Re engineering Health Care Essay Assignment Paper

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Re engineering Health Care Essay Assignment Paper

Re engineering Health Care

Introduction
Decisions based on ethical and legal principles are common in a person’s life. Choices such as whether

Ethical Decision-Making
Ethical decision-making is similar to other decision-making processes in that it requires the manager to

The principles underlying ethical decision-making include concepts that are familiar to practicing

Ethical frameworks and professional codes of ethics exist to assist the manager in ethical

Professional codes of ethics have been published by several professional nursing organizations. These

Ethical decision-making is also unique in that it often entails choosing among less than desirable

Legal Environment in Nursing Management
Ethical frameworks and codes of ethics provide guidance for decision-making, but are not required. Laws

Patient care related legislation primarily supports patient autonomy. Laws exist to require informed

Legislation that affects employee relations covers general topics such as discrimination and fair labor

Particular to the nurse manager are laws that relate to the professional scope of practice for licensed

Keeping abreast of the legal environment is imperative for the nurse manager. Collaboration with human

Advocating for Patients and Staff
Nurses in management and leadership positions frequently find themselves in the role of advocate for

The nurse manager advocates for patients by developing a unit culture that promotes respect for patients

Staff concerns may also require the nurse manager to act as an advocate within the organization. Issues

Beyond the organization, there are numerous initiatives that benefit from nurse advocacy. Patient safety

The most important and most difficult skill for a leader is the ability to listen. Leaders must listen

Change Management
In the good old days, change came slowly and was predictable. Today, change happens so quickly that it

In the 20th century, knowledge was treated as a possession. One had knowledge or gained knowledge. The

The only thing constant in this world is change. Longstanding contracts are being broken. Employment for

So, how should change be managed? Following these steps will help a leader with transitioning to the

1. Analyze the need for change.
2. Create a shared vision and common direction.
3. Separate from the past.
4. Create a sense of urgency.
5. Support a strong leader role.
6. Develop an implementation plan.
7. Develop structures that support the change.
8. Communicate, involve people, and be honest.
9. Reinforce the change.
10. The hardest phase of change is maintenance. Adult learners need constant reinforcement until the

Conflict Resolution
Conflict is often perceived in a negative manner, yet it is a normal and essential component to human

Conflict resolution is made up of the processes by which the parties involved achieve an agreement where

1. What is the key issue in the conflict?
2. At what point did the conflict emerge?
3. What are the individual views of each stakeholder?
4. What are the barriers to resolution?
5. How does each participant envision the final outcome?
An important mission for the leader is to make sure that each participant understands the issues of the

Communicating During Crisis
Conflict is often precipitated by a surprise crisis which is usually viewed as negative and causes

Before a crisis occurs, leadership should be briefed on the defined communication chain and logistical

During a crisis, leaders should debrief frequently. Questions that should be answered include:
1. Who are the stakeholders?
2. How, when, and where did the problem begin?
3. What is happening now?
4. What are the possible scenarios through which the situation will play out?
5. What are the legal and ethical ramifications?
6. Has this happened before? If so, how was it handled?
Coordinating communication is imperative to the stability of the people within the organization.

Conclusion
Ethics and legal principles provide the foundation for the practice of management in nursing and the

Conflict and change are inevitable. Good leaders are always on the edge of chaos, looking over the

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