NURS 6053 Week 1 Discussion Assignment

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Week 2: The Infrastructure of an Organization: A Systems Theory View

In Week 1, you examined the foundations of health care organizations, especially as they relate to mission, vision, and values, and culture and climate. The attention now turns to how these inform the development of goals and objectives, as well as policies and procedures that guide planning and day-to-day activities in health care organizations. In addition, this week you view health care organizations through the lens of systems theory.

Learning Objectives

Students will:

• Differentiate between closed and open systems

• Analyze how goals, objectives, policies, procedures, and standards support an organization’s mission and values

• Evaluate a department or unit within a health care organization using the components of systems theory

Photo Credit: Squaredpixels/iStock/Getty Images Plus/Getty Images

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

• Chapter 7, “Strategic and Operational Planning” à See especially Figure 7.1 on page 147.

• Chapter 8, “Planned Change” à Organizational Change Associated With Nonlinear Dynamics (pp. 172–176) – ?Read this section of Chapter 8 on planned change. Consider the role of leaders in effectively managing planned change.

• Chapter 12, “Organizational Structure” à “Organizational Culture” (pp. 274–276)

There are many structures organizations take, and these structures influence how the organization functions. This chapter discusses many different organizational structures and provides insights into how these structures influence the change process, as well as leadership and management.

Johnson, J. K., Miller, S. H., & Horowitz, S. D. (2008). Systems-based practice: Improving the safety and quality of patient care by recognizing and improving the systems in which we work. Retrieved from http://www.ahrq.gov/downloads/pub/advances2/vol2/Advances-Johnson_90.pdf

This article addresses the importance of systems-based practice (SBP) in health care workplaces. The authors state that SBP knowledge is one of six core competencies that physicians have to know in order to provide safe and proper care for their patients.

Manley, K., O’Keefe, H., Jackson, C., Pearce, J., & Smith, S. (2014). A shared purpose framework to deliver person-centred, safe and effective care: Organisational transformation using practice development methodology. FoNS 2014 International Practice Development Journal 4-(1). Retrieved from the Walden Library databases.

Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838. Retrieved from the Walden Library databases.

In this article, the authors examine the effects of nursing services delivery theory in large-scale organizations. Among other benefits, this theory supports multilevel phenomena and cross-level studies, and it can guide future research and the management of nursing services.

Optional Resources

Glennister, D. (2011, July). Towards a general systems theory of nursing: A literature review. Paper presented at the 55th Annual Meeting of the International Society for the System Sciences, Hull, United Kingdom. Retrieved from http://journals.isss.org/index.php/proceedings55th/article/viewFile/1717/569

Hayajneh, Y. (2007). Management for health care professionals series: Systems & systems theory. Retrieved from http://www.hayajneh.org/a/readings/Systems-Theory.pdf

Discussion: Transitioning From Closed to Open Systems

How do effective nurse leaders and others approach problem solving and decision making in organizations? As suggested in this week’s Learning Resources, systems theory provides a valuable way to assess situations and prepare to address problems.

For this week’s Discussion, you identify an issue or process that could be improved and apply knowledge and strategies related to systems theory.

Note: You may find it helpful to view the Assignment instructions and use the same problem for this Discussion.

To prepare:

• Review the information presented in this week’s Learning Resources on systems theory and the difference between open and closed systems.

• Reflect on the practices and processes with which you are familiar in your organization. Identify one problematic issue or process that could be improved.

• Consider the problem from a closed-system perspective. Then think about how the issue or process you selected could be addressed by viewing it from an open-system perspective. How would the transition from a closed- to an open-system view help you and others to address the problem and improve outcomes?

By Day 3

Post a description of the problem that you identified in your selected organization. Explain the problem from a closed-system perspective. Then, describe how the problem could be addressed by viewing it from an open-system perspective, and explain how this modification would help you and others improve health care outcomes.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

NURS 6053 Week 2 Assignment

Open Systems Theory

Walden University NURS 6053: Interprofessional, Organizational, and Systems Leadership

Open Systems Theory

Oganizations are run under different systems theories. “A system is a collection of independent but interrelated elements or components oraganized in a meaningful was to accomplish an overall goal” (Hayajneh, 2007, p. 1). In order for an organization to be run successfully there must be a system theory in place. The purpose of this paper is to identify and define the open systems theory, identify a problem within the healthcare setting, identify a solution, and state how the solution supports the mission and values of the organization.

Open System Theory

Problem

Proposed Problem Resolution

Conclusion

NURS 6053 Week 3 Discussion

Main Post Question

Organizational Structures and Leadership

Decision Making

Informal and Formal Leadership

References

NURS 6053 Week 4 Assignment

The Admissions Process: A Team Approach

Problem

Proposed Solution

Mission, Vision, and Values

Change Model

Summary

NURS 6053 Week 4 Discussion

Workplace Change

Leadership

Outcome

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NURS 6053 Week 4 Assignment Planned Change

NURS 6053: Interprofessional, Organizational, and Systems Leadership

Planned Change
The Problem
The Change
Maintaining Mission, Values, and Goals
Change Model
Conclusion
References

NURS 6053 Week 5 Discussion

In this discussion board information that we have reviewed in this week’s reading will be addressed and discussed and reflected upon in real life experiences. The four stages of group formation will be discussed and how they directly reflect how changes occur in real life practice at The Detroit Medical Center. Group building is a difficult role, and there are barriers that will appear, and with the proper group, dynamics barriers can be addressed and resolved.

NURS 6053 Week 7 Discussion

Communication

Communication is key in healthcare. Communication begins when two or more people are aware of each other’s presence (Marquis & Huston, 2015). This can either be verbal or nonverbal. Effective communication can increase quality patient care when ineffective communication can hinder quality patient care.

Incident

Communication Barrier

Effective Communication Strategy

NURS 6053 Week 8 Discussion

As we speak of nursing leaders in today’s healthcare world, it seems that many use the word either leader or manager but hardly ever the two in the same sentence. Many nurse …

NURS 6053 Week 9 Discussion

This week’s discussion has asked the student to evaluate a leader that they currently work with, or has worked with or admired in the past. These leaders can be influential in one way or another, not always in a positive manner. Many leaders have established their style of leading some have qualities that do not fit their style into just one mold. Many leaders have efficiently and effectively adopted multiple styles to lead their staff effectively.

NURS 6053 Week 10 Assignment

Ethical Dilemma

Moral, legal, and ethical implications of nursing practice inherent in the values of …

Ethical Frameworks

Ethical frameworks provide a guideline for solving a dilemma (Marquis & Huston, …

Ethical, Moral & Legal Dilemma

When I graduated from nursing I became a new nurse in the NICU that I had been a PTC …

Ethical, Moral & Legal Implications Utilized

The legal implications of this situation was that physician was obligated to treat and care for the …

Advocate Role

In this example, the patient was at the center of the care that was given. However, the …

Leadership Style Provides a Barrier or Facilitates

According to the Keirsey Temperament Sorter, I am an artisan (2017). An artisan has a …

Conclusion

?Nurses can encounter problems that put them in an ethical or moral dilemma. Each …

NURS 6053 Week 11 Discussion

Conflict is a difficult situation no matter how it occurs or how much we do not want it to happen. Even with the best leaders, there will continue to be an evolving cycle of negotiations and diffuse stressful situations. As a manager of two surgical units, the day to day operations continues to be a constant battle of negotiations, but the crucial piece to this is to adequately understand how or why the conflict started or its origin (Marquis & Huston, 2015). So what is the key to keeping the peace? Is there a simple solution to this ongoing issue that has been around for decades? The answer is no in plain language. Each situation or occurrence must be addressed in individualized cases but developing a framework of how to deal and will aid in reaching an optimal goal in resolving your conflict…

NURS 6053 Week 1 Discussion Assignment