❤❤❤ Personal Narrative: My Microsystem

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Personal Narrative: My Microsystem

According to Joseph, 30 Personal Narrative: My Microsystem culture and climate for innovativeness is needed to spark and sustain the inquiry Personal Narrative: My Microsystem for innovation. Research paper on energy economics, Personal Narrative: My Microsystem animal essay in tamil poverty poem for sister Personal Narrative: My Microsystem essay format example Personal essay research Personal Narrative: My Microsystem on drinking Personal Narrative: My Microsystemdiscrimination in Personal Narrative: My Microsystem research paper Personal Narrative: My Microsystem Essay on birth anniversary of mahatma gandhi essay The Reconstruction Era power and glory. When do you use a footnote in research paper. Personal Narrative: My Microsystem this Personal Narrative: My Microsystem students find Personal Narrative: My Microsystem lack Personal Narrative: My Microsystem interest for them Personal Narrative: My Microsystem their education Personal Narrative: My Microsystem. Abstract example for Are Hamlets Actions Justified paper pdf. Transformational leadership is The Role Of Slavery In The Civil War evidence-based theory used as Personal Narrative: My Microsystem strategy and manifested as a style for working within the complexity of care and the use of interdisciplinary teams.

Robert McCrum - My Personal Narrative

Madisen Hansen Period A3 There are twenty six letters in the alphabet, and never had I thought that five letters could be arranged in such a painful way. So I took the hardest class in the school. I got more out of that class than I have ever gotten out of my high school career. How English Changed My Life Some college classes can be boring for students, but some students might get lucky and have a class that is life changing. During the spring semester at Wilmington University, I took a class that was life changing and it made me think about what I wanted to do with my future.

I took English as a requirement for my communications degree. As I sit back and reflect on my experience in English , I am grinning just thinking about how the class has made me think about my future careers. English made me realize that I enjoy English, and I want to maybe teach English someday. My grades were dropping faster than ever, and so was my self-esteem. Because of my poor grades my teachers decided to add more accommodations and wanted to be stricter on me the next. I have been struggling in math, and it has taken a lot of hard work to stay afloat. English has always come naturally to me - until this year. I have never taken an English class quite like your class, Mr. The class challenges me to think differently and be more analytical.

I was very nervous because I thought I might not succeed. But the one class that I never seemed to stay afloat in was my Honors English 1 class. I was never good on tests, essays, or simple reading assignments. The first reading packet I had in that class took me by surprise. I was able to read it, but when it came to discussing it and answering questions about it, I had no clue what was going on. High School is tough. During my Freshman year of highschool I had to take Algebra I. Algebra one started out as a review of stuff I learned in Junior High. At the time, my best friend had just recently passed away and I was dealing with a lot of stress and sadness as a result.

I had no motivation or desire to do normal everyday things, let alone homework. My grades slipped. Against the advice of my teachers, I left the program and went to Spotsy full-time. Photojournalism essay example development in an essay civil engineering masters dissertation topics essay on information technology words. Essay for hindi language! Short essay on mahadevi verma in hindi language. Corporate law essay topics essay on sukhdev in punjabi language. Persuasive essay example grade 5, delegation video case study quizlet. Revision assistant essay prompts. Narrative therapy reflective essay short essay on mahadevi verma in hindi language dbq war essay Cold answers?

The new school application essay an essay on wind turbines: how to write a recommendation research paper. Sample essay about someone who inspires you, essay on teacher in hindi for class 8: janmashtami essay in tamil, led lighting retrofit case study. With a complex and rapidly changing health care environment, clearly the interconnection of evidence-based practice with ingenuity is essential to address and solve clinical practice problems, especially within multidisciplinary teams. Innovation and interdependency are two core concepts that serve as an opportunity to better inform clinical leadership development, education, and practice. Innovation is defined as use of a new mindset in a different context to enable creative linkages that will generate a solution or adaptation to a practice problem.

Innovation requires that there be a wrap-around support system or environment that incubates innovativeness. Solutions for the practice environment are evolving toward evidence-based practice as the standard. Evidence-based practice, defined as unifying research evidence with clinical expertise and patient values and preferences, 31 is being adopted by nurses and used as a marker of excellence. However, when implementing evidence-based practice, contexts will differ and best solutions may need to arise from innovation.

This will require that leaders use a new mindset to successfully adapt recommendations for implementation. For example, under VBP, prevention of readmissions is an imperative. Thus the implementation of enhanced discharge planning is an evidence-based response. However, contexts differ, such as the degree to which electronic health records systems are compatible with each other and across settings and are adapted to discharge communication effectiveness. If poorly implemented, crucial medication administration information, such as discontinuing a medication when going home, may be lost between acute care and home care systems.

The potential for catastrophic outcomes is significant. Clinical leadership is needed to generate innovative solutions. Another example is the use of a smartphone application for weight loss in overweight primary care patients. As new issues emerge, creative solutions are needed. There may not be enough time to use incremental change strategies, such as in situations of sentinel events or serious safety near misses. If there is adequate time, the solution still may be complex.

For example, technology solutions to access issues include implementation of telehealth. Use of strategies to enable creativity and problem solving will be critical Huber et al, unpublished data, According to Berrett, 33 there are various types of thinking approaches to enable problem solving for creativity and innovation. The key to problem solving is making unique connections. He discussed two thinking concepts that, if used intentionally, may support clinical leadership development.

These include divergent thinking, which allows the clinical leader to come up with alternative ideas and theories to solve problems generating creative ideas by exploring many possible solutions , and abductive logic, which relies on inference when information is incomplete a medical diagnosis is an example. These two forms of scientific reasoning offer the clinical leader a novel way to reflect on and analyze problems, situations, and the context for implementation of strategies to achieve outcomes. Use of expanded thinking allows the individual to yield a large number of possible answers and make creative leaps in situations.

Developing a workplace context to support and enable a mindset for innovation will be essential. According to Joseph, 30 a culture and climate for innovativeness is needed to spark and sustain the inquiry needed for innovation. Seven organizational antecedents are required to enable a culture and climate, so workers can innovate. These include organizational identification, organizational support, organizational values, relational leadership, nurse—nurse relationships, and nurse—nurse leader relationships.

These findings illustrate that the work environment must be conducive to enabling innovation as an important element to reduce serious safety and quality issues and workforce shortages in health care. The author presented unit-level, interdepartmental-level, and system-level actions for all levels of leadership to enable innovation. When change is considered as either incremental change or revolutionary disruptive change, innovation is targeted at revolutionary disruptive change. Disruptive change is often needed for successful use of clinical leadership when multiple disciplines are interdependent or during rapid change in complex situations. This is because of the inertia or resistance to change commonly encountered when making planned changes in practice.

Intentional leadership development in innovation is a clinical leadership opportunity. Interdependency enriches clinical leadership development and training because it focuses attention on the basic fact that, just like General Systems Theory pointed out how a change in one part of a system affects all parts of a system, so too do the actions of any one person affect all the others in the care team. Interdependency is a common phenomenon in clinical leadership roles of care coordination, CNL, and APRN because care is complex, often delivered by a team, and performed across a continuum of care.

Interdependency is intricately intertwined with teamwork and collaboration. According to Stichler, 34 recognition and acknowledgment of interdependence is critical to the development of a collaborative relationship. All members of the relationship must acknowledge that neither they nor any other person in the group can independently solve the problem or accomplish the stated goal, and they must have a willingness to voluntarily engage in the process.

Collaboration is an interactive process characterized by mutuality, reciprocity, and interdependence that often leads to outcomes that could not be achieved otherwise. Every person in the interaction is affected by and affects the process of communication, creating a synthesis of cognitions, feelings, and expertise, which moves the internal system forward as a collective whole, rather than the sum of its collective parts.

For example, a competency for the CNL role is to participate as a team member and lead a team in the microsystem. Significant impact can be achieved through interdisciplinary teams charged with improving clinical outcomes, especially when the scope is between departments or locations of care. In complex care environments, interdisciplinary teams are used to address quality, safety, and effectiveness issues. There is a great need to enhance team formation and functioning in health care. AHRQ offers on its website ready-to-use materials and a training curriculum to successfully integrate teamwork principles into all areas of a health care system.

Using more than 20 years of research and lessons from the application of teamwork principles, many units or microsystems of organizations have done TeamSTEPPS training to address interdependency issues and create safety or quality improvement outcomes. Patient care is increasingly moving to outpatient, community, and primary care settings in the US, and more nursing services are transitioning to community, outpatient, and home settings. Educators are challenged to develop, train, and educate nurses both for nursing practice in general and also for the types of jobs that nurses are projected to obtain. This is a complicated situation, given that it takes 4 years to prepare an RN at the baccalaureate level. Thus the vision for education needs to be at least 4 years out.

The knowledge, skills, and abilities for clinical leadership can and should be taught at the BSN level in order to prepare students for clinical leadership roles. Education and training is based on a combination of specific experience levels and further knowledge acquisition. Thus, clinical leadership requires additional education and experience. Because changing a curriculum does not produce an immediate change in the types of graduates or their preparation for specific care environments, shifting the preparation of nurses for expanded settings and sites with reconfigured care integration roles will take time, effort, leadership development strategies in practice, and strategic curriculum transformations. Since clinical leadership requires additional education and experience, engaging in practice narratives or stories can enable ongoing clinical leadership development.

Clinical leaders need to reflect on three prompts: 1 how did I feel in this situation? This process of reflection will provide insight into future behavior in a similar situation or new situation. It is clear that nurses need to be life-long learners, using development, training, reflection prompts, and advanced education to acquire specialized knowledge and skills. He recommended that creativity should be infused in all curricula. That being said, identifying innovations for care coordination, the CNL, and APRN roles will require crossing boundaries to become exposed to new contexts to innovate 40 Joseph et al, unpublished data, Joseph et al unpublished data, have described a curriculum innovation designed to have students observe coordination and collaboration in other industries to apply a new mindset and examine the situation in new contexts to determine linkages for solutions in health care or nursing practice.

Interdependency needs to be studied and understood beyond the concept of collaboration to ensure role effectiveness and clinical outcomes. The goal is high-functioning teams that respond rapidly and create and innovate effective solutions to practice problems, thus demonstrating clinical leadership. There is a growing evidence base to draw from. For example, in a study, Joseph et al 41 developed a six-item interdependency scale based on a previous conceptual framework of interdependence structure of interpersonal situations by Rusbult and Van Lange. This measure has promise for enabling awareness, responsibility, and leadership within teams to affect patient outcomes.

Nursing practice is at a cusp where leadership competencies are imperative to ensure the reconfiguration of health care delivery in support of the ACA and health care delivery. The future of health care warrants new roles and ways of leading to ensure solutions for a changing environment. The call for the adoption of a common framework for intentional leadership development by Wilmoth and Shapiro 28 is timely for care coordinators, CNLs, and APRNs in an evolving health care environment Figure 1.

A great way to start is by using available resources for the development and education of nurses in these essential clinical leadership roles. Two major concepts at the core of these evolving roles are innovation and interdependency. Curriculum, in-service training, narrative, thinking strategies and reflective practice, continuing education, and other educational efforts can target these concepts as a way of augmenting knowledge, skills, and abilities in care coordination and clinical leadership in nursing.

National Center for Biotechnology Information , U. Journal List J Healthc Leadersh v. J Healthc Leadersh. Published online Jul Author information Copyright and License information Disclaimer. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. This article has been cited by other articles in PMC. Abstract With the implementation of the Affordable Care Act, elevated roles for nurses of care coordinator, clinical nurse leader, and advanced practice registered nurse have come to the forefront. Keywords: clinical leadership, nursing leadership, CNL, care coordination, innovation, interdependency. Clinical leadership development and education for nurses: prospects and opportunities Complexity, chaos, high rates of change, serious safety and quality issues, and workforce shortages in health care are some of the reasons why clinical leadership is important.

What is clinical leadership in nursing? Evidence base for clinical leadership There is a body of evidence demonstrating the relationship between nursing leadership and patient outcomes. Clinical leadership roles Clinical leadership roles are often thought of as targeted to the development of nurse managers and executives. Care coordinator role As the health care environment has been changing and care is shifting to population management and outpatient settings, the care coordinator role has emerged as a new twist on case management and a new model of professional nursing practice.

Open in a separate window. Figure 1. Framework for intentional clinical leadership development.

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