic's mission of providing comprehensive care and improving healthcare equity.
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Part 3: Comparison of Approaches
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Mindset for AI vs. SWOT Approach

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In employing the Appreciative Inquiry (AI) approach, the focus was on identifying instances of
excellence within Cleveland Clinic, highlighting best practices, and exploring successful
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innovative solutions (Garrett, 2022). The AI mindset centered on unearthing the organization's
positive core and contemplating how this positive core could drive future growth. In contrast, the
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SWOT approach adopted a holistic perspective, considering internal strengths and weaknesses,
along with external opportunities and threats (Nilashi et al., 2023). The SWOT mindset was
more analytical, objectively evaluating factors influencing the organization's performance.
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While both AI and SWOT approaches aim to identify areas of excellence and improvement, they
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differ in focus and communication emphasis. AI encourages an appreciative, positive dialogue,

emphasizing strengths and potential for growth. In contrast, the SWOT approach calls for a
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more balanced conversation, considering both positives and negatives, strengths and
weaknesses, and fostering candid discussions about challenges, threats, strengths, and
opportunities.
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Part 4: Analysis of Relevant Leadership Characteristics and Skills
Desired Leadership Traits and Skills for AI and SWOT Approaches
In performance improvement projects utilizing both AI and SWOT approaches, different yet
complementary leadership characteristics and skills are desired. For AI-based projects,
creativity, innovation, and data-driven decision-making are paramount. These skills drive the
identification of best practices and envisioning an ideal future state (Garrett, 2022). In
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SWOT-based projects, strategic thinking is crucial for navigating internal and external
complexities, and adaptability is essential for responding swiftly to emerging challenges and
opportunities (Nilashi et al., 2023).
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Certain leadership characteristics and skills are beneficial regardless of the analytical approach.
Both AI and SWOT demand collaboration, critical thinking, adaptability, and a commitment to
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excellence. These traits ensure a holistic and inclusive approach towards enhancing quality and
safety, fostering a culture that values and pursues high-quality, safe, patient-centered care.
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References
Averbuch, T., Sullivan, K., Sauer, A., Mamas, M. A., Voors, A. A., Gale, C. P., Metra, M.,
Ravindra, N., & Van Spall, H. G. C. (2022). Applications of artificial intelligence and machine
learning in heart failure. European Heart Journal – Digital Health, 3(2), 311–322.
https://doi.org/10.1093/ehjdh/ztac025
Bartunek, J. M., & Balogun, J. (2022). Context and how it matters: Mobilizing spaces for
organization-community sustainable change. Strategic Organization, 147612702211258.
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https://doi.org/10.1177/14761270221125819
Cleveland Clinic. (n.d.). Mission, vision & values.
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https://my.clevelandclinic.org/about/overview/who-we-are/mission-vision-values
Fan, G., Zhou, Y., Zhou, F., Yu, Z., Gu, X., Zhang, X., Liu, Z., Zhou, M., & Cao, B. (2023). The
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Mortality and Years of Life Lost for Community-Acquired Pneumonia Before and During
COVID-19 Pandemic in China. Social Science Research Network.
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https://doi.org/10.2139/ssrn.4509972
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Garrett, M. D. (2022). Applying appreciative inquiry to research in the field of inclusive
education. Canadian Journal for New Scholars in Education/ Revue Canadienne Des Jeunes
Chercheures et Chercheurs En Éducation, 13(1).
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https://journalhosting.ucalgary.ca/index.php/cjnse/article/view/74418
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Meehan, R., & Sharp, J. (2023). Making a difference: Careers in health informatics. In Google
Books. CRC Press.
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https://books.google.com/books?hl=en&lr=&id=fzzLEAAAQBAJ&oi=fnd&pg=PT11&dq=With+its
+well-established+infrastructure
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Nilashi, M., Keng Boon, O., Tan, G., Lin, B., & Abumalloh, R. (2023). Critical data challenges in
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measuring the performance of sustainable development goals: Solutions and the role of big data
analytics. Harvard Data Science Review, 5(3). https://doi.org/10.1162/99608f92.545db2cf
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Ojanperä, H., Ohtonen, P., Kanste, O., & Syrjälä, H. (2022). Direct hand hygiene observations
and feedback increased hand hygiene compliance among nurses and doctors in medical and
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surgical wards – an eight-year observational study. Journal of Hospital Infection, 127.

https://doi.org/10.1016/j.jhin.2022.06.007
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Sisto, R., Fernández-Portillo, L. A., Yazdani, M., Estepa-Mohedano, L., & Torkayesh, A. E.
(2022). Strategic planning of rural areas: Integrating participatory backcasting and multiple
criteria decision analysis tools. Socio-Economic Planning Sciences, 101248.
https://doi.org/10.1016/j.seps.2022.101248
Call Us Now (612) 234-7670
Zhao, Y., Liu, L., Ding, Y., & Chan, H. Y. L. (2022). Effect of a culturally sensitive DEmentia
Competence Education for Nursing home Taskforce (DECENT) program in China: A
quasi-experimental study. Nurse Education Today, 116, 105434.
https://doi.org/10.1016/j.nedt.2022.105434
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Assessment 1: Care Setting Environmental Analysis

Furthermore, the Clinic's unwavering adherence to preventive measures, including hygiene

Proposal of Positive, Attainable Improvement Goals for Quality and Safety

SWOT Analysis for Cleveland Clinic

1. Excellence in patient care

1. Inefficiency in some community programs

1. Expansion of telehealth services

Mindset for AI vs. SWOT Approach

differ in focus and communication emphasis. AI encourages an appreciative, positive dialogue,

Cleveland Clinic. (n.d.). Mission, vision & values.

surgical wards – an eight-year observational study. Journal of Hospital Infection, 127.

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