DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes

Grand Canyon University DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes                            

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes                          

The introduction for the Grand Canyon University DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes                          

After the introduction, move into the main part of the DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes                          

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes                            

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes

Re: Topic 1 DQ 2

In discussion one, we looked at the healthcare delivery system. Healthcare teams have a critical role in the healthcare delivery system. Healthcare teams have been defined in previous literature as two or more healthcare professionals who work collaboratively with patients and their caregivers to accomplish shared goals (Naylor M. D. et al., 2010). However, a healthcare team may involve various team members in multiple settings, including non-clinical, executive, and senior-level teams. I will utilize a team-based model to work across and between levels of the organization in your project to achieve a measurable patient outcome for my project. Upon reviewing my organization chart, which visually conveys the organization’s internal structure, I would work across and between levels by following the chain of command to secure leadership approvals where necessary, engage, and buy in. Team-based care will be essential for meeting value-the goals of my DPI project while delivering a positive patient experience. In addition to patients and their support groups, potential members include physicians, nurses, pharmacists, social workers, trainees, and others identified as persons necessary to help achieve shared goals. The fundamental concept is that a team is a group of individuals who coordinate their actions for a common purpose, which in health care is preventing or treating disease and promoting health. A team-based model of care strives to meet patient needs and preferences by actively engaging patients as total participants in their care while encouraging all healthcare professionals to function to the full extent of their education, certification, and experience. Achieving measurable outcomes requires all workers and professionals to work as a team to achieve the desired objectives and goals (Smith, C. D., et al., 2018).  Achieving measurable outcomes in the project requires involving all stakeholders. Team-based care acknowledges that multiple key players treat patients and must work together to drive optimal care outcomes. Members of a care team will include doctors, nurses, physician assistants, specialists, and other non-clinical professionals who are integral to caring for a patient, according to a report from the National Academy of Medicine (nam.edu). The measurable patient outcomes of the project are about improving the quality of care delivery which is the basis of the project.

The potential aspect of bureaucracy is the issue of rank and chain of command. In my organization, the managers at the top level have more power as compared to the junior and low-level nurses. The impact of this bureaucracy is that it will only be able to control and influence outcomes for some people. Barriers included a lack of intentional focus on team building and the loss of autonomy from standardized workflows (Bodenheimer T. et al., 2016). Another anticipated driver of bureaucracy is mindset. What constitutes “our team,” and who is on it? Some healthcare professionals may carry a somewhat narrow and inflexible mindset (e.g., “only the people who work for me and directly around me are on my team”). Others may have a more wide-ranging, flexible, and adaptable perspective (e.g., “anyone who supports efforts to care for this patient is part of ‘our team’; decisions will be made based on the information and concerns provided by everyone on the team, including the patient”). These perspectives can manifest in issues such as whether a radiologist or pharmacist is part of the team or how to coordinate care and accountability for medically and socially complex patients. It should be noted that leading teams is a difficult undertaking, especially when conflicts arise or unexpected challenges require changes to care plans. According to the Agency for Healthcare Research in Quality (AHRQ), “the primary goal of medical teamwork is to optimize the timely and effective use of information, skills, and resources by teams of healthcare professionals to enhance the quality and safety of patient care.”  When implementing a new quality-based approach, the organization’s bureaucracy affects patient quality and safety (DeNisco, 2019).  High-functioning healthcare teams come in various compositions, yet all possess vital features that make them successful (Smith, C. D., et al., 2018). These include shared team identity, values, and goals; leadership; defined and complementary roles; continuity and regular meetings; adequate staffing; shared physical space; psychological safety; open communication and mutual respect; effective help among team members; constructive conflict resolution; task sharing and shifting; team coordination; and observation and feedback (Smith, C. D., et al., 2018). My organization tends to slow the process of change. Hence, for a change to be brought to effect, it requires consideration of leadership as a totality of change to be brought to development.

The challenge is the slow uptake of change.  In increasingly complex healthcare systems, high-functioning teams are more essential than ever and more challenging to develop and sustain. The rewards will be an increased number of patients, better care access, and robust outcomes for all people. Another reward is that change will be realized, enabling everyone to achieve better outcomes. In addition to the digital health barriers mentioned above, many issues related to the workforce can impede and facilitate team-based care. These issues range from the training and mindset of healthcare team members to team organization and leadership. They also include issues related to resources and staffing patterns.

Bodenheimer, T., and R. Willard-Grace. 2016. Teamlets in primary care: Enhancing the patient and clinician experience. Journal of the American Board of Family Medicine 29(1):135-138. https://doi.org/10.3122/jabfm.2016.01.150176

Hackman, R. 2014. What makes for a great team? Washington, DC: American Psychological Association. Available at: https://www.apa.org/science/about/psa/2004/06/hackman (accessed March 6, 2023).

Naylor, M. D., K. D. Coburn, E. T. Kurtzman, J. P. Bettger, H. G. Buck, J. V. Cleave, and C. A. Cott. 2010. Inter-professional team-based primary care for chronically ill adults: State of the science. Unpublished white paper presented at the ABIM Foundation Meeting to Advance Team-Based Care for the Chronically Ill in Ambulatory Settings, Philadelphia, PA.

Smith, C. D., C. Balatbat, S. Corbridge, A. L. Dopp, J. Fried, R. Harter, S. Landefeld, C. Martin, F. Opelka, L. Sandy, L. Sato, and C. Sinsky. 2018. Implementing optimal team-based care to reduce clinician burnout. NAM Perspectives. Discussion Paper, National Academy of Medicine, Washington, DC. https://doi.org/10.31478/201809c

Sample Answer 2 for DNP 840 Explain how organizational influence and bureaucracy both impact patient quality and safety outcomes

To achieve the successful execution of a project site, all levels of the company must collaborate. This can include working with the executive leadership, middle management, and frontline staff. It is vital to ensure that all levels of the company know the project and its objectives and that they collaborate to achieve the intended results (Moran, Burson & Conrad, 2023). Furthermore, it is critical to ensure proper resources are provided to the personnel and adequate time is set out for the project.

Bureaucracy can have an impact on the successful implementation of a project site. Ensuring that the processes and procedures are in place to provide services consistently is essential. It is also necessary to balance organizational influence and bureaucracy appropriately to ensure the best possible patient outcomes.

Organizational influence and bureaucracy both have an impact on patient quality and safety outcomes. Corporate power can refer to the policies and procedures in place to ensure that services are provided most efficiently and effectively. Bureaucracy can refer to the systems and processes in place to ensure services are delivered consistently (Talevski et al., 2020). Both of these factors can significantly impact patient safety and quality outcomes.

The two challenges or rewards associated with successfully implementing a project site are improved patient outcomes and increased efficiency. Improved patient results can be achieved through increased access to services and improved care delivery. Additionally, increased efficiency can be achieved by streamlining processes, improving communication between staff, and better collaboration between healthcare organizations.

In conclusion, the healthcare delivery system is intricate, with many components ensuring adequate patient healthcare services. Understanding the system’s features and how each can impact a project is essential for successful implementation. This essay has discussed two components that will affect the performance of a project site, the impact of bureaucracy on patient quality and safety outcomes and the associated challenges and rewards. It is critical to guarantee that all levels of the organization collaborate to accomplish the intended goals and that an adequate balance of organizational influence and bureaucracy exists. Additionally, the successful implementation of a project site can lead to improved patient outcomes and increased efficiency.

References

Moran, K. J., Burson, R., & Conrad, D. (2023). The doctor of nursing practice project: A framework for success. Jones & Bartlett Learning.

Talevski, J., Wong Shee, A., Rasmussen, B., Kemp, G., & Beauchamp, A. (2020). Teach-back: A systematic review of implementation and impacts. PloS one, 15(4), e0231350.

DNP 840 TOPIC 2 DQ 1 Sample Answer

The three factors that impact cost and review in the organization of choice are the following: 

1.      Coordination in care is a critical factor in health care cost and cost reduction. For example, Lublóy  et al (2017) identified that the collaboration assists with prescription drug cost. The organization in which the project is expected to be implemented is considered a federally qualified healthcare center (FQHC). Its purpose is to provide healthcare services in areas of high need. Many patients are non- insured and most often do not see a primary care regularly. Due to the complexity of care of patients’ facilities have clinical educators, care coordinators, and edibility departments. These professional roles are in placed to assist with barriers and increase coordination of care in hopes that the patients will continue to visit the site and receive health services. To advantage of the learner the site chosen in located in a small rural area and there are not a variety of other offices in which the patients can assist. This factor can be of benefit for the learner as patients have higher chances of following with the clinic in comparison to those based in the urban area. On the contrary due to the lack of knowledge and proactive involvement in care patients may be blinded the importance of coordination of care and the need of advanced directives to improve health outcomes, reduce health care cost, and increase patient- provider relationships. 

2.       Ageing population in the United States has been identified to be sicker than other counter parts despite the presence of Medicare (Osborn et al., 2017). Hospitalizations and prescription medications was the highest at 55% in America where at least 30 % of adults take four or more prescriptions daily (Osborn et al., 2017). Individuals most often need social care services and are unable effectively navigate or do not have qualify for services due to financial constraints. Patients’ chronic conditions and functional limitations increase their needs. Individuals struggle to manage their medications, attend follow-up visits, complete routine blood tests, preventative screening and or other necessary testing. Limitations this population faces causes a lateral effect of deterioration and poor outcomes.  Variables can impact the future project as these individuals may need further assistance and guidance by the health education team to complete their advance directive Five Wishes document. Staff will need to be educated that patients are to be mentally capable to make decision when assisting with the document as ethical considerations can present. 

3.      A chain of command is the work placed has been found to be beneficial in delegating authority and providing employees with a sense of control (van Triest & Williams, 2022).  In the chosen clinic there has been many changes that have occurred over the past few years of which have affected the chain of command.  Opening of other facilities within the state therefore leadership roles were filled with individuals who did not necessarily meet the experience needed for the roles. This has worsened the turnover rate. Previously there was already an issue with turn over due to the complexity of care of patients and problems existed with retention of medication assistance and providers. Currently there is a shift in all positions within the company and it is difficult to keep up with who continues to be part of the organization. Training is a large cost is a large part of the organizations cost and revenue. When implementation occurs, the learner hopes that the fluctuation and training of staff will not negatively impact its success. 

References: 

Lublóy, Á., Keresztúri, J. L., & Benedek, G. (2017). Lower fragmentation of coordination in primary care is associated with lower prescribing drug costs–lessons from chronic illness care in Hungary. European Journal of Public Health, 27(5), 826–829. https://doi.org/10.1093/eurpub/ckx096 

Osborn, R., Doty, M. M., Moulds, D., Sarnak, D. O., & Shah, A. (2017). Older Americans were sicker and faced more financial barriers to health care than counterparts in other countries. Health Affairs, 36(12), 2123–2132. https://doi.org/10.1377/hlthaff.2017.1048 

van Triest, S., & Williams, C. (2022). Following the chain of command? How managers balance benefits and risks in granting autonomy to employees. European Management Journal. https://doi.org/10.1016/j.emj.2022.08.007