NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Assessment 1 Care Setting Environmental Analysis

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Capella University

NURS-FPX 6210 Leadership and Management for Nurse Executives

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Part 1: Appreciative Inquiry Discovery and Dream

Synthesis of Stories and Evidence of Excellence in Quality and Safety Goals

The Cleveland Clinic in Ohio has demonstrated remarkable progress in enhancing patient care and overall health quality. The organization’s triumphant journey in battling sepsis, curtailing hospital-acquired infections, and adeptly managing chronic diseases is a testament to its pursuit of excellence. The narrative of Cleveland Clinic’s success in reducing sepsis-related mortality exemplifies the potent amalgamation of technology and healthcare. Through the application of real-time monitoring and predictive modeling tools, Cleveland Clinic has seen a significant decline in sepsis-related deaths, with the mortality rate dropping by 30% over five years (Fan et al., 2023). Moreover, Cleveland Clinic’s steadfast adherence to preventive measures, such as hygiene protocols and targeted education for staff, demonstrates the organization’s unwavering commitment to preventing hospital-acquired infections.  For instance, the Clinic has achieved a 20% decrease in the incidence of hospital-acquired infections over three years through these measures (Ojanperä et al., 2022). Another shining example of Cleveland Clinic’s patient care innovation is the management of chronic diseases, specifically heart failure. By deploying big data analytics, the organization effectively identifies potential risks and formulates personalized care plans. This approach has resulted in a significant improvement in patient outcomes and a reduction in hospital readmissions, with the readmission rate for heart failure patients dropping by 15% over two years (Averbuch et al., 2022).

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

These stories underscore Cleveland Clinic’s commitment to patient safety and high-quality care, aligning with the organization’s quality and safety goals. The successful reduction in sepsis-related deaths, hospital-acquired infections, and hospital readmissions demonstrates their outstanding patient care. Data verifies these narratives, showing declines in mortality rates and infection prevalence. The stories and data reveal the progress made by the Cleveland Clinic. However, they also highlight some knowledge gaps and uncertainties. For instance, the exact methods used in sepsis care predictive modeling are unclear. The same is true for the effectiveness of individual measures taken to prevent hospital-acquired infections. There is also an ambiguity surrounding the explicit link between big data analytics and improved patient outcomes in managing chronic diseases. The processes that led to the quantifiable achievements remain unknown.

Proposal of Positive, Attainable Improvement Goals for Quality and Safety

Despite significant achievements, Cleveland Clinic has room for improvement in certain areas. As a progressive healthcare institution, Cleveland Clinic continually looks for avenues to elevate its service quality, safety measures, and community impact. With its well-established infrastructure, skilled personnel, and commitment to serving the community, Cleveland Clinic is well-positioned to build on its accomplishments and address the identified areas of improvement (Meehan & Sharp, 2023). The proposed improvement goals assume that Cleveland Clinic is committed to continuous learning and growth and that it has the potential to further its impact within the community. It also assumes that nurses’ training can be enhanced to better cater to the diverse needs of the community, improving patient outcomes and overall service quality.

Goals Leading to Ethical and Culturally-sensitive Improvement

For further enhancement of service quality and safety, Cleveland Clinic should prioritize the expansion and enrichment of community-focused programs and fortify the training provided to nursing staff. This dual-pronged approach will not only catalyze service quality and safety enhancements but will also foster ethical and culturally-sensitive improvements. By investing in community-focused programs, Cleveland Clinic can widen its outreach, addressing health disparities and fostering health equity. Strengthening nurse training will promote the delivery of culturally-sensitive care, cater to the diverse needs of the community, and build a resilient healthcare workforce (Zhao et al., 2022).

Alignment of Goals with Cleveland Clinic’s Mission, Vision, and Values

The proposed goals are aligned with Cleveland Clinic’s core mission to provide comprehensive, high-quality, and patient-centered care. By intensifying community-focused programs, Cleveland Clinic could extend its sphere of influence beyond hospital premises, thus fostering healthier communities. Simultaneously, bolstering nurse training initiatives resonates with Cleveland Clinic’s vision of cultivating a culture of continuous learning and excellence across all service aspects. These endeavors are deeply rooted in Cleveland Clinic’s values of respect, integrity, and innovation, and will help the organization create a ripple effect of positive changes in the wider community (Cleveland Clinic, n.d.).

Part 2: SWOT Analysis

SWOT Analysis for Quality and Safety Goals

To assess the current state of Cleveland Clinic regarding its quality and safety goals, a SWOT analysis was conducted. The SWOT framework, a strategic planning tool, was used as the basis for this analysis. This assessment tool is particularly useful in providing a comprehensive overview of an organization’s strengths, weaknesses, opportunities, and threats (Sisto et al., 2022). The analysis was conducted through an internal evaluation of Cleveland Clinic, external research, and stakeholder interviews.

SWOT Analysis for Cleveland Clinic

Strength

• Excellence in patient care
• The organization’s innovative approaches in healthcare delivery

Weakness

• Inefficiency in some community programs
• Lack of training in specific areas

Opportunities

• Expansion of telehealth services
• Collaboration with community organizations

Threats

• Regulatory changes
• Competition from other healthcare providers

The key findings from the SWOT analysis accentuate Cleveland Clinic’s dedication to superior patient care and its innovative approach in health service delivery as notable strengths. These strengths contribute significantly to its quality and safety objectives. Nevertheless, the weaknesses observed, such as underperforming community initiatives and staff training deficits, could hinder the attainment of these goals. Moreover, the potential for telehealth expansion and collaborations with local organizations represent avenues for improvement in service quality and safety. Simultaneously, regulatory alterations and stiff competition are external threats that could impede the organization’s progress toward its goals. In weighing conflicting data and different viewpoints, it is critical to acknowledge that even though Cleveland Clinic is a leader in patient care, areas like the efficacy of its community programs and staff training could be improved. Stakeholders might have diverse opinions on these issues. For instance, while the management may view technological advancements as opportunities, frontline staff may worry about the implications of these changes on their roles and patient care quality. The strategic planning process should take these different perspectives into account to ensure a holistic and inclusive approach towards enhancing quality and safety.

Area of Concern Identified for Improvement

The SWOT analysis illuminates a significant concern: the inefficiency of certain community programs within the Cleveland Clinic’s service spectrum. Such inefficiencies may act as a stumbling block in the path of fulfilling the Clinic’s mission of providing comprehensive care to all segments of society. Upgrading these community outreach initiatives is crucial to improve overall healthcare equity, a core objective embodied in the Clinic’s vision and values. To assess the improvement in this sphere, several criteria can be considered. The primary measures would include the program reach, determined by the number of community members served, and the impact, assessed through health outcomes achieved among the participants. Furthermore, community engagement levels and satisfaction rates obtained from feedback surveys can offer invaluable insights into the program’s effectiveness and areas requiring further refinement. Lastly, the alignment of these community programs with Cleveland Clinic’s broader healthcare service delivery will be a critical measure, ensuring a coherent and unified healthcare approach from the clinic to the community.

Part 3: Comparison of Approaches

Mindset for AI vs. SWOT Approach In employing the Appreciative Inquiry (AI) approach, my mindset was majorly centered on identifying instances of excellence within Cleveland Clinic’s care setting, highlighting best practices and exploring previously successful innovative solutions (Garrett, 2022). My focus was on unearthing the organization’s positive core and contemplating how this positive core could act as a driving force for future growth. Alternatively, when applying the SWOT approach, I adopted a holistic perspective, considering not just the internal strengths and weaknesses of the organization but also external opportunities and threats that might impact our quality and safety goals (Nilashi et al., 2023). The mindset here was decidedly more analytical, aimed at objectively evaluating all pertinent factors capable of influencing the organization’s performance. My research in the AI approach revolved chiefly around collecting narratives reflecting excellence and high performance within our organization. I sought qualitative data, including personal narratives, successful initiatives, awards, and accreditations to reinforce our best practices and highlight our accomplishments in quality and safety. The SWOT approach, however, called for a more expansive data set that not only included Cleveland Clinic’s internal landscape, i.e., strengths and weaknesses, but also external environmental factors, i.e., opportunities and threats. This involved gathering performance metrics, patient satisfaction scores, employee feedback, market trends, regulatory changes, and competition data (Nilashi et al., 2023).

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Despite their distinct focus, both AI and SWOT approaches aim to identify areas of excellence and improvement, necessitating active collaboration and interaction with colleagues. They promote open dialogue, fostering a shared understanding of our current state and future aspirations within our care setting. However, their communication emphasis and approach differ significantly. AI encourages an appreciative, positive dialogue, emphasizing strengths, successful experiences, and potential for future growth, whereas the SWOT approach calls for a more balanced conversation, considering both positives and negatives, strengths and weaknesses, promoting candid discussions about challenges, threats, strengths, and opportunities faced by the organization (Garrett, 2022; Nilashi et al., 2023).

Part 4: Analysis of Relevant Leadership Characteristics and Skills.

Desired Leadership Traits and Skills for AI and SWOT Approaches

In the context of performance improvement projects utilizing both AI and SWOT approaches, different yet complementary sets of leadership characteristics and skills are desired. The AI-based project, creativity, and innovation are paramount as they drive the identification of best practices and the visualization of an ideal future state. Furthermore, data-driven decision-making is a critical skill as it grounds the vision in reality, ensuring that proposed improvements are feasible and effective (Garrett, 2022).  Conversely, in a SWOT-based project, strategic thinking is crucial to navigating the complexity of the care setting’s internal and external environments. The leader must possess a solid understanding of these dynamics to accurately identify strengths, weaknesses, opportunities, and threats. Adaptability also plays a vital role, allowing the leader to respond swiftly and effectively to emerging challenges and opportunities (Nilashi et al., 2023).

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Certain leadership characteristics and skills are beneficial regardless of the analytical approach. Both AI and SWOT demand collaboration, as these methods thrive on diverse perspectives and collective wisdom. Critical thinking is a shared competency, that enables leaders to discern essential information, make connections, and formulate robust improvement strategies. Adaptability, a necessary trait for SWOT-based projects, also proves beneficial in AI-focused initiatives. As the organization strives towards its envisioned future, the leader must adapt to the evolving reality, incorporating new data and experiences to refine the course of action continually. Lastly, a commitment to excellence is vital in both approaches. This trait ensures a steadfast focus on improving quality and safety, which are, after all, the central objectives of these analytical endeavors. This commitment propels the team towards realizing its shared vision, fostering a culture that values and pursues high-quality, safe, patient-centered care.

References

Averbuch, T., Sullivan, K., Sauer, A., Mamas, M. A., Voors, A. A., Gale, C. P., Metra, M., Ravindra, N., & Van Spall, H. G. C. (2022). Applications of artificial intelligence and machine learning in heart failure. European Heart Journal – Digital Health, 3(2), 311–322. https://doi.org/10.1093/ehjdh/ztac025  Bartunek, J. M., & Balogun, J. (2022). Context and how it matters: Mobilizing spaces for organization-community sustainable change. Strategic Organization, 147612702211258. https://doi.org/10.1177/14761270221125819 Cleveland Clinic. (n.d.). Mission, vision & values. https://my.clevelandclinic.org/about/overview/who-we-are/mission-vision-values Fan, G., Zhou, Y., Zhou, F., Yu, Z., Gu, X., Zhang, X., Liu, Z., Zhou, M., & Cao, B. (2023). The Mortality and Years of Life Lost for Community-Acquired Pneumonia Before and During COVID-19 Pandemic in China. Social Science Research Network. https://doi.org/10.2139/ssrn.4509972  Garrett, M. D. (2022). Applying appreciative inquiry to research in the field of inclusive education. Canadian Journal for New Scholars in Education/ Revue Canadienne Des Jeunes Chercheures et Chercheurs En Éducation, 13(1). https://journalhosting.ucalgary.ca/index.php/cjnse/article/view/74418  Meehan, R., & Sharp, J. (2023). Making a difference: Careers in health informatics. In Google Books. CRC Press. https://books.google.com/books?hl=en&lr=&id=fzzLEAAAQBAJ&oi=fnd&pg=PT11&dq=With+its+well-established+infrastructure

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Nilashi, M., Keng Boon, O., Tan, G., Lin, B., & Abumalloh, R. (2023). Critical data challenges in measuring the performance of sustainable development goals: Solutions and the role of big-data analytics. Harvard Data Science Review, 5(3). https://doi.org/10.1162/99608f92.545db2cf  Ojanperä, H., Ohtonen, P., Kanste, O., & Syrjälä, H. (2022). Direct hand hygiene observations and feedback increased hand hygiene compliance among nurses and doctors in medical and surgical wards – an eight-year observational study. Journal of Hospital Infection, 127. https://doi.org/10.1016/j.jhin.2022.06.007  Sisto, R., Fernández-Portillo, L. A., Yazdani, M., Estepa-Mohedano, L., & Torkayesh, A. E. (2022). Strategic planning of rural areas: Integrating participatory backcasting and multiple criteria decision analysis tools. Socio-Economic Planning Sciences, 101248. https://doi.org/10.1016/j.seps.2022.101248  Zhao, Y., Liu, L., Ding, Y., & Chan, H. Y. L. (2022). Effect of a culturally sensitive DEmentia Competence Education for Nursing home Taskforce (DECENT) programme in China: A quasi-experimental study. Nurse Education Today, 116, 105434. https://doi.org/10.1016/j.nedt.2022.105434 

ADDITIONAL INSTRUCTIONS FOR THE CLASS – NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including 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.

• Weekly Participation

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. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the 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 Loud-cloud 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 over-utilization of direct quotes in DQs and assignments at the Master’s 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.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. 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? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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