NURS 6241Strategic Planning Issue In Healthcare Assignment

NURS 6241Strategic Planning Issue In Healthcare Assignment

Introduction

Magnet hospital recognition is one innovative healthcare product that seeks to improve quality. A Magnet-designated hospital is considered a gold standard for nursing practice and innovation. Magnet care centres are supported by the American Nurses Credentialing Center (ANCC) as hospitals where nursing professionals lead patient care and organizational changes and innovation. Quality of healthcare is a broad concept that reflects the extent to which health services targeting individuals and populations depict an increased likelihood of desired health outcomes. Optimized health outcomes are derived from evidence-based interventions supported by expertise, research, knowledge and skills. The Magnet designation recognizes healthcare providers, i.e., hospitals with an exemplary nurse work environment and improved patient care. These outcomes are evidenced in better clinical staff satisfaction, enhanced patient satisfaction, and improved patient outcomes. Thus, adopting the Magnet plan is one of the strategic approaches to improving staff and clinical outcomes. This paper explores the journey toward implementing Magnet hospital’s strategic plan for St John Hospital by articulating background data and SWOT analysis. The magnet project will focus on transformational leadership, organizational and structural empowerment, excellent nursing/professional practice, proactive application of new Knowledge and improvement and use of empirical quality findings NURS 6241Strategic Planning Issue In Healthcare Assignment.

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Section One

Mission and vision

To deliver compassionate, quality care to patients and better healthcare to communities.

Historical data analysis, forecasting and literature evidence supporting the plan

Magnet is a fundamental conceptual practice that could largely contribute to hospital progress in improving its quality. Growing evidence shows that Magnet reflects high-quality healthcare and transformative action for enhancing care quality and patient safety. For instance, the Hospitals that have achieved Magnet recognition boast substantially improved nurse outcomes, i.e., job satisfaction, minimal burnout, and fewer intentions to leave. Besides such benefits, a hospital that has attained magnet recognition enjoys improved patient outcomes, i.e., reduced mortality and better performance measures such as value-based purchasing, compared to other hospitals that have not embraced magnet plans (McHugh et al.,2017). Thus, data show that Magnet adoption can contribute to the successful achievement of quality goals. Current data show that only about 10% or 400 U.S. hospitals have achieved Magnet recognition (Lasater et al.,2019). Historical data on the application of the magnet program show that it contributes to more positive environment features, marked by substantially increased patient satisfaction with nurse communication, enhanced access to help, better provision of discharge information, declining risk of thirty-day mortality and lower failure to rescue (Phillips,2016). Other data show that Magnet-recognized organizations recruit the best-trained/highly qualified nurses, where 51.4% of RN decision-makers hold graduate degrees. About 50.4% of RN decision-makers are certified by a national institution, and 28.1% are often advanced practice nursing professionals (ANCC, n.d.). More data show that magnet providers outperform their counterparts in terms of human resource management, staff satisfaction and reduced staff turnover (ANCC, n.d.)NURS 6241Strategic Planning Issue In Healthcare Assignment

Previous attempts to address the issue

Previous attempts to address the issue of quality through magnet plans are promising. Efforts that seek to improve nursing outcomes tend to have a far-reaching implication on patient quality outcomes. Healthcare organizations that evaluate patient experiences to assess and boost the quality of care have been at the forefront in adopting the magnet blueprint. Since nurses spend substantial time with patients, thus, they constitute a significant influence on patient experiences. The nursing work environment influences care outcomes. To enhance patient or client experiences of the quality of care, nursing work environment has been modified to respond to patient needs. The Magnet recognition program addresses the issue of quality by elevating patient care by creating an environment where nursing staff can collaborate with interprofessional personnel and set standards for excellence in quality healthcare delivery.

This Magnet program aligns with previous and current strategies for improving healthcare quality. Some of the most common strategies that have been used to address the challenge of quality include a combination of techniques including analysis of data and outcomes, setting goals, creating a balanced team, integrating human resource input, creating an executable plan, adopting the PDSA cycle, consistent communication of goals and project progress, researching other organizations and collaborating. According to AHRQ, there are four primary ways that have been used to improve the quality of care. First, there is a need to focus on microsystems, where the hospital is considered a system, as an agglomeration of interrelated “microsystems” or diverse small units composed of healthcare staff, management and other staff. The concept of microsystems shows that a strong focus on small, functional units contributes to better outcomes, especially when dealing with primary activities and processes involving customer experience (Bergerum, Thor, Josefsson & Wolmesjö, 2019). A core team of health professionals, including nurses and other professionals, who regularly work to provide care to subpopulations of patients, or developing departments that share similar clinicians’ information, process and performance outcomes, would contribute to improving outcomes for staff and patients (AHRQ,2014)NURS 6241Strategic Planning Issue In Healthcare Assignment. Second, understanding and implementing the improvement cycle, such as PDSA (Plan, Do, Study, Act) cycle, is crucial to quality improvement.

A fundamental principle is that quality improvement practices and processes are considered continuous, with episodes of implementing changes, addressing emerging challenges and integrating feedback. Developing goals and action plan is part of the improvement cycle. As PDSA cycle as part, it involves establishing improvement goals, identifying possible strategies, choosing specific interventions to implement and preparing a written action plan. Besides this, approaches to selecting measures for monitoring progress, expanding implementation to reach sustainable improvement, identifying and managing barriers and identifying and cultivating facilitators have been identified as core processes in quality improvement cycles (AHRQ,2014). Finally, harnessing social interaction to spur innovation and adoption and internal communication has been found to be other key processes that improve quality. All these concepts have been integrated Magnet plan. Thus, most of the elements within the Magnet plan have proven to be effective according to previous programs.

Stakeholder engagement

Magnet’s strategic plan for St John Hospital is a collaborative program. It seeks to engage diverse stallholders to ensure successful implementation. The key stakeholders include hospital leadership and management or senior leadership, departmental representatives, patients and Magnet program champions. The stakeholders will help in implementing regular communication about the Magnet project, managing the program’s expectations and assisting in addressing emerging challenges NURS 6241Strategic Planning Issue In Healthcare Assignment.

Section Two: SWOT Analysis

Organizational Strengths

St. John has significant strengths which will allow it to implement Magnet Project. First, it has strong leadership that cherishes and values change. The hospital’s senior leadership and management are committed to all efforts to improve the work environment and patient outcomes. Second, the hospital already has systems which will facilitate a more straightforward implementation of this program. These systems include human resource performance and patient outcome indicators. Thus, it will only strengthen these systems in line with Magnet’s objectives and standards.

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Organizational weakness

St. John may have certain weaknesses when implementing this Magnet strategic plan. Firsts, there might be challenges of resistance to change when implementing this change. The staff might perceive this change as a disruption to their regular work. The inherent nature of resisting change improvement efforts such as introducing Magnet could be one of the weaknesses in this project. Second, another major weakness is that the Magnet strategic plan could increase bureaucracy and complicate existing systems geared towards improving quality. The Magnet strategic plan has many components which may overlap with other strategies the hospital has already adopted. The Magnet review process and application process could be   rigorous and lengthy. thus, it, demands significant participation from leadership and staff. In terms of submitting written documentation about qualitative and quantitative evidence revolving around patient care and outcomes and appraisal NURS 6241Strategic Planning Issue In Healthcare Assignment.

Market opportunities

Magnet’s strategic plan presents market opportunities. St. John hospital stands to gain not only from increased patient inflow but also improved reputation. With better quality, St. John hospital will be a centre of healthcare excellence, which can help in attracting more patients, thus, leading to increased revenue, better profitability and growth. Second, it will boost the hospital’s reputation, with far-implication implications for staff and patient satisfaction.

Environmental threats

Threats to this project also exists. First, inadequate resources such as finances, or any disruption in resources, could pose a risk to the successful implementation of the Magnet project. For instance, staff, including nurses, need to be compensated well to create a work environment marked by increased human resource satisfaction. Second, the potential lack of collaboration and stakeholder engagements, including collaborations with patients and other healthcare professionals, could be a threat to the implementation of this project.

Reflection

Based on SWOT analysis, the magnet strategies plan should utilise available resources, systems and opportunities. At the same time, there should be proactive processes and stakeholder engagements to manage emerging challenges and avert various threats.

References

Agency for Healthcare Research and Quality (2014).Ways To Approach the Quality Improvement Process .Retrieved from https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html

ANCC. Facts About the Magnet Recognition Program Retrieved from https://www.nursingworld.org/globalassets/organizational-programs/magnet/magnet-factsheet.pdf

Bergerum, C., Thor, J., Josefsson, K., & Wolmesjö, M. (2019). How might patient involvement in healthcare quality improvement efforts work—A realist literature review. Health Expectations22(5), 952-964.

McHugh, M. D., Kelly, L. A., Smith, H. L., Wu, E. S., Vanak, J. M., & Aiken, L. H. (2013). Lower mortality in magnet hospitals. The Journal of nursing administration43(10 0), S4.

Lasater, K. B., Richards, M. R., Dandapani, N. B., Burns, L. R., & McHugh, M. D. (2019). Magnet hospital recognition in hospital systems over time. Health care management review44(1), 19. NURS 6241Strategic Planning Issue In Healthcare Assignment

Phillips, N. (2016). Berry & Kohn’s operating room technique. Elsevier Health Sciences.

Module 1 Assignment

 Recruitment and Selection Plan

 Instructions & Worksheet

For your Module 1 Assignment, you will use a job description of your choice to create a Recruitment and Selection Plan for filling the job with the most qualified candidate. The Assignment has two parts.

This worksheet provides the instructions and an information organizer for completing Parts 1 and 2 of the Assignment.

Part 1: Analyze a Job Description
Part 1 Tasks Fill in with notes or a draft response.
1) Identify a job description from your current healthcare organization or where you have previously worked. Choose a job description that will enable you to determine the type of employees you are looking for and what the hiring criteria will be. Your chosen job description:
2) Focus on developing and refining the job description. Describe:

o What are responsibilities of this job?

Job responsibilities:
o What are the competencies and KSAOs (knowledge, skills, abilities, other attributes) required for this job?

 

Competencies:
Knowledge:
Skills:
Abilities:
Other attributes:
o How would you evaluate a candidate to determine fit for this position? Evaluation approach(es):

 

o How could the job description be improved to ensure a successful hiring process? Job description revisions:

 

 

3) How could you use social media platforms and general job search websites and nursing career sites to maximize the field of potential recruits? Consider how jobs are presented to interested job seekers on these sites for insights and ideas to apply. Job presentation ideas/insights from social media and online job search websites:
Part 1 Assignment:

Job Description Analysis

In a Word document, write 2–3 pages to include the following:

·        Explain the role of the nurse executive in developing job descriptions and why it represents an essential human resource management function.

 

·        Analyze the job description you have selected as the focus of your Assignment. Include the source of the job description and critique the job description for clarity and accuracy.

 

·        Explain how well the job description defines the required employee attributes for the job and how it could be improved. If information is available, describe how the tasks and competencies associated with this job may have changed since the job description was conceived. NURS 6241Strategic Planning Issue In Healthcare Assignment

 

·        Write a new or revised job description that reflects your analysis and which you would use for advertising the position and recruiting candidates for the job.

 

·        Explain how you would use social media and online job search technology to maximize presentation of the job description and reach a broader share of potential recruits.

 

·        Describe two examples from social media and online job sites you visit of how jobs similar to your chosen position are presented to interested job seekers.

 

Part 2: Design an Interview and Selection Plan
Part 2 Tasks Fill in with notes or a draft response.
Based on the job description you provide in Assignment Part 1, develop a plan for interviewing candidates for that target job.

1) For the job competencies and KSAOs (knowledge, skills, abilities, and other attributes) that you identified in Part 1:

o  Identify information sources for assessing candidates (e.g., credentials, past work experiences, references, material submitted in the job application, and interview questions).

o Prioritize and evaluate the different skills and tasks for the job.

o  Identify which specific competencies/KSAOs are best assessed with the use of interview questions (which may supplement other sources, such as checking references).

o Design interview questions for each competency/KSAO to be assessed.

Information sources for assessing competencies and KSAOs for this specific job, by type and priority:

 

 

 

 

 

Skills and tasks for the job (in order of priority):

 

 

 

Competencies/KSAOs best assessed through interview questions:

 

 

Sample interview questions for each competency/KSAO listed above (at least five interview questions total):
2) Identify how you will rate candidates:

o What will be considered excellent, acceptable, or poor responses to interview questions?

Excellent responses:

Acceptable responses:

Poor responses:

 

 

o What rater biases may be present in the job selection process, and how will you address rater bias?

 

Addressing rater bias:

 

o Who will be involved in the interview process and what training will be provided to  interviewers?

 

Who interviews this candidate?

Interview training required/recommended:

o How will interview impressions be consolidated?

 

Plan for consolidating interviewers’ impressions:
How will divergent views be resolved? Plan for resolving interviewers’ divergent views:
3) Describe the ideal candidate for this job and, after hiring, how to retain that individual. The ideal candidate:
4) Analyze the recruitment and selection process from an interviewee’s perspective, drawing on your own experiences. Interviewee’s perspective:
5) Identify issues to consider in analyzing the interview and selection process (e.g., internal vs. external applicants)NURS 6241Strategic Planning Issue In Healthcare Assignment, specific challenges; positive and negative outcomes. Issues/challenges/outcomes:

 

 

 

6) Explain how to improve the interview and selection process. Ideas/strategies to improve the interview and selection process:

 

Part 2 Assignment:

Interview and Selection Plan

In a Word document, write 3–4 pages to include the following:

·      Describe the ideal candidate for this job, and explain the sources of information you would use in evaluating applicants.

 

·      Explain an overview of your process to identify and select that candidate.

 

·      Focusing on the interview, explain:

o  Who within the healthcare organization would be involved in the interview process, and why

o  Pre-interview guidance and preparation for interviewers and recruits

o  How interview outcomes would be compiled

o  How differences in interview ratings would be resolved

 

·      List five essential questions you would ask in an interview to evaluate key employee characteristics for this job. For each question, explain what you would look and listen for in the candidate’s response.

 

·      Explain how you would measure a candidate and assess the recruit’s fitness for the position.

 

·      Analyze your interview and selection process for potential challenges, and explain how you would address those challenges to improve the process and outcomes, including retaining good employees.

 

 

Final Submission Submit Part 1 and Part 2 of the Assignment in one Word file.

This document is to be used for NURS 6241: Strategic Planning Issue in Healthcare Organizations to complete the Module 1 Assessment, in which you identify a strategic planning issue for your Strategic Plan. This document serves to organize your thoughts about planning for your strategic plan issue.

Identify a strategic plan issue that has significant impact on your organization and/or community.

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In a total of 1–2 pages, briefly address each component below related to your proposed issue:

• Historical analysis of issue
• Explanation of how evidence from the literature supports the need to address this issue (Note: Include appropriate resources.)
• Past attempts by various individuals and groups to address this issue
• Stakeholders who should be included in the strategic planning process
• Financial implications of the project for the organization NURS 6241Strategic Planning Issue In Healthcare Assignment

Module 2 Assignment: Strategic Plan Sections 1 and 2

Photo Credit: [Anthia Cumming]/[E+]/Getty Images

This week, you will submit the first two sections of your Strategic Plan, an introductory summary of the strategic plan issue and a SWOT analysis. Conducting a SWOT analysis can have tremendous value in preparing for planned change. Review the Strategic Plan Overview and Template in this week’s Learning Resources. This document outlines all project components and due dates, and you should draft all sections of your Strategic Plan within the template.

As you create each section of your Strategic Plan, keep in mind that all resources that you use should be documented in APA style in Section 9: References, however Section 9 will not be graded until it is submitted in Week 10.

Section 1: Summary of the Issue

To prepare:

Consider the information on strategic planning in the Learning Resources.
Review any feedback you received from your Instructor on your Module 1 Assignment. If necessary, continue to refine your focus to clarify the strategic plan issue.
To prepare your Summary of the Issue section, proceed as follows:
Investigate the background related to this issue. What conditions have contributed to this situation? Is there data (beyond what you identified for the Week 2 Discussion) that should be examined?
Conduct research to assess what has been attempted in the past, by various individuals or organizations, to address this issue.
Think about any broader issues that should be examined to better understand this issue. For instance, consider economic, political, and/or social considerations.
To complete:

Write a 2- to 3-page summary of the strategic plan issue. Include the following in your summary:

The strategic plan issue and how the issue’s need is evident in the group or organization.
The mission and vision of the group or organization. (Note: Be sure you have reviewed and implemented feedback from your Week 4 Discussion 1: Mission and Vision Statements.)
Background, including:
Data from historical analysis and forecasting to support the need for the plan
Evidence from the literature to support the need for the plan
Previous attempts by various individuals and groups to address this issue
Stakeholders that should be included in the strategic planning process
Section 2: SWOT Analysis

To prepare:

Conduct a SWOT analysis for your Strategic Plan, reviewing and incorporating any insights you have gained from feedback from Week 4 Discussion 2: Preparing for a Strengths, Weaknesses, Opportunities, and Threats Analysis. Identify two strengths, two weaknesses, two opportunities, and two threats that warrant attention relative to the identified strategic plan issue.
Reflect on how you distinguished between weaknesses and threats and consider whether the threats or weaknesses also pose opportunities.
To complete:

Write a 2- to 3-page summary that conveys the results of your SWOT analysis. Include:

Two organizational strengths
Two organizational weaknesses
Two market opportunities
Two environmental threats
An explanation of whether the threats and/or weaknesses may also pose opportunities