Leadership discussion response 5

Please read the peers discussions and respond to them APA format with reference

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Discussion 1

Leaders play a vital role in the reengineering of
health care. Advocating for legislation to ensure the safety of
the work environment and for procedures which enhance patient care
and outcomes is
reengineering health care. A manager and a nurse
leader also needs to ensure that staff are practicing with
in their scope of responsibilities
, which requires updating unit polices/procedures
and requiring continuing
nurses are performing their duties that in line
with updated
Additionally, w
hen change is needed, it’s the responsibility
of managers/leaders to ensure changes are implemented within a
reasonable amount of time. Change that takes place in too rapid a
period may create too much anxiety and allow for numerous errors.
Some of the ways Nurse Managers reenginer the health care system
is by using ethical and professional decision making to protect
the rights of patients and employees. They also ensure a legal
environment. Nurse managers should keep up with the legal aspects
in health care. This is very important because being legally
knowledgable protects patients, employees and the organization as
a whole. Nurse managers need to be cognizant of the environment in
which they function in order to anticipate the need for change.


Huber, D. (2014). Leadership and Nursing Care
Management, 5th Edition. [
]. Retrieved from

Discussion 2

In the reengineering of healthcare, the nurse manger
responsible for creating safe, healthy environments that
support the work of
the health care team and contribute to
patient engagement. The role is
influential in creating a
professional environment and fostering a culture
interdisciplinary team members are able to contribute to optimal
outcomes and grow professionally,” the American
Organization of Nurse
Executives said.

Nurse managers need strong communication and leadership

They should be adept at coordinating resources and personnel
meeting goals and objectives. They must be effective leaders
who can strike a
balance between working with the nursing staff
and the healthcare facility

The Agency for Healthcare Research and Quality, a branch of

U.S. Department of Health and Human Services, said nurse managers
change agents. They work with staff to find and implement
useful changes to
improve patient wellness and safety outcomes.
Nurse managers also implement
regulatory guidelines for patient
safety set by state and federal agencies,
such as the U.S.
Centers for Disease Control and Prevention, the Joint
and Centers for Medicare & Medicaid Services. They have to
sure the staff is educated on care standards and can
implement them as needed.


The Roles of a Nurse Manager: Leading the nursing

into the future. (2017, May 24). Retrieved from

Discussion 3

In this era of modern technology, the health care organizations
and hospitals have started adopting the innovative and creative
management strategies in order to improve the health care processes
with the support of the leaders or managers (Birken et al.). The
business activities in hospitals are affected by a large number of
internal and external factors. The hospitals are currently
evaluating the trends in the health care environment as the external
factor come to bear in luxuries. The role of a nurse manager or
leader in health care involves the care of both internal and
external factors. It is a tough position as the nurse leader plays a
significant role in keeping the health management processes in
motion. The nurse manager unites the health care team in order to
provide well centered and reengineered health care services to the

There are many characteristics that allow the nurse leaders to
play a significant role in the reengineering of health care. One of
the characteristics is the ethical decision making which means that
the nurse managers should use the ethical and legal professional
codes in order to implement policies and take care of the rights of
the patients and employees working the health care areas.
Also, the nurse leaders or manager should keep
the legal aspects up to date in the field of health care. It
involves reinforcing laws and legislation as required in the health
care system. It is very vital in health care as being legally aware
assists in protecting patients, employees and organizations.

Apart from the ethical decision making and legislation, the
advocacy also plays an important role in nursing management and
staff. Many times the nursing roles find themselves in a position to
advocate for others which can involve providing other people with
the information and data which strengthens them to make their own
decisions and acting in the place of another person who cannot
advocate for their own. The advocacy is based on decision making
rather than making decision for others. In addition to this,
changing management is an important aspect related to the role of
nurses in reengineering of health care. In this era, change happens
very quickly as compared to the old days. Sometimes it happens so
quickly that it becomes difficult to analyze the series of changes
i.e. which change has finished and which change has begun. The nurse
leaders analyze the need for a change, create opportunities and a
shared vision, communicate and involve people, develop structures
that support the change and reinforce the change (Kodama, and
Fukahori). The leaders also solve the conflicts and crisis that may
occur in the successful implementation of the required change.

Leaders play a significant role in shaping up the organization
culture and satisfy the customers in association with the latest
advancements in the required field. The nurse manager or leaders are
required to learn and adapt the new technologies continuously in
order to play a vital role in the reengineering of health care. It
improves the quality management processes of the internal
environment of the organizations which ultimately becomes a strong
point. Thus, the outcomes should be analyzed and evaluated clearly
in order to improve
the workflows and the business procedures that take place inside
a health care organization.

Work Cited

Birken, Sarah A et al. “Uncovering Middle Managers’ Role In
Healthcare Innovation Implementation”. Implementation
, vol 7, no. 1, 2012. Springer Nature,
doi:10.1186/1748-5908-7-28. Accessed 28 June 2018.

Kodama, Yoshimi, and Hiroki Fukahori. “Nurse
Managers’ Attributes To Promote Change In Their Wards:
A Qualitative Study”. Nursing Open, vol 4, no. 4,
2017, pp. 209-217. Wiley, doi:10.1002/nop2.87. Accessed 28
June 2018.

Discussion 4

The role of a nurse manager is a tough position. As a leader you
play a vital part in advancing and keeping the healthcare system in
motion. The nurse manager initiates & unites the health care
team to deliver a patient centered, well engineered health care
system. According to Grand Canyon University (????) there are
several characteristics/scenarios that allow the nurse manager to
play a vital role in reengineering the health care system:

Ethical decision making-Nurse managers use both ethical and
professional codes to protect the rights of patients and employees.
Managers take in account ethical and professional codes when making decisions.

Legal environment-Nurse managers should keep up to date with the
legal aspects in health are. This is important because being legally
knowledgeable protects patients, staff members and organizations.

Advocating-Nurse managers play a vital role in advancing for
patients and staff. There are situations in which the nurse manager
needs to step in and advocate for patients and staff.

Change-Managers and leaders help initiate change in the fast
paced world of healthcare. They find new approaches in healthcare
based on evidence based practice to allow the hospital to administer
the best quality of care.

Conflict resolution-In situations in which there is conflict
between team members, patients or even managers, leaders step in to
advocate and defuse the situation. This allows for a safe work place
environment for staff and patients.

Communication during high stress-Leaders prepare team members
for crisis situations. Through providing information, teamwork and
preparation. For example, during a disaster, leaders guide team
members to appropriate stations and keep staff calm and proactive.


Grand Canyon University (NRS-451V Lecture 5. Retrieved July 1,
2018 from https://lc-ugrad3.gcu.edu/learningPlatform/user/users.html?operation=home&token=D9MGLcmh277D%2bRsjON6WUcn%2bTpW%2bj%2fwGDgWfsc4QZ%2bpV3H0m%2fZ9CAo%2f7JJkoBVre&classId=2146760#/learningPlatform/loudBooks/loudbooks.html?currentTopicname=Organizational%20Culture%20and%20Values&viewPage=past&operation=innerPage&topicMaterialId=ec0ec62b-fc64-4116-8c49-ef1b90d4d739&contentId=e0dbfc00-b214-4c77-85d5-9f299b901e72&

Birken, S., Lee, S., Weiner, B. (2012, April) 3 Uncovering
middle managers’ role in healthcare innovation implementation.
Retrieved July 1, 2018 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC33724…

Discussion 5

Nurse managers and leaders are not receiving enough attention in
health services research, yet they play a crucial role in healthcare
re-engineering and implementation of health care policies. They are
involved in revising and changing organizational structures and
redesigning of the functioning systems in place. The primary focus in
making a change is to analyze the outcome of patient care from the
consumers perspective and maximize productivity through proper
alteration of established systems (Huber, 2013). Nurse leaders and
managers focus on methods that would enhance patient-centered care,
teamwork, and collaboration, evidence-based practice. They would use
their background and current evidence-based research to improve
patient outcome.

System failures are the root-cause of higher mortality rates and
efforts should be made to address these issues. In an interview, Jim
Collins, a professional business analyst, explains how institutions
fall from excellent performance to good to mediocre to dangerous and
even disastrous. He uses an analogy of the early stages of diseases to
describe how organizations look healthy on the outside but are falling
apart on the inside. (Cone, 2002) The chief problem with these issues
is that most institutions are in denial of their systemic weakness
that contributes to medical errors. It is the responsibility of nurse
managers and leaders to bring these systemic issues to the
organization and find solutions that would optimize the delivery of
adequate patient care. Furthermore, nurse leaders should fully
understand their scope of practice and create autonomous roles that
would impact and change the health care system.


Cone, J. (2002). Built to be great: T+D talks with Jim Collins about
what it takes to go from good to great. T+D, (8). 22.

Huber, D. (10/2013). Leadership and Nursing Care Management,
5th Edition [VitalSource Bookshelf version]. Retrieved
from https://bookshelf.vitalsource.com/books/9781455740…

Discussion 6

The role that the nurse manager or leader plays in the reengineering
of health care is that they help organizations reorder priorities,
help provide more cost-effective care, and increase value to patients.
Reengineering assists in redesigning administrative functions,
clinical services, and caregiving programs to improve health status
(Edens, 2005). Reengineering is a necessary skill of health care
organizations if they want to succeed in the future.

As changes in nursing occur continuously, negotiation skills of
leaders and managers are needed to handle downsizing, mergers and
restructuring. Nurse leaders and manager need to anticipate and
be ready for change.

Edens, P., (2005). Workplace Reengineering, Reorganization, and
Redesign. Retrieved July 1, 2018, from http://www.medscape.com/perspective/medscapecritic…