Approaches in Leadership and Management: Quality Improvement and Patient Satisfaction
In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
Use at least two references other than your text and those provided in the course.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
RUBRIC
Effective Approaches in Leadership and Management (Benchmark Assessment)
1
Unsatisfactory
0.00%
2
Less than Satisfactory
71.00%
3
Satisfactory
79.00%
4
Good
89.00%
5
Excellent
100.00%
80.0 %Content
40.0 %Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is not provided.
The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is provided; however, relevant information is missing, such as not providing support for your rationale by using the theories, principles, skills and roles of the leader versus manager described in your readings, or not providing at least two references beyond your text.
The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is provided and meets the basic criteria for the assignment as indicated by the assignment instructions.
The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meets all criteria for the assignment, and is provided in detail.
The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meets all criteria for the assignment, is provided in detail. Higher level thinking is demonstrated by incorporating prior learning or reflective thought.
40.0 %Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
The identification of the approach that best fits your personal and professional philosophy of nursing is not provided.
The identification of the approach that best fits your personal and professional philosophy of nursing is provided; however, relevant information is missing, such as an explanation to why the approach is suited to your personal leadership style.
The identification of the approach that best fits your personal and professional philosophy of nursing is provided and meets the basic criteria for the assignment.
The identification of the approach that best fits your personal and professional philosophy of nursing, along with an explanation to why the approach is suited to your personal leadership style, is provided in detail.
The identification of the approach that best fits your personal and professional philosophy of nursing meets all criteria for the assignment, and is provided in detail. Higher level thinking is demonstrated by incorporating prior learning or reflective thought.
15.0 %Organization and Effectiveness
5.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.
Thesis and/or main claim are apparent and appropriate to purpose.
Thesis and/or main claim are clear and forecast the development of the pap. It is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
15.0 %Organization and Effectiveness
5.0 %Paragraph Development and Transitions
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.
A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
15.0 %Organization and Effectiveness
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register); sentence structure, and/or word choice are present.
Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
5.0 %Format
2.0 %Paper Format (use of appropriate style for the major and assignment)
Template is not used appropriately or documentation format is rarely followed correctly.
Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
Template is used, and formatting is correct, although some minor errors may be present.
Template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
No reference page is included. No citations are used.
Reference page is present. Citations are inconsistently used.
Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage
EFFECTIVE APPROACHES IN LEADERSHIP AND MANAGEMENT: CONTINUOUS QUALITY IMPROVEMENT AND PATIENT SATISFACTION
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The role of the nursing leader or manager in the healthcare set-up remains paramount when it comes to continuous quality improvement and realization of patient satisfaction. In this regard, the quality of care entails the degree to which health care services for patients increase the probability of desired health outcomes that are consistent with current professional know-how and expectations. For the nursing leader or manager, the aims of safety and effectiveness are targeted through the approach-of-care measures, evaluation of whether physicians perform processes that have been shown to achieve the desired goals and avoid processes that have a degree of predisposed harm or ineffectiveness. The critical role of the nursing manager is to assess the effects of healthcare on anticipated outcomes and evaluate the degree to which physicians and clinicians adhere to processes that concur with professional consensus and scientific evidence. Since errors in health care systems result from system or process failures, it is the role of the nursing leader to facilitate the adoption of various process-improvement techniques that enable the identification of inefficiencies, preventable errors, and ineffective care. The role of the manager then entails the identification of the best approaches that can guide the nursing process to avoid these errors and develop a continuous performance improvement model.
Contemporary Approach to quality improvement
The complexity of healthcare delivery systems, the unpredictable nature of health care, and the occupational interdependence and differentiation among physicians and systems make quality evaluation difficult for the nursing leaders and managers. One of the greatest challenges involves the attribution variability associated with the discretionary nature of the decision-making process and high-level cognitive reasoning. All these factors require an in-depth level of experiential knowledge and problem-solving skills for both nursing leaders and healthcare managers. Another greatest challenge for the current continuous improvement approaches entails the ability of the managers and leaders to make precise determinations as to whether certain errors are likely to result in harm. Furthermore, nursing leaders sometimes find it hard to make a determination as to whether some adverse events during the nursing process represent just some rare aberrations or are likely to occur over and over again. The ability to make these determinations can hinder or streamline continuous improvement efforts in healthcare delivery and the assurance of patient satisfaction (Hernandez, 2009).
When it comes to improving the quality of health care delivered in hospitals, it is plausible that an improvement in physician-patient relationship remains very important. Among the expected difficulties in this concept is the multitude of confidentiality and privacy concerns (World Health Organization, 2006). These issues are a mainly a matter of individuals' rights and how such rights can be balanced in line with society's need for more aggregate information concerning patient outcomes and medical practice. Another critical issue revolves around the improvement of the definition of informed consent, as well as techniques of obtaining it. Issues of malpractice and information disclosure, especially when it comes to public release of provider or institution-specific information, also pose high visibility. The due process and rights of appeal in instances where poor quality of care is alleged may also prove to be important areas for further considerations (Morrison, 2009).
Continuous quality assurance
Analysis of the quality of care is quite difficult than measuring patient...