Leadership and Management with Introduction

Leadership and Management with Introduction

2021 Instructions: Discussion Board #1

 Introduction, Leadership, Clinical Safety, and Role of Leader (View PPTs, handouts, videos, and textbook.)

 Part one

Please introduce yourselves, now through our first discussion post.

We are about to establish a learning community that meets both online and “face to face online” by arrangement. To begin the process, please use the thread I have established in this forum to let your classmates know a little about you.

I look forward to meeting and hearing from you!

Part two

1. Describe TeamSTEPPS and the impact it has on skills, especially communication.

2. The Centers for Medicare & Medicaid Services (CMS) formed its no-pay policy based on the growing work of the National Quality Forum (NQF) of “never events.” In other words, CMS will no longer pay for certain conditions that result from what might be termed poor practice or events that should never have occurred while a patient was under the care of a healthcare professional.

3.  Discuss examples of “never events” and their impact in the workplace.

4. The Institute for Healthcare Improvement (IHI) is dedicated to rapidly improving care through a variety of mechanisms including rapid cycle change projects. The common core of most projects is patient safety. Leaders must be able to create a culture that encourages adherence to standards for patient safety. Lewin’s change theory talks about 3 steps: unfreezing, changing, & refreezing as a method of introducing a new change and helping others to try it and then making it part of the daily routine. Example: Wanting to lose weight is not enough. You need to eat less calories and exercise more, as well as sticking to this routine over time until it becomes a habit, to be successful.

  • Identify a situation in which you as a leader would revise or change practice to enhance safety.
  • How would you introduce this change to your staff using the diffusion theory?
  • What strategies would you use for enlisting “early adopters” of  this change theory to see your view?
  • Be sure to include appropriate 2 peer-reviewed articles and the textbook in citations and references in APA format. It will help support your position or maybe you have a different viewpoint. Use a reference in the replies too. It may be one used from the post. It shows me you know the current thinking. Then I welcome your opinion.

1 comment

  1. Part 2

    Team STEPPS

    Nurses are backend caregivers placed through healthcare team across disciplines to affect safety and quality healthcare services. Team STEPPS Program describes mutual support as the nature of collaboration by concentrating on the engagement, sharing and mutual affirming of team members to prevent monitor effectiveness that can decrease productivity and raise the likelihood of mistake. Trying to help staff to build mutual support expertise, skills and attitudes will help team dynamics by better understanding of the effects and recognition of staff experiences. Core elements of the quality of care and patient protection are supportive employee interactions. (Greta, 2010)

    Center of Medicare and Medicaid services (CMS)

    The expression has been extended to mean unambiguous (definitely recognizable and quantifiable), severe (death or major disability) and typically preventable adverse events. Since events are never fatal and curable, health groups are under – pressure to fully eradicate them. In August 2007 Medicines Centers of Medicare and Medicaid Services (CMS) declared that the extra costs of certain medical error, such as those of Never Events, will no longer be payable to Medicare. Since then, several States have introduced similar policies and private providers. CMS just hasn’t covered expenses related to wrong-site operations since February 2009. (Germain, 2010)

    Never events
    “Never-events” are medical faults that can be easily detected, prevented and have a significant impact on patients, suggesting a major protection and reputation issue for health care facilities. Instances include operation on a false part of the body; the external part of a person’s body left after procedure; mismatched blood transfusion; major drugs error; developed significant “pressure ulcers” in the hospital; and preventive death during surgical procedure. (Manning, 2014)

    Institute of health care improvement (IHI)

    Unsafe health care injection procedures can spread infections. Safe injection procedures are designed to avoid infection between patients and patients with contagious disorders.

    Unsafe injection procedures are a work threat for nurses. Sensitivity to safe injection procedures among nurse staff can vary from one hospital to another depending on staff training policy and formal auditing. (Jennifer, 2014)

    The development of the Safe Injection Global Network (SIGN) was a landmark for secure injection practices and methods. Unsafe decontaminated syringe disposal and reuse is normal. Safe injection procedure in developed countries remains one of the biggest problems for the public health system. Issues affecting a wide range of stakeholders are necessary to tackle the issue. (Greta, 2010)


    Germain, Pamela & Cummings, Greta. (2010). The influence of nursing leadership on nurse performance: A systematic literature review. Journal of nursing management. 18. 425-39. 10.1111/j.1365-2834.2010.01100.x.

    Manning, Jennifer. (2014). The Influence of Nurse Manager Leadership Style on Staff Nurse Structural Empowerment, Work Engagement and Intent to Stay..

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