2.1 Organizational Structure
Systems Theory and Health Care As nurses we know that the success of our patient-centered care interventions is dependent upon many factors. All too often, despite extensive planning and hard work, a...
View Article4.1 Evidence-Informed Decision Making
Evidence-Informed Leadership This section will discuss how leaders influence those around them to make evidence-informed decisions and deliver evidence-informed care. Evidence-informed care is...
View Article5.2 Conflict Management
The Theory of Conflict Conflict is inevitable, especially for leaders. Effective nurse leaders invest time understanding the causes of conflict and learn how to manage and resolve it. The first step...
View ArticleAbout the Contributors
Kathy Andresen DNP, MPH, RN, CNE Dr. Andresen is an Assistant Clinical Professor at the University of West Florida (UWF) in Pensacola, Florida. Dr. Andresen teaches courses at the graduate and...
View ArticleIntroduction
This is an open educational resource with CC-BY licensing. It has been developed specifically for licensed nursing students pursuing a Baccalaureate Degree in Nursing (RN-BSN). This book introduces...
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7.2 Health Care Trends and Issues
The Cost of Care The cost of health care in the United States is higher than any other country in the world and has a significant financial impact on our economy (CMS.gov, 2020). U.S. health care...
View Article4.2 Standards of Quality Care
Quality is defined in a variety of ways that impact nursing practice. American Nurses Association Definition of Quality The American Nurses Association (ANA) defines quality as, “The degree to which...
View Article6.2 Quality Improvement Measures
Measuring Outcomes An important aspect of quality improvement is the use of measures, also referred to as metrics, to identify the level of change on specific elements of the project. The Institute...
View Article2.3 Spotlight Application
Jamie is a nurse working on a general medical floor in a large urban teaching hospital. The typical assignment is between four and six patients depending on the acuity mix. Many of the patients are...
View ArticleAbout the Book
About the Book Leading Change in Health Systems: Strategies for RN-BSN Students has been developed for practicing nurses returning to school to earn a Baccalaureate Degree in Nursing (BSN). As a...
View Article1.1 Leadership Styles
Followership Followership is described as the upward influence of individuals on their leaders and their teams. The actions of followers have an important influence on staff performance and patient...
View Article5.1 Theoretical Approach to Change
Change Theories There are several change theories that nurse leaders may adopt when implementing change. Two traditional change theories are known as Lewin’s Unfreeze-Change-Refreeze Model and...
View Article1.3 Spotlight Application
Jax is a nurse working in the emergency department at a busy Level 1 trauma center. The environment is fast-paced and there are typically a multitude of patients who require care, the unit is often...
View Article4.3 Spotlight Application
Jax and Jamie are colleagues that work on two different units in the same health system, but knew each other from nursing school. While having lunch one day, they shared frustrations over the staffing...
View Article3.4 Spotlight Application
Jamie normally works the overnight shift on a general medical floor and was floated to an orthopedic unit for the night shift due to increased patient census on that unit. Jamie has worked for the...
View Article3.1 Roles and Responsibilities of Health Care Professionals
IPEC Competency 1: Values/Ethics for Interprofessional Practice The coordination and delivery of safe, quality patient care demands reliable teamwork and collaboration across the organizational and...
View Article3.2 Interprofessional Communication
IPEC Competency 3: Interprofessional Communication The third IPEC competency focuses on interprofessional communication and states, “Communicate with patients, families, communities, and professionals...
View Article3.3 Teams and Teamwork
IPEC Competency 4: Teams and Teamwork Now that we have reviewed the first three IPEC competencies related to valuing team members , understanding team members’ roles and responsibilities and...
View Article5.3 Interprofessional Collaborative Practice
Previous sections of this book discussed IPEC competencies required for effective interprofessional collaboration and methods for managing conflict. In addition to demonstrating these competencies,...
View Article5.4 Spotlight Application
Scenario 1 Sue and Sam are both nurses working the same shift. Sue is responsible for patients in Rooms 1–6, and Sam is responsible for patients in Rooms 7–12. Over the course of their shift, both...
View Article2.2 Organizational Vision, Mission, and Values
Relationship Between Organizational Culture and Mission, Vision & Values Organizational culture can be described as the implicit values and beliefs that reflect the norms and traditions of an...
View Article1.2 Emotional Intelligence
Overview The position of either leader or follower does not hold power. Rather, it is how we respond when we are in these roles, based on our emotional intelligence, that gives power to each role....
View Article6.3 Spotlight Application
As mentioned in the Chapter 4 Spotlight Application, Jax and Jamie have both identified staffing shortages are impacting patient care on their respective units within their health system. They both...
View Article7.3 Spotlight Application
Jamie and Jax are putting the final touches on their proposed staffing retention proposal to present to the Innovations Committee, which is an interprofessional committee composed of department heads...
View ArticleGlossary
Accreditation: A review process to determine if an agency meets the defined standards of quality determined by the accrediting body. Acuity-based staffing: A patient assignment model that takes into...
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Appendix B Team Stepps Strategies
TeamSTEPPS® TeamSTEPPS® is an evidence-based framework used to optimize team performance across the health care system. It is a mnemonic standing for Team Strategies and Tools to Enhance Performance...
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6.1 Quality Improvement Process
Quality Improvement Quality Improvement (QI) is a systematic process using measurable data to improve health care services and the overall health status of patients (Study.com, n.d.). QI is one of the...
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7.1 Person-Centered Care
Person-Centered Care Patient-centered care, also known as person-centered care, has become an increasingly popular term in healthcare over the last decade. This is not a new concept for nurses, as our...
View ArticleAppendix A Scholarly Writing Resources
This set of resources is for the student seeking guidance on various writing expectations often encountered in educational pursuits. Writing for Success Open access resource for various writing...
View ArticleChapter 1 References & Attribution
References Anderson, B. R. (2016). Improving health care by embracing systems theory. The Journal of Thoracic and Cardiovascular Surgery, 152(2), 593-594....
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Appendix C Communication Strategies
Advocating for Safety with Assertive Statements When a team member perceives a potential patient safety concern, they should assertively communicate with the decision-maker to protect patient safety....
View ArticleAppendix D Conflict Management Strategies
Managing Conflict Conflict is not uncommon on interprofessional teams, especially when there are diverse perspectives from multiple staff regarding patient care. Nurse leaders must be prepared to...
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Appendix E Person-Centered Strategies
Interprofessional Person-Centered Competencies The first IPEC competency is related to values and ethics and states, “Work with individuals of other professions to maintain a climate of mutual respect...
View ArticleChapter 2 References & Attribution
References Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake E. T., & Cheney, T. (2008). Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing...
View ArticleChapter 3 References & Attribution
References AHRQ. (2015, July). TeamSTEPPS: National implementation research/evidence base. https://www.ahrq.gov/teamstepps/evidence-base/safety-culture-improvement.html AHRQ. (2020, January). Pocket...
View ArticleChapter 4 References & Attribution
References Agency for Healthcare Research & Quality. (2018, November). Six domains of health care quality. https://www.ahrq.gov/talkingquality/measures/six-domains.html AHRQ. (n.d.). TeamSTEPPS...
View ArticleChapter 5 References & Attribution
References AHRQ. (n.d.). Bedside shift report checklist. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf...
View ArticleChapter 6 References & Attribution
References Agency for Healthcare Research and Quality. (2013, May). Module 4. Approaches to quality improvement. Practice facilitation handbook. https://www.ahrq.gov/ncepcr/tools/pf-handbook/mod4.html...
View ArticleChapter 7 References & Attribution
References Abdelhalim, Grudniewicz, A., Kuluski, K., & Wodchis, W. (2019). Person-centered and integrated care: a discussion of concepts. International Journal of Integrated Care., 19(4)....
View ArticleAppendix F Teaching Strategies
Teaching Strategies This appendix is provided to offer users of this book to integrate various tools to support learners in engaging in the material and applying findings to real world situations. It...
View ArticleAppendices
Appendix A Scholarly Writing Resources Appendix B Team Stepps Strategies Appendix C Communication Strategies Appendix D Conflict Management Strategies Appendix E Person-Centered Strategies Appendix F...
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