GCU NUR-514 Topic 3: Organizational Change Theories and Strategies

GCU NUR-514 Topic 3: Organizational Change Theories and Strategies

GCU NUR-514 Topic 3: Organizational Change Theories and Strategies

Description

Objectives:

1. Discuss the advanced registered nurse’s role as change agent within the interprofessional health care
2. Analyze factors driving organizational change within health care
3. Evaluate change theories and collaborative models for promoting change
4. Evaluate the ethical, social, legal, economic, and political implications of practice change

Study Materials

Advanced Practice Nursing: Essential Knowledge for the Profession

Description:

Read Chapter 5 in Advanced Practice Nursing: Essential Knowledge for the Profession. Review Chapter 7.

Leadership in Nursing Practice: Changing the Landscape of Health Care

Description:

Read Chapter 1 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

Loom

Description:

Loom is a free video recording tool that allows you send messages through shareable videos. For assistance on installing the software or usage, navigate to the Loom Help Center.

GCU NUR-514 Topic 3: Organizational Change Theories and Strategies Tasks

Topic 3 DQ 1

Description:

Describe an organizational change model that can be used in a dynamic health care environment. Based on this model, how is organizational change is managed? What role do stakeholders play during organizational change?

Topic 3 DQ 2

Description:

You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties.

At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed.

As a nurse leader and change agent, how would you approach the committee? How could you draw from change theory to address these concerns and encourage collaboration on the committee?

Topic 3 Participation

Description:

NA

NUR-514 Course Objectives

Description:

In this course, the learner will:

1. Explore various health care system and organizational relationships (e.g., stakeholders, economic, financial, political, ethical issues, organizational structure, and delivery of care, including mission/vision/philosophy and values).
2. Discuss professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation.
3. Discuss change management theories and strategies and the ethical, social, legal, economic, and political implications of practice change on nursing practice decisions.
4. Analyze the impact of health care policy on health care organizations and cost-effective quality care.
5. Evaluate strategies for managing human, fiscal, and health care resources in the design of cost-effective, innovative models of care delivery or practice change proposals.
6. Explore current and emerging patient care, information system, and communication technologies that can deliver and enhance safe, high quality, cost-effective patient care and health outcomes.
7. Examine the implications of health care informatics and the role of the advanced registered nursing specialties leader on performance measures and standards related to quality.
8. Discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.
9. Evaluate legal (HIPAA), ethical, reimbursement, emerging technologies, and interprofessional issues related to informatics and information systems.

LopesWrite

Description:

Refer to the LopesWrite webpage for guidance regarding assignments requiring submission to LopesWrite.

APA Writing Style

Description:

APA Style is required for all writing assignments in this course, where indicated. Please prepare these assignments according to the APA Style Guide, located in the in the Student Success Center.

You may want to consider purchasing a copy of the APA style guide as this will be a useful resource throughout your program

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NUR 514 Topic 3 Assignment Implementing Change With an Interprofessional Approach Presentation

Assessment Description

As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent and spurring positive change on behalf of patients, colleagues, and the industry.

Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change. Create speaker notes of 100-250 words for each slide. Include an additional slide for the title and references. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic Resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and another at the end for References.

Include the following in your presentation:

1. Describe the background of the situation and the rationale for and goal(s) of the change. Consider the ethical, social, legal, economic, and political implications of practice change in your response.
2. Outline the advanced registered nurse’s role as change agent within the interprofessional and dynamic health care environment.
3. Identify the key interprofessional stakeholders (both internal and external) that should be involved in change efforts.
4. Discuss an appropriate change theory or model that could be used to achieve results. Explain why the theory or model selected is best for the situation. Include the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change in your response.
5. As an advanced registered nurse, outline how you would initiate the change.
6. Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.
7. Predict what additional factors will drive upcoming organizational change for the organization and outline the advanced registered nurse’s role as change agent.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Rubric Criteria

Collapse All Rubric CriteriaCollapse All

Description of Situation, Rationale for Change and Goal

7.5 points

Criteria Description

Description of Situation, Rationale for Change and Goal

5. 5: Excellent

7.5 points

A comprehensive description of the background of the situation, including the rationale for change and the goal or goals of change, is thoroughly developed with supporting details. The ethical, social, legal, economic, and political implications of practice change are clearly considered in the response.

4. 4: Good

6.9 points

A description of the background of the situation, including the rationale for change and the goal or goals of change, is provided and well developed. Overall, the ethical, social, legal, economic, and political implications of practice change are considered in the response.

3. 3: Satisfactory

6.6 points

A description of the background of the situation, including the rationale for change and goal or the goals of change, is generally presented. Some aspects of the ethical, social, legal, economic, and political implications of practice change are considered in the response.

2. 2: Less Than Satisfactory

6 points

A description of the background of the situation, including the rationale for change and the goal or goals of change, is present, but it lacks detail or is incomplete.

1. 1: Unsatisfactory

0 points

A description of the background of the situation, including the rationale for change and the goal or goals of change, is not included.

Advanced Registered Nurse Role as Change Agent

7.5 points

Criteria Description

Advanced Registered Nurse Role as Change Agent

5. 5: Excellent

7.5 points

The role of the advanced registered nurse as a change agent is clearly discussed. Supporting detail and rationale are provided.

4. 4: Good

6.9 points

The role of the advanced registered nurse as a change agent is discussed. Minor detail or rationale is needed for clarity or accuracy.

3. 3: Satisfactory

6.6 points

The role of the advanced registered nurse as a change agent is summarized. Information or supporting rationale is needed.

2. 2: Less Than Satisfactory

6 points

The role of the advanced registered nurse as a change agent is only partially discussed.

1. 1: Unsatisfactory

0 points

The role of the advanced registered nurse as a change agent is omitted.

Key Internal and External Interprofessional Stakeholders That Should Be Involved in Change Efforts

7.5 points

Criteria Description

Key Internal and External Interprofessional Stakeholders That Should Be Involved in Change Efforts

5. 5: Excellent

7.5 points

A comprehensive discussion of the key internal and external interprofessional stakeholders that should be involved in change efforts is thoroughly developed with supporting details.

4. 4: Good

6.9 points

The key internal and external interprofessional stakeholders that should be involved in change efforts are discussed. Minor detail or rationale is needed for clarity or accuracy.

3. 3: Satisfactory

6.6 points

The key internal and external interprofessional stakeholders that should be involved in change efforts are summarized. Information or supporting rationale is needed.

2. 2: Less Than Satisfactory

6 points

The key internal and external interprofessional stakeholders that should be involved in change efforts are only partially discussed.

1. 1: Unsatisfactory

0 points

The key internal and external interprofessional stakeholders that should be involved in change efforts are not included.

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Appropriate Change Theory or Model That Could Be Used to Achieve Results

15 points

Criteria Description

Appropriate Change Theory or Model That Could Be Used to Achieve Results

5. 5: Excellent

15 points

A comprehensive discussion of an appropriate change theory or model that could be used to achieve results is thoroughly developed with supporting details. The ethical, social, legal, economic, and political implications of applying the change management strategies to practice change are considered in the response.

4. 4: Good

13.8 points

A discussion of an appropriate change theory or model that could be used to achieve results is clearly provided and well developed. Overall, the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change are considered in the response.

3. 3: Satisfactory

13.2 points

A discussion of an appropriate change theory or model that could be used to achieve results is presented. Some aspects of the ethical, social, legal, economic, and political implications of applying the change management strategies to practice change are considered in the response.

2. 2: Less Than Satisfactory

12 points

A discussion of an appropriate change theory or model that could be used to achieve results is present, but it lacks detail or is incomplete.

1. 1: Unsatisfactory

0 points

A discussion of an appropriate change theory or model that could be used to achieve results is not included.

Outline for Initiating Change as Advanced Registered Nurse

15 points

Criteria Description

Outline for Initiating Change as Advanced Registered Nurse

5. 5: Excellent

15 points

A comprehensive outline for initiating change as an advanced registered nurse is thoroughly developed with supporting details.

4. 4: Good

13.8 points

An outline for initiating change as an advanced registered nurse is clearly provided and well developed. Minor detail or rationale is needed for clarity or accuracy.

3. 3: Satisfactory

13.2 points

A general outline for initiating change as an advanced registered nurse is present. Information or supporting rationale is needed.

2. 2: Less Than Satisfactory

12 points

An outline for initiating change as an advanced registered nurse is present, but it lacks detail or is incomplete.

1. 1: Unsatisfactory

0 points

An outline for initiating change as an advanced registered nurse is not included.

Impact to the Organization

7.5 points

Criteria Description

Impact to the Organization if the Change Initiative Is Unsuccessful Again and Potential Steps the Interprofessional Team Could Take

5. 5: Excellent

7.5 points

The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is thoroughly discussed and includes supporting details.

4. 4: Good

6.9 points

The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is discussed. Minor detail or rationale is needed for clarity or accuracy.

3. 3: Satisfactory

6.6 points

The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is summarized. Information or supporting rationale is needed.

2. 2: Less Than Satisfactory

6 points

The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is only partially described.

1. 1: Unsatisfactory

0 points

The impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take, is not included.

Additional Factors Driving Organizational Change and Advanced Registered Nurse as Change Agent

7.5 points

Criteria Description

Additional Factors Driving Organizational Change and Advanced Registered Nurse as Change Agent

5. 5: Excellent

7.5 points

Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are thoroughly discussed. The narrative is well-developed and supported.

4. 4: Good

6.9 points

Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are discussed. Minor detail or rationale is needed for clarity or accuracy.

3. 3: Satisfactory

6.6 points

Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are summarized. Information or supporting rationale is needed.

2. 2: Less Than Satisfactory

6 points

Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are only partially discussed.

1. 1: Unsatisfactory

0 points

Additional factors driving upcoming organizational change for the organization and the advanced registered nurse role as change agent are not discussed.

Presentation of Content

37.5 points

Criteria Description

Presentation of Content

5. 5: Excellent

37.5 points

The content is written clearly and concisely. Ideas universally progress and relate to each other. The project includes motivating questions and advanced organizers. The project gives the audience a clear sense of the main idea.

4. 4: Good

34.5 points

The content is written with a logical progression of ideas and supporting information exhibiting a unity, coherence, and cohesiveness. Includes persuasive information from reliable sources.

3. 3: Satisfactory

33 points

The presentation slides are generally competent, but ideas may show some inconsistency in organization or in their relationships to each other.

2. 2: Less Than Satisfactory

30 points

The content is vague in conveying a point of view and does not create a strong sense of purpose. Includes some persuasive information.

1. 1: Unsatisfactory

0 points

The content lacks a clear point of view and logical sequence of information. Includes little persuasive information. Sequencing of ideas is unclear.

Layout

15 points

Criteria Description

Layout

5. 5: Excellent

15 points

The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text.

4. 4: Good

13.8 points

The layout background and text complement each other and enable the content to be easily read. The fonts are easy to read and point size varies appropriately for headings and text.

3. 3: Satisfactory

13.2 points

The layout uses horizontal and vertical white space appropriately. Sometimes the fonts are easy to read, but in a few places the use of fonts, italics, bold, long paragraphs, color, or busy background detracts and does not enhance readability.

2. 2: Less Than Satisfactory

12 points

The layout shows some structure, but appears cluttered and busy or distracting with large gaps of white space or a distracting background. Overall readability is difficult due to lengthy paragraphs, too many different fonts, dark or busy background, overuse of bold, or lack of appropriate indentations of text.

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1. 1: Unsatisfactory

0 points

The layout is cluttered, confusing, and does not use spacing, headings, and subheadings to enhance the readability. The text is extremely difficult to read with long blocks of text, small point size for fonts, and inappropriate contrasting colors. Poor use of headings, subheadings, indentations, or bold formatting is evident.

Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

15 points

Criteria Description

Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

5. 5: Excellent

15 points

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope.

4. 4: Good

13.8 points

The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.

3. 3: Satisfactory

13.2 points

Language is appropriate to the targeted audience for the most part.

2. 2: Less Than Satisfactory

12 points

Some distracting inconsistencies in language choice (register) or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

1. 1: Unsatisfactory

0 points

Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of primer prose indicates writer either does not apply figures of speech or uses them inappropriately.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

7.5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. 5: Excellent

7.5 points

Writer is clearly in control of standard, written, academic English.

4. 4: Good

6.9 points

Slides are largely free of mechanical errors, although a few may be present.

3. 3: Satisfactory

6.6 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader.

2. 2: Less Than Satisfactory

6 points

Frequent and repetitive mechanical errors distract the reader.

1. 1: Unsatisfactory

0 points

Slide errors are pervasive enough that they impede communication of meaning.

Documentation of Sources

7.5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. 5: Excellent

7.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. 4: Good

6.9 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. 3: Satisfactory

6.6 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. 2: Less Than Satisfactory

6 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. 1: Unsatisfactory

0 points

Sources are not documented.

Topic 4: Nurse Leadership And Health Care Policy And Advocacy

Objectives:

1. Propose strategies to support patient advocacy in health care policy making as an advanced practice nurse.
2. Analyze the impact health care policy on health care organizations and cost-effective quality care.

Resources

Collapse All Resources

Advanced Practice Nursing: Essential Knowledge for the Profession

Review Chapter 23 in Advanced Practice Nursing: Essential Knowledge for the Profession.

View Resource

Leadership in Nursing Practice: Changing the Landscape of Health Care

Read Chapters 11 and 13-15 in Leadership in Nursing Practice: Changing the Landscape of Health Care.

View Resource

Preparing Nurses for Leadership in Public Policy

Read “Preparing Nurses for Leadership in Public Policy” (2014), located on the Robert Wood Johnson Foundation website.

http://www.rwjf.org/en/library/articles-and-news/2014/02/preparing-nurses-for-leadership-in-public-policy.html

Arizona State Legislature

Explore your state legislature website and access legislation information. The link to the Arizona State Legislature website is provided,

… Read More

http://www.azleg.gov/

Consumer Information and Insurance Oversight

Read “Consumer Information and Insurance Oversight,” located on the Programs and Initiatives page of the Centers for Medicare and

… Read More

https://www.cms.gov/cciio/index

Guide to Healthcare Reimbursement Models

Read “Guide to Healthcare Reimbursement Models,” located on the DECO Recovery Management website (2019).

https://www.decorm.com/guide-to-healthcare-reimbursement-models/

Understanding the Value-Based Reimbursement Model Landscape

Read “Understanding the Value-Based Reimbursement Model Landscape,” by LaPointe (2020), located on the Revcycle Intelligence webs

… Read More

https://revcycleintelligence.com/features/understanding-the-value-based-reimbursement-model-landscape

Generational Differences and Professional Memberships

Read “Generational Differences and Professional Memberships,” by Martin and Waxman, from Nurse Leader (2017).

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S1541461216302622

Differences and Importance of IPPS, OPPS, MPFS and DMEPOS

Read “Differences and Importance of IPPS, OPPS, MPFS and DMEPOS,” located on the NursingAnswer.net website.

https://nursinganswers.ne

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NUR 514 Topic 4 DQ 1

Aug 25-27, 2022

Explain how health care policy affects health care organizations, patient care, and cost-effective quality care. What measures can the nurse leader take as an advocate for patient care and addressing health care cost?

Daniel Williams

Aug 27, 2022, 4:13 PM

Read

Replies to Rosette Caindoy

Healthcare policy is vital to healthcare organizations since it helps in the planning processes of healthcare organizations. The primary role of healthcare policies is to provide a leadership structure whereby an institution allocates adequate healthcare resources to patients. Healthcare policies also offer an environment whereby an organization ensures clinicians’ continued improvement of medical practices and skills.

Policies usually offer guidelines for healthcare professionals to work effectively, use medical knowledge to solve complex problems, and implement evidence-based practices when caring for patients (Mosadeghrad, 2014). Secondly, healthcare policies affect patient care by ensuring patients receive optimum care. It acts as a manual that dictates clinicians’ behaviors and actions and helps promote patients’ safety and well-being when accessing medical services.

Mosadeghrad (2014) contends that healthcare policies affect cost-effective quality care by championing affordable medical services for patients. Healthcare professionals use healthcare policies to influence changes in healthcare systems by making healthcare resources easily accessible and lowering the medical costs for patients.

Nurse leaders are active in how medical services are disseminated to patients. This is possible by a nurse leader examining some of the weaknesses facing medical centers and understanding some of the problems patients face when accessing medical services. Secondly, nurse leaders can take measures that enhance the safety of patients by reducing medical errors to prevent readmissions of patients and that patients do not use many resources when getting quality healthcare services (Androus, 2021). Androus (2016) further elicits that when addressing healthcare costs, a nurse leader looks at strategies to help hospitals offer quality medical services at low prices. Therefore, acting as strong pillars in advocating quality care of patients.

References

Androus, A. B. (2021, December 26). What Are Some Ways Nurses Can Influence Healthcare Organization Costs? https://www.registerednursing.org/articles/what-nurses-can-influence-healthcare-organization-costs/

Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77.

Hello William,

Your post summarizes that healthcare policy is crucial to healthcare structures and how nurse leaders can take measures that enhance patient safety. Healthcare policies support coordination of care and improve health outcomes. The policies support healthcare planned within coordinated and value-based care models. Healthcare policies are procedures and rules, prompting considerable measures and ethics in healthcare facilities. For example, some policies safeguard patients’ sensitive and personal facts from disclosure against their will or without consent. Healthcare policies also impact the approach to healthcare matters and the allocation of resources. Policies alter health at the community and individual levels and facilitate healthy behaviors. Healthcare policies modify health risk distribution by tackling the fundamental economic, social, and environmental factors, functioning at secondary and prevention levels (Thomson et al., 2018). Healthcare policies support safe and skilled practice.

Nurse leaders and nurses are authorized to practice with regard and thought for the patient. Furthermore, nurses must prioritize clients and support their well-being, safety, and rights. Nurse leaders and APRNs must uphold and progress the work setting’s ethical atmosphere, impacting patient care and satisfaction. Health policies positively influence health care provision, boosting quality care (Thomson et al., 2018). Nurse leaders can endorse modification in healthcare policy by contributing at the state and community levels. Nurses should regard health policies as something they can impact as a team. Nurses and other healthcare experts can impact healthcare policy by working together and joining their voices. Nursing mandates following healthcare policies to sustain professional standards in medical practice, improving patients’ health.

Reference

Thomson, K., Hillier-Brown, F., Todd, A., McNamara, C., Huijts, T., & Bambra, C. (2018). The effects of public health policies on health inequalities in high-income countries: an umbrella review. BMC Public Health, 18(1), 1-21. https://doi.org/10.1186%2Fs12889-018-5677-1

NUR 514 Topic 4 DQ 2

Aug 25-29, 2022

As an advanced practice nurse, propose strategies you can implement to increase your participation in the health care policymaking in order to support patient advocacy.