NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)

Chamberlain University NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University  NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)  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 NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)                        

Whether one passes or fails an academic assignment such as the Chamberlain University  NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)  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 NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)                        

The introduction for the Chamberlain University  NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded) 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 NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)                        

After the introduction, move into the main part of the NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)  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 NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)                        

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 NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)                        

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 NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)

System-based practice includes topics like multidisciplinary team-based care, patient safety, and quality improvement. In the medical field no one knows everything, you just can’t know everything, therefore working as a team is the best way to tackle the job together and get it done and also use the resources that’s provided to us. As a med-surg nurse I plan to use system-based practice to help my patients get treated the right way, to help my team stress less with their job. Number one way is by having meetings with the whole team to discuss what is going on and how’s everything going? Basically if you want to see improvement you just find out about everything that needs to be fixed.  I do see pressure injury is a big thing in my unit, it would help so much for the nurses to turn the patients not only the certified nurses assistant, so one way it could help is by a way to chart every hour our patients are reposition in bed. Johnson JK, Miller SH, Horowitz SD. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work. Rockville, MD: Agency for Healthcare Research and Quality; 2008. Systems-based practice makes everything get done the right way and also helps our patients to be safe and in a good place.

Reference.

 Johnson JK, Miller SH, Horowitz SD. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work. Rockville, MD: Agency for Healthcare Research and Quality; 2008. [Google Scholar

Links to an external site.]

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Sample Answer 2 for NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)

     It is admirable that you would like to find a solution to deficiencies in maintaining the integrity of the patients’ skin to aid in administering optimal healthcare to your patients.  Turning and positioning your immobile patients every hour is definitely a technique that would decrease the amount of pressure injury wounds you and your team will have to manage.  The problem I foresee with having to turn and position the patient every hour is that the patient record would require documentation for the administration of the service rendered to show that the care was given.  The problem with this idea is that most nurses and unlicensed professionals have large workloads of patients and an increase of the workload has led to a decrease of the quality of documentation (Shihundla, R.C. et al, 2016.)  Having to turn and position so often and document so often will lead to mismanagement of patients due to omission of documentation caused by nurses forgetting to document due to the volume of the workload (Shihundla, R.C., et al, 2016).  “Nurses find it difficult to cope with the increased workload associated with documenting patient information on the multiple records that are utilized at PHC facilities, leading to incomplete information. The number of nurses at facilities should be increased to reduce the increased workload” (Shihundla, R.C., et al, 2016, abstract).  Here is where documenting and actual implementing the technique of hourly documentation on turning and positioning will be somewhat addressed.  Until there is an increase in staff available or a decrease in the amount of documentation that is required, the implementation of increased rounding would possibly be better to wait on just to prevent mismanagement of patients due omission of patient information from nurse forgetfulness (Shihundla, R.C., et al, 2016).

Reference

Shihundla, R.C. , Lebese, R.T. & Maputle, M.S. (2016).  Effects of increased nurses’ workload on quality documentation of patient information at        selected Primary Health Care facilities in Vhembe District, Limpopo Province : original research. Curationis39(1).

Sample Answer 3 for NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)

Leadership is critical to organizational growth and empowerment of nurses to enable them handle complex health issues competently. Growth as a leader in nursing requires improved awareness of practice issues, a desire to implement emerging, problem-centered work approaches, and a desire to enable various components to work together for improved patient outcomes. Central to this growth is the systems-based approach that leaders and staff should embrace for high-performance and outcome-driven relationships at all levels. The system-based approach is characterized by actions that depict knowledge of the larger healthcare context and system, effective responsiveness, and capacity to call on system resources to optimize value (Castillo et al., 2020; Guralnick et al., 2021). Therefore, it is an approach centered on maximizing output with a broadened focus on issues.

Leaders can enhance their growth by using the principles of system-based practice in multiple ways. At a personal level, interprofessional collaboration should be highly promoted to deliver the best outcomes for the clinical setting and patients. In the dynamic, complex health practice, interprofessional collaboration brings together a team with diverse skills, values, and perspectives to address a shared problem (McLaney et al., 2022). This fosters a spirit of teamwork, and nurse leaders can improve their delegation, organizational, and problem-solving skills when implementing team-based approaches. The other approach is implementing work models to streamline processes and structures. Process streamlining is essential in quality improvement and aligns with the principles of systems-based practice since its objective is to optimize resource utilization (Masters, 2021). It shows awareness of interconnections between various healthcare components since preventing resource wastage saves organizational financial and material resources. Above all, it fosters healthy relationships between the management and departments as leaders optimize value to achieve the broader organization’s vision.

References

Castillo, E. G., Isom, J., DeBonis, K. L., Jordan, A., Braslow, J. T., & Rohrbaugh, R. (2020). Reconsidering systems-based practice: advancing structural competency, health equity, and social responsibility in graduate medical education. Academic Medicine: Journal of the Association of American Medical Colleges, 95(12), 1817–1822. https://doi.org/10.1097/ACM.0000000000003559

Guralnick, S., Fondahn, E., Amin, A., & Bittner, E. A. (2021). Systems-based practice: time to finally adopt the orphan competency. Journal of Graduate Medical Education, 13(2 Suppl), 96–101. https://doi.org/10.4300/JGME-D-20-00839.1

Links to an external site.

Masters, K. (2021). Role development in professional nursing practice. Jones & Bartlett Learning.

McLaney, E., Morassaei, S., Hughes, L., Davies, R., Campbell, M., & Di Prospero, L. (2022). A framework for interprofessional team collaboration in a hospital setting: Advancing team competencies and behaviours. Healthcare Management Forum, 35(2), 112-117. https://doi.org/10.1177/08404704211063584

Sample Answer 4 for NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)

I will use principles of systems-based practice as I grow into my role as a leader in nursing by striving to be a productive part of my work unit as well as looking for ways to improve practices that are lacking. There are several ways in which I can do this. Collaborating with the physicians and case managers on my unit to advocate for my patients is something that can be done at the microlevel in which I practice. “Systems thinking is a process of self-awareness in which the nurse knows boundaries specific to clinical reasoning, personal effort, reliance on authority, and awareness of interdependencies” (Stalter et al.,2018, p 1). My view is that one way to be a productive part of the work unit is using delegation to provide better care and more comfort for the patient. One person cannot do all jobs and delegating is part of utilizing work unit resources. As always, using EBP and considering the patient’s views and what is most important to the patient and when applicable, their family, will result in a patient-centered plan of care.

References

Stalter, Ann M. PhD, MEd, RN; Mota, Altagracia EdD, MSN, RN, OCN. Using systems thinking to envision quality and safety in healthcare. Nursing Management (Springhouse) 49(2):p 32-39, February 2018. | DOI: 10.1097/01.NUMA.0000529925.66375.d0

Chamberlain College of Nursing (2020). NR351 Transitions in Professional Nursing: Week 7 lesson. Downers Grove, IL: Online Publication.

Sample Answer 5 for NR 351 Week 7: Discussion: Leaders and Systems-Based Practice (Graded)

I am currently a staff RN on a med surge telemetry unit. It is a 60 bed unit and I feel that at times it is hard for my leadership to manage all the patients’ care. Some authors contend that nurses are managers of patient care. Leadership skills used in this type of direct care nursing include delegation, supervision of unlicensed assistive personnel, skilled communication, collaboration, and evaluation (Masters, 2022).

My nursing leader does a huddle at the start on each shift to discuss to updated procedures for patient care or just general safety issues. We also do a monthly meeting to discuss updated procedures in details.  One of my favorite meetings we have is done every day with case management, a discharge doctor, my nursing leader, my charge nurse, and the primary RN. In these meetings we discuss the patient’s case, including test they are open for and what their plan is once they are discharged. My nurse leader will step in if we are not providing good patient care. For example, if a MRI is pending for too many days, my nurse leader arks it up to higher nursing leadership. “The metaphors “a village” and “a mirror” have been used to illustrate and differentiate the concepts of systems-based practice (SBP) and practice-based learning and improvement” (Johnson, 2008). I believe that the daily meetings with nursing leadership and other members of the patient’s care team (village) makes a huge impact on  patients’ overall care.

I have such a strong nurse leader currently, she provides great support to her nurses. She truly cares about our patients and never hesitates to go above and beyond to ensure they get the best care. I think the daily meetings she conducts with the entire care team is a great tool I will use one day when I am a nurse leader.

Johnson, J. (2008). Systems-based practice: Improving the safety and quality of patient … https://www.ncbi.nlm.nih.gov/books/NBK43731/

Masters, K. (2020). Role development in professional nursing practice (5th ed., p. 667). Jones & Bartlett.