NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

Sample Answer for NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace Included After Question

Topic 5 DQ 2

The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

A Sample Answer For the Assignment: NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

Title: NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

A formal role in nursing leadership is the CNO or chief nursing officer. This position is the highest-ranking job a nurse can hold within a healthcare system. Some of the essential responsibilities of a CNO are to manage nursing finances, implement up to date policies and manage the nursing care to provide up to date and successful patient care. “The National Academies of Sciences, Engineering, and Medicine identify ways in which nurses should work with other members of the interdisciplinary team to eliminate disparities in health care and move toward equitable care delivery” (Thomas,2022). There are many traits necessary for Chief Nursing Officers have in order to be successful in the role. “All 3 valued flexibilities, clinical expertise, administrative capability, and willingness to assist with patient care when needed” (Riesch et al,.2022). To be placed in this position you are required to have an advanced nursing degree, a masters or doctoral degree is required to be in such a high-ranking nursing position. A person in this position must lead by example and be well educated, informed and caring. These characteristics are in alignment with the Christian world view. It is necessary to maintain a strong and empathetic presents as the CNO to maintain a nursing system that is built for success. We as followers of God believe in doing good for those in need and as a nurse on any level from a staff nurse to the CNO of a hospital this belief should follow with you as a person of faith.

Reference:

Gertrude Thomas. In: Interdisciplinary Journal of Partnership Studies, Vol 9, Iss 1 (2022); University of Minnesota Libraries Publishing, 2022. Language: English, Database: Directory of Open Access Journals

Malak, Haroon M.; Lorman, William; Rundio, Al; Simion, Denise; Simion, Marian G.. In Journal of Interprofessional Education & Practice. September 2022 28 Language: English. DOI: 10.1016/j.xjep.2022.100517, Database: ScienceDirect

Riesch, Susan K.; Chiappa, Jennifer; Floyd, Naomi; Ponce, Mary. In Nurse Leader. January 2022 Language: English. DOI: 10.1016/j.mnl.2022.09.006, Database: ScienceDirect

A Sample Answer 2 For the Assignment: NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

Title: NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

A number of organizations recognized the value of a system chief nursing officer (CNO) in promoting

professional nursing practice, standards, and outcomes, but these initial roles typically focused on the acute inpatient care settings. A clearly stated vision by the system CNO that care and care delivery changes are based on evidence, not only promotes standardization, but also promotes efficient use of time by decreasing efforts and interventions that are known to be ineffective (Kingston, 2013).

The delivery of safe, timely, effective, efficient, equitable, patient centered-care is dependent on nursing, as the nursing department typically employs the highest volume of direct-patient care providers within a healthcare facility. Thus the leadership skills of the CNO are necessary to achieving high quality patient care and excellent clinical outcomes (Jones et al., 2017).The CNO in an academic medical center environment is often responsible for thousands of nursing staff members, has oversight for professional nursing practice in relationship to state boards and regulatory requirements, and is responsible for the clinical nursing care of patients. Usually, with a large scope of responsibility, the CNO must demonstrate a leadership style that contributes to positive clinical and operational outcomes. Improving the safety and quality of care delivered in our health care system environments is an ongoing challenge (Jones et al., 2017).The CNO in an academic medical center plays a key leadership role in crafting and implementing effective improvement strategies.

NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

Jones, P., Polancich, S., Steaban, R., Feistritzer, N., & Poe, T. (2017). Transformational Leadership: The Chief Nursing Officer Role in Leading Quality and Patient Safety. JOURNAL FOR HEALTHCARE QUALITY, 39(3), 186–190.https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edswss&AN=000423902700009&site=eds-live&scope=site&custid=s8333196&groupid=main&profile=eds1

Kingston, M. B. (2013). The System Chief Nursing Officer: An Evolving Role. Nurse Leader, 11(3), 27–29. https://doi-org.lopes.idm.oclc.org/10.1016/j.mnl.2013.03.004

A Sample Answer 3 For the Assignment: NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

Title: NRS 440 Topic 5 Discussion Question Two Describe advocacy strategies that you can use as a leader to create positive change in your current workplace

As I was thinking about this topic, I was thinking about the leadership responsibility of being a preceptor nurse. It is often challenging and scary teaching other nurses about the unit policies and the charting expectations required for the unit. Precepting new graduate or student nurses further increases the responsibilities as the new nurse is like a sponge, soaking up tons of new information. If the preceptor is not careful, they can pass along bad habits with the good habits. Preceptors can “utilize authentic leadership to help foster self-awareness and positive relationships and build capacity with student [ or new graduate] nurses” (Bryan & Vitello-Cicciu, 2022).

As a new Charge Nurse in ICU, I find leadership a bit challenging. Though is it said that “every nurse is a leader”, I am not a born leader in my opinion and prefer to simply focus on my own patients (Whitney, 2018). I love being a bedside nurse but am happy to help with the charge nurse shortage in my hospital. I can think of a recent situation involving leadership that I might change in the future. I was charge one shift and was getting report on each of the patients from the previous shift charge nurse. We came upon a patient that had a small, known, pericardial effusion that was in the process of tamponading. It appeared that an additional echo had not been done in four days, so I followed up soon after finishing report. The patient become more fragile and was in A-fib RVR. The nurse was busy with the patient, so I called the cardiologist on call and then the hospitalist. A stat echo was ordered showing a large pericardial effusion with definite tamponade. I then spoke with the cardiologist and hospitalist again and it was decided that they were going to wait until the next day to intervene. This was tough to hear because it was clear that there was nothing we could do, and nothing I could do as a charge nurse to change the situation. The patient ended up being okay and not decompensating further so no harm was seen. In the future, I am not sure I will get as involved in individual patient situations. Though our job is advocating, I should have let the bedside nurse lead more in that situation instead of completely taking over.

Does anyone have any advice for me in the future should a similar situation arise?

References:

Bryan, V., & Vitello-Cicciu (2022). Perceptions of preceptors’ authentic leadership and final year nursing students’ self-efficacy, job satisfaction, and job performance. Journal of professional nursing. 41, 81-87. https://doi.org/10.1016/j.profnurs.2022.04.003

Whitney, S. (2018). Every nurse is a leader. In GCU’s trends in healthcare: A nursing perspective. https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/5

Description:

Description

Objectives:

1. Evaluate personal leadership style, traits, and qualities.
2. Examine the importance of servant leadership in nursing.
3. Discuss the importance of inter-professional communication as a nursing leader.

Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. *(5 points possible per graded thread)*	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements *per discussion thread*	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement *per discussion thread*	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.