Use the Suggested Resources for this assessment to study systems theory, SWOT analysis, and shared governance teams, as background for an Impact Report to Senior Leadership. The report includes a SWOT analysis. The SWOT Analysis Template is linked in Required Resources.
Study a facility in your area and examine its Web site and any available public documents to aid you in completing this assessment. You may wish to examine an organization where you work, where you have worked in the past, or where you did your clinical work.
Do not name the organization in your report; instead, identify the type of facility and location. Example: A rehabilitation center in a midsize Midwestern city.
Use the following scenario as the basis for your report:
Scenario
The unit-based Shared Governance Council of the organization where you work has identified a major nursing-related challenge (patient/staff safety, confidentiality, management/staff conflict, poor patient satisfaction survey scores, or nursing staff shortages) within your health care organization.
In an unusual move, your system administrator is considering creating a new nurse leadership position that would have the responsibility and authority to address this specific issue. As a member of the shared governance council’s subcommittee, you have been asked to write the committee’s final report.
DELIVERABLE: IMPACT REPORT TO SENIOR LEADERSHIP
Write a 4–6 page impact report to senior leadership that identifies the challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.
Use systems thinking and leadership theory as tools to approach this problem.
Construct the report with the following headings:
The Nursing Challenge:
Identify the nursing challenge and its impact from a nursing perspective. Choose from:
Patient/staff safety, confidentiality, management/staff conflict, poor patient-satisfaction survey scores, or nursing staff shortages.
The System/Organization:
Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.
Identify the organization type—that is, specialty hospital, teaching hospital, major health care system, et cetera, and summarize the organizational structure, its mission, vision, and philosophy statements.
Use systems theory and systems thinking to explain the gap or conflict.
SWOT Analysis:
Use the SWOT Analysis Template linked in Required Resources and include the SWOT analysis table in your paper.
Identify organizational factors that impact the situation using a SWOT analysis.
For example, a budget cut may cause short staffing, which relates directly to the problem.
What factors within the system may facilitate a solution for this problem?
The Position:
Assess how the new nurse leader position will have power and influence and impact patient outcomes.
How will this position affect change within the organization?
Identify key leadership skills, knowledge, or abilities required for the position.
Additional Requirements
Written communication: Written communication should be free of errors that detract from the overall message.
APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
Length: The report should be 4–6 pages in content length. Include a separate title page and a separate reference page.
Font and font size: Times New Roman, 12 point, double-spaced.
Number of resources: Use a minimum of three peer-reviewed resources.
Context
Organizational Structure, Systems Theory, and Leadership
Embedded within the AONE (2015) competencies for nursing leaders are various components of systems thinking and systems leadership. Nursing leaders need to perform a historical review of organizational theories because it helps them understand the effect of structures and theories that are relevant to health care organizational systems. This understanding leads to knowledge on how these systems affect the role and scope of nursing practice.
Effective CommunicationSystems theory came into use within the business sector following a publication on the subject by Peter Senge. As time progressed, health care leaders adapted principles from systems theory and applied them to health care organizations and systems. Systems theory maintains that the parts of the whole affect each other in many ways, with interactions so complex that any event or action may have multiple consequences across the entire whole (Senge, 1990).
Communication is a key competency for nurse executives. It may involve verbal, nonverbal, written, electronic, and other communication modalities. Communication among members of teams, between departments and service lines, within large networks, with strategic business partners, and with patients, families, or support persons requires awareness of various facets of effective communication.
References
AONE. (2015). Nurse executive competencies. Retrieved from http://www.aone.org/resources/leadership%20tools/n…
Senge, P. M. (1990). The fifth discipline: The art and practice of the learning organization. New York, NY: Currency Doubleday.
Overview
Write a 4–6 page impact report to senior leadership that identifies a nursing-related challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.
Each organization has a unique structure that impacts the behavior of the organization. In health care organizations, this impact is on the ability of the organization to deliver quality patient care. Nursing is an essential component of any health care organization, and nursing leaders must understand the role of nursing and nursing leadership within the total organization. Understanding basic organizational structure, mission, vision, philosophy, and values will better prepare nurse leaders to improve quality and patient outcomes.
Impact Report to Senior Leadership Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Identify a nursing challenge and its impact from a nursing perspective.
Does not identify a nursing challenge and its impact from a nursing perspective. Discusses general challenges in nursing, but does not identify a specific challenge or explain it from a nursing perspective. Identifies a nursing challenge and its impact from a nursing perspective. Identifies a nursing challenge and its impact from a nursing perspective, and addresses the impact on the organization, staff, and patients.
Explain how the nursing challenge creates a gap or conflict between the organization’s statements and practice.
Does not explain how the identified nursing challenge creates a gap or conflict between the organization’s statements and practice. Discusses the organization’s philosophy and mission, but does not explain the disconnect between the ideal and the reality of practice. Explains how the identified nursing challenge creates a gap or conflict between the organization’s statements and practice. Explains how the identified nursing challenge creates a gap or conflict between the organization’s statements and practice, and refers to systems theory to explain factors that contribute to the problem.
Identify organizational factors that impact the situation using a SWOT analysis.
Does not identify organizational factors that impact the situation using a SWOT analysis. Identifies organizational factors that impact the situation, but does not use a SWOT analysis. Identifies organizational factors that impact the situation using a SWOT analysis. Identifies organizational factors that impact the situation using a SWOT analysis, and identifies opportunities for improvements.
Identify key leadership skills, knowledge, or abilities required for the position.
Does not identify key leadership skills, knowledge, or abilities required for the position. Lists key leadership skills but does not address the knowledge or abilities required for the position. Identifies key leadership skills, knowledge, or abilities required for the position. Identifies key leadership skills, knowledge, or abilities required for the position, and discusses how organizational power dynamics may be affected.
Assess how the new nurse leader position will have power and influence and impact patient outcomes.
Does not assess how the new nurse leader position will have power and influence. Assesses how the new nurse leader position will affect patient outcomes, but does not discuss the effect on the organization. Assesses how the new nurse leader position will have power and influence. Assesses how the new nurse leader position will have power and influence and impact patient outcomes, and explains how it will impact the organization’s power structure and dynamics.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Does not write content clearly and logically, and there are errors in grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.
Correctly format citations and references using current APA style.
Does not correctly format citations and references using current APA style. Uses current APA to format citations and references but with numerous errors. Correctly formats citations and references using current APA style with a few errors. Correctly formats citations and references with no errors.
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