Assignment: Clinical Leadership

Assignment: Clinical Leadership

Assignment: Clinical Leadership

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DNP 805 Topic 2 Discussions GCU
DNP 805 Topic 2 Discussion 1
Discuss the usefulness of the electronic health record (EHR) and its impact on patient safety and quality outcomes. Describe strengths and limitations that might apply to its usage.

DNP 805 Topic 2 Discussion 2
You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new practice workflow to incorporate seeing patients and in regards to communication with the health care team and the infusion of the EHR into your practice. What elements do you need to consider if this position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change if the setting was a rural regional clinic system?

Without clear leadership, few projects succeed. This section will provide a brief overview of what clinical leadership is and the essential roles of sponsors and clinical champions.
Clinical leadership has been defined by Jonas et al. (2011) as a term that encapsulates ‘the concept of clinical healthcare staff undertaking the roles of leadership: setting, inspiring and promoting values and vision, and using their clinical experience and skills to ensure the needs of the patient are the central focus to the organisation’s aims and delivery’.

Jonas et al. emphasise the role of clinical leaders in enhancing quality and transforming clinical services for excellence.

Leadership versus management
Leadership and management are often used as overlapping concepts. However, it is important to recognise their differences.

Leadership involves setting a vision for people, and inspiring and setting organisational values and strategic direction.
Management involves directing people and resources to achieve organisational values and strategic direction established and propagated by leadership.
Leadership at every level
Effective clinical leadership is needed at every level and should not be left to one person. As noted by Taylor et al. (2013), ‘clinical leadership can sit within a range of roles across the interprofessional team and primary care nurses can be at the forefront of policy implementation and local innovation.’

Examples of leadership roles that sit at different levels within an organisation are sponsors (senior management) and clinical champions (primary care team). Having strong leadership from both a sponsor and a clinical champion ensures the project is being driven from multiple parts within an organisation and is not reliant on one person.

Sponsors
A sponsor is a senior leader within an organisation (such as a practice owner or business partner for a general practice team) who can provide the authority and decision-making influence necessary for successful change.

Year-on-year research by the Prosci team has identified active and visible executive sponsorship as the most critical contributor to successful change initiatives. (Prosci Change Management)

The following three roles are critical for a sponsor to fulfill:

Participate visibly throughout the project. Their sustained presence is necessary to build and maintain momentum for a change.
Communicate support and promote the change. Who delivers key messages is important within a team. Studies have shown senior leaders are the preferred senders of messages about the business reasons for change, as well as the risks or costs of not changing.
Build a coalition of sponsorship. Participants stated the need “for the primary sponsor to take a lead role in building and maintaining a healthy coalition of leaders who support the change.’

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

 

LopesWrite Policy

• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

• Communication is so very important. There are multiple ways to communicate with me: 
  • Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
  • Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.