As you have noted in this course and in your practice, nurses have an integral role in promoting a just culture focused on patient safety in their health care organizations. Determining resources to prevent error and improve patient safety can often be a battle, and this scenario illustrates how one organization makes strides to make sure resources are available in the interest of patient safety. As you review the scenario, consider the nurse’s role in promoting a just culture in your practice setting.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
By Day 3
Post a description of the role of the staff nurse for promoting quality in a high-performing health care organization. Define the organizational culture of your health care organization, or one with which you are familiar, and identify the leadership style of the CEO and CNO in your organization. Explain how your senior leadership supports—or does not support—changes that require financing/budget to support patient safety. Describe the strategies you might be able to implement to move your health care organization to a high-performing organization.
Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level.
Notes Initial Post: This should be a 3-paragraph (at least 350 words) response. Be sure to use evidenceLinks to an external site. from the readings and include in-text citationsLinks to an external site.. Utilize essay-levelLinks to an external site. writing practice and skills, including the use of transitional materialLinks to an external site. and organizational framesLinks to an external site.. Avoid quotes; paraphraseLinks to an external site. to incorporate evidence into your own writing. A reference listLinks to an external site. is required. Use the most current evidenceLinks to an external site. (usually ≤ 5 years old).
By Day 7
Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).
Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.
Post a Discussion entry on three different days of the week.
Learning Resources
Required Readings
- Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). 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.). 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)
- Agency for Healthcare Research and Quality. (2016). Surveys on patient safety cultureLinks to an external site.. http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/index.html
- Bashaw, E. S., & Lounsbury, K. (2012). Forging a new culture: Blending Magnet® principles with just cultureLinks to an external site.. Nursing Management, 43(10), 49–53. http://doi.org/10.1097/01.NUMA.0000419492.49675.25
- Document: Quality Improvement Storyboard Template (PPT)Download Quality Improvement Storyboard Template (PPT)
Required Media
- Walden University, LLC. (2016). RCA dramatization 2 [Video]. Walden University Canvas. https://waldenu.instructure.com
Note: The approximate length of this media piece is 5 minutes.
Scenario—Build on RCA from Week 4 to encompass multiple departments, senior team, protects the staff nurse—Swiss cheese theory; IHI resources; Quality Council Meeting—RCA has budgetary implications that are approved by the senior teams to protect staff nurses against future errors.
https://waldenu.instructure.com/courses/98977/external_tools/retrieve?display=borderless&url=https%3A%2F%2Fwaldencanvasprod.kaf.kaltura.com%2Fbrowseandembed%2Findex%2Fmedia%2Fentryid%2F1_1qmaarim%2FshowDescription%2Ffalse%2FshowTitle%2Ffalse%2FshowTags%2Ffalse%2FshowDuration%2Ffalse%2FshowOwner%2Ffalse%2FshowUploadDate%2Ffalse%2FplayerSize%2F766x431%2FplayerSkin%2F51364222%2F - Berwick, D. (2009). Don Berwick – What patient centered care really meansLinks to an external site. [Video]. TED Ed. http://ed.ted.com/on/kdLCRNE2
