Descriptive Statistics Of Article By Tudor Kelly

Create a draft of your course project and submit it as an assignment under Unit 8. You will incorporate feedback from this draft into your revised final course project.

Your paper should consist of the following components:

• An introduction to your paper in which you provide an overview of what you intend to accomplish in this project.
• A section which thoroughly discusses the nursing leadership priority that you are addressing.
  
  • List the priority or issue and explain why you chose it.
  • Analyze the issue and explain the various components that you will need to address, such as:
    • How does the structure of your organization contribute to the issues you are addressing?
    • Are there power dynamics that contribute to the issue?
    • What role do multiculturalism and diversity play?
  • Provide an explanation of how you intend to address this priority, including:
    • What things did you need to consider as you put your plan of action together?
    • How did the structure of your organization influence your decision?
    • What leadership skills will be most important to you as you address your priority?
    • How do multiculturalism and diversity within your organization impact your plan?
    • How do theories and practices of power come into play when determining and implementing solutions?
  • Support your action plan with references to the literature that address the applicable theories, resources, and tools that guided you to this particular solution.

• A section in which you outline either:
  • Your performance evaluation plan for determining how well you implemented your priority.
  • Your development plan for how you will develop the skills needed to implement your priority. This section serves as a personal leadership plan and career programming tool for self-assessment, for developmental purposes or prior to performance evaluations. The goal is to align oneself within the organization, assess organizational fit and desired career path(s), and identify competency gaps to reach personal and professional leadership goals.
• A summary of what you have learned in the process of doing this project.

Use appropriate headings and subheadings as developed within your content outline to demonstrate logic, flow of ideas, and organization. It is helpful to add your sources into the document in the appropriate format while you are in this stage. Refer to the Capella Writing Center for resources.

Optional Activity

You may want to submit your paper through Turnitin and attach your Turnitin report with your rough draft.

Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click on the linked resources for helpful writing information.Toggle DrawerNURSING PRIORITIES2IntroductionOne of the biggest leadership issues is identifying gaps in the healthcare system andfinding ways to close those gaps.In my opinion an area which contributes to agapin the healthcare systemis lack of knowledge, specifically the lack of knowledgethat is associated withpatient safety. Finding a way to fill this gap is a priority of this writer. It is also a priority ofthis writer to be a good leader. An organization must have good leaders in order to be effective.Organizations must have a mission, vision and values.The Albatross Health System’s(AHS)mission is to help people live healthier lives and to helpmake the health system work better foreveryone. The values are integrity, compassion, relationships, innovation and performance. It isa leader’s responsibility to help the staff live up to this mission and to live the values in and outof work. Leadership priorities are needed to not only live up to the mission, but to help staffunderstand what it takes to live the values.The purpose ofthis paper is to focusonone main nursing priority that isin need ofimprovement. It will also offerasolutionto this issue.It will show how improving thisnursingprioritycan have the ultimate positive result; ahealthy patient. Thenursing priority this paperwill focus on islack of education to boththe nursesand the patients. This paper will focus notonly on healthcare in general, but specifically on chronic kidney disease (CKD) and end stagerenal disease (ESRD) and a telephonic program designed to help these patients live healthierlives. Having a telephonic program in place can lead to greater outreach than in personprograms.This paper will show how the organization of this writer is in line with the goal ofimproving the level of education for the patient as well as providers.In order to be an effective leader, it is necessary to havethe appropriate resources andtools. There are different forms of leadership that work well as resources. This paper will focusNURSING PRIORITIES3on transformational leadership and transactional leadership as tools. Leaders also must haveresources such as seminars, and whatAHScallslearn sourceswhich are mini courses withquizzes. Somelearn sourcesare mandatory, but there are a multitude of them that are not, andthey are there solely to allow an employee to build knowledge and become more proficient.Lastly,this paper will also take a look at how multiculturalism and diversity play a role inhelping the telephonic program be effective. It will show how the organization values all cultureandmakes it a goal to include this in the education.The lack of education in healthcare can be harmful. The lack of education in chronickidney disease (CKD) and end stage renal disease (ESRD) can be fatal. “Preparation for end-stage renal disease (ESRD) is widely acknowledged to be suboptimal in the United States”(Kurella, Li, Chen, Cavanaugh, Whaley-Connell, McCullough & Mehrotra,1994, p 686).According to Lopez-Vargas, Tong, Phoon, Chadban, Shen, and Craig (1994), the lack ofknowledge in CKD and ESRD patients can cause the patients to deny their disease leading tofatal consequences.With CKD on the rise, it is important to educate Americans on the causes, risk factors,preventative care, and signs and symptoms to look for. The problem is, there are many doctorswho are not honest with their patients or they simply do not understand the consequences or riskfactors of CKD themselves. Diabetes Mellitus (DM) is one of the major risk factors for CKDalong with Hypertension (HTN). According to McKinlay, Piccolo, and Marceau (1994), 60.9percent of doctors did not diagnose DM when there were many symptoms present. In1999itwas estimated that 285 million people were diagnosed with DM and it was projected that by2030 that number would increase to 439 million. This is extremely important to CKD sinceit isa major risk factor. In order to prevent CKD from developing in these diabetic patients, theNURSING PRIORITIES4patients must be educated about the symptoms and the providers must be educated to screen forDM and recognize the symptoms.There are programs offeredby many organizations such as this writer’s organization thatare free of charge for patients as part of their insurance benefits. These programs educate onsigns and symptoms of CKD as well asdiabetes mellitus (DM)andhypertension (HTN). Theyeducate,mostly telephonically, in regard to preventative measures such as diet, exercise, andavoidance of certain over the counter (OTC) medications including avoidance of intravenouscontrast dye. It is important to make sure diabetics are monitoring their blood glucose, andpatients with HTN are monitoring their blood pressure and recording the results to bring to theprovider’s office.In today’s very sophisticated, complicated world, technology is no stranger to mostpeople. However, it is slow to be accepted in healthcare education. It is widely used for collegecourses, such as this one, where all classes are solely web based, but when it comes to usingtechnology to reach its employees and also its patients, it could be used so much more.“Telehealth is the delivery of health care services at a distance, using information andcommunication technology” (Wade, Karnon, Elshaug, & Hiller,1994, p. 1). According toWade, Karnon Elshaug and Hiller (1999) telehealth can be used with video in real time. Thiscould be such a great tool, not only for the patients, but also for the staff. This writer has a staffthat is spread over several states. Imagine the impact telehealth programs brought directly tosmart phones or tablets could have. Imagine the impactthose nurses using that technology couldthen have on the patients.One of the issues that this writer encounters is a language barrier. In a telephonicprogram, this can cause some very big problems. Many times our nurses use language lines asNURSING PRIORITIES5interpreters and this does help, but it does not solve the problem completely since it can bedistracting having a question relayed through an interpreter. So how do we effectively solve thisproblem? One of the suggestions of this writer and nurse is to hire amore diversegroup ofnurses.“Since there isa lack of ethnically diverse nursing faculty as well,mentorship should beencouraged for all faculty” (Noone,1996, p. 136). This could solve a very large gap in thetelephonic program.Plan of ActionThe values ofAlbatrossHealth Care are integrity, compassion, relationships, innovationand performance. These values need to be taken into consideration when planning a solution tothe lack of education in CKD and ESRD patients. The use of technology and hiring a diversecultureof nurses has to be part of the telephonic program. The values and structure ofAHSneeds to be taken into consideration.AHSmission is to help people live healthier lives. This fitsin with this writer’s plan to use a telephonic program to close the gap in education provided toCKD and ESRD patients as well as their providers.If the patients are suffering from a lack of knowledge, a good leader must empower thestaff to educate the patients. How is that done? It is done by educating the staff so they can theneducate the patients. “Low adherence to chronic kidney disease (CKD) guidelines may be due tounrecognized CKD and lack of guideline awareness on the part of providers” (Drawz, Miller,Singh, Watts, & Kern, 2000). In this case, who are the providers? It is the nurses. Leaders mustseek out the appropriate resources for their staff. Using professional organizations can help.“Professional nursing organizations can make substantial contributions to the move healthcarequality forward by providing EBP work-shops similar to those conducted by the AmericanNephrology Nurses’ Association” (Hain,1994, p.563).NURSING PRIORITIES6According toHalliburton(1999), a transactional leader is a manager or leader who alsocan be seen as acaregiver. They set goals for their staff and then reassess on a daily basis usingindividual goals based on the employee’s personal ability. A transformational leader, however,according to Halliburton(1999), provides a sense of direction for the staff motivating them totheir full potential. “Transformational leadership is believed to operate through four distinct, butclosely correlated, components of leader behavior, which encourage employees to exceedexpectations in terms of their own behavior” (Clarke, 2000, p. 26).How do either of these leadership styles act as a tool for good leadership that can helpwith the priorities of education?The right leader for the right group is extremely important.Staff responds differently to different leaders. Being a fairly new manager has taught this writerthat a combination of all leadership styles is best, and it is sometimes necessary to use differentstyles with different employees. It is extremely important to know your own leadership style soyou can provide your staff with the resources they need to be effective.According to Halliburton,1999, there are many leadership theories that are grouped inthree types including trait, attitudinal and situational.The trait approach of leadership identifiescertain characteristics of a leader.The attitudinal approach looks at the attitude of the leader andthe situational looks at observed behavior.To address thelack of education problem,I think a combination of all of the leadershiptheory groupsshould be used together.A leader has to set a good example.The saying do as Isay not as I do does not apply here.The Leader must expect that the staff will do what they do.If a leader has a bad attitude, so will the staff.If a leader has a bad behavior, so will the staff.This all has to be taken into consideration when developing a program.NURSING PRIORITIES7PersonalDevelopmentandPerformance Evaluation PlanIn order to know if my plan has been effective, I will put a performance evaluation planinto effect. I will use before and after data to determine the increase in education by using thepre-test/post test process. I am currently looking through the literature to find a reliable datacollection tool. I will compare the data to determine if the hospitalizations have decreased.Have the deaths decreased? Are the patients living healthier lives? All of this will be consideredwhen comparing before and after data.My career goal is to become a nurse researcher which means I will eventually have to earn aPh.D. I’m starting now by implementing this performance improvement project at my hospital.The biggest obstacle I will face in my environment is finding a mentor. We currently do nothave a formal research department.In conclusion,the lack of education is a leadership prioritythatAHSand this writer take veryseriously. Having the proper resources and choosing the proper leadership style can make thedifference of a successful leader and a not so successful leader. In order to fulfill our mission,vision and values, we must know what they are and lead the staff to live up to them. CKD andESRD are used in this paper as an example since this is the current experience of this writer,however all fields of healthcare can benefit from these priorities. Using technology to educatestaff, and also patients is an element of nursingthat is becoming more popular.Telephonic orwebbased learning is a great way to reach employees who can’t or don’t use in person seminarsincluding multi-cultural education.All of these things together can make a great program evenbetter.An evaluation of the effectiveness of this program is alsoan integral part of the program.The knowledge if the program is effective is vital to the success of the program. The ultimategoal is a healthier patient. This telephonic program can make that difference