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Walden NURS6053 Module 2 Discussion latest
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.
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. Walden NURS6053 Module 2 Discussion latest
Read a selection of your colleagues’ responses.
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Organizational Structures and Leadership
In most health care settings, it is unlikely that you would hear the terms “ad hoc” or “matrix” as you walk down the hallway. Although it is helpful for any organization to delineate pathways of responsibility and authority in an organizational chart, the lived experience of these structures is most apparent through the inquiries and behaviors people share everyday.
In your own workplace, you may find yourself wondering, who should I turn to when I have a practice dilemma? or Where can I go to learn more about this issue? These questions speak to the intricacies of formal and informal organizational structure and leadership.
To support your analysis, consider your own experiences and investigate these matters by speaking with others at the organization and reviewing available documents. Be sure to consider how the concepts of formal and informal structure and leadership relate to one another and are demonstrated in the organization and in the particular department or unit.
Post a depiction of your organization’s formal structure, indicating whether it is best described as line, ad hoc, matrix, service line, flat, or a combination. Describe how decisions are made within the organization and within one department or unit in particular, noting relevant attributes of centralized/decentralized decision making. Explain the influence of formal and informal leadership on decision making within this department or unit.
Read a selection of your colleagues’ responses.
Upon undertaking the work environment assessment by Griffin and Clark (2014), more than 50% of the areas were rated at 4 (somewhat true). This mainly because, even in the areas that appear to best performing, there is still room for further improvement. For instance, the organization members live by a share mission and vision on the basis of respect, trust, and collegiality.
However, in some instances, conflicts arise, resulting in reduction of the aspect of togetherness. With time, this is usually resolved using effective conflict resolution strategies I a respectful and responsible manner. The organizational members are usually respect, equally treated, and recognized as important assets.
This is seen in the manner that the organization rewards its members, including better wages, benefits, as well as compensations. However, the organization faces a major issue with regard to level of employee satisfaction. Nurses, particularly Registered Nurses (RNs) face significant challenges such as high workloads, more working hours, fatigue, burnout, and occupational stress, mainly caused by insufficient staffing.
This results in reduced employee satisfaction, morale, and engagement. Even though they try to their level best to work towards the shared goals, it is always evident that the limited staffing produces a negative impact on their work as well as personal lives (Khamisa, Peltzer, Ilic, & Oldenburg, 2016). Walden NURS6053 Module 2 Discussion latest
Our organization can be explain as civil to a great extent, even though not completely. However, a plethora of incivility cases are caused by limited staffing. When fatigued, nurses develop negative attitude which affects their behavior towards each other and also patients. One incivility issue I have experienced in the organization is when a nurse, who had been on shift for 12 hours, was delayed by the incoming one for 2 hours.
Even though the incoming one had valid reasons for being late, the outgoing one, due to stress and fatigue, could hear none of the others explanations. Instead, she shouted and called her names, resulting in and heated argument. The nurses were called in by the leadership and asked to share their issues in a respectful manner. They apologized to each other and all was well. According to Clark, Olender, Cardoni, and Kenski (2011), effective communication is a key approach to resolving workplace conflicts.
Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4
Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing, 45(12), 535–542. doi:10.3928/00220124-20141122-02
Khamisa, N., Peltzer, K., Ilic, D., & Oldenburg, B. (2016). Work related stress, burnout, job satisfaction and general health of nurses: A follow?up study. International Journal of Nursing Practice, 22(6), 538-545. DOI: 10.1111/ijn.12455
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
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As a nurse leader, you need to have the skills and knowledge to collaborate and communicate with those who plan for and manage change. This capacity is valuable in any health care setting and for many different types of change.
Furthermore, it is essential to be able to evaluate a change effort and determine if it is promoting improved outcomes and making a positive difference within the department or unit, or for the organization as a whole.
Post a summary of a specific change within an organization and describe the impact of this change on your role and responsibilities. Explain the rationale for the change, and whether or not the intended outcomes have been met. Assess the management of the change, and propose suggestions for how the process could have been improved.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
The dynamic and increasingly complex world of health care often requires nurses to work collaboratively on interprofessional teams. In the group environment, individuals with unique skills and expertise come together to focus on a common goal; however, groups must become cohesive before they can become effective.
Your experiences working with groups—whether you perceive them as positive, negative, or neutral—can be used to facilitate insight and development. Health care, with its focus on interprofessional teamwork and collaboration, offers ample opportunities and an imperative for continuous learning.
For this Discussion, you focus on strategies for facilitating the group process.
Review the information in this week’s Learning Resources regarding the stages of group formation, problematic roles individuals play in groups, and strategies for facilitating and maintaining positive group collaboration. In particular, review Learning Exercise 19.14 of the course text.
Post a description of a group with which you have been or are currently involved. Assess where the group is in terms of the four stages of group formation. If you are reflecting on a past experience, explain if your group moved through all four stages. Describe the task or group-building role you typically play, or played, in this group. Then, explain what strategies you, as a leader, can apply to better facilitate the group process and address any problematic individual roles in the group.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
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There is no graded Discussion Board assignment this week; however, a Week 6 optional discussion board is available for your voluntary participation. Bring to mind a nurse whose words, behaviors, or reputation convey power.
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From moment to moment, a nurse leader’s day involves communication—with patients, families, colleagues, supervisors, and so on.
Think of a particular day you spent working in a health care environment, and consider three or four distinct points in time. For each point of time, consider the following:
As you consider these questions, it becomes clear that communication can be quite complex, with many layers of meaning that shape the experience for everyone involved. How could this awareness help you to understand instances of ineffective communication when they arise?
Review the information in Chapter 19 of the course text, as well as the assigned articles.
Reflect on an incident involving ineffective communication within your organization or another health care setting. Consider this incident through the lens of the communication process outlined in Figure 19.1 of the course text.
Using the information presented in the other Learning Resources, consider what could have been done to prevent or address the ineffective communication. Why do you think the use of these strategies would have resulted in better outcome(s)?
Post a summary of an incident involving ineffective communication. Describe communication barriers and other challenges that contributed to the incident. Propose one or more strategies that could have been employed to promote a better outcome. Be sure to refer to elements of the communication process.
Read a selection of your colleagues’ responses.
Respond by critiquing at least two of your colleagues’ postings on two different days using elements of the communication process and recommend additional strategies to overcome the barriers. If you think other factors may have contributed to the situation, provide an analysis with the support of literature.
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Think of the managers you have reported to thus far in your career. Now consider the people you have worked with or know of that you would consider leaders. Based on these experiences, what would you surmise about the responsibilities of managers and leaders and about the distinctions between these two categories in health care settings?
This week’s Learning Resources classify management and leadership (which are often confused in everyday discussion) and explain their significance for health care organizations. As you advance professionally, it is critical to understand the distinctions between management and leadership and how you can apply this knowledge for increasing effectiveness in your workplace.
Review the information in the Learning Resources.
Conduct additional research on your own and select at least two current, credible sources that contribute to your understanding of management and leadership.
Reflect on how the roles of management and leadership differ in supporting the organization to set and achieve goals.
Drawing upon specific examples from a current or previous practice setting, bring to mind someone who seemed to be a leader but not a manager and someone who seemed to be a manager but not a leader (generally speaking, or within a specific circumstance). Be prepared to support your assessment with specific behavioral descriptions found in the literature.
Post an analysis of how management and leadership roles differ in terms of supporting an organization to set and achieve goals. In addition, post descriptions of an individual who demonstrates leadership behaviors but not management behaviors and an individual who demonstrates management behaviors but not leadership behaviors. Provide your rationale, identifying specific characteristics of effective managers and leaders. (Note: Do not identify these individuals by name, position, or location.)
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
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Throughout your career, you will work with many people who display differing leadership styles. As a nurse leader, it is imperative that you communicate well and get along with those whose leadership style does not align with your preferences.
It is also important to understand your own leadership style, as this can prompt insight into how others relate to you and what skills you may need to develop as your leadership responsibilities grow.
Review the information in the Learning Resources, including the leadership styles identified in Chapter 2 of the course text.
Bring to mind a leader in your organization or one with which you are familiar.
Think about how this leader’s style and resulting interactions may impact health care quality and patient outcomes.
Post a description of a leader, distinguishing his or her style as authoritative, democratic, or laissez-faire. Describe the characteristics that inform your perception, and explain which ones you would integrate into your own leadership style, as well as which ones you would prefer not to integrate. Explain at least one potential effect of this leadership style on health care quality and patient outcomes.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
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In this ungraded and voluntary discussion board, please post any questions or examples that may help your colleagues better understand an ethical, moral, or legal dilemma.
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In Week 10, you considered how ethical, moral, and legal dilemmas can provoke internal conflict when a nurse’s values are not in alignment with the apparent demands of a situation or with others’ values, as well as external conflict that can arise as these dynamics are played out. Of course, conflict can also emerge through seemingly simple issues of little consequence—little consequence, that is, except when they are not properly managed.
Nurse leaders need to be familiar with conflict management styles and the impact these styles can have on interpersonal dynamics, and, ultimately, patient care. For this Discussion, you evaluate a situation marked by conflict and consider how conflict management strategies could be applied to promote positive results.
Consider a conflict situation you witnessed or were engaged in within your practice setting. Then, proceed as follows:
Post a description of how you handled or avoided a conflict, as well as the results of your approach. Explain how would you respond to this conflict today and/or what steps you would take to improve your comfort level and skill for managing conflict in the future (including specific conflict management strategies you would use). Explain how conflict management relates to your effectiveness as a leader. Walden NURS6053 Module 2 Discussion latest
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
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