Chief Nursing Officer (CNO) and Medical Staff Essay
Chief Nursing Officer (CNO) and Medical Staff Essay
Discussion Question 2: CNO and Medical Staff CNOs must be skilled and competent communicators to lead and manage the collective work of medical staff members at all levels. Reviewing healthcare literature can help you learn a lot about fostering and promoting interprofessional collaboration in healthcare. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Define and describe the role of the CNO related to medical staff. Define interprofessional collaboration. What happens to patient outcomes and quality care when there are disagreements between medical staff and nursing personnel regarding aspects of operations? As a CNO, describe at least one strategy you would apply in clarifying expectations of other healthcare team members including the medical staff? Comment on the postings of at least two peers. Evaluation Criteria: Defined and described the role of the CNO related to medical staff. Defined the concept of interprofessional collaboration. Explained the impact of disagreements between medical staff and nursing personnel regarding aspects of operations on patient outcomes and quality care. Recommended at least one strategy to clarify expectations of other healthcare team members including the medical staff. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers Week 2 – Assignment 1 Discussion Discussion Question 1: Quality Improvement Projects and the CNO There has likely never been a time in which healthcare organizations have had to face challenges greater than those in the twenty-first century. For example, in previous decades, bedside nurses cared for patients and were promoted into nursing leadership and nurse executive roles based on the fact that they were “good nurses.” This paradigm no longer exists in contemporary healthcare delivery settings including long-term care, acute care, and community-based settings. The CNO must be prepared to lead and have competency in guiding, leading, and restructuring healthcare delivery systems that are competitive and provide safe, affordable, and efficient quality care at the right time, each time, and every time. CNOs must have skills and competencies that allow them to drive healthcare system changes to meet societal healthcare needs for diverse populations. You are the CNO in your healthcare organization. Considering this, use the readings for the week, the South University Online Library, and the Internet to respond to the following: Provide a list of guidelines you would use to develop the quality falls program and the medication safety performance improvement project in your organization. What challenges would you face in the development of these programs? Evaluate two competencies you must have to successfully develop these programs. What will you do if a quality improvement project is needed and there is not enough money in the budget at the time or if the project will add costs that exceed the operating budget? Comment on the postings of at least two peers. Evaluation Criteria: Provided a list of guidelines you would use to develop the quality falls program and the medication safety performance improvement project in your organization. Explained the challenges you would face in the development of these programs. Evaluated two competencies you must have to successfully develop these programs. Recommended ways to handle the situation if a quality improvement project is needed and there is not enough money in the budget at the time or if the project will add costs that exceed the operating budget. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. DQ2 Discussion Question 2: Nurse Sensitive Indicators and the CNO Nurse sensitive indicators reflect the structure, process, and outcomes of nursing care in a healthcare organization. Key factors influencing nurse sensitive indicators include the structure of nursing care, skill level of nursing staff, and education or certification of nursing staff. Greater quality or quantity of nursing care results in an improvement in patient outcomes that are closely linked to nurse sensitive indicators. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Examine the role of a CNO in relation to nurse sensitive indicators, such as the following: Central line-associated bloodstream infection (CLABSI) Catheter-associated urinary tract infection (CAUTI) Ventilator-associated pneumonia (VAP) Pressure ulcers As a CNO, what process will you use for developing a nurse sensitive indicator? Estimate the time it takes to create and approve a nurse sensitive indicator. Comment on the postings of at least two peers. Evaluation Criteria: Examined the role of CNO in relation to nurse sensitive indicators, such as CLABSI, CAUTI, VAP, and pressure ulcers. Described the process utilized for developing a nurse sensitive indicator. Estimated the time it takes to create and approve a nurse sensitive indicator. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. Week 3 – Assignment 1 Discussion Discussion Question 1: Shared Governance Structure and the CNO During the 1980s, nursing and healthcare were suffering from challenges of an acute nursing shortage, rampant nurse turnover, and issues with nurse retention. In the mid-1980s, shared governance was instituted to incentivize and empower nurses. Shared governance is an innovative organizational model promoting staff control and autonomy over nursing practice in areas that were previously controlled by managers. The concept of shared governance may be a challenge to understand because it is not uniformly applied or operationalized and because of the great diversity in shared governance models. Nurses working in organizations with shared governance models are more empowered and have higher levels of satisfaction in their roles. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Compare the roles of the CNO and nursing directors or managers in a shared governance structure. What steps can the CNO take to enable smooth operations in such a structure? Identify two challenges CNOs face when working with a shared governance structure. Compare and contrast a model of shared governance with an authoritarian or autocratic CNO. Examine the role of the CNO in working to set parameters for nurses in a shared governance structure. Comment on the postings of at least two peers. Evaluation Criteria: Compared the roles of the CNO and nursing directors or managers in a shared governance structure. Listed steps the CNO can take to enable smooth operations in such a structure. Identified two challenges CNOs face when working with a shared governance structure. Compared and contrasted a model of shared governance with an authoritarian or autocratic CNO. Examined the role of the CNO in working to set parameters for nurses in a shared governance structure. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. DQ2 Discussion Question 2: Staff Concerns and the CNO Often, gossip mills and rumors tend to circulate very quickly throughout healthcare organizations even though everything is supposed to be confidential. Good and bad news travel quickly; one of the greatest challenges the CNO or vice president for patient care services (VPPCS) faces is to control and share information with the staff members so that they receive the same message in the same way at the same time. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: What role does the CNO or VPPCS play in addressing the concerns of the entire staff in nursing town-hall meetings? Why is this role important? Provide an example of a need for the CNO or VPPCS to schedule an entire staff town-hall meeting. How can the CNO or VPPCS minimize gossip and information via the “grapevine” before an entire sta
ff town-hall meeting? How would you craft an agenda and circulate it for a town-hall meeting? How can the CNO or VPPCS integrate the use of electronic and social media into addressing staff concerns in twenty-first-century healthcare organizations? Comment on the postings of at least two peers. Evaluation Criteria: Described the role of the CNO or VPPCS in addressing the concerns of the entire staff in nursing town-hall meetings, and explained the importance of this role. Provided an example of a need for the CNO or VPPCS to schedule an entire staff town-hall meeting. Suggested ways in which the CNO or VPPCS can minimize gossip and information via the “grapevine” before an entire staff town-hall meeting. Explained how you would craft an agenda and circulate it for a town-hall meeting. Recommended ways in which the CNO or VPCSS can integrate the use of electronic and social media into addressing staff concerns in twenty-first-century healthcare organizations. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers. Week 4 – Assignment 1 Discussion Discussion Question 1: Strategies for Establishing Operational Budgets An operational budget is the plan for an organization or unit for daily operating expenses. The operational budget is very similar to how one manages a personal home budget but on a grander scale. For example, there is a balance between accounts receivable and accounts payable, and then there is either a surplus or deficit at the end of the budget period. Most budget periods are a fiscal year or a calendar year. The unit operating budget is the most critical budget in which unit managers must be involved and have the most control over. Extensive information is needed to prepare the operational budget. For example, the operational budget typically requires information related to workload budgets with activity reports, units of service, and workload calculations like HPPD; expense budgets for personnel, staffing, and supplies equipment; the overhead budget; and the revenue budget. Nurses in the unit are often part of the operational budget to examine, or be aware of, weekly or monthly budget variances. This helps the unit function with a positive versus a negative revenue stream. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe at least two strategies for establishing operational budgets. Examine the advantages and disadvantages of using each strategy. Explain the strategies your nurse manager or CNO uses to gather and secure the most timely and relevant information to shape future operating budgets. Identify two challenges the nurse manager or CNO faces with this task. Examine implications for the nurse manager or CNO when the unit operating budget is running in the “red” or has numerous negative monthly variances. Comment on the postings of at least two peers. Evaluation Criteria: Described at least two strategies for establishing operational budgets. Examined the advantages and disadvantages of using each strategy. Explained the strategies your nurse manager or CNO uses to gather and secure the most timely and relevant information to shape future operating budgets. Identified two challenges the nurse manager or CNO faces with this task. Examined implications for the nurse manager or CNO when the unit operating budget is running in the “red” or has numerous negative monthly variances. Justified your answers with appropriate research and reasoning.Commented on the postings of at least two peers. DQ2 Discussion Question 2: Strategies for Establishing an FTE Budget Budgeting is a critical and essential component of nursing and patient care. Without proper support for nurses to provide patient-centered care, the organizational mission and goals will not be met. Full-time equivalent (FTE) measures the number of employees working in an organization, assuming they all work on a full-time basis. It measures each employee’s involvement in the organization. Unit managers and CNOs must have fundamental skills and competencies to establish an FTE budget. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Describe various strategies used for establishing an FTE budget. Examine the advantages and disadvantages of each strategy. Discuss how the unit manager or CNO elicits input into the FTE budget. Describe one software program utilized by the unit manager or CNO to formulate an FTE budget. Identify the timeline a nurse manager or CNO would utilize to plan the development of an FTE budget. Comment on the postings of at least two peers. Evaluation Criteria: Described various strategies used for establishing an FTE budget. Examined the advantages and disadvantages of using each strategy. Discussed how the unit manager or CNO elicits input into the FTE budget. Described one software program utilized by the unit manager or CNO to formulate an FTE budget. Identified the timeline a nurse manager or CNO would utilize to plan the development of an FTE budget. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.