NURS FPX 6212 Assessment 4 Planning For Change - A Leader's Vision

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Assessment 4: Planning for Change: A Leader’s Vision
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Student Name
Capella University
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Prof Name
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Nov 10, 2023
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Planning for a Change: A Leader’s Vision
Greetings! I'm Ross D. Hill, and I extend a warm welcome to everyone attending this
presentation. Today, we will delve into the critical role of nurse leaders in fostering and
maintaining a culture of quality and safety within healthcare organizations. Our focus will be on
elucidating the multifaceted responsibilities of nurse leaders in shaping, sustaining, and
advocating for a culture that prioritizes both quality and safety. The presentation commences
with an overview underscoring the significance of quality and safety in healthcare, addressing
organizational challenges in achieving these objectives, and examining the pivotal role of
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nursing leaders in enhancing patient safety and quality through diverse learning opportunities
for staff aimed at mitigating the likelihood of errors.
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Objectives
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Our journey begins with summarizing key aspects of the plan. Subsequently, we will expound on
organizational functions, processes, and behaviors influencing the quality and safety landscape.
Following this, we will discuss current outcome measures, evaluating their strengths and
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weaknesses. Further, we will share the steps constituting the outcome plan and the envisioned
future trajectory of the organization. The presentation concludes with a chance for queries,
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which I will be glad to address.
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Summarizing Key Aspects of a Plan
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In addressing issues such as postoperative complications, medical errors, and surgical site
infections, our plan recognizes the impact of an under-skilled team on patient outcomes and
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resource utilization (Purba et al., 2020). To address these concerns, a comprehensive strategy
was devised, incorporating elements like preoperative care, team collaboration, effective
communication, and infection control procedures. Unsafe surgical practices were identified as
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systemic issues, prompting a plan founded on standardizing procedures through preoperative

hygiene, comprehensive learning, and simulation-based education to reduce surgical risks
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(Viswanath et al., 2019). Employing the Plan-Do-Study-Act (PDSA) framework, the plan
integrates analysis and learning to enhance patient safety and quality improvement, fostering a
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culture of safety and adherence to established procedures.

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Organizational Functions, Processes, and Behaviors Affecting

Quality and Safety
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Identifying organizational functions, processes, and behaviors impacting quality and safety is
imperative. Insufficient communication and collaboration among healthcare professionals can
lead to unskilled practices and increased risks (Dencker et al., 2021). Inadequate adherence to
hygiene protocols and lack of accountability further exacerbate risks, emphasizing the need for
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comprehensive training and education. Addressing these issues requires a focus on leadership,
communication, and training to improve professional skill sets and reduce complications and
risks.
Current Outcome Measures and Their Strengths and

Weaknesses
The organization's current outcome measures encompass unsafe surgical procedures,
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postoperative complications, readmissions, surgical site infections, and patient satisfaction
(Braun et al., 2020). These measures, while significant, have inherent strengths and
weaknesses. Surgical site infection rates, hospital-acquired infection rates, readmission rates,
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and patient satisfaction scores offer valuable insights but must be interpreted with consideration
for external factors affecting outcomes. Optimization through data consistency, risk assessment,
and benchmarking against high-performing organizations can enhance their reliability.
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Steps to Achieving Outcomes
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Employing the PDSA framework, we strategically implement change strategies to enhance
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overall healthcare. The plan involves a thorough needs assessment, setting achievable SMART
goals, and careful planning to address gaps in surgical practices. Implementation emphasizes
comprehensive training, preoperative strategies, and communication protocols. Constant
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monitoring, feedback loops, and evaluation ensure the effectiveness of the implemented
changes. The process concludes with data analysis, adjustments to strategies, and sustained
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efforts toward continuous improvement.

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Assumptions of the Plan and Future Vision of the Organization

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The plan's success relies on accurate baseline data, active nursing staff participation, effective
leadership, and a commitment to patient needs. The future vision entails cultivating a culture of
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quality and safety, emphasizing patient safety, staff empowerment, and continuous improvement
(Lu et al., 2022). Leadership plays a vital role in fostering collaboration, communication, and
problem-solving, facilitating a transition toward a patient-centered, safe, and empathic care
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environment.
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Conclusion
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In conclusion, this presentation underscores the critical impact of unsafe surgical practices on
organizational reputation and patient satisfaction. Addressing various organizational functions,
processes, and behaviors is essential for improving the quality and safety of healthcare. The
outlined plan, rooted in the PDSA framework, presents a structured approach to achieving
positive outcomes through comprehensive training, communication protocols, and continuous
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improvement. The future vision envisions a healthcare environment prioritizing patient safety,
staff empowerment, and collaborative care. If you have any questions, feel free to ask.
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References
Braun, B. I., Chitavi, S. O., Suzuki, H., Soyemi, C. A., & Puig-Asensio, M. (2020). Culture of
safety: Impact on improvement in infection prevention process and outcomes. Current Infectious
Disease Reports, 22(12), 34. https://doi.org/10.1007/s11908-020-00741-y
Dencker, E. E., Bonde, A., Troelsen, A., Varadarajan, K. M., & Sillesen, M. (2021). Postoperative
complications: An observational study of trends in the United States from 2012 to 2018. BMC
Surgery, 21(1), 393. https://doi.org/10.1186/s12893-021-01392-z
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Ferreira, D. C., Vieira, I., Pedro, M. I., Caldas, P., & Varela, M. (2023). Patient satisfaction with
healthcare services and the techniques used for its assessment: A systematic literature review
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and a Bibliometric Analysis. Healthcare, 11(5), 639. https://doi.org/10.3390/healthcare11050639
Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership
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style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this
relationship. Healthcare, 9(3), 346. https://doi.org/10.3390/healthcare9030346
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Lu, L., Ko, Y. M., Chen, H. Y., Chueh, J. W., Chen, P. Y., & Cooper, C. L. (2022). Patient safety
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and staff well-being: Organizational culture as a resource. International Journal of
Environmental Research and Public Health, 19(6), 3722. https://doi.org/10.3390/ijerph19063722
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Oldland, E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses’
responsibilities for quality healthcare—Exploration of content validity. Collegian, 27(2), 150-163.
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https://doi.org/10.1016/j.colegn.2019.07.007
Purba, A. K. R., Luz, C. F., Wulandari, R. R., van der Gun, I., Dik, J. W., Friedrich, A. W., &
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Postma, M. J. (2020). The impacts of deep surgical site infections on readmissions, length of
stay, and costs: A matched case-control study conducted in an academic hospital in the
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Netherlands. Infection and Drug Resistance, 13, 3365–3374.

https://doi.org/10.2147/IDR.S264068
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Stoffels, M., van der Burgt, S. M. E., Stenfors, T., Daelmans, H. E. M., Peerdeman, S. M., &
Kusurkar, R. A. (2021). Conceptions of clinical learning among stakeholders involved in
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undergraduate nursing education: A phenomenographic study. BMC Medical Education, 21(1),

520. https://doi.org/10.1186/s12909-021-02939-7
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Troughton, R., Mariano, V., Campbell, A., Hettiaratchy, S., Holmes, A., & Birgand, G. (2019).
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Understanding determinants of infection control practices in surgery: The role of shared

ownership and team hierarchy. Antimicrobial Resistance & Infection Control, 8, 1-10.
https://doi.org/10.1186/s13756-019-0565-8
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Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). Readmission rates and their impact on
hospital financial performance: A study of Washington hospitals. Inquiry: A Journal of Medical
Care Organization, Provision, and Financing, 56, 46958019860386.
https://doi.org/10.1177/0046958019860386
Viswanath, K., Synowiec, C., & Agha, S. (2019). Responsive feedback: Towards a new
paradigm to enhance intervention effectiveness. Gates Open Research, 3, 781.
https://doi.org/10.12688/gatesopenres.12937.2
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systemic issues, prompting a plan founded on standardizing procedures through preoperative

culture of safety and adherence to established procedures.

Organizational Functions, Processes, and Behaviors Affecting

Current Outcome Measures and Their Strengths and

efforts toward continuous improvement.

Assumptions of the Plan and Future Vision of the Organization

Netherlands. Infection and Drug Resistance, 13, 3365–3374.

undergraduate nursing education: A phenomenographic study. BMC Medical Education, 21(1),

Understanding determinants of infection control practices in surgery: The role of shared

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