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MHA FP5040 CU Key factors that influence change at Tufts NEMC Case Study Paper

MHA FP5040 CU Key factors that influence change at Tufts NEMC Case Study Paper
Assessment 3- Case Study Analysis -Part 2 Overview Complete Part 2 of an in-depth analysis of the case study, “Case Study 5: Ellen Zane—Leading change at Tufts/NEMC.” Your 6–8-page analysis will focus on how the organization navigated the changes made to improve its stability, how those changes impacted the various stakeholders and departments, and the communication practices utilized throughout this change management process. Note: The assessments in this course build upon the work you have completed in the previous assessments. Therefore, complete the assessments in the order in which they are presented. In today’s dynamic health care environment, leaders are expected to assume a greater change agent role and will be required to use their positional power and expertise to lead their organizations forward in uncertain waters. An in-depth understanding of organizational structures, power dynamics, resistance to change, and other factors is vital to becoming a master change agent. This assessment provides an opportunity for you to examine the key factors in an organization that influence the development of an appropriate change strategy and implementation plan. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analytical Thinking: Develop complex plans or analyses.Evaluate an organization’s use of structures and systems to deal with environmental uncertainty and complexity.Explain how various departments and stakeholders are affected by a proposed change.Competency 3: Innovative Thinking: Apply “tried and true” concepts or trends.Describe the types of power at play within the organization and its potential effects.Outline potential actions designed to prevent or mitigate conflict and resistance to change.Competency 4: Process Management and Organizational Design: Benchmark good processes and practices.Assess the effects of communications on change implementation.Competency 6: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.Write clearly and concisely, using correct grammar and mechanics.Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Templates Use this template for your case study analysis. APA Style Paper Template [DOCX]. Required Resources The following resource is required to complete the assessment. Ingols, C. #038; Brem, L. (2016). Case study 5 Ellen Zane—Leading change at Tufts/NEMC [PDF]. In Cawsey, T. F., Deszca, G., #038; Ingols, C. Organizational change: An action-oriented toolkit (3rd ed.), (pp. 448–479). Resources Suggested Resources The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MHA-FP5040 Health Administration Change Leadership Library Guide can help direct your research, and the Supplemental Resources and Research Resources, both linked from the left navigation menu in your courseroom, provide additional resources to help support you. Organizational Change The following resources may be of use to you in examining how the organization navigated the changes made to improve its stability, the impact of those changes, and the use of communication practices throughout the change management process. Canyon, D. V. (2014). Corporate mindset, denial and resistance to change in health leaders. Leadership in Health Services, 27(2), 126–134.Edwards, N., #038; Saltman, R. B. (2017). Re-thinking barriers to organizational change in public hospitals. Israel Journal of Health Policy Research, 6, 1–11.Provides a comprehensive framework that can aid health care policymakers and managers in overcoming barriers to change. The authors identify the institutional characteristics of public hospitals that present challenges for decision makers.Rosenberg, A., #038; Keller, M. (2016). Making sense of organizational structure change: A practice-based approach. Baltic Journal of Management, 11(4), 452–472.Examines how employees in public organizations understand structural change and how certain factors shape those changes.Steinke, C., Dastmalchian, A., Blyton, P., #038; Hasselback, P. (2013). Organizational change strategies within healthcare. Healthcare Management Forum, 26(3), 127–135.Explores how organizations can improve their ability to change in response to rapidly changing circumstances.Challenges at Tufts/NEMC | Transcript.Timeline of Events at Tufts/NEMC | Transcript.Rating the Organization’s Readiness to Change | Transcript.Cawsey, T. F., Deszca, G., #038; Ingols, C. (2016). Organizational change: An action-oriented toolkit (3rd ed.). Thousand Oaks, CA: Sage. Available from the bookstore.Chapter 5, “Navigating Change Through Formal Structures and Systems,” pages 143–179.Chapter 6, “Navigating Organizational Politics and Culture,” pages 182–211.Chapter 7, “Managing Recipients of Change and Influencing Internal Stakeholders,” pages 215–252.Chapter 8, “Becoming a Master Change Agent,” pages 256–294. Writing Resources You are encouraged to explore the following writing resources. You can use them to improve your writing skills and as source materials for seeking answers to specific questions. APA Module.Academic Honesty #038; APA Style and Formatting.APA Style Paper Tutorial [DOCX]. Additional Resources for Further Exploration Cawsey, T. F., Deszca, G., #038; Ingols, C. (2016). Organizational change: An action-oriented toolkit (3rd ed.). Thousand Oaks, CA: Sage. Available from the bookstore.Chapter 5, “Navigating Change Through Formal Structures and Systems,” pages 143–179.Chapter 6, “Navigating Organizational Politics and Culture,” pages 182–211.Chapter 7, “Managing Recipients of Change and Influencing Internal Stakeholders,” pages 215–252.Chapter 8, “Becoming a Master Change Agent,” pages 256–294. Assessment Instructions Note: This assessment extends the case study analysis you began in the previous assessment and must be completed prior to the next assessment. Therefore, complete the assessments in this course in the order in which they are presented. Preparation Review the case study, “Case Study 5: Ellen Zane—Leading change at Tufts/NEMC,” linked in the resources. Note: Remember that you can submit all—or a portion of—your draft analysis to Smarthinking for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Requirements Analyze how the organization navigated the changes made to improve its stability, how those changes impacted the various stakeholders and departments, and the communication practices utilized throughout this change management process. Document Format and Length Format your analysis using APA style. Use the APA Style Paper Template, linked in the Required Resources. An APA Style Paper Tutorial is also provided (linked in the Suggested Resources) to help you in writing and formatting your analysis. Be sure to include:Your analysis should be 6–8 pages in length, not including the title page and references page. Supporting Evidence Cite 3–5 sources of credible, scholarly, or professional evidence to support your analysis. Case Study Analysis Note: The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Case Study Analysis—Part 2 Scoring Guide to better understand how each criterion will be assessed. Be sure to note the requirements in the Distinguished column. Evaluate the organization’s use of structures and systems to deal with environmental uncertainty and complexity.What uncertainties and degree of complexity did the organization face?How successful were particular structures and systems at countering those challenges?What evidence supports your conclusions?Describe the types of power at play within the organization and its potential effects.Consider the source of power and the role of power and influence in the organization.Explain how the various departments and stakeholders were affected by the proposed change.Outline potential actions designed to prevent or mitigate identified conflicts and resistance to change.How will these actions help mitigate conflict or promote acceptance of change?Which actions are likely to be more effective? Why?Assess the effects of communications on change implementation.Consider communication best practices.Was Ellen Zane’s communication strategy effective?Write clearly and concisely, using correct grammar and mechanics.Express your main points and conclusions coherently.Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your evaluation.Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.How or why does particular evidence support your main points, claims, or conclusions?Is your supporting evidence clear and explicit?Will your audience see the connection?

NURS 6050 WU Professional Nursing #038; State Level Regulations Discussion #038; PPT

NURS 6050 WU Professional Nursing #038; State Level Regulations Discussion #038; PPT
I uploaded the videos required for the discussion. One of them had to be an audio file due to size.Discussion: Professional Nursing and State-Level RegulationsBoards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.To Prepare:Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.Consider how key regulations may impact nursing practice.Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.DISCUSSION RUBRICExcellent 45 (45%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.Good 40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.At least 75% of post has exceptional depth and breadth.Supported by at least three credible sources.Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.Fair 35 (35%) – 39 (39%)Responds to some of the discussion question(s).One or two criteria are not addressed or are superficially addressed.Is somewhat lacking reflection and critical analysis and synthesis.Somewhat represents knowledge gained from the course readings for the module.Post is cited with two credible sources.Written somewhat concisely; may contain more than two spelling or grammatical errors.Contains some APA formatting errors.Poor 0 (0%) – 34 (34%)Does not respond to the discussion question(s) adequately.Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only one or no credible sources.Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.Assignment: Regulation for Nursing Practice Staff Development MeetingNursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.To Prepare:Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.Review the NCSBN and ANA websites to prepare for your presentation.The Assignment: (9- to 10-slide PowerPoint presentation)Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:Describe the differences between a board of nursing and a professional nurse association.Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.Who is on the board?How does one become a member of the board?Describe at least one federal regulation for healthcare.How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?Has there been any change to the regulation within the past 5 years? Explain.Describe at least one state regulation related to general nurse scope of practice.How does this regulation influence the nurse’s role?How does this regulation influence delivery, cost, and access to healthcare?Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).How does this regulation influence the nurse’s role?How does this regulation influence delivery, cost, and access to healthcare?Boards of Nursing vs. Professional Nurse AssociationsDevelop a 9- to 10-slide PowerPoint presentation that addresses the following:· Describe the differences between a board of nursing and a professional nurse association.· Describe the geographic distribution, academic credentials, practice positions, and licensure status of the members of the board for your specific region/area.· Who is on the board?· How does one become a member of the board?· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.–Excellent 23 (23%) – 25 (25%)The response accurately and thoroughly describes the differences between a board of nursing and a professional nurse association. Response provides a complete and accurate description of who is on a board of nursing, detailing geographic distribution, academic credentials, practice positions, and licensure status. The response provides a detailed and thorough explanation of how one becomes a member of the board of nursing. Presentation includes speaker notes that explain and elaborate the points of the presentation.Good 20 (20%) – 22 (22%)The response accurately describes the differences between a board of nursing and a professional nurse association. Responses provides an accurate description of who is on a board of nursing, and detailing geographic distribution, academic credentials, practice positions, and licensure status. The response provides an accurate explanation how one becomes a member of the board of nursing. Presentation includes speaker notes that explain the points of the presentation.Fair 18 (18%) – 19 (19%)Description of the differences between a board of nursing and a professional nurse association is inaccurate or incomplete. Description of who is on a board of nursing is incomplete or inaccurate in detailing geographic distribution, academic credentials, practice positions, and licensure status. Explanation of how one becomes a member of the board of nursing is vague or inaccurate. Presentation includes speaker notes that are incomplete or lack appropriate explanation.Poor 0 (0%) – 17 (17%)Description of the differences between a board of nursing and a professional nurse associations is inaccurate and incomplete, or is missing. Description of who is on a board of nursing detailing geographic distribution, academic credentials, practice positions, and licensure status is inaccurate and incomplete, or is missing. Explanation of how one becomes a member of the board is vague and inaccurate, or is missing. Speaker notes are incomplete or missing altogether.The Impact of Federal Regulation on HealthcareDescribe at least one federal regulation for healthcare.· How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?· Has there been any change to the regulation within the past 5 years? Explain.· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.–Excellent 18 (18%) – 20 (20%)Response clearly and accurately explains one or more federal regulations for healthcare. Response clearly and accurately explains in detail how the regulation(s) influence delivery, cost, and access to healthcare. Response clearly and accurately explains in detail whether there has been any change to the regulation(s) within the past 5 years and specific, relevant exles are provided. Presentation includes speaker notes that explain and elaborate the points of the presentation.Good 16 (16%) – 17 (17%)Response accurately explains one federal regulation for healthcare. The response accurately explains how the regulation(s) influence delivery, cost, and access to healthcare. Response accurately explains whether there has been any change to the regulation(s) within the past 5 years and a relevant exle may be provided. Presentation includes speaker notes that explain the points of the presentation.Fair 14 (14%) – 15 (15%)Explanation for one or more federal regulations for healthcare is vague or inaccurate. Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague or incomplete. Explanation of whether there has been any change to the regulation(s) within the past 5 years is vague or inaccurate and/or exles are not relevant or are missing. Presentation includes speaker notes that are incomplete or lack appropriate explanation.Poor 0 (0%) – 13 (13%)Explanation of one or more federal regulations for healthcare is vague and inaccurate, or is missing. Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague and inaccurate, or is missing. Explanation of whether there has been any change to the regulation(s) within the past 5 years and specific exles are vague and inaccurate, or is missing. Speaker notes are incomplete or missing altogether.The Impact of State Regulation on Nurse PracticeDescribe at least one state regulation related to general nurse scope of practice.· How does this regulation influence the nurse’s role?· How does this regulation influence delivery, cost, and access to healthcare?· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.–Excellent 18 (18%) – 20 (20%)Response includes a complete and accurate description that fully details how one or more state regulations are related to general nurse scope of practice. Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role. Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare. Presentation includes speaker notes that explain and elaborate the points of the presentation.Good 16 (16%) – 17 (17%)Response includes an accurate description of how one state regulation is related to general nurse scope of practice. Response accurately explains how the regulation influences the nurse’s role. Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare. Presentation includes speaker notes that explain the points of the presentation.Fair 14 (14%) – 15 (15%)Description of one or more state regulations that are related to general nurse scope of practice is incomplete or inaccurate. Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate. Presentation includes speaker notes that are incomplete or lack appropriate explanation.Poor 0 (0%) – 13 (13%)Description of one or more state regulations related to general nurse scope of practice is vague and inaccurate, or is missing. Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. Speaker notes are incomplete or missing altogether.Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).· How does this regulation influence the nurse’s role?· How does this regulation influence delivery, cost, and access to healthcare?· Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.–Excellent 18 (18%) – 20 (20%)Response includes a complete and accurate description that fully details how one or more state regulations are related to Advanced Practice Registered Nurses (APRNs). Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role. Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare. Presentation includes speaker notes that explain and elaborate the points of the presentation.Good 16 (16%) – 17 (17%)Response includes an accurate description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs). Response accurately explains how the regulation influences the nurse’s role. Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare. Presentation includes speaker notes that explain the points of the presentation.Fair 14 (14%) – 15 (15%)Description of one or more state regulations that are related to Advanced Practice Registered Nurses (APRNs) is incomplete or inaccurate. Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate. Presentation includes speaker notes that are incomplete or lack appropriate explanation.Poor 0 (0%) – 13 (13%)Description of one or more state regulations related to Advanced Practice Registered Nurses (APRNs) is vague and inaccurate, or is missing. Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate, or is missing. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. Speaker notes are incomplete or missing altogether.Written Expression and Formatting – Paragraph Development and Organization:Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.–Excellent 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.Good 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.Fair 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.Poor 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.Written Expression and Formatting – English writing standards:Correct grammar, mechanics, and proper punctuation–Excellent 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Good 4 (4%) – 4 (4%)Contains a few (1-2) grammar, spelling, and punctuation errors.Fair 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) grammar, spelling, and punctuation errors.Poor 0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.–Excellent 5 (5%) – 5 (5%)Uses correct APA format with no errors.Good 4 (4%) – 4 (4%)Contains a few (1-2) APA format errors.Fair 3.5 (3.5%) – 3.5 (3.5%)Contains several (3-4) APA format errors.Poor 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors.REQUIRED RESOURCEShttps://www.nursingworld.org/https://class.waldenu.edu/bbcswebdav/institution/USW1/202050_27/MS_NURS/NURS_6050/artifacts/USW1_NURS_6050_Halm_2018.pdfhttps://www.ncsbn.org/index.htm Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., #038; Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001 Peterson, C., Adams, S. A., #038; DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349 Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., #038; Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002

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