Remember your introduction post? You described ways in which you are a leader and manager whether informally or formally. As you reflect on your comments, what have you learned that reinforces, challenges, or changes your perspectives? What areas have you learned you would like to intentionally develop? A goal for most nurse administrators/executives is to transform nursing practice through leadership approaches. Most leaders have the capacity to become transformational in their leadership ap...

Assignment Situation: You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just completed their visit. Ocracoke received two recommendations for improvement in two of the most current National Patient Safety Goals found at the link below. National Patient Saf...

You are being interviewed for a departmental administrator position for a department that has undergone a long period of transitory leaders. You are told morale is relatively low, there is little sense of teamwork apparent among the staff, and patient satisfaction scores have been decreasing.  The CNO asks you to share your philosophy of leadership and what strategies you might use to bring about a positive change in the department. Based on previous learning about contemporary leadership approa...

Do you know what types of crises your healthcare system and community are prepared for? Explore your organization’s Emergency Preparedness or Disaster Plan. Share and discuss: The types of emergencies or disasters for which there is a plan in your organization. How does the organization’s plan interface with the local Emergency Management System’s Plan? How is communication among agencies/facilities managed? What are the criteria for initiating an official Incident Command System? ...

All licensed personnel were notified 60 days in advance that they must provide a copy of their most recent license. An email was sent from your office reminding them of the deadline. Human resources posted reminders on the announcement boards in all the units. The deadline has passed, and upon review, one of the two nurse practitioners working in the emergency room has not submitted a current license. You are also unable to verify it online. The one on file expired six (6) months ago. Discu...

The focus of the quarterly regional meeting of your state nurses’ association is on current issues/trends affecting nursing practice. The meeting will be divided into three group forums, each focused on a different trend/issue. You have been asked to provide a short paper on one of the current trends/issues occurring in healthcare delivery that will be the focus of one of the group forums. Trends and Issues in Current Nursing Practice Telehealth/Telemedicine Mandatory Overtime ...

Hiring a diverse staff is the first step in providing culturally sensitive care. To create a work environment that is also inclusive and equitable, attention must be given to revising old policies and procedures or developing new ones that are culturally sensitive. Find and describe one or two policies at your organization that, when revised, would more explicitly reflect an inclusive and equitable work culture. Answer One policy that should be revised within my organization to enhanc...

Scenario: Sunset Harbor Medical Center is a nonprofit regional healthcare system that provides hospital care for a five-county rural area. Its vision and mission are: Vision: Sunset Harbor Medical Center envisions a community in which all its citizens live healthy lives to their optimal level of well-being across their lifespan. We work in partnership with our valued patients as creators of a healthy and thriving community. Mission: To provide comprehensive, quality, and safe healthcare...

Explore your healthcare organization’s policies, procedures, and processes related to project planning. Assume you will be using your facility for your concluding graduate experience project. Discuss your process. What are some of the policies and/or procedures of your organization that will impact or be impacted by your project? Describe organizational strengths, weaknesses, opportunities, and threats that will influence the direction of your project. What information or data will...

You are participating in a leadership development training program at your institution, and the topic of discussion is making a distinction between a leader’s span of control and sphere of influence. You have been asked to write down your top three dissatisfiers in your job. For each one, decide which ones belong to the category of Control, Influence, or No Control/Influence. What strategies will you use to address each of these? Answer As a participant in a leadership development ...