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Walden NURS4221 Week 5 Discussion
Walden NURS4221 Week 5 Discussion
Week 5 Discussion
Leadership Strategy
As a nurse, you serve an important role in identifying
strategies to effectively manage health care resources and in leading health
care quality improvement. You must be able to decide what leadership style or
strategy to apply in a given situation to achieve an effective resolution of
the issue. Read the following two scenarios and select one to focus on in this
Discussion. Consider the leadership style or strategy that might be most
effective in the scenario you selected.
Scenario 1
You work in a for-profit nursing home, with about 100 beds,
on a 20-bed unit that is largely patients with Alzheimer’s disease. Your
patient mix is predominantly Medicare and Medicaid patients. Your nursing home
is part of a larger system that includes a major medical center, as well as
VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is
getting feedback from the hospital that your nursing home is sending too many
patients to the ED who really don’t need to go. How would you go about figuring
out what could be done at the nursing home to prevent avoidable ED visits?
Scenario 2
You’ve been associated with an outpatient cardiology clinic
that is part of a large academic medical center. Your patients are mostly
charity care and managed Medicaid. Most have a prescription plan, but none have
a “family doctor” and use the clinic (and the ED) regularly. Most are
unfamiliar with their medications and do not have the resources for care
coordination in their family/social network. About 25 CHF patients have been
“lovingly,” but inappropriately, called “frequent fliers” because of their
inability to manage their own care, their frequent visits to the ED, and their
“one night stays” paid at the observation rate. As a staff nurse in this
clinic, describe the strategies you could devise for you and your fellow staff
nurses targeting these 25 patients. Find at least one article from the
professional literature to corroborate your recommendations.
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