Organizational System and Quality Leadership Task 1

The country I chose to compare with the United States healthcare system is Japan. Access to healthcare in Japan is fairly easy. Every individual, including the unemployed, children and retirees, is covered by signing up for a health insurance policy. They can obtain insurance either through their work or through a community based insurance. For those Japanese citizens that are too poor to afford health insurance, the government supplies their insurance through a social insurance. If a Japanese citizen loses his/her job and becomes unemployed, the individual will just switch to a community

Communication is one of the basic survival skills of human and also a fundamental part of nursing. Effective communication would help to promote a positive nurse-client relationship which is crucial for the delivery of quality nursing care (Sheppard, 1993; McCabe 2003).

Leadership is defined as utilizing an individual’s interpersonal skills to influence other individuals in order to achieve a certain goal (Sullivan and Garland 2010). In clinical practice, the principle of leadership is motivating, inspiring and promoting the values of the NHS, in order to be able to focus on all the needs of the clients. Furthermore, it helps to establish good

Communication involves information being sent, received and decoded between two or more people (Balzer-Riley 2008) and involves the use of a number of communication skills; which in a nursing context generally focuses on listening and giving information to patients (Weller 2002). This process of sending and receiving messages has been described as both simple and complex (Rosengren 2000 in McCabe 2006, p.4). It is a process which is continually utilised by nurses to convey and receive information from the patient, co-workers, others they come into contact with and the patient’s family.

Effective communication is essential for a nurse in a leadership position. If a nurse is not able to convey or transfer pertinent information to other team members or clients, conflict or problems can arise. A nurse is able to effectively communicate through creating synergy, establishing a purpose or goal, actively listening, being truthful, and being responsible. When a nurse leader is able to successfully communicate, patient safety increases and medical errors decrease which leads to a higher percentage of positive patient outcomes. Effective communication fosters positive nurse-patient and nurse-team member relationships.

This paper will analyze the cause of the sentinel event which occurred to Mr. B, a sixty seven year old patient which presented to the emergency room with left leg pain. A root cause analysis will be necessary in this case to investigate the causative factors which led to Mr. B’s sentinel event. The factors in this unfortunate case weather they were errors in his care, or hazards in the system will be identified. The Change theory will be used to develop an improvement plan that will be used to decrease the chances of a reoccurrence of the sentinel event that happened to Mr. B. in the scenario.

Leadership has been defined in a number of ways, but the concept is still indefinable (Barr and Dowding 2016). Buchanan and Huczynski (2010, p. 596) define leadership as “a process of influencing the activities of an organised group in its efforts towards goal-setting and goal achievement”. In clinical practice, leadership translates to an ability to direct other to achieve evidence-based practice that supports enhanced patient outcomes (Kelly-Hiedenthal 2004). Like any other industries and organisations, an effective leadership skill is vital in the healthcare sector to improve the standards of the care and to achieve organisational goals (Bach and Ellis 2015). Sullivan and Decker (2004) stated that nurses often step up to the

It's important for nurses to be actively involved with an interdisciplinary team because of the increasing complexity and scope of patient problems. As these complexities and problems increase, patient care necessitates the combination of efforts of physicians from different disciplines. Actually, comprehensive patient care in today's healthcare settings incorporates attempts to solve problems that are beyond the scope of expertise and training of a single professional. Therefore, the active involvement of nurses in interdisciplinary teams is vital for the provision of comprehensive and effective patient care that help in dealing with the evolving patient problems

xi). The IOM stressed that “nurses have key roles to play as team members and leaders for a reformed and better-integrated, patient-centered health care system” (IOM, 2011, p. xi).

Communication is any form of expressing and receiving of messages between individuals. The importance of Communication in the nursing profession is to maintain high quality care for the patient but also maintain effective collaboration between professionals. Boykins, D (2014) states that the “registered nurse is expected to communicate in various formats and in all areas of practice”. Various formats include speaking to patients and coworkers as well as utilizing appropriate protocols and systems to effectively communicate regards to patient’s status.

The delivery of safe, affordable and quality healthcare to clients is an integral part in today`s health care. In order to provide the aforementioned care; inter-professional (IP) collaboration of the health care members is essential. The need for IP collaboration has been identified by the Institute of Medicine (IOM), the federal government, the Department of Health and Human Services. The American Association of Colleges of Nursing (AACN) has identified the IP collaboration as an essential element of nursing education in the AACN Essential Series (Messer, n.d.). Evidence suggests that the collaboration among health professionals has been associated positively with patient outcomes in the operating room, the emergency

As well as working with service users, nurses are required to work interprofessionally with members of the multi-disciplinary team (MDT), sharing knowledge and experience (Goodman and Clemow, 2010; NMC, 2015), driven by common values and beliefs (Sellman, 2010), thus, promoting the delivery of safe and effective care.

When nurses promote collaborative interdisciplinary care, they are ensuring the availability and accessibility of quality health care (ANA, 2010). As the nursing supervisor in this clinical setting, I would hold a staff meeting with the family nurse practitioner (FNP), nurse, licensed vocational nurse (LVN), nutritionist, and social worker. I would ask them to speak about their areas of expertise and explain how their knowledge will enhance this clinical team. The nutritionist’s expertise in diet, the social worker’s fluency in Spanish, the LVN’s training in education, and the nurse’s specialization in

Nurses demonstrate the core values of professionally caring for others in two different prospects. Huber (2014), notes that “nurses have two basic roles: care providers and care coordinators” (p. 3). Most significantly nurses are valued in the setting of patient care, while the coordinator role revolves around management and organizing care, using thinking skills to coordinate complex activities. Nursing is multifaceted, although direct quality patient care is of significance, a positive leader or manager is also essential to support the recent changes to healthcare requirements. Having the right blend of qualities is vital to becoming a

way that respects all people equally. In addition, nurses and nursing staff are at the heart of the communication process: they assess, record and report on treatment and care, handle information sensitively and confidentially, deal with complaints effectively, and