NUR-514 Organizational Leadership and Informatics Course
Organizational Leadership and Informatics
Course Code Type Duration Credit Hours
NUR-514 v:13 Credit Based 56 Days 4.0 .1
Course Description
This course examines the role of leadership, organizational science, policy, and informatics in supporting safe, high quality, cost-effective patient care within interprofessional, dynamic health care environments. Students explore various organizational relationships within health care systems and prepare to participate in the design of cost-effective, innovative models of care delivery and practice change proposals. Professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation are introduced.
Students discuss change management theories and evaluate the ethical, social, legal, economic, and political implications of practice change and health care informatics along with strategies for managing human, fiscal, and health care resources in a variety of organizational systems. Students also examine the uses of patient care, information system, and communication technologies and discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.
Pre-Requisites
None
Co-Requisites
None
NUR-514
Course Materials
McGonigle, D., Mastrian, K. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13:9781284121247
Leadership in Nursing Practice: Changing the Landscape of Health Care
Description:
Porter-O Grady, T., & Malloch, K. (2018). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284146530
NUR-514 Course Objectives
Description:
In this course, the student will:
Explore various health care system and organizational relationships (e.g., stakeholders, economic, financial, political, ethical issues, organizational structure, and delivery of care, including mission/vision/philosophy and values).
Discuss professional leadership theories and how they shape the nurse leader in such things as collaboration, conflict resolution, decision making, and negotiation.
Discuss change management theories and strategies and the ethical, social, legal, economic, and political implications of practice change on nursing practice decisions.
Analyze the impact of health care policy on health care organizations and cost-effective quality care.
Evaluate strategies for managing human, fiscal, and health care resources in the design of cost-effective, innovative models of care delivery or practice change proposals.
Explore current and emerging patient care, information system, and communication technologies that can deliver and enhance safe, high quality, cost-effective patient care and health outcomes.
Examine the implications of health care informatics and the role of the advanced registered nursing specialties leader on performance measures and standards related to quality.
Discuss the design, implementation, and evaluation of electronic health record systems and clinical decision support systems.
Evaluate legal (HIPAA), ethical, reimbursement, emerging technologies, and interprofessional issues related to informatics and information systems.
Topic 1: Health Care Systems, Organizational Relationships, and Interprofessional Health Care Environments
Description
Objectives:
Discuss the evolution of the S. health care system to a value-based system and its impact on advanced registered nursing and the delivery of care.
Explain how interprofessional relationships increase collaboration among the advanced registered nurse roles and improve patient outcomes in an increasingly complex health care
Examine how leaders benefit from applying systems thinking to lead within a dynamic organizational
Study Materials
Tasks
Topic 2: Professional Leadership
Description
Objectives:
Differentiate between leadership and
Analyze different leadership theories and
Analyze characteristics of the professional nurse leader and nursing
Evaluate strategies for effectively leading and managing within health care
Explore potential causes of conflict, principles of negotiation, and conflict resolution models and
Study Materials
Advanced Practice Nursing: Essential Knowledge for the Profession
Description:
Review Chapter 6 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Leadership in Nursing Practice: Changing the Landscape of Health Care
Description:
Read Chapters 2-4, 7, and 14 in Leadership in Nursing Practice: Changing the Landscape of Health Care.
Great Leaders Inspire Great Followership
Description:
Read “Great Leaders Inspire Great Followership,” by Cruz, from Leadership Excellence Essentials (2014).
Advancing the Nursing Profession Begins With Leadership
Description:
Read “Advancing the Nursing Profession Begins With Leadership,” by O’Neill, from Journal of Nursing Administration
(2013).
From Trait to Transformation: The Evolution of Leadership Theories
Description:
Read “From Trait to Transformation: The Evolution of Leadership Theories,” by Johns and Moser, from Education
(1989).
Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions
Description:
Read “Nursing Leadership From Bedside to Boardroom: Opinion Leaders’ Perceptions,” by Blizzard, Khoury, and McMurray (2015), located on the Campaign for Action website.
Leadership Styles: Choosing the Right Approach for the Situation
Description:
Read “Leadership Styles: Choosing the Right Approach for the Situation,” located on the Mind Tools website.
Transformational Leadership: Becoming an Inspirational Leader
Description:
Read “Transformational Leadership: Becoming an Inspirational Leader,” located on the Mind Tools website.
Servant Leadership: Putting Your Team First, and Yourself Second
Description:
Read “Servant Leadership: Putting Your Team First, and Yourself Second,” located on the Mind Tools website.
What Is the Difference Between Management and Leadership?
Description:
Read “What Is the Difference Between Management and Leadership?” by Murray (2014), located onThe Wall Street Journal website.
Nurse Manager Skills Inventory
Description:
Complete the “Nurse Manager Skills Inventory,” by the Nurse Manager Leadership Partnership (NMLP), located on the American Association of Critical-Care Nurses website. The resource is located under the “Authentic Leadership” heading.
Leadership Style Reflective Essay Assignment Self-Assessment Resources
Description:
These resources will be used to complete the Leadership Style Reflective Essay assignment, due in this topic. Please refer to the assignment details for additional instructions.
Emotional Intelligence Assessment: “Emotional Intelligence Test”: http://testyourself.psychtests.com/testid/3038
Personality Assessment: “Personality Traits Test”: http://testyourself.psychtests.com/bin/transfer?req=MnwyMjk2fDE5NTM1MTV8MXwxfDE=& refempt
Learning Styles Assessment: “The VARK Questionnaire: How Do I Learn Best?”: http://vark-learn.com/the-vark-questionnaire/
Values Assessment: “Values Profile”: http://testyourself.psychtests.com/bin/transfer?req=MnwzMzE5fDE5NTM1MTV8MXwxfDE=& refempt
Values Assessment: “Rokeach Values Survey”: http://faculty.wwu.edu/tyrank/Rokeach%20Value%20Survey.pdf
Diversity Assessment: “Cultural Competence Self-Test”:
https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/PROVIDERS-PARTNERS/SCPAconferenc
Nurse Manager Leadership Partnership
Description:
Explore the “Nurse Manager Leadership Partnership” section on the American Organization of Nurse Executives website.
Tasks
Leadership Style Reflective Essay
Description:
This assignment focuses on the importance of self-assessment and reflection.
Self-Assessment
Self-awareness is essential for developing leadership skills. Recognizing your own strengths, weaknesses, and values, and understanding emotional intelligence and learning styles can help you to be a more effective nurse leader.
For this assignment, you have the opportunity to take a variety of self-assessments to learn more about yourself and identify your assets and weaknesses as a leader. This will assist you in discovering how you can improve your own self-leadership skills. You will be asked to think critically about your results and submit a reflection as directed below.
Select three of the following self-assessments and complete them. Be sure to document the results of each assessment to assist you in completing the reflection portion of the assignment below.
Emotional Intelligence Assessment: “Emotional Intelligence Test”: h ttps://www.psychologytoday.com/us/tests/personality/emotional-intelligence-test
Personality Assessment: “Free Personality Test”: https://www.16personalities.com/free-personality-test
Learning Styles Assessment: “Values Profile”: http://vark-learn.com/the-vark-questionnaire/
Values Assessment: “Values Profile”: https://www.psychologytoday.com/us/tests/personality/values-profile
Values Assessment: “Rokeach Values Survey”: http://faculty.wwu.edu/tyrank/Rokeach%20Value%20Survey.pdf
Diversity Assessment: “Cultural Competence Self-Test”:
https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/PROVIDERS-PARTNERS/SCPAconferenc
Self-Assessment Reflection
Becoming self-aware is an ongoing process requiring introspection. The more often people practice self-reflection, the more opportunities they have to understand their own behaviors and adapt their approaches to working with other people, which can improve both your own and other’s abilities to meet their professional goals.
In a 750-1,000 word reflective essay, address the following:
Briefly summarize why you selected each self-assessment and the results you obtained on each
Identify the leadership style that closely aligns to your philosophy of care, and explain what appeals to you about that
Reflect on how you might incorporate elements of that particular style as you exercise leadership in a practice or health care organization
Discuss any particular areas for improvement the assessments helped you identify and some steps for improving your leadership
Topic 3: Organizational Change Theories and Strategies
Description
Objectives:
Discuss the advanced registered nurse’s role as change agent within the interprofessional health care
Analyze factors driving organizational change within health care organizations, including stakeholders and
Evaluate change theories and collaborative models for promoting successful
Evaluate the ethical, social, legal, economic, and political implications of practice
Study Materials
Tasks
Implementing Change With an Interprofessional Approach Presentation
Description:
As an advanced registered nurse, you will serve as a leader within your organization. Part of this role will entail being a change agent, and spurring positive change on behalf of patients, colleagues, and the industry.
Consider a situation you experienced previously where change did not go as planned in your health care organization. Create a 10-15-slide PowerPoint presentation in which you will assess the situation and the steps that should have been taken to successfully implement change.
Describe the background of the situation, including the rationale for and goal(s) of the change.
Identify the key interprofessional stakeholders (both internal and external) that should be involved in change
Discuss an appropriate change theory or model that could be used to achieve results.
Outline how you would initiate the change.
Describe the impact to the organization if the change initiative is unsuccessful again, and potential steps the interprofessional team could take if the change is unsuccessful.
Make sure to include slide notes of 100-250 words for each slide.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to LopesWrite.
Topic 3 DQ 1
Description:
How have you seen or experienced organizational change within an organization? Did it go well or not? Was there any correlation in how the organizations used stakeholders or change models?
Topic 3 DQ 2
Description:
You have been selected to serve on a community outreach committee within your state’s nursing organization. The committee includes registered nurses of different specialties. At your first meeting, it becomes evident that not everyone is in agreement with a recent position statement about the role of spiritual care, with some members arguing they will no longer support the committee if the position statement is not revised or reversed. As a nurse leader, how could you draw from change theory to address these concerns and encourage collaboration on the committee?
Topic 4: Nurse Leadership and Health Care Policy and Advocacy
Description
Objectives:
Analyze how innovative models of care affect collaboration among advanced registered nurses and other stakeholders across the
Explore the role of the nurse leader in implementing innovative care models to promote cost-effectiveness and quality patient
Examine various reimbursement models and how they impact health care costs and the delivery of patient care
Analyze how patient care delivery models impact staffing efficiency within health care
Study Materials
Tasks
Topic 5: Cost-Effective, Innovative Models of Care Delivery
Description
Objectives:
Define nursing informatics and how the specialty has
Examine how nursing informatics affects nursing leadership, clinical practice, administration, education, and
Explore the role of the nurse in transforming health care data into knowledge that can improve patient
Study Materials
Tasks
CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation
Description:
This is a Collaborative Learning Community (CLC) assignment.
As an advanced registered nurse leader, you have an opportunity to be a catalyst for change and lend your voice to important health care issues. One of the ways you can do this is through lobbying and engaging with the legislative process as both participant and patient advocate.
In this assignment, you will work in a group to identify a current health care legislative issue and prepare a PowerPoint presentation with slide notes. This health care issue can impact your role, the setting, the scope of practice, or the population in the community you serve. Refer to the website of your state legislature to research current legislative issues and identify appropriate steps.
Include the following in a 12-15 slide PowerPoint submission:
A description of the health care issue, and how it relates to your role, setting, scope of practice, or community population.
A description of the proposed legislation and your group’s stance on whether it should be passed.
Methods to track a bill and participate in lobbying efforts.
An outline of lobbying remarks, appropriate for the target audience, bill’s intent, and goal of supporting or not supporting its passage.
Implications if lobbying efforts do not succeed.
Make sure to include slide notes of 100-250 words for each slide.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Topic 6: Improving Access and Quality Care through Health Care Informatics and Health IT
Description
Objectives:
Examine the role of health information technology and informatics in improving access to care and promoting patient safety and
Examine the critical role of health information and technology standards and interoperability in improving access to care and the exchange of health
Discuss best practice for implementing informatics technologies that impact advanced practice nursing and the delivery of care, including clinical provider order entry (CPOE) and clinical decision support systems (CDSS).
Evaluate the role of work flow analysis, human factors, and user-centered design concepts in developing health information
Study Materials
Nursing Informatics and the Foundation of Knowledge
Description:
Read Chapters 2, 9, 10, 11, and 13 in Nursing Informatics and the Foundation of Knowledge.
EMR vs EHR – What Is the Difference?
Description:
Read “EMR vs EHR – What Is the Difference?” by Garrett and Seidman (2011), located on the Health IT Buzz website.
What Is the Difference Between Health Informatics and Health Information Management?
Description:
Read “What Is the Difference Between Health Informatics and Health Information Management?” by Kirshner, located on the Oregon Institute of Technology website.
Quality Measures
Description:
Read “Quality Measures,” located on the Centers for Medicare and Medicaid Services website (2016).
American Health Information Management Association (AHIMA)
Description:
Explore the American Health Information Management Association (AHIMA) website.
Agency for Healthcare Research and Quality
Description:
Explore the Agency for Healthcare Research and Quality (AHRQ) website.
Writing an Issue Brief
Description:
Read “Writing an Issue Brief,” located on the American Association of Colleges of Pharmacy website (2016). This resource will help you complete your Topic 6 assignment.
The Mechanics of Writing a Policy Brief
Description:
Read “The Mechanics of Writing a Policy Brief,” by DeMarco and Tufts, from Nursing Outlook (2014). This resource will help you complete your Topic 6 assignment.
Expert Policy Analysis
Description:
Tasks
Emerging Technology Brief
Description:
New health care innovations offer the advanced registered nurse an opportunity to apply emerging technologies in practice to improve quality and patient outcomes. For this assignment, research an emerging health care technology that you think has the potential to overcome current or emerging barriers to care.
Write a 500-word brief that provides an overview of the technology, its purpose, and how it would function in a health care setting, including any ethical or legal issues that would accompany the incorporation of the technology. Discuss how this technology could improve access to care and promote patient safety and quality.
Refer to the Topic 6 materials for samples and resources to help you construct your brief.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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.
Topic 6 DQ 1
Description:
In what ways can informatics help health care providers overcome current or emerging barriers to care and increase access to safe, quality health care? Include a discussion of the value and challenges of clinical provider order entry (CPOE) and clinical decision support systems (CDSS) in providing safe patient care in your response.
Topic 6 DQ 2
Description:
Differentiate between EMRs and EHRs. Discuss the importance of interoperability in relationship to both types of records and to how the EMR and EHR improve quality and access to care.
Topic 7: Informatics in Practice
Description
Objectives:
Examine ethical, legal, and security measures related to EHRs and the protection of patient information.
Evaluate the role and components of the electronic health record (EHR) and its value in patient care.
Evaluate emerging consumer, mobile, and telehealth technologies that impact patient care and the storage of health
Study Materials
Tasks
Topic 8: Interprofessionalism and Interrelationships in Informatics and Information Systems
Description
Objectives:
Examine the role of the advanced registered nurse in promoting evidence-based practice and leading quality and performance improvement
Analyze quality standards and performance measures related to the use of informatics for continuous quality improvement in practice
Discuss project management strategies and methodologies for implementing health care informatics initiatives that improve quality within clinical
Study Materials
Tasks
Benchmark – Electronic Health Record Implementation Paper
Description:
One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.
In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:
What key information would be needed in the database that would allow you to track opportunities for care improvement?
What role does informatics play in the ability to capture this data?
Which systems and staff members would need to be involved in the design and implementation process and team?
What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
How would the EHR team ensure that all order sets are part of the new record?
How would you communicate the changes, including any kind of transition plan?
What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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:
2.3: Develop leadership skills to collaborate on interprofessional teams in the provision of
evidence-based, patient-centered care.
5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe,
effective health care.
Topic 8 DQ 1
Grade Scale
Final Grade Column
Letter Grade GPA Value Minimum (%) Maximum (%)
A 4.0 97.0 100.0
A- 3.7 93.0 96.99
B+ 3.3 89.0 92.99
B 3.0 85.0 88.99
B- 2.7 81.0 84.99
C+ 2.3 78.0 80.99
C 2.0 76.0 77.99
F 0.0 0.02 75.99
I 0.0 0.0 0.01
Grade Categories
Assignments (%) Points Percentile
Benchmark – Electronic Health Record Implementation Paper 210.0 —
Leadership Style Reflective Essay 125.0 —
Implementing Change With an Interprofessional Approach Presentation
150.0
—
Emerging Technology Brief 125.0 —
CLC – When Patient Advocacy Meets Policy: Lobbying for Health Care Change Presentation
150.0
—
Discussion Question (%) Points Percentile
Topic 8 DQ 1 5.0 —
Topic 7 DQ 1 5.0 —
Topic 6 DQ 2 5.0 —
Topic 2 DQ 1 5.0 —
Topic 2 DQ 2 5.0 —
Topic 6 DQ 1 5.0 —
Topic 4 DQ 2 5.0 —
Topic 1 DQ 1 5.0 —
Topic 4 DQ 1 5.0 —
Topic 5 DQ 1 5.0 —
Topic 3 DQ 2 5.0 —
Topic 3 DQ 1 5.0 —
Topic 1 DQ 2 5.0 —
Topic 5 DQ 2 5.0 —
Topic 7 DQ 2 5.0 —
Topic 8 DQ 2 5.0 —
Participation (%) Points Percentile
Topic 6 Participation 20.0 —
Participation (%) Points Percentile
Topic 3 Participation 20.0 —
Participation (%) Points Percentile
Topic 2 Participation 20.0 —
Participation (%) Points Percentile
Topic 4 Participation 20.0 —
Participation (%) Points Percentile
Topic 5 Participation 20.0 —
Participation (%) Points Percentile
Topic 8 Participation 20.0 —
Participation (%) Points Percentile
Topic 7 Participation 20.0 —
Participation (%) Points Percentile
Topic 1 Participation 20.0 —
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