Please post your initial and response postings below by the due dates posted in the NGR 7820 Course Schedule.
- Initial Postings: Begin your post by restating the question. Please refer to NGR 7820 Expectations: Discussion Postings/Written Work
- Note: You will have two initial postings for this module – Part 1 and Part 2. Please post your responses in two separate postings.
- Response Postings: Respond to one of your peer’s Part 2 postings following the above guidelines.
- Formatting: All references are to be formatted using APA 7th ed. style. (Links to an external site.)
- Grading: Total discussion points = 100 (initial and response) – see grading rubric
Discussion Questions
For this week’s module discussion, you will have two separate initial postings
Part 1 (all students post a response): Refer to the article by Uhl-Bien, M., & Arena, M. (2017). Complexity leadership: Enabling people and organizations for adaptability (Links to an external site.). Organizational Dynamics, 46(1), 9–20.
- Reflect on the three types of leadership needed for adaptability in bureaucratic organizations: operational leadership, entrepreneurial leadership, and enabling leadership. Discuss which function (operational, entrepreneurial, enabling) you believe best aligns with your role as an advanced practice nurse.
- Discuss the importance of one enabling leadership principle or enabling leadership practice that you feel is critical to successful ideation and innovation in your work environment.
Part 2 (only post to your assigned discussion question): Please respond to your assigned discussion question:
4. Read Chapter 3 Case Example: Improving Patient Outcomes with BCMA (page 66-70). Answer the following questions:
- How did evidence change practice in this case study?
- Describe a situation in which you participated in a discussion with coworkers to find a better way to achieve the desired outcome.
- Was a better way to achieve the outcome met? How was the outcome received by those outside of the discussion? Who else should have been involved in the discussion?
Expert Solution Preview
Introduction:
As a medical professor, it is important to understand the significance of evidence-based practice and the need for innovation and adaptability in the healthcare industry. In this discussion, we will reflect on leadership principles and practices that promote adaptability and ideation in bureaucratic organizations, and the role of evidence in changing practice, as well as the importance of collaborative discussions in finding better ways to achieve desired outcomes.
Response to Question 4:
In the case example presented in Chapter 3 of the textbook, evidence played a pivotal role in changing practice. The study examined the use of barcode medication administration (BCMA) in reducing medication errors and improving patient outcomes. The evidence showed that the use of BCMA significantly reduced medication errors and improved patient safety. As a result, the organization implemented a BCMA system, which led to the reduction of medication errors and improved patient outcomes.
In my work environment, I have participated in discussions with coworkers to find better ways to achieve desired outcomes. One instance was when we examined the high rate of hospital readmissions among our patients. We conducted a thorough review of our discharge processes and identified areas where we could make improvements. We implemented a new discharge process that included a more comprehensive discharge checklist and patient education materials.
After implementing the new process, we observed a significant reduction in hospital readmissions. The outcome was well received by our team and leadership, and we shared the success with other departments. In retrospect, we could have involved more departments in the discussion, such as pharmacy and case management, as their input may have further enhanced the process.
Overall, evidence-based practice is crucial for improving patient outcomes and promoting a culture of quality and safety in healthcare. Collaborative discussions with coworkers can aid in finding better solutions and tapping into the expertise of various departments. By working together and using evidence, we can continue to improve patient care and outcomes.
