Response Plans
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Assessment Instructions
PREPARATION
Use the Capella library and the Internet to research change theory, leadership, and communication strategies. Use the Suggested Resources to research leadership and communication concepts and change theory.
- The challenge in this assessment is to create a response plan for several intervention scenarios.
- There are three deliverables required for this assessment.
Rationale for this assessment:
Nurse leaders solve problems or resolve conflict on a daily basis. Understanding how change theory can be applied to a situation and examining various types of interventions in advance can relieve pressure on the nurse leader and improve the workplace environment and outcomes. Rehearsing potential interventions provides a mental toolkit on which to rely during stressful times.
Your management training workshop continues:
The second day of HR’s Nursing Leadership Workshop is designed to help you identify and practice effective responses and interventions to common problems and situations. Participants are presented with three scenarios and must create a response plan for each scenario, in the form of a 1–2 page outline.
Deliverables: Submit three Response Plans to complete this assessment.
- Choose 3 of the 5 Intervention Scenarios linked in the Required Resources for this assessment.
- For each scenario you choose, develop a separate Response Plan in the form of a 1–2 page outline.
- Label each outline using the example below:
- Example: Response Plan for School Nurse.
- Label each outline using the example below:
INSTRUCTIONS
Analyze each Intervention Scenario and describe the leadership, communication, and management strategies you believe would be most effective for each situation.
Use the following subheadings to organize your Response Plan outline for each situation.
- Change Theory: Explain concepts of change theory and how it can be used as a tool to manage situations.
- Identify elements of change theory that fit best with the scenario.
- How can you use change theory to deal with conflict?
- Strategies and Rationale: Describe an effective leadership style you would employ to address a problem.
- Explain the rationale for choosing a leadership strategy to solve a problem.
- Identify interventions to address the problem.
- Expected Outcome: Describe how outcomes or success of the style selected for each situation could be measured.
- Describe how you could determine improved outcomes or measure success of the leadership style selected for each situation.
- What might go wrong and how would you deal with that?
- Describe how you could determine improved outcomes or measure success of the leadership style selected for each situation.
- Professional Standards: Explain how professional and legal standards guide the effective nurse leader when making decisions.
ADDITIONAL REQUIREMENTS
- Written communication: Written communication should be free of errors that detract from the overall message.
- APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
- Length: Each outline should be 1–2 pages double-spaced.
- Font and font size: Times New Roman, 12 point.
- Number of resources: Use a minimum of three peer-reviewed resources
SUGGESTED RESOURCES
The following optional resources are provided to support you in completing each assessment. They provide helpful information about the topics in this unit. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.
Capella Multimedia
Click the links provided below to view the following multimedia pieces:
- Riverbend City: Getting Started Mission | Transcript.
- This Riverbend City interactive media activity explains how to navigate a series of nursing simulations. Each time you are in a Riverbend City scenario, you are on a mission. A mission is a group of scenes that relate to a particular scenario.
- Riverbend City: Employee Motivation Mission | Transcript.
Library Resources
The following resources are provided for you in the Capella University Library and are linked directly in this course. These articles contain content relevant to the topics and assessments that are the focus of this unit.
- Lartey, S., Cummings, G., & Profetto-McGrath, J. (2014). Interventions that promote retention of experienced registered nurses in health care settings: A systematic review. Journal of Nursing Management, 22(8), 1027–1041.Response Plans
- Müller, C., Plewnia, A., Becker, S., Rundel, M., Zimmermann, L., & Körner, M. (2015). Expectations and requests regarding team training interventions to promote interdisciplinary collaboration in medical rehabilitation–A qualitative study. BMC Medical Education, 15(135), 1–16.
- Eubank, D. (2012). [Review of the book Leading change in healthcare: Transforming organizations using complexity, positive psychology and relationship-centered care, edited by A. L. Suchman, D. J. Sluyter, & P. R. Williamson]. Families, Systems & Health, 30(4), 352–353.
- Hickey, M., Kritek, P. B. (2012). Change leadership in nursing: How change occurs in a complex hospital system. New York: Springer.
- Grol, R., Wensing, M., Eccles, M., & Davis, D. (Eds.). (2013). Improving patient care: The implementation of change in health care (2nd ed.). Hoboken, NJ: John Wiley && Sons.
- Pilon, B. A., Ketel, C., Davidson, H. A., Gentry, C. K., Crutcher, T. D., Scott, A. W., . . . Rosenbloom, S. T. (2015). Evidence-guided integration of interprofessional collaborative practice into nurse managed health centers. Journal of Professional Nursing, 31(4), 340–350.
- Disch, J. (2013). Interprofessional education and collaborative practice. Nursing Outlook, 61(1), 3–4.
Course Library Guide
A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4012 – Nursing Leadership and Management Library Guide to help direct your research.Response Plans
Internet Resources
Access the following resource by clicking the link provided. Please note that URLs change frequently. Permission for the following link has been either granted or deemed appropriate for educational use at the time of course publication.
- American Nurses Association (ANA). (2015). Code of ethics for nurses. Retrieved from https://www.nursingworld.org/practice-policy/nursi…
- Change Theory | Transcript. Retrieved from
- NCSBN: National Council of State Boards of Nursing. (n.d.). Retrieved from https://www.ncsbn.org/index.htm
- American Association of Colleges of Nursing. (2011). Core competencies for interprofessional collaborative practice. Retrieved from http://www.aacn.nche.edu/education-resources/IPECR…
Bookstore Resources
The resource listed below is relevant to the topics and assessments in this course. Unless noted otherwise, this material is available for purchase from the Capella University Bookstore. When searching the bookstore, be sure to look for the Course ID with the specific –FP (FlexPath) course designation.
- Kelly, P., & Tazbir, J. (2014). Essentials of nursing leadership and management (3rd ed.). Clifton Park, NY: Delmar.
- Chapter 4.
- Chapter 6.
- Chapters 14–15.Response Plans
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9/26/2018 Intervention Scenarios Print Intervention Scenarios Directions: Choose three scenarios and develop a Response Plan, in the form of an outline. Scenario One: Inpatient nephrology unit You are the new nurse manager for a busy nephrology medical/surgical unit in a large university medical center. The renal physicians have complained that daily weights and intake/output records are not being completed. This lack of documentation affects the patient’s plan of care and is resulting in an increased length of stay for the unit. The night-shift nurses think the day-shift nurses need to do the daily weights since they have more staffing. The day-shift nurses think the night-shift needs to do the weights since breakfast arrives during report most days. No one is consistently recording the intake/output records. How will you handle this problem? National Kidney Foundation: Clinical Practice Guidelines. Scenario Two: Outpatient chest pain/stroke unit You have just been promoted to the nurse manager position in a 12-bed chest pain/stroke outpatient center. The hospital is at 18 months of the 36-month Joint Commission accreditation cycle, so you are expecting a survey sometime within the next 18 months. You are reviewing the Joint Commission Core Measures for Outpatient Departments. You discover an issue with the administration of aspirin on arrival for the chest pain/acute MI patients not being documented 50 percent of the time. Also, the time to CT scan for ruling out acute ischemic stroke patient is 75 minutes, which is 30 minutes above benchmark time of 45 minutes. Who needs to be involved in examining these processes in order to improve compliance prior to the survey? Would you develop one team to work on both issues or two teams so that each works on one issue? Why? Scenario Three: School nurse You are the only school nurse in a high school (grades 10, 11, and 12). The school is located in a small rural conservative town. There has been a 15 percent increase in students contracting sexually transmitted diseases and three girls in the junior class are pregnant. The community insists that the area schools only teach abstinence to the students. The school board does not want to anger the parents. While you respect the culture of the town, you realize this is a huge community health problem. Where do you start to address this issue? CDC: Adolescent and School Health; Sexual Risk Behaviors. Scenario Four: Inpatient psych unit You are the nurse manager of an inpatient psychiatric unit and are preparing a report for a Joint Commission survey. An epidemic of bath salts abuse has struck the community.Response Plans
Following initial treatment in the intensive care unit, violent psychiatric patients are being admitted to the unit. You reviewed the Joint Commission guidelines and discovered deficiencies in several categories of the patient discharge records and your seclusion hours are increasing. Hospital Based Inpatient Psychiatric Services (HBIPS). Who will you involve in the interdisciplinary team to work on the discharge issues? How will you work on decreasing seclusion hours in these patients? Scenario Five: Pediatric vaccinations. https://courserooma.capella.edu/bbcswebdav/institution/BSN-FP/BSN-FP4012/160101/Course_Files/cf_intervention_scenarios.html 1/2 9/26/2018 Intervention Scenarios You are the nurse manager in a large pediatric practice. It is late summer and parents are bringing their children in to get their “blue cards” filled out for school. Several parents have been asking for medical exemptions because the local news has been reporting on a rash of adverse reactions to vaccinations, even linking an incident relating a child’s recent diagnosis of autism to an MMR vaccine. How will you proceed in obtaining the best evidence to help work with the parents? CDC: MMR ACIP Vaccine Recommendations (Measles, Mumps and Rubella). https://courserooma.capella.edu/bbcswebdav/institution/BSN-FP/BSN-FP4012/160101/Course_Files/cf_intervention_scenarios.html 2/2 9/26/2018 https://courserooma.capella.edu/bbcswebdav/institution/BSN-FP/BSN-FP4012/160101/Scoring_Guides/u02a1_scoring_guide.html Response Plans Scoring Guide CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED Explain concepts of change theory and how it can be used as a tool to manage situations. Does not explain concepts of change theory and how it can be used as a tool to manage situations. Explains concepts of change theory, but does not explain how it can be used as a tool to manage situations. Explains concepts of change theory and how it can be used as a tool to manage situations. Explains concepts of change theory and how it can be used as a tool to manage situations’ provides an example from experience.Response Plans
Describe an effective leadership style to address a problem. Does not describe an effective leadership style to address a problem. Identifies a leadership style, but does not explain how it best addresses the problem. Describes an effective leadership style to address a problem. Describes an effective leadership style to address a problem; explains the desired outcome and why the style is the most effective for the situation. Describe how outcomes or success of the style selected for each situation could be measured. Does not describe how outcomes or success of the style selected for each situation could be measured. Identifies the style selected for each situation, but does not explain how outcomes could be measured. Describes how outcomes or success of the style selected for each situation could be measured. Describes how outcomes or success of the style selected for each situation could be measured; examines a range of potential outcomes and how they could be measured. Explain how professional and legal standards guide the effective nurse leader when making decisions. Does not explain how professional and legal standards guide the effective nurse leader when making decisions. Discusses the legal requirements, but does not explain how professional standards guide the effective nurse leader when making decisions. Explains how professional and legal standards guide the effective nurse leader when making decisions. Explains how professional and legal standards guide the effective nurse leader when making decisions; explains how professional standards mirror legal requirements. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Does not write content clearly or logically, with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics; uses relevant evidence to support a central idea. https://courserooma.capella.edu/bbcswebdav/institution/BSN-FP/BSN-FP4012/160101/Scoring_Guides/u02a1_scoring_guide.html 1/2 9/26/2018 https://courserooma.capella.edu/bbcswebdav/institution/BSN-FP/BSN-FP4012/160101/Scoring_Guides/u02a1_scoring_guide.html CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED Correctly format citations and references using current APA style. Does not correctly format citations and references using current APA style. Uses current APA style to format citations and references but with numerous errors. Correctly formats citations and references using current APA style with few errors. Correctly formats citations and references using current APA style with no errors. https://courserooma.capella.edu/bbcswebdav/institution/BSN-FP/BSN-FP4012/160101/Scoring_Guides/u02a1_scoring_guide.html 2/2 …