Eisenhower Medical Centre | Strategic Plan for 2020-2022

Purpose

The main purpose of this strategic plan is to serve as a guide for the achievement of the organization’s goals that it envisions to accomplish in the next three years. Eisenhower Medical Centre recognizes the important role that all its stakeholders play to enable it achieve its aims and objectives over the years. This strategic plan takes into consideration the importance of this collaborative effort in the realisation of the goals set here in it.

Mission Statement

Eisenhower Medical Centre (EMC) is there to provide, without seeking profits, the best possible quality healthcare services in the state of California and beyond. It seeks to be the best in this respect and also provide the highest rated healthcare research and supportive patient education.

Vision

• To provide the most ideal patient care sought by our clientele.
• To provide the most conducive working environment for all Eisenhower Medical Centre employees and volunteers. Medical Organization Strategic Plan
• To partner with donors in generating resources towards the provision of affordable healthcare services.
• To be the most attractive healthcare facility for physicians, nurses, nurse practitioners and other medical staff to work in.
• To be the strongest and indispensable community resource in the entire state of California and beyond.

Integral Values

Excellence: We practice only evidence-based interventions all the time to enable us achieve patient outcomes that are beyond set expectations. Our clinician-patient relationships are always the best and we place the highest premium on patient safety.

Courtesy: Our employees are the most courteous and understanding to our patients, their relatives, and other visitors to the facility.

Efficiency: We offer the most efficient and effective quality healthcare within the shortest time possible for our patients. Medical Organization Strategic Plan

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Strategic Priorities

1. EMC must acquire new ventilators/ RT equipment and upgrade old medical equipment.
2. EMC has to do away with unstable permanent positions.

• EMC must begin a policy of zero tolerance to discrimination of any sort and sexual harassment at the workplace.

1. EMC must recruit interpreters on a full-time basis. These have to work in the facility’s emergency department and the intensive care unit where quick intervention may be hampered by language barrier.
2. EMC to venture into housekeeping services for itself without outsourcing, and provide its own in-house financial services.
3. EMC to provide all-round security around the perimeter of its health facility to protect patient privacy and ensure their safety from outside intrusion.

• EMC to make sure that all patients and their loved ones can at all times access clean, safe, and pure portable drinking water from multiple points within the facility.
• The centers for Cancer, Orthopedics, Neuroscience, and Cardiovascular research and treatment at EMC to continue being equipped and supported to provide the latest state-of-the-art treatments. Medical Organization Strategic Plan

1. EMC to continue innovation concerning novel treatments with non-invasive procedures, for instance E-Zpap.
2. EMC to equip and staff a new lung laboratory that will cater for the facility’s inpatients.
3. EMC to continue its close relationship with its benefactors for continued provision of cheap not-for-profit healthcare services.

• EMC to come up with a program that assists patients without healthcare insurance coverage to opt for in-house financial services.
• EMC to drastically reduce its carbon footprint and encourage its employees and patients to dispose trash within the facility in designated recycling bins and containers.
• EMC to remain apolitical and neutral in all political discourse. However, to continue compliance with the state of California and city of Rancho Mirage statutes, regulations, and by-laws. Medical Organization Strategic Plan

Strategic Objectives

Financial

Objective: Achieve better efficiency in the billing process

• Lower the period of billing from seven to five days.

Objective: Reduce the cost of operations of the healthcare institution that is EMC

• Target a reduction in operating costs from USD 50,000 to 45,000.

Patient Expectations

Objective: Reduce the rate of patient dissatisfaction with the healthcare services

• Lower the rate from 25% percent to a target of 18%.

Objective: Do away with lawsuits related to malpractice and other claims

• Cut down the number of cases from the current five to none at all.

Learning and Professional Development

Objective: Tackle any matters that still require resolution in the organization

• Reduce unresolved issues from the current 12,000 to a target of just 5,000. Medical Organization Strategic Plan

Processes Internal to the Organization

Objective: Increase innovations within the organization’s employee ranks

• Promote the emergence of more innovations within the organization from the current twelve to twenty.

Objective: Improve the control of inventory within the organization as a whole

• Tighten the process of inventory control from the current 90% to a target of 95%.

Objective: Do better in preventing staff turnover that is preventable

• Improve employee retention in their jobs from the current figure of thirty percent to a target figure of fifty percent.

Objective: Reduce the percentage of patient insurance

• Lower the w/o insurance for patients from the current figure of 10% to five percent.

References

Eisenhower Health (2020). Mission statement. Retrieved 10 march 2020 from https://eisenhowerhealth.org/about-us/mission-statement/

Healthgrades (2020). Eisenhower Medical Center. Retrieved 10 March 2020 from https://www.healthgrades.com/hospital-directory/california-ca-southern/eisenhower-medical-center-hgste6618d46050573

ResearchGate (n.d.). Eisenhower Medical Center. Retrieved 10 March 2020 from https://www.researchgate.net/institution/Eisenhower_Medical_Center  Medical Organization Strategic Plan

The Importance of Nursing Informatics and the Multidisciplinary teams

As a healthcare professional, it is imperative to have excellent communication skills. Nurses should always know what is going on with their patients, too many times; nurses miss urgent orders due to a lack of communication. Nursing informatics is essential; having computerized charting makes it easier for the nurse to check orders and to know the plan of care.

According to YoeniTo, improve the quality of nursing care, we developed and evaluated an Electronic Medical Record (EMR) program designed to maximize productivity and efficiency in our nursing documentation system. Electronic medical records are useful communication tools that can alert anyone on the interdisciplinary team of the patient\’s progress. An electronic document can share relevant patient information among care providers to coordinate care, aid in decision-making, and achieve improvements in quality (Burnett, 2016). Benefits of EMRs are they provide a virtual state of the art multidisciplinary rounding record, so when doctors are not available, they can log on and access what every interdisciplinary team discussed. EMRs increases efficiency\’s, reduce readmit rate due to patient having access to their medical records online, decreases in readmissions, and have fewer mistakes and redundancies then paper charting. However, I believe that the patients should always have a physician on call available to answer patients\’ questions to cut down on unnecessary ER visits.The Importance of Nursing Informatics and the Multidisciplinary teams.

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Consistently getting team members together, for instance, requires constant coordination; with the electronic medical record, doctors can pull up labs and diagnostic tests with patients and families. Computers have proven to be a great communicator between teams in the health care setting. Nursing informatics provides a haven for better patient care when dealing with Large multidisciplinary teams and deliver better outcomes for patients.

References:

Burnett, M. (2016). Does Use of an Electronic Display of a Discharge Clinical Summary Improve the Perceived Quality of Multidisciplinary Discharge Rounds and Care Coordination?. On-Line Journal of Nursing Informatics, 20(1).

yoenyi@samsung.co.kr, E. (n.d.). Retrieved from https://synapse.koreamed.org/search.php?where=aview&id=10.4258/jksmi.2000.6.4.87&code=0088JKSMI&vmode=PUBREADER The Importance of Nursing Informatics and the Multidisciplinary teams

Please responde to Deana Gil ‘s post below offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.
please and add 3 refrences with your response.
Nurses must be able to provide safe care and treatment to patients. Most of my career was working in a Level one Trauma Center Emergency Department (ED) in downtown Phoenix, Arizona. In the ED,

we had one system that we used for charting, and the rest of the hospital had a different charting system. If our patient was admitted to the hospital, we had to print off the ED visit note and send it with

the patient for the nurses receiving the patient. This created problems. Just a few of these were: if the patient had medications that were ordered in the ED, but were not given for whatever reason, the

receiving nurse was not aware unless the sending nurse specifically gave it in report, if the patient had STAT lab orders, the ED nurse would not see these as the admitting providers would put them in the

inpatient admitting orders, and at times the admitting provider would discontinue medications that the ED nurse had orders to give by the ED provider before sending them to the floor. The Importance of Nursing Informatics and the Multidisciplinary teams

By getting input from ED staff, providers, and inpatient nurses, the nurse informaticist (NI) advocated for the team to administration. They helped implement the ED charting system that was the same

system that the rest of the hospital had. The NIs include staff in change decisions to ensure the change would not have negative effects on the workflow and to increase staff buy-in (Tyler, 2019, p. 19). The

NI\’s trained a staff member on each shift to be a superuser and helped during the transition to the new program. As stated by Tyler (2019), \”The informatics nurse is essential to the success of super users

in any organization\” (p. 19). The super users had direct communication with the NI\’s and were able to alert them to issues or ideas for a smoother process recommended by the staff.

NI\’s trained the providers and the ED staff on using the new system. When the providers needed changes in the system for different documentation within the system, the NI collaborated with the charting

company, and the changes were made.

One strategy recommendation for improvement would be to have the NI come to the unit once a week for any suggestions or complaints and have a suggestion box for those that may be busy or not

present when the NI was there. The form placed in the box would have an answer section that would go back to the person that wrote it with a week return response timeframe. The Importance of Nursing Informatics and the Multidisciplinary teams

Nursing informatics have the benefit of their ability to interact with various clinicians, clinical practice knowledge and can relate to staff with the experience the workflow change (Mastrian & McGonigle,

2018, p. 257). As we rely on technology in so many aspects of our lives, NI\’s are a necessity in healthcare. The use of NI\’s and their specialty will enable hospital staff to have the most recent evidence-based

practice, patient safety with alerts and check-offs in the electronic medical record (EMR), and track specific trends good and bad for change and education. Nursing executives can use nursing informatics

to help with things like budgeting tools and trending costs and savings (McGonigle, Hunter, Sipes, & Hebda, 2014, p. 324).

References

Mastrian, K. G., & McGonigle, D. (2018). Nursing informatics and the foundation of knowledge (4th ed.). Jones & Bartlett.

McGonigle, D., Hunter, K., Sipes, C., & Hebda, T. (2014). Why nurses need to understand nursing informatics: Everyday informatics the official voice of perioperative nursing the official voice of perioperative

nursing. AORN Journal, 100(3), 324-327. doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1016/j.aorn.2014.06.012

Tyler, D. D. (2019). A day in the life of a nurse informaticist. Journal of Informatics Nursing, 4(1), 18-20. Retrieved from https://ezp.waldenulibrary.org/login? The Importance of Nursing Informatics and the Multidisciplinary teams

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Tyler, D. D. (2019). A day in the life of a nurse informaticist: Organizational change. Journal of Informatics Nursing, 4(2), 18-20. Retrieved from https://ezp.waldenulibrary.org/login?

qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocview%2F2291990769%3Facc The Importance of Nursing Informatics and the Multidisciplinary teams

Contemporary issue or trend in nursing

Identify one specific contemporary issue or trend that you are interested in learning more about. Choose from the categories below. For example you might want to learn more about why it is more difficult for some groups to receive care than others, which would fall under Client Access to Care. Or, you might want to compare nursing practice in the U.S. with how nurses practice in Japan, which would fall under the category of Global Healthcare and Nursing.

Global Healthcare and Nursing
Healthcare Reform
U.S. Healthcare Financing
Nursing\’s Role in the U.S. Healthcare System
Integrative Healthcare
Nursing Leadership and Management
Nursing Education
Nursing Practice
Nursing Professionalism
Advancing Nursing as a Profession
Client Access to Care
Delivering Client Care
Interdisciplinary Teamwork and Collaboration
Ethical Practices in Healthcare
Quality and Safety in Healthcare Delivery
Health/Nursing Informatics

Once the issue or trend is identified, find five important/significant facts about it, substantiated by an evidence-based article. Include the article in your submission. contemporary issue or trend in nursing

Create an 8-10 slide PowerPoint presentation with speaker notes, in-text citations and a reference page slide.

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´CONTEMPORARY ISSUES AND TRENDS: NURSING INFORMATICS – KEY ELEMENTS

´Name:

´Institution:

´INTRODUCTION

´Nursing informatics increasingly integrated into nursing practice.

´Involves applying information technology in nursing duties.

´Involves aspects of data management.

´Nursing informatics has four proficiency levels:

´Beginner

´Experienced

´Specialist

´Innovator

Nursing practice has increasingly been integrated with informatics to result in the conceptualization of “nursing informatics” as a specialization in nursing resources. The concept of nursing informatics involves application of information technology in nursing duties to include practice, management and education with a focus on informatics skills, informatics knowledge; and computer skills. In addition, it involves many aspects of data management such as telenursing, e-learning, intelligent systems, electronic patient records, security, information science, computer science, imaging informatics, information systems, human-computer interaction, decision support systems, patient care, ethics, and data recovery. contemporary issue or trend in nursing. There are four proficiency levels: beginner; experienced; specialist; and innovator (Darvish et al., 2014). The present presentation explores five significant trends concerning nursing informatics.

´FACT #1: HEALTH CARE PROMOTION

´Nursing informatics applied in research, education, management and clinical areas.

´Increase patient safety through supporting evidence-based practice.

´Promote nursing management outcomes.

Nursing informatics is applied in nursing research, education, management and clinical areas, and this has an influence on health care. It increases patient safety through supporting evidence-based practice. In fact, competence in informatics is acknowledged as a prerequisite to improving safety with nursing curriculum promoting informatics tools as critical practice components. Informatics has specifically been used to promote nursing management outcomes to include shift planning and efficient management of health care. Overall, informatics offers access to evidence that supports efforts to improve care quality while supporting evidence-based practice. As such, it is critical for nurses to have the capacity to assess, apply, manage and report data, activities that are best facilitated by informatics tools (Darvish et al., 2014). contemporary issue or trend in nursing

´FACT #2: ADVANCED DECISION SYSTEMS

´Improve speed of decision-support systems.

´Helped achieve safe care delivery.

´Enhanced critical thinking.

´Reduced working time.

Informatics has improved the speed of decision-support systems to help with safe care delivery and enhancing critical thinking. Prior to inclusion of informatics, decision support systems would improve safety but impair critical thinking. In addition, informatics has reduced working time through helping decision systems to replace human knowledge through formulating knowledge. In fact, expert systems have become more common and are used in prescription, decision support, critical treatment plans, and diagnostic support. Examples of such systems can be seen in the intelligent and smart tools that are used to support diagnosis and treatment with the intention of reducing medical harm and errors, and financial loss. It is important to note that these expert systems that include artificial intelligence are not advanced enough as standalone tools to eliminate the need for human expertise. Rather, they require some human expertise to be integrated as part of knowledge management (Darvish et al., 2014) contemporary issue or trend in nursing.

´FACT #3: LEVERAGED INTERNET AND NETWORK

´Unique data networks such as AMN and AJN.

´Tele-nursing and telemedicine.

´E-education.

Informatics has leveraged the internet and computer networks. In fact, nursing informatics makes use of communication and electronic devices to develop and access unique data networks such as AMN and AJN. Nurses have access to common networks for nursing organization where they develop forums for discussion professional issues while designing online meetings. Besides that, informatics has leveraged the networks to offer medical services from a distance through tele-nursing and telemedicine. In this regard, technological solutions have been developed to facilitate easy remote diagnostic hardware and software designed to facilitate E-nursing services with a focus on remote use of professional knowledge and skills. Through tele-nursing, nurses are no longer restricted by distance when providing counseling, patient monitoring and education. The remote services provision has helped in addressing nursing demand and shortage concerns. contemporary issue or trend in nursing. Besides that, there is a possibility of improving health through E-education irrespective of place and time thus improving self-care behavior and satisfaction among patients (Darvish et al., 2014).

´FACT #4: REVOLUTIONIZED NURSING EDUCATION

´Nursing informatics capabilities needed to meet present and future health care needs.

´Addresses practice challenges.

´Addressing national surveillance needs.

´Address nurse education challenges

´Centralized solutions for nursing problems.

The national advisory council on nurse education and practice have repeatedly highlighted nursing informatics as an important component for meeting the prevailing and future health care needs. It particularly notes that informatics can help in addressing practice challenges in nursing to include telehealth, care planning tools, data capture tools, computerized provider order entry, bar code administration, patient monitoring systems, and electronic health records. In addition, it helps with addressing national surveillance needs, improving care access and data collection efficiency, tracking patient data, reducing medical errors, and reducing the impact of nurse personnel shortage. Besides that, informatics helps in addressing nursing education challenges through faculty development, information technology inclusion in curricula, simulation to delivery education, and E-learning to delivery education. Overall, informatics is credited with centralizing solutions to nursing problems and supporting nurse involvement for optimal technology use with a focus on increasing health information technology skills, reducing faculty shortage, and improving the capacity of nursing schools (Darvish et al., 2014). contemporary issue or trend in nursing

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´FACT #5: NEED FOR SPECIALIZED EDUCATION

´Health technology developing and growing fast.

´Nurses can take advantage of the technologies through effective use.

´Used to improve nursing care quality and outcomes.

´Education programs strengthened to implement information technology.

Health technology is developing and growing at a fast rate. Nurses can take advantage of the new technologies only if they can use them effectively. In fact, effective use allows nurses to take advantage of information technology to improve nursing care quality and outcomes. This can only become a reality if nurses are strengthened to implement information technology tools in all aspects of their profession (Darvish et al., 2014). contemporary issue or trend in nursing

´LOOKING FORWARD

´Potential of nurse informatics cannot be overestimated.

´Enhances quality of nursing domains outcomes.

´Nurses are positioned to interact more frequently with medical technology.

´The frequent use requires informatics capabilities to improve productivity.

´Nurses should have informatics capabilities.

The potential for informatics, as a component of information and communication technology application, cannot be overestimated as they enhance the quality of nursing domains outcomes. As primary care providers with the most communication with patients, nurses undoubtedly interact more frequently with technology. Through using technology, they leverage their informatics capabilities to improve productivity thus allowing them to gain more decision-making authority. As such, there is a need to ensure that nurses gain informatics capabilities.

´RECAP

 

´Reference

´Darvish, A., Bahramnezhad, F., Keyhanian, S. & Navidhamidi, M. (2014). The role of nursing informatics on promoting quality of health care and the need for appropriate education. Global Journal of Health Science, 6(6), 11-18. DOI: 10.5539/gjhs.v6n6p11. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825491/ contemporary issue or trend in nursing

´

Benchmark – Effective Approaches in Leadership and Management

Nursing practice has many issues that affect it. These issues may be related to the work environment, remuneration, or professional development among others. For instance, nurse may find that they are not as productive as they would wish because the work environment they are in curtails their resourcefulness. Most of the time, this kind of scenario is related to oppressive leadership on the part of nurse managers. The nurse may also find that the remuneration they are getting for their services are not congruent with the skills that they have and the workload. Or they may find that the organizational policies towards professional development in terms of…

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Benchmark – Effective Approaches in Leadership and Management

Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue. Benchmark – Effective Approaches in Leadership and Management
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

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Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings. Benchmark – Effective Approaches in Leadership and Management

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4: Demonstrate professional standards of practice.

 

Effective Nursing Leadership in the Face of High Nursing Staff Turnover: The Role of Leadership Style in Ensuring Patient Safety

Nursing practice has many issues that affect it. These issues may be related to the work environment, remuneration, or professional development among others. For instance, nurse may find that they are not as productive as they would wish because the work environment they are in curtails their resourcefulness. Most of the time, this kind of scenario is related to oppressive leadership on the part of nurse managers. The nurse may also find that the remuneration they are getting for their services are not congruent with the skills that they have and the workload. Or they may find that the organizational policies towards professional development in terms of training, upskilling, and reskilling are not favorable to them. All these factors normally lead to one undesirable outcome – high nurse turnover. This paper is about this issue of high nurse turnover in nursing practice and the role of the nurse manager in ensuring that patient safety is safeguarded in the face of a reduced workforce. Benchmark – Effective Approaches in Leadership and Management

Nurse turnover in the hospital and other healthcare settings negatively impacts the quality of care that patients receive in such settings. This is because the nurse is the one healthcare professional that is always in contact with the patient and actually delivers the end-product of healthcare institutions. According to Bae et al. (2010), nurse turnover has been shown to negatively impact both the quality and continuity of patient care. Apart from that, they also demonstrated through their study that nurse turnover affects workgroup learning which in turn influences patient outcomes. This position is supported by Antwi and Bowblis (2018) who opine that high nurse turnover is related to lower overall quality of nursing care. Benchmark – Effective Approaches in Leadership and Management According to them, it may also mortality rates in the hospital and other settings like nursing homes. Furthermore, nursing turnover has the effect of lowering effectiveness because new employees are not familiar with an organization’s standard operating procedures and other protocols. In fact, the high turnover may also increase operating costs to the organization; and this is detrimental to the bottom line in fiscal terms. Numerous studies have therefore shown an undisputed statistical association between nurse turnover and health outcomes (Antwi & Bowblis, 2018).

Ensuring Nursing Professional Standards of Practice are Observed

According to standard number 3 of the American Nurses Association’s Standards of Professional Nursing Practice, the registered nurse is tasked with identifying the outcomes that are expected for each individual patient (ANA, 2015). This is in appreciation of the fact that it is the registered nurse who is mandated to plan care for each patient in the care of her team. It is in this nursing care plan that the registered nurse clearly outlines individualised patient outcomes and works towards achieving them together with her team. The team in a typical healthcare setting usually includes other registered nurses, enrolled nurses, and nurse assistants. To achieve the desired patient outcomes, therefore, the registered nurse normally has to take the role of clinical nurse leader and guide care by clinically leading the other team members Benchmark – Effective Approaches in Leadership and Management. This is achieved by delegation of duties. The registered nurse in this case may be administratively involved in the management of the unit or not. That does not exclude her from taking the clinical leadership role. In the face of a shortage of nurses because of high staff turnover, however, the registered nurse who is the clinical nurse leader will find it difficult to maintain professional standards of practice. Yet this is exactly what must be maintained despite all the staffing difficulties.

The answer to the above situation lies in resourceful delegation of duties by the clinical nurse leader, such that the professional nursing standards of practice are respected at all times in the face of the nursing shortage. Care plans must still be made, and individual patient outcomes must still be achieved. The clinical nurse leader can thus delegate appropriate tasks to the other registered nurses in the team because these may not require direct supervision. Other lesser tasks will be delegated to enrolled nurses and both direct and indirect supervision employed depending on their experience. Then the nurse assistants can help the patients with activities of daily living such as feeding and bathing.

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Role of the Nurse Manager in a Situation of Nursing Shortage Due to Turnover

In a situation in which there is a shortage of the nursing workforce, the role of the nurse manager becomes very important. This is because patient safety must remain a priority at all times. As such, the nurse manager must find ways of mitigating the negative effects of the nurse shortage. This calls for experience, ingenuity, and resourcefulness. Their roles therefore include maintaining standards of care and patient safety, motivating their remaining staff to carry out the immense task without feeling overburdened, and meeting organizational expectations outlined it its strategic plan. Different nurse managers will adopt different approaches to the situation. There are those that will resort to authoritarianism in order to get things done. This kind of nurse manager will forcefully delegate extra duties to her staff due to the pressure of work and the lack of time to discuss over tasks before allocating them. Of course this approach is counterproductive and can only lead to worsening of the situation as more nurses will leave compounding the turnover crisis Benchmark – Effective Approaches in Leadership and Management. Other nurse leaders will adopt a more consultative and teamwork approach. To begin with, they will put on the gloves themselves and carry out tasks alongside the other staff members. This is the reason why the cl9inical nurse leader should first and foremost be a clinical expert with vast clinical experience. This way, they can fill in where there is a shortage even as they delegate other tasks to the other nurses in the team. This other nurse manager will then make sure that the working environment is conducive despite the pressure of work. The staff members will then feel appreciated and deliver only their best. This is the essence of transformational leadership (Cheng et al., 2016). In doing all these, the nurse managers will be applying the principles of management that are authority and responsibility in that they will be delegating these to the other nurses, even as they retain accountability for all the tasks.

Additional Measures the Nurse Leader and Manager Can Take in the Face of Nurse Turnover

There are additional measures that the nurse leader can institute to make sure that patient safety, professionalism, and standards of practice remain respected. She can make sure that skill mix in her team is correct. Regardless of the shortage, as the nurse and clinical manager she must ensure that the right skill mix among the registered nurses, enrolled nurses, and nurse assistants prevails (Moore, 2012). She must also make sure that she monitors her remaining staff more closely for signs of burnout such as increased irritability. This is because burnout itself will be a danger to patient safety as nurses suffering from burnout have been known to commit medication and nursing errors often.

As stated above, the leadership style that would best address the issue of nurse turnover is transformational leadership. This is a style that ensures motivation to the staff, a conducive and welcoming work environment, and an understanding ear (Cheng et al., 2016). Lack of succession planning has however made it difficult to replicate this kind of leadership, though it remains the best for this situation (Balogh-Robinson, 2012).

Conclusion

High nursing staff turnover is a menace to all healthcare organizations. It has got detrimental effects to the standard of care that is delivered by the remaining staff since they get overwhelmed with work. To effectively manage its impact, transformational nurse leadership is required. Benchmark – Effective Approaches in Leadership and Management.

 

References

American Nurses Association [ANA] (2015). Nursing scope and standards of practice, 3^rd ed. Silver Spring, MD: Author.

Antwi, Y.A. & Bowblis, J.R. (2018). The impact of nurse turnover on quality of care and mortality in nursing homes: Evidence from the great recession. American Journal of Health Economics, 4(2), 131–163. https://doi.org/10.17848/wp15-249

Bae, S.-H., Mark, B., & Fried, B. (2010). Impact of nursing unit turnover on patient outcomes in hospitals. Journal of Nursing Scholarship, 42(1), 40–49. Doi:10.1111/j.1547-5069.2009.01319.x

Balogh-Robinson, L. (2012). The crisis in leadership in the context of the nursing shortage and the increasing prevalence of nursing unions. Journal of Healthcare Leadership, 127-139. Doi:10.2147/jhl.s34024

Cheng, C., Bartram, T., Karimi, L., & Leggat, S. (2016). Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses. Personnel Review, 45(6), 1200–1216. Doi:10.1108/pr-05-2015-0118

Moore, A. (2012). Getting ratios right, for the patients’ sake. Nursing Standard, 26(31), 16-19. Doi: 10.7748/ns2012.04.26.31.16.p8021 Benchmark – Effective Approaches in Leadership and Management

Professional Nursing Portfolio

Personal Philosophy Statement

To become a highly skilled and committed mental health nurse practitioners providing safe and holistic care to patients of all ages in diverse settings. My foundation will be built through lifelong education, work experience, and active engagement in EBP. After six years having gained enough experience, I will enroll in the Mental Health Psychiatry Doctoral program for a Ph.D. to advance my career further. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Self-Assessment

I possess exemplary skills in conducting patient and family-focused assessments, to treat, make referrals, and educate patients who are acute or chronically ill. I am a good collaborator, communicator, and decision-maker, which boosts my ability to interact with patients and families and made clinical decisions regarding their care.

Personal Goals

            Short Term: To provide high-quality mental health care to mentally ill patients and positively impact their health and well-being together with that of their families. 

            Long Term: To be credentialed as a certified Mental Health Nurse Practitioner and contribute towards eliminating disparities and stigma associated with mental health illnesses

Personal Strengths

Critical thinking and Analytical skills: can use logical and analytical skills to address issues  in the clinical setting particularly in making diagnoses, conducting assessments, patient management, setting goals, making decisions and implementing care plans.

Collaboration: I am a good team player who can work with interdisciplinary teams to care for patients. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Areas to Develop

Ethical decision-making: I will improve my knowledge to understand the roles of a mental health nurse in making ethical decisions to be able to address ethical dilemmas in future mental health practice.

Cover Letter

(Name)

(Address)

(Email)

(Date)

 

(Name of the Hiring Manager)

(Company)

(Address)

(City, State)

Dear Mr., Mrs., Ms. (Name of Hiring Manager)

I am delighted to write in reference to the position of (name of position) in the advertisement dated (official date of advertisement) on (official name of the website). I am confident that I am the most suitable candidate for this position based on my professional experience, core abilities, and academic qualifications. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

I possess a Master’s Degree in (name) with more than five years’ experience working in both resource-limited and resource-rich diverse health settings. I am a good communicator, collaborator and decision-maker who is passionate about improving the health status of communities and individuals that I serve through holistic and culturally competent patient-centered care. I also possess exemplary leadership skills to motivate and inspire patients, families and those I closely work with.

ORDER A PLAGIARISM-FREE PAPER NOW

In my present role as field nurse-case manager at CADC Home Health Corporation, Miami, Florida, I coordinate and manage the health workforce, organize community fairs to promote the healthcare services provided by the agency, and coordinate care for nutritional and social support. In this entire period, I have been identified as a very committed and reliable staff who can work with different people with minimal or no supervision.

I am certain that relating with your organization will benefit my professional growth since it is a challenging environment full of learning opportunities where I can exercise my knowledge and skills. As I look forward to hearing from you, I am positive that I will get the opportunity to share more about my abilities, achievements, and skills in an interview. Cover Letter, Resume, and Portfolio Practicum Assignment Examples. Attached is a comprehensive account of my professional objective, experience, and achievements.

Sincerely,

(Name), RN, MSN

 

RESUME

(Name), BSN, RN

(P.O Box Address)

(Physical Address)

(Phone Number)

(Email)

OBJECTIVE

A dedicated, compassionate, and patient-oriented nurse with vast experience in: healthcare management, mental health care, basic life support, medication administration, time management, and prioritization. Attained a lot of experience in managing employees, conducting patient evaluations, and developing care plans. Has a proven record of responsibility in managing critical incidents and addressing patient needs in diverse care settings. Able to provide public health education, manage the acute and chronically ill, and provide rehabilitative services Cover Letter, Resume, and Portfolio Practicum Assignment Examples. Can provide social and emotional support to patients and their families and use individual judgment to address ethical dilemmas in clinical settings.

CORE COMPETENCIES

Healthcare management, mental health care, marketing, liaison, basic life support, medication administration, transportation and emergency coordination, medical devices proper utilization, medications, and nutritional supplements, reports generation, patient/client/worker safety and education, time management and prioritization, implementation of PDO programs

WORK EXPERIENCE

Staywell/WellCare (Miami, Palmetto office, FI)                               February 2019-July 2019

RN Field Nurse, Case Manager LTC specialist

• Conducted case management of LTC members,
• Enrolled, provided care and planned  services for LTC members
• Implemented PDO programs
• Conducted patient follow-up and transitioned them to community from NF, Hospitals, ALF’s, ADC’s
• Coordinated healthcare services and programs
• Managed chronic conditions
• Created and updated patient care plans based on their conditions
• Taught patients and families how to follow care plans
• Collaborated with doctors and specialists  to integrate their recommendations in care plans
• Liaised with insurers to ensure that patient care plans are covered
• Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Established good working conditions and collaborated with healthcare teams in the entire processes of case management
• Helped patients to make decisions in an advocacy capacity in reference to their clinical status and treatment choices

xxx Health Corporation, Miami,                  January 2018-Present

Field Nurse Case Manager, Liaison.

• Provided skilled nursing services in managing resources and personnel to adequately meet patients’ needs
• Provided psychiatric nursing services
• Provided wound care nursing services
• Coordinated patient care and provided nutritional assistance
• Coordinated transportation and social support
• Nurse supervisor
• Conducted marketing activities to promote business in the market
• Organized community fairs to promote services provided by the agency at the capacity of a Home Health Care leader
• Recorded information about different cases, accurately fled necessary forms and produced statistical reports
• Established good working conditions and collaborated with healthcare teams in the entire processes of case management
• Helped patients to make decisions in an advocacy capacity in reference to their clinical status and treatment choices

Health Home Care, Inc., xxx                                    March 2017-Present

Field Nurse Case Manager

• Helped to develop, maintain, implement and update patient case records
• Liaised with the organization and customers to ensure efficient flow to services provided
• Supervised the provision of customer services
• Created and updated patient care plans based on their conditions
• Taught patients and families how to follow care plans
• Collaborated with doctors and specialists  to integrate their recommendations in care plans
• Liaised with insurers to ensure that patient care plans are covered
• Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Conducted and addressed psychosocial and motivational issues
• Adhered to professional standards as enlisted by rules, regulations and protocols
• Recorded information about different cases, accurately fled necessary forms and produced statistical reports

 

TLC, Home Health Agency, Miami FL                                          August 2013-April 2018

Director of Nursing

• Created and updated patient care plans based on their conditions
• Taught patients and families how to follow care plans
• Collaborated with doctors and specialists  to integrate their recommendations in care plans
• Helped patients to attain autonomy and wellness
• Drafted plans for service,  reviewed progress for cases and determined closure of cases
• Liaised with insurers to ensure that patient care plans are covered
• Coordinated healthcare services for medically fragile children and geriatric patients
• Oversaw patient care based on individual needs
• Organized community and family reimbursements requirements
• Interacted with patients to ensure satisfaction and track progress
• Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Established good working conditions and collaborated with healthcare teams in the entire processes of case management
• Helped patients to make decisions in an advocacy capacity in reference to their clinical status and treatment choices

EDUCATION

xxxx International University (BSN)                                   2011   

Certified Registered Rehabilitation Nurse

xxxx International University                                              2018

Target Case Manager

xxxxx International University                                            2006

Coding and Billing Specialist

PROFESSIONAL SKILLS

• More than 14 years’ experience providing exemplary culturally competent care to adult, geriatric and pediatric patient s and managing employees.
• Compassionate, and professionally focused with patients
• Firsthand experience providing nursing care to individuals in community health facilities, Health Insurance and Home Health Care
• Experienced in LTC Case management
• Bilingual: Spanish and English.
• Progressively develops positive relationships with families and clients. Physicians and other healthcare providers in community settings                                

LICESURE, CERTIFICATIONS AND AFFILIATIONS

Certifications

RN in Florida, (License Number, Expiry)

Affiliations

FL Nurses Association, 2002-Present -Member

American Nurses Association, January 2017-Present-Member

REFEREES

 

 

References

Cover Letter Advice (n.d.). Nurse practitioner cover letter sample 1. Retrieved from http://www.coverletter.us/nurse-practitioner-cover-letter/

Dahring, R. (2013). Cover letter caveats. Retrieved from http://nurse-practitioners-and- physician-assistants.advanceweb.com/Columns/Career-Coach/Cover-Letter-Caveats.aspx

Porche, D. J. & Danna, D. (2015). Cover letter & resume preparation: Every detail is important when applying for a job. Advance healthcare network for NPs & PAs.

Ulrich, D. L., & Stalter, A. M. (2015). Securing your first clinical nursing position. Nursing2018, 45(8), 60-63. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

 

 

Assignment: Practicum: Cover Letter, Resume, and Portfolio
For this Assignment, you create a professional cover letter, resume, and portfolio that you can use as you pursue your next professional role.
Learning Objectives
Students will:
• Create professional cover letters, resumes, and portfolios
The following checklists outline all of the items you should include in your cover letter, resume, and portfolio.
Checklist for Cover Letter (S/U grade)
Your cover letter should be:
• Presented and formatted in a professional business manner
• Addressed properly
• Clear and concise and include:
o Content Introduction
o Content Body
o Content Conclusion
• Written in a professional style and include:
o Correct spelling, punctuation, and grammar
o Clear and accurate sentence structure
Checklist for Resume
Your Resume should be clear, concise, and well-organized and it should also include your:
• Name, address, business phone number, and e-mail address (top center of resume)
• Profile: 2–3 sentences describing goal and positive attributes/characteristics
• Certifications and licensure
• Education
• Professional experience
• Honors/awards
• References
Checklist for Portfolio
Your Portfolio should be clear, concise, and well-organized and it should also include your:
• Personal philosophy statement

Cover Letter, Resume, and Portfolio Practicum Assignment Examples
• Self-assessment
• Personal goals (short term and long term)
• Achievements
• Cover letter
• Resume
• Diplomas for formal education
• Letters of recommendation
• References (list names, affiliation, and contact information)
• Certifications
• Certificates of attendance for continuing education
• Transcripts
• Publications
• Oral presentations and/or poster presentations

 

 

Cover letter, resume and portfolio

Name

Institution

 

Cover letter, resume and portfolio

Cover letter

xxx xxx

43xx E. Anderson RD

Bloomington, IN

Tel. xxx

Email: xxxx@xxx.com

 

Date

 

Name

Title

Company name

Address

City, State, Zip

 

Dear Ms/Mr. Name:

 

I am writing to apply for the position of registered nurse for xxx as advertised on your website career page. I have eleven years of experience working as a nurse with different facilities and in different positions, and I believe that my set of skills, knowledge, and experiences identify me as an ideal fit for the position. Cover Letter, Resume, and Portfolio Practicum Assignment Examples

In your job posting, you mentioned that you seek to hire a registered nurse with the capacity to be a team player, work independently, lead others, and develop and apply innovative thinking in solving professional problems. In my position as a nurse for the seven facilities that I have worked for in my eleven years of career as a nurse, I worked psychiatric, peds/OB, geriatric, and med/surg fields. I gained experiences that improved my professional skills, practice proficiency, and capacity, allowing me to take on more responsibilities. Besides that, the varied employment positions allowed me to engage with diverse medical personnel and patients, which improved my awareness and understanding of the concept of teamwork. In addition, I have ten years of experience as an army reservist, a position that allowed me to appreciate the concept of leadership, innovation and critical thinking, qualities that serve me well in my nursing career.

When I saw the advertisement for the job opening, I knew that I was a good opportunity to explore a new challenge that would test my nursing skills and knowledge. I have included my resume and portfolio to allow you to learn more about my educational background and work experiences.

ORDER A PLAGIARISM-FREE PAPER NOW

I appreciate the time you have taken to review my professional qualifications and credentials. Again, thank you for your time and consideration Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Please feel free to contact me via email (xxxx@hotmail.com) or call my telephone xxx 202-xxxx) for any clarifications as required. I hope to hear from you soon.

Sincerely

 

 

Xxx xxx

 

 

Resume

 

xxxx

43xx E. xxx RD

Bloomington, In

Tel. (xxx) 202-xxxx

Email: xxxx@xxx.com

RN#x81xxx

 

OBJECTIVE: Obtain Employment as a Registered Nurse

 

SUMMARY: Skilled nurse practitioner with eleven years of relevant experience in providing expert nursing care and addressing patients’ needs.

 

EDUCATION:

BSN from xxxxUniversity: May 2013

Associates in Science (Nursing) from xxxx College, January 2009

Diploma: Practical Nursing from xxxx Technical College

Associates in Science from xxx, May 1999

Diploma from Broad xxx. Indianapolis, Indiana, 1982

 

EXPERIENCE:

Universal Health Service, nurse practitioner in acute psych hospital from Aug 2015 till present.

CCA, nurse practitioner in clinical and institutional setting, from September 2011 to 2015.

Nightingale Home Health, nurse practitioner from July 2013 to October 2013.

Morgan Hospital, nurse practitioner in Float pool, ICU, Med/Surg and Psych from Nov 2010 to Sept 2011.

Bloomington Hospital, nurse practitioner in Outpatient, Surgery Unit, and Med/Surg from March 2010 to Oct 2010.

Methodist Hospital Indianapolis, nurse practitioner in Ortho Unit from January 2009to March 2010.

Cover Letter, Resume, and Portfolio Practicum Assignment Examples

Bloomington Nursing and Rehab, nurse practitioner in nursing home setting from April 2008 to January 2009.

Delta Airlines from November 99 to April 2008.

 

Clinical Training:

Med/surg=Grady Hospital, Northside Hospital, Cartersville Medical center,

Geriatric = Starcrest Nursing Home, Specialty Care of Marietta

Peds/OB = Northside Hospital, Cartersville Pediatrics, Health Department

Psychiatric = Northwest Georgia Psychiatric Hospital,

Military experience: U.S. Army National Guard/ Reserves May 1981 -1994

 

CAREER SUMMARY:

I have demonstrated the ability to provide acute and chronic nursing care for both psych and medical issues in different health care settings. I am a team player who involves the patient, family and other healthcare providers in the day-to-day care of patients to facilitate a favorable outcome for all involved. I am a self-starter, with experience in the management of support staff and other nurses as required. I can multitask within a fast-paced environment, and collaborate with other staff, to ensure that the provided health care is within policy guidelines.

My career that spans eleven years has allowed me to gain valuable professional experiences while being employed as a supervisor and charge nurse on both day shift and night shift. In fact, I gained acute trauma care experiences at Morgan Hospital ICU unit med/surge and psychiatric units and Methodist Hospital ortho unit. I gained medical-surgical care experiences at Bloomington Hospital and Morgan Hospital. I gained long-term care experiences at Bloomington Nursing & Rehab. Cover Letter, Resume, and Portfolio Practicum Assignment Examples. I gained triage and wound care experiences at all the facilities in which I worked. I gained experience with electronic records and other common medical equipment at all the facilities in which I worked. I gained more than ten years of professional leadership experience in the Army Reserves where leadership skills were acquired along with the ability of sizing up situations and developing alternative courses of action, and then built upon while in the nursing profession. Overall, my eleven-year career has allowed me to gain a rich complement of experiences that will advance my professional nursing capacity.

 

AREAS OF KNOWLEDGE:

De-escalation of angry clients. *injections & immunizations*intravenous fluids, *chest, NG, gastric tubes *ortho, *geriatric & pediatric base care , *in-patient basic care. Wound care/vac pumps, blood draws along with medication administration and patient assessment. Ability to think and act quickly as needed while keeping focused on the clients well-being.

 

References available upon request

Portfolio

Rxx Bxx

I am xxxxx, a nurse practitioner whose immediate career objective is to obtain employment as a registered nurse. I am currently working as a nurse practitioner with Universal Health Services, an acute psych hospital. I have a BSN that I obtained from the Western Governors University in 2013 after having obtained a Diploma in 1982 from Broad Ripple HS, Associate degree in 1999 from Vincennes University, Diploma in practical nursing from North Metro Technical College, and Associate degree in science (nursing) from Excelsior College in 2009. My clinical training is for psychic, peds/OB, geriatric, and med/surg nursing care. I am experienced in performing nursing tasks that include descalating patients, injections and immunizations, administering intravenous fluids, managing chest, NG and gastric tubes, ortho, and offering geriatric and pediatric base care. In addition, I am experienced in offering inpatient basic care, wound care, using vac pumps, blood draws with medication administration and patient assessment. Although my current career objective is to be engaged as a registered nurse, my ultimate career objective is to engaged as a nursing faculty member involved in nurturing the future generation of nurses through developing education material and imparting professional knowledge. Cover Letter, Resume, and Portfolio Practicum Assignment Examples