Essentials of Advanced Nursing Practice Field Experience – C157

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Consultative Change Recommendation
Introduction
Nurses play various roles in the healthcare community. For many years the profession has evolved and continuously developed to best fit the modern world, and these changes led to nurses being present and essential in a more diverse work setting, also interacting with a wider scope of patients and clients from different populations. The roles that nurses have requires a clear assessment and definition of occupational responsibilities and demands to provide holistic and reliable health care to the patients and clients.
Purpose and Overview
This paper aims to assess the Vibra Hospital of Boise, in Boise Idaho, as a facility providing nursing and other health care services to long-term acute care patients. The consultation that will be conducted is for the holistic evaluation of the organization, dealing with the internal and external processes involved in providing quality care to its patients and clients. The analysis of the strengths and weaknesses of the organization will also play a vital role in finding opportunities for growth and development in the organization’s system that are in alignment with its mission, vision, and values. It will also incorporate the use of reliable external measures such as patient metrics, HCAHPS scores, target population needs, etc.
The consultation process will also involve a discussion with one of the nurses in the leadership team regarding Vibra Hospital of Boise and the different aspects of the health care facility such as quality control and improvement, leadership operations, documentation and charting, and facility environment. Numerous issues that are significantly affecting the nursing department and its roles and responsibilities in the hospital will be raised connecting it to the different aspects that are affected by these issues. The needs and concerns of the community will also be taken into consideration during the analysis and will be treated as one of the integral factors (Huston, 2014).
Description of the Organization
The Vibra Hospital of Boise is a long-term acute care facility located in Boise, Idaho. This organization provides quality health care treatment for in-patients who are required to be under observation during their healing stage, to monitor any health changes and facilitate faster recovery without complications. The care that the organization provides ranges from primary health care needs and acute care with faster recovery time to cases needing specialized care and longer hospital stay during recovery. It also caters to patients requiring medical-surgical needs and even intensive care unit patients. The facility is licensed to accommodate 38 patients, specifically 28 patients under acute care and 10 patients in the intensive care unit.
Primary Needs of the Population
Vibra Hospital of Boise is the only specialized facility for long-term acute care patients in the southern area of Idaho. It caters to patients from Washington, Canyon, Payette, and Ada counties, and even from farther locations such as Utah, Wyoming, and the Pacific Coast. The number of people in Boise and the whole of the Treasure Valley is approximately 730,000 (Ramey, 2019). Due to the lack of long-term acute care facilities in the area, there is an increased population for Vibra Hospital with a more diverse set of patients and clients with different socioeconomic and health status.
Nurse Leader’s Role
Nurses have a lot of responsibilities in both clinical and administrative duties at the facility, and leadership is one of the important attributes that are essential to provide effective interventions that are aligned with the interdisciplinary team and patient’s goal. The role of nurse leaders has a great impact on the effective collaboration of the various stakeholders involved in providing holistic patient-centered care to the patients (LaPointe, 2018).
The skills of a nurse leader, such as decision-making and communication skills, are essential in the continuous development of the health care operation system. As nurse leaders, having a critical eye on quality care and patient safety is vital to ensure that the goals are met in a holistic and patient-centered approach.
Characteristics of the Organization
The Vibra Hospital of Boise, similar to a lot of health care facilities, has its own set of strengths and weaknesses as an organization, and the identification and thorough analysis of these will greatly affect how the facility functions and delivers its care to its patients and clients (Melnyk, et al. 2012).
Strengths
One of the highlights of the Vibra Hospital of Boise is its commitment and desire to provide patient/family-centered care in its operations. This is even stated in the organization’s mission and core values, resulting in the organization’s efforts in promoting patient and family engagement with the different activities that the facility can offer. This kind of practice do not only involve the patients and families, but also requires a great deal of participation from the health care workers and facility staffs, and the organization support...