NR531 All discussions and assignments - November 2017

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DQ 1-Week 1: Servant Leadership

 

An important part of servant leadership is the servant leader's ability to create a service desire in others. After reviewing the Case Study Background Information and the Mission and Vision in the Modules → Introduction and Resources → Course Resources section for SLMC, discuss how you, as the nurse administrator, would motivate others to be service oriented. Please share some strategies and a specific example.

DQ 2-Week 1: Organizational Structures

 

3Discuss the organizational structure that you, as the nurse administrator, believe would be most appropriate for SLMC. Use a specific organizational theory to support your decision and discuss how this structure may impact the organization’s outcomes.

 

 

CASE STUDY BACKGROUND INFORMATION

 

NR531 Case Study Background Information

St. Louis Medical Center (SLMC)

 

St. Louis Medical Center (SLMC)hasproudly servedSummerville, Ironridge and the surroundingcommunitiesofChamberlainCounty, South Carolina, forover50years. Theorganizationhas remainedakeycomponentinmaintainingthehealthofthecommunityatlarge.SLMChasover500physicians,approximately450nurses, andis oneofthelargestemployers oftheChamberlainCounty area. SLMCtakespride initsability toremainaleaderinthehealthcareindustry statewide. Thehospitalhasacontinuous commitmenttodeliveringthehighestqualitycarebyaddressing crucialissues,suchas patient safety,technology,andexpandingservices tomeetcommunity needs. SLMChasplaced specialemphasisonoptimizingthequalityoflifeofallthoseservedby expandingbeyondthetraditionalfocusonmedical needstotheneedsofthewhole person.

SLMChasseenasharpincreaseinthenumber of hospitaladmissionsofelderlypatients withheartfailureandcardiovascular disease. Specifically,inthelast3 years,SLMChashada10%increaseeachyearinthenumber of heartfailurehospitaladmissions, ofwhich,mostwerereadmissionsinthesameyear.Eventhough thereisanincreasingtrendinthenumberofpatients65yearsandolder withheartfailureonanationallevel,Summerville,inparticular,hashadtotreatexplosivenumbersofthisvulnerablepopulation.

 

Market Analysis

Summerville, SC History

Summerville is a city in South Carolina in the United States. It is bounded by Ironridge, SC, on the West, the Atlantic Ocean on the South and East, and Chamberlain 2 Island on the North. According to city records, the city has a total land area of 2.99 square miles. The city government consists of a Mayor, three township supervisors, and a solicitor. Summerville has its own police department.

By 1790, Summerville had become a thriving village with business houses dispersed among the huts and log cabins. In 1817, a stage coach stop was added to this growing town. Harvey Summer, a successful logger, purchased a large parcel of ground and began to sell off lots. This brought more people to the town that was subsequently named after him. Summerville added a steel mill, and Mr. Summer’s logging company was relocated there. By 1940, Mr. Summer’s descendants opened an auction house after closing the logging company. This was a huge commercial attraction for the area and Summerville continued to grow. Other businesses moved to Summerville. This commercial core was the beginning of the Summerville we know today.

Summerville has been thriving in this challenging economic time and has increased its population by 10% since 2010. This is an upscale community with modern, well-maintained homes. The SLMC is located within the Summerville city limits. There is also a city hall with a WIC office, movie theatre, shopping center, restaurants, grocery store, and several homes that line the Summerville streets. This is a suburban area with modern looking buildings and clean streets. There is a taxi service as well as a bus that transports people around Summerville and into Ironridge.

Summerville, SC Statistics

Population in August, 2013: 16,599 SC: 4,625,364 (2010, 24th largest state)

Females: 8,598 (51.8%) SC Females: 51.3%

Males: 8,001 (48.2%) SC Males: 48.7%

 

 

White: 60% SC White: 66.2% (2008, ranked 26th)

Black: 23% SC Black: 27.9% (2008, ranked 14th)

Hispanic: 9.5% SC Hispanic: 5.1% (2008, ranked 30th)

Asian: 7.5%

 

Age

Median age: 64.3 years SC median age: 37.9 years

Under 18: 18.7% Under 18: 23.7% (2009)

Between 18–64: 62.8% Between 18–64: 62.6% (2009)

65 and older: 18.5% 65 and older: 13.7% (2009)

 

Education

Residents 25–64 years old with high school diploma: 88.6%
SC residents 25–64 years old with high school diploma: 86.4% (2008)

Residents 25 years and older with associate degree or higher: 34.5%

Associate degrees: 10.3%

Baccalaureate degrees: 18.7%

Master’s degrees: 4%

Post Master’s: 1.5%

 

SC Residents 25 years and older with associate degree or higher: 30.7%

 

 

Income per capita: $74,900 SC income per capita: $33,884 (2010—ranked 45th in U.S.)

Median household income: $68,594

SC median household income: $42,580

 

Health Statistics

Births

Live births: 124 Teen moms: 14 out of the 124

White: 69 White: 4

Black: 41 Black: 4

Hispanic: 11 Hispanic: 5

Asian: 3 Asian: 1

 

Abortions: 12

White: 4

Black: 2

Hispanic: 5

Asian: 1

Infant mortality: 7

White: 2

Black: 2

Hispanic: 3

Deaths:79

Death rate:4.8 per 1,000

Causes of Death

White Black Hispanic Asian

Heart disease 12 6 2 1

Malignant neoplasms 10 4 3 1

Accidents 3 3 2 2

Cerebrovascular accident 3 2 1 0

Chronic lower respiratory disease 2 1 1 0

Alzheimer’s disease 2 2 1 0

Diabetes 2 1 1 0

Pneumonia 2 2 2 0

Influenza 1 1 1 0

Kidney disease 0 1 1 0

 

Ironridge, SC History

Ironridge is a city in South Carolina in the United States. It is bounded by Summerville, SC, on the East, the Atlantic Ocean on the South and West, and Chamberlain 1 Island on the North. According to city records, the city has a total land area of 2.95 square miles. The city government consists of a Mayor and City Council. The City Council has five members, including its president, secretary, solicitor, and treasurer. Ironridge has its own police department.

Ironridge was founded in 1887 as a company town by J.J. Newberry Company as the site for its foundry. The foundry employed as many as 6,000 workers in its prime. In 1900, 20,966 people lived in Ironridge. In 1992, the J.J. Newberry Company went out of business and the foundry was closed.

Ironridge has been hit hard by the economic decline of our time and is in a critical stage of urban decay or urban blight. It has lost more than 20% of its population from 2010 and continues to deal with a large number of homeless people, increased illegal drug use, and high crime rate. Ironridge has grungy and dilapidated buildings and homeless people clearly evident on the streets. The mental health clinic and in-patient facility located in Ironridge typically treats 40–60 patients every day. Ironridge is also home to an OB/GYN out-patient clinic. The industrial area near the bridge leading to Summerville has a disaster occurring. There is a taxi service as well as a bus that transports people around Ironridge and also into Summerville.

Ironridge, SC Statistics

Population in August, 2013: 12,682 SC:4,625,364 (2010, 24th largest state)

Females: 6,899 (54.4%) SC Females: 51.3%

Males: 5,783 (45.6%) SC Males: 48.7%

 

 

Black: 48.7% SC Black: 27.9% (2008, ranked 14th)

Hispanic: 32.3% SC Hispanic: 5.1% (2008, ranked 30th)

White: 10.1% SC White: 66.2% (2008, ranked 26th)

Asian: 8.9%

 

Age

Median age: 42.2 years SC median age: 37.9 years

Under 18: 22.8% Under 18: 23.7% (2009)

Between 18–64: 73.7% Between 18–64: 62.6% (2009)

65 and older: 3.5% 65 and older: 13.7% (2009)

 

Education

Residents 25–64 years old with high school diploma: 44.5%
SC residents 25–64 years old with high school diploma: 86.4% (2008)

Residents 25 years and older with associate degree or higher: 19.3%

Associate degrees: 14.1%

Baccalaureate degrees: 4.2%

Master’s degrees: 1%

Post Master’s: 0

 

SC Residents 25 years and older with associate degree or higher: 30.7%

 

 

Income per capita:$21,679 SC income per capita: $33,884 (2010—ranked 45th in U.S.)

Median household income: $29,835

SC median household income: $42,580

 

Health Statistics

Births

Live births: 179 Teen moms: 42 out of the 179

Black: 86 Black: 22

Hispanic: 74 Hispanic: 16

White: 12 White: 3

Asian: 7 Asian: 1

 

Abortions: 19

Black: 10

Hispanic: 6

White: 2

Asian: 1

Infant mortality: 32

Black: 17

Hispanic: 12

White: 3

Deaths:118

Death rate:9.3 per 1,000

Causes of Death

Black Hispanic White Asian

Homicide 12 8 6 1

Heart disease 10 6 2 1

Malignant neoplasms 10 4 3 1

Accidents 9 8 4 3

Cerebrovascular accident 3 2 1 0

Chronic lower respiratory disease 2 1 1 0

Cancer 2 2 1 0

Diabetes 2 1 1 0

Pneumonia 2 2 2 0

Influenza 1 1 1 0

Kidney disease 0 1 1 0

 

 

References

SC Department of Health and Environmental Control (DHEC). Public health statistics and information services. Retrieved from https://www.scdhec.gov/co/phsis/biostatistics/index.asp?page=pubreps

South Carolina’s Information Highway (SCIWAY). (2013). South Carolina - Fast facts. Retrieved from http://www.sciway.net/facts/

 

 

 

St. Louis Medical Center (SLMC)

 

Mission

SLMC is dedicated to providing access to quality healthcare in a supportive and caring environment with an unyielding devotion to excellence, safety, and an unequaled passion and commitment to ensure outstanding healthcare that optimizes the quality of life for those we serve.

 

Vision

SLMC will be a national leader for excellence and innovation in developing and delivering the highest quality of the next generation of consumer-driven healthcare; focus on our patients as individuals and provide healthcare experiences that are tailored and personalized to meet their physical, psychosocial, emotional, and spiritual needs.

 

Week 2: Care Delivery Models and Effective Nurse Administrators

 

DQ 1:You are the nurse administrator at SLMC. Your supervisor informed you SLMC is having difficulty recruiting registered nurses for your facility. It was decided to hire more nursing assistants. Discuss the impact this strategy could have on the organization and how an effective leader can assist with implementing the change.

 

DQ 2: Compare the mission and vision statements of SLMC and your current or former place of employment. Discuss the differences and similarities.

 

Week 3: Communication

 

 

DQ 1: As the nurse administrator for SLMC, you know that interprofessional collaboration is needed to deliver effective patient care. Discuss methods you will incorporate to support and foster these relationships within your organization. Explain your rationale.

DQ2:Shared Governance and the Magnet Model .Describe the nursing care delivery model used at your current or previous employer. Would you utilize this model at SLMC? Explain your rationale.

 

 

Week 4:Theory Utilization in Management

 

DQ:1In the last week, five of your direct-report managers have stopped by your office, frustrated and angry. Their comments included, “I used to love my job, but now I am tired of working with incompetent people,” “I am sick of having to call for supplies that should be automatically stocked on my unit,” and “Working here is no longer fun.” Using motivational theory, discuss your strategies for creating a motivating climate and atmosphere that supports a more positive work environment and that could be implemented fairly quickly.

Vision and the Organizational Structure

DQ:2As the nurse administrator, discuss your vision for the organizational structure for SLMC.

 

Week 5:Management of Influence, Power, and Conflict

 

DQ:1 As the nurse administrator at SLMC, you are trying to increase communication among your team members. In the past, it has been difficult for some of the various shift workers to attend scheduled meetings. Share your strategies for enhancing communication for all members of your team.

Week 5: Decision Making

 

DQ:2 As the nurse executive at SLMC, you are continuing to support and guide your team toward Magnet designation status. You recognize one area to focus on is empowering decision making within your team. Discuss your strategies to help guide and support your staff for this initiative.

Week 6: Importance of Socialization in Team Building

 

 

DQ: 1 You recently hired a new member of your SLMC team. During her 3-week orientation, you realized Kim had excellent clinical skills, but her therapeutic communication skills were inferior to the rest of the staff. She is now working on her own, and some staff and patient complaints have been reported to you regarding her poor communication skills. As the nurse administrator, discuss what you would do now for this situation. Outline a plan to resocialize Kim to her role and make her feel like a valued part of your team.

 

DQ:2As the nurse administrator for SLMC, you must communicate to your team the disappointing news that your organization is discontinuing tuition reimbursement benefits. Discuss how you will communicate this message.

 

Week 7: Quality Control

DQ :1 SLMC has a continuous commitment to delivering the highest quality care by addressing crucial issues, such as patient safety, technology, and expanding services to meet community needs. As the nurse administrator, you determine an audit of elder-patient readmissions would be helpful data to be collected. Discuss some of the information you would include on this tool and how you would proceed with this project.

DQ :2After reviewing Deming’s 14 total quality-management-principles (Marquis & Huston,2017, Display 23.6), share your top three principles as the nurse administrator for SLMC. Explain your rationale.

 

 

Week 8; Executive Role Assignment

DQ :1 Upload your Executive Summary assignment from Week 7 into this discussion thread. Please provide feedback to your peers regarding their Executive Summary.(Pls not I will send you one of the peers executive summary report when the week opens).

DQ2: What specific knowledge of the healthcare environment and leadership skills that you gained through this experience will be most important as you take on your future nurse-executive role? Describe a concrete way in which you anticipate using these skills and knowledge.How will you use the concepts in this course to identify, guide and evaluate your final MSN practicum project?

NR531 All discussions and assignments - November 2017
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