NUR 514 Organizational Leadership and Informatics Week 3 Discussion
NUR 514 Organizational Leadership and Informatics Week 3 Discussion
NUR 514 Organizational Leadership and Informatics
Week 3 Discussion
DQ1 How have you seen or experienced organizational change within an organization? Did it go well or not? Was there any correlation in how the organizations used stakeholders or change models?
With the continuous introduction of challenging problems within healthcare, nurse leaders must assume the role of implementing innovative care models. Utilizing technology within healthcare has the ability to provide improved care while decreasing cost, so driving policy change to incorporate further technology is essential. Nurse leaders can do this by acting as a change agent. First, nurse leaders must create an environment that is ready and willing to change (Handzel, 2021). This can be done by sharing ideas, listening to opinions from others, involving a team approach, and acting authentically. Additionally, nurse leaders must investigate levels of risk, barriers, short-term goals, and long-term goals. Once these models have been implemented, the nurse leader has the responsibility to reflect on the outcome of the change and make further changes as appropriate.
Change is always happening to health care with so many technological advancements and evidence-based practices being developed to better patient safety and care. There are different models organizations can utilize for change, one being the ADKAR Change Management Model (Giva Inc, 2021). The acronym is as follows:
A: Awareness- The first stage in this model is that the organization has an awareness that change needs to be made; change made in order to keep the organization moving forward in a positive direction. This awareness can be observed by those who work within the organization and also those who are consumers of the organization.
D: Desire- The second stage in this model is that there is a desire for the change the organization has been made aware of. This part of the model can be tricky because it takes all parts of the team to have the desire for the change. In health care, many of us have encountered changes that were not desired by those on the floor, however, administration put it into place. On the other side, there have been desires for change on the floor; however, the administration does not have the desire to initiate the change. When all parties don’t share the desire the change, implementation can be tricky.
K: Knowledge- The third stage is to make sure all parts of the organization are informed about the change and how it will be implemented. Everyone needs to be aware of what the change is, why the change is needed, how the change is going to work, and when the change will start. Here, everyone will know what part they will play in the change, what to expect, and how to assess the progress of the change.
A: Ability- The fourth stage is that the organization has the ability to initiate the change. This means that the organization has the funds, enough employees, and the resources for the change. Furthermore, the organization has to make sure everyone has the ability to act on these changes; keeping in mind scopes of practice, paygrades, level of experience, and skill levels.
R: Reinforcement- The fifth and last stage of this model is that those who are leaders in the change are assessing the progress of the change and how effective it is. If the change yields positive results, reinforcement to employees or participants needs to be made to maintain the positive results; this is typically done with some type of reward or incentive.
Change will have each stakeholder involved in the change play a different and specific role. For example, mandating all employees on the floor to wear masks involved administration to make sure the new mandate was ethical, affordable, and plausible. Leadership on the floors needed to ensure that were enough supplies and that employees were being compliant. The employees needed to be compliant and hold each other accountable.
Giva Inc. (2021). The 3 best change management models in healthcare practices. Giva. Retrieved from https://www.givainc.com/blog/index.cfm/2021/5/10/the-3-most-effective-change-management-models-for-healthcare-practices
DQ2 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, how could you draw from change theory to address these concerns and encourage collaboration on the committee?
Understanding change theory can help leaders use resistance to change as a support tool rather than a barrier. (Weberg et al., 2018, p. 62) As a nurse leader and change agent, one may utilize the change theory to address the concerns to encourage collaboration within the committee. I would first listen to all stakeholders’ concerns and points of view, basically allowing all members to have a chance to share their concerns. During and managing resistance to change, nurse leaders should embrace the resistance and confront it, trying to find a way or options for those with opposite thoughts and letting them know why the change is proposed. I will then use evidence-based outcomes from incorporating spiritual care to resonate with nurses whose practice is guided by evidence-based research. Once they understand the value of the change may change their mind or can agree on the change. As nurse leader who wants to encourage collaboration, embrace change and motivate others, we must follow through with the process, re-group the idea, make the adjustment to the change, allow time for processing and fit in. if they don’t see the values alignment happening, don’t be afraid to walk through the final steps for transition them out of the committee as quickly and smoothly as possible.
Weberg, D., Mangold, K., Porter-O’Grady, T., & Malloch, K. (2018). Leadership in Nursing Practice: Changing the Landscape of Health Care (3rd ed.). Jones & Bartlett Learning.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
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Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
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Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
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