As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.
You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?
You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.
By Day 3
Select one of the scenarios, and post the following:
Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)
Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old). (Refer to AWE Checklist, Capstone)
Course Materials :Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 10, “Managing the Use of Healthcare Resources” (pp. 249-280)
Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 1, “Leading, Managing, and Following” (pp. 1-18)
Chapter 5, “Gaining Personal Insight: The Beginning of Being a Leader” (pp. 76-87)
Chapter 20, “Managing Costs and Budgets” (pp. 357-375)
Course Name: Course Code
Nursing leadership entails offering direction and guidance in managing the delivery of healthcare or nursing services in facilities such as nursing homes. The nurse leader will be charged with according strategies to navigate crises or challenges encountered in the facility. The selected scenario’s main challenge is having a high number of patients having unavoidable emergency department visits. This leads to increased costs and also affects the capacities of the ED. Thus, by embracing servant and transforming leadership approaches, one may handle this challenge by increasing patient monitoring and care at the nursing home.
Overview of The Problem
The main challenge identified is unnecessary emergency department visits—the elderly population at the nursing home suffering from mostly Alzheimer’s. Research has shown that most ED visits are increasing, especially for non-urgent matters. The ED reports show a concern that could culminate in wrongful admissions and waste of hospital and patients’ resources. The patients may visit the ED for reasons such as jury or minor complications. Issues such as falls due to insufficient patient surveillance form the bulk of etiology for increased emergency department visits. These visits may result in overwhelming resources and staff at the facility. This leads to unnecessary healthcare costs and possible financial imbalances in the facility. Through servant and transformational strategic leadership, I will implement solutions to reduc3 the visits and increase their well-being at the nursing home (Yoder-Wise et al. 2019).
Therefore, as the nurse leader, I would employ servant and transformational leadership styles to address this issue. Some of the proposed recommendations to manage the problem would be to increase the patients’ nursing monitoring. By increasing nursing rounds and attending to the patients’ personal needs, we would be able to minimize the unnecessary emergency department visits. First of all, the unnecessary ED visits are costly both to the facility and the patient. Hence, it is easier to address the identified root causes to manage them. Part of my duties as the leader is to manage the costs and budgets of the facility. The ED visits are expensive and may affect our planning and budgeting. Hence, the solutions identified will help address the root cause of this problem in the nursing home. Through the servant leadership style, I will be able to endear the nursing staff to manage the condition. Besides, there will be trust and accountability, which is a needed aspect of addressing this problem (Spath,2013). Transformational leadership comes in identifying the future constraints of the current issue and designing sustainable strategies. Besides, I may empower the nursing staff to also come up with evidence-based research studies to assist in minimizing the number of
The increasing unnecessary emergency department visits are costly, organizational problems that lead to more and waste of Medicare resources. To vert the problem, I will implement measures to improve patient monitoring and assistance to avoid unnecessary visits and possible hospitalizations. Therefore, increasing nursing rounds, managing the patient’s self-care may prevent possible causes of the ED visits, such as geriatric patient falls. Through transformational leadership, I will establish a sustainable intervention and strengthen my team to reduce unnecessary ED visits and improve patient care.
Spath, P. (2013). Introduction to healthcare quality management.
Yoder-Wise, P. S., Waddell, J., & Walton, N. (2019). Leading and Managing in Canadian Nursing E-Book. Elsevie=r Health Sciences.