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Explain how accountability, authority, and responsibility relate to delegation

1. Visit the American Nurses Association site on healthcare policy
athttp://www.nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues.aspx
(http://www.nursingworld.org/MainMenuCategories/HealthcareandPolicyIssues.aspx). What are the current policy
issues addressed? How would you apply them to nursing leadership?
2. Explain how accountability, authority, and responsibility relate to delegation.

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3. Review the Five “Rs” (reengineering the health care organization, redesigning the workforce, re-regulating
professional practice, rightsizing the workforce, and restructuring nursing education.) related to Change
and Decision Making in Action Select one of the “Rs” and describe how you have been involved in change
or will be involved in change either in your prelicensure program or after obtaining your license. Was this
change a comfortable or uncomfortable time in your life? Explain.
4. Keep in mind that completing this TD is the key to assisting you with the Week 4 Assignment, My
Leadership Development SMART Goal. Use the format below to develop a leadership SMART goal for
YOURSELF, not your organization or department. The goal needs to be related to ONE of the Institute of
Medicine’s (IOM) quality initiative, which includes the ve core healthcare profession competencies. One
of these competencies will serve as a framework for identication of your leadership goal.
The ve core healthcare profession competencies outlined by the IOM are listed in Finkelman (2012) in
Section II. You should review the appropriate chapter prior to posting.
These core competencies include the following.
1. Managing Patient-Centered Care
2. Working in interdisciplinary/interprofessional teams
3. Employing evidence-based practice
4. Applying quality improvement techniques
5. Utilizing informatics
SMART Goal Format:
S—Specic (Who, besides YOU is involved in your goal, what is YOUR goal, and where will it take place?)
M—Measurable (How are YOU going to achieve the goal?)
A—Attainable (What resources and/or experts are available to assist YOU with attaining your goal?)
R—Realistic (Is YOUR goal something that is realistically obtainable by YOU in YOUR professional practice?
Explain.)

T—Time bound (What specic dates or weeks will YOU accomplish each task related to YOUR leadership
goal?)
5. Review the Article:
Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D.
(2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care
Nurse, 29(3), 77–93. http://proxy.devry.edu/login?
url=http://search.ebscohost.com.proxy.devry.edu/login.aspx?
direct=true&db=rzh&AN=2010305271&site=ehost-live (http://proxy.devry.edu/login?
url=http://search.ebscohost.com.proxy.devry.edu/login.aspx?
direct=true&db=rzh&AN=2010305271&site=ehost-live)
How do you OR your current (or previous) leader walk the talk as it relates to fostering an environment of
patient-centered care?
6. Culture can inuence how we perceive a situation. Alicia is a nurse leader for a unit where Masaya is
working as an RN who recently graduated with a BSN from a university in The Philippines. After watching
the scenario, describe how cultural dierences have impacted the scenario. How could the leader
intervene in this situation to assist Masaya to be successful in his new role? How could the leader
intervene with the sta to be more accepting of diversity in co-workers?
Second Life Video (https://devry.equella.ecollege.com/le/cf3be511-e270-466b-94b6-
c217ebdd7ee6/1/NR447_W4_Discussion_SecondLife.mp4)
7. Becoming a part of a new team can be dicult at times. As a leader, how can you facilitate acceptance by
team members for an employee who is new to your team?
8. Preventing and resolving conict is the responsibility of every nurse leader. Review the scenario where a
leader and a sta nurse have a disagreement over an assignment. What conict management strategies

may be employed to bring this to a “win-win” resolution? Please describe.
Second Life Video (https://devry.equella.ecollege.com/le/04d44a6c-ac26-4410-b023-
bc640a5b5b9e/1/NR447_W5_Discussion_SecondLife.mp4)
9. Assume you are employed as a nurse leader at a small healthcare organization/agency that does not have
a nurse on sta who is an expert in evidence-based practice. How would you lead the charge to overcome
this barrier and integrate EBP into the daily practice of your sta?
10. Review Appendix A, Sections I–V in Finkelman (2012, pp. 510–515). Select one of the sections and share
how your chief nurse executive demonstrates expertise in these competencies.
11. Describe one core measure OR National Patient Safety Goal that your work place is monitoring. Describe
if you are meeting the standards.
If you are NOT working, describe a monitoring requirement imposed by a federal or state agency in which
you are actively involved.
12. An important role for a BSN-prepared nurse is educating sta, either formally or informally. Visit the
QSEN website to review teaching strategies at http://qsen.org/teaching-strategies (http://qsen.org/teachingstrategies/). Select ONE of the current strategies and share how you could adapt this to educate sta at
your work place. To make our discussion more robust, please try to select a strategy that has not already
been discussed by your classmates. This is your opportunity to be creative and suggest innovative
approaches.

13. Our College of Nursing states, “We are committed to graduating compassionate, ethical, and
knowledgeable nurse leaders who are empowered to transform healthcare.” This is a powerful statement.
As a student who will soon graduate from Chamberlain, how do you foresee you

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