Consider the term, “analysis of variance” that has been discussed here.

1.  have you ever come across this term prior to this assignment ?
2. At this time, do you think you have a good understanding of what this term means?
3. Given your future career goals of becoming a nurse practitioner do you feel that knowing this term will be vital to you?

 Use MS Word to complete “Questions to be Graded: Exercise 33” in Statistics for Nursing Research: A Workbook for Evidence-Based Practice. Submit your work in SPSS by copying the output and pasting into the Word document. In addition to the SPSS output, please include explanations of the results where appropriate. 

1-According to Huber, “Reengineering is a radical redesign of business processes.” (Huber 242) The nurse manager plays a big role in health care in general, as the nurse manager allocates available resources, coordinate activities, facilitate interactive management, and have major responsibility for implementing the vision, mission, philosophy, goals, plans, and standards of the organization and nursing services. (Huber 34)

Now that we defined these two items, how do they co-relate? Well, nurse managers are on the front lines with the staff serving in front line roles. These nurse managers have a hand both on what goes on in the day-to-day and are a link to administration. Nurse managers are coordinating what happens on the front lines with patients and with administration to make things run as smooth as possible. These are the people who are a voice in administration for direct care providers.

Teamwork designs have become popular in healthcare organizations. Because middle managers oversee these team initiatives, their potential to influence innovation implementation has grown. Future research should investigate middle managers’ role in healthcare innovation implementation. Findings may aid top managers in leveraging middle managers’ influence to improve the effectiveness of healthcare innovation implementation. (Birken)

Resources

Birken, S. A., Lee, S. D., & Weiner, B. J. (2012). Uncovering middle managers role in healthcare innovation implementation. Implementation Science,7(1). doi:10.1186/1748-5908-7-28

Huber, Diane. Leadership and Nursing Care Management, 5th Edition. Saunders, 10/2013. VitalBook file.

2-there are so many changes happening in healthcare today, I agree nurse leaders are important. In the recent years we have seen the insurance companies and the healthcare providers unite, to provide a more efficient system with the focus on cost-effectiveness. These mergers dissolve the traditional building blocks of the healthcare system (Kacik, 2016). The changes will improve patient care and decrease healthcare spending. This relationship will provide evidenced based care and create a more integrated full-service provider. These deals are happening because the consumer is the top priority in healthcare. (Kacik, 2016).

As a case manager in the emergency department, I find people do not know how to navigate the healthcare system appropriately. The emergency department is often used for minor issues, that are not emergencies. The rise of urgent care centers and Walgreens clinics has not deterred people from using the ED for minor, non-urgent care. I recently saw a person come with an irritated cuticle on their finger. I saw a mother bring a toddler with a small rash on his leg. Only a few examples that shock me. This is a huge cost for the health care system that we are currently, tactfully trying to address. There are so many more cost-efficient alternatives in health care. We cannot deny care to anyone, yet education regarding improper use of the emergency department is becoming a top priority.

References;

Kacik, A. (2016, December). Healthcare mega-mergers dominate 2017 – Modern Healthcare. http://www.modernhealthcare.com/article/20171226/NEWS/171229957

3-I agree, nurse leaders have taken on the role of negotiator and conflict manager. We have seen many changes recently in healthcare and I believe it is going to continue. I think nurses are resilient, we have faced many changes and managed to carry on. I also feel the delivery of the information is the most important aspect. The staff needs to be gently guided into the changing status. We usually hear about the upcoming changes before they actually occur, which gives us time to process everything. When the changes happen, there are multiple personalities and each individual has their own way of dealing with change. The role of the nurse leader has been an important addition in the hospitals. There is a person to talk to and offer support, answer questions and clarify the changes. Often mangers and administration are not approachable, having a nurse leader is an important asset in our field.

Competing needs arise within any organization as employees seek to meet their targets and leaders seek to meet company goals. As a leader, successful management of these goals requires establishing priorities and allocating resources accordingly.

Within a healthcare setting, the needs of the workforce, resources, and patients are often in conflict. Mandatory overtime, implementation of staffing ratios, use of unlicensed assisting personnel, and employer reductions of education benefits are examples of practices that might lead to conflicting needs in practice.

Leaders can contribute to both the problem and the solution through policies, action, and inaction. In this Assignment, you will further develop the white paper you began work on in Module 1 by addressing competing needs within your organization.

To Prepare:

• Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected.
• Identify and review two evidence-based scholarly resources that focus on proposed policies/practices to apply to your selected healthcare issue/stressor.
• Reflect on the feedback you received from your colleagues on your Discussion post regarding competing needs.

The Assignment (4-5 pages):

Developing Organizational Policies and Practices

Add a section to the paper you submitted in Module 1. The new section should address the following:

• Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
• Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.
• Critique the policy for ethical considerations, and explain the policy’s strengths and challenges in promoting ethics.
• Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients, while addressing any ethical shortcomings of the existing policies. Be specific and provide examples.
• Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

The field of long-term care has gone through and is still experiencing, a time of great change. It has been, as such times tend to be, both trying and exciting. It has presented challenges to providers, consumers, payers, and regulators alike. Some of these challenges have been met, at least in part. Others have not. The desire of consumers to receive care in the most appropriate setting and the desire for a high quality of life have led to development of more and better alternative services such as hospice and adult day care. They have also stimulated more home- and community-based care. This has improved access to care for many.

Reference

Pratt, J. R. (2010). Long-term care: Managing across the continuum (3rd ed.). Sudbury, MA: Jones and Bartlett

1. What are the major challenges that have faced the long-term care system in recent years?
2. What are the most likely ethical challenges to be faced in the near future?