Posted: December 17th, 2022

NHS_FPX6210: Wound Center

NURS-FPX6210 Leadership and Management for Nurse Executives
Care Setting Environmental Analysis: Wound Center
The Wound Center (WC) at the Regional Medical Center (RMC) in Orangeburg, SC, is a highly successful department with high retention and satisfaction rates within the hospital. Despite being one of the smaller departments at the hospital, it sees over 60 patients per day in the clinic and at least 20 inpatients per day. The WC staff consists of an infectious disease/certified wound specialty physician, a certified wound, ostomy, continence nurse practitioner, seven registered nurses all certified in wound care with two also certified in ostomy care, a physical therapist with two Helpants, a medical office Helpant, and front desk staff. The clinic has long wait times and long hours, but the clinic has little to no team turnover. This paper will analyze how the clinic has maintained high staff retention by looking at the discovery and dream phases of Appreciative Inquiry and conducting a strengths, weaknesses, opportunities, and threats (SWOT) analysis.
The WC is an ambulatory care setting that treats patients from the community, local nursing facilities, and transfers from other hospitals in the outpatient setting. The staff is also responsible for treating any inpatient with a wound or needing specialized care from the WOCN. Despite the heavy patient load, the staff retention rate in this department is 100%. A survey was conducted to understand why retention is so high in this department. Many employees stated that they stayed because of the strong teamwork and camaraderie among the staff. The front desk staff also tried to keep patients updated on their wait times and progress, which helped to improve satisfaction. The Wound Center (WC) at Regional Medical Center (RMC) in Orangeburg, SC has a high retention and satisfaction rate among staff. Despite treating over 60 patients a day in the clinic and at least 20 inpatients a day, the WC has had little to no team turnover. This paper will analyze how the WC has maintained a high retention rate by looking at the discovery and dream phases of Appreciative Inquiry and conducting a strengths, weakness, opportunity, and threats (SWOT) analysis. A survey was conducted which revealed that staff at the WC feel like a family and have a strong sense of teamwork and camaraderie. Staff also stated that they were handpicked and have high work ethics, which contributes to the clinic’s success. In addition, the WC has implemented strategies such as updating patients on their wait times and starting the patient process in an alcove to improve efficiency and patient satisfaction. However, the WC faces challenges such as long wait times and long hours, as well as the need for updated equipment. To address these issues, the WC could consider expanding the team and implementing new technologies to improve efficiency. Overall, the WC has a strong team dynamic and a commitment to patient care, which has contributed to its high retention rate.
4-7 page analysis of your care setting that supports development of a strategic plan and includes both the discovery and dream phases of an appreciative inquiry (AI) project and a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the care setting.

PROFICIENT level on rubric

Introduction
Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to Help with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.

Preparation
You have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve health care quality and safety in your organization, department, team, community project, or other care setting. To accomplish this, you will take two approaches to the analysis:

Complete the discovery and dream phases of an appreciative inquiry (AI) project.
Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis.
To help ensure that your analysis is well-received, the requester has suggested that you:

Present your analysis results in four parts:
Part 1: Appreciative Inquiry Discovery and Dream.
Part 2: SWOT Analysis.
Part 3: Comparison of Approaches.
Part 4: Analysis of Relevant Leadership Characteristics and Skills.
Your analysis should be 4–7 pages in length.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

One key aspect to being an effective leader, manager, or administrator is an awareness of your leadership strengths, weaknesses, and style.

How would you assess your general leadership, communication, and relationship-building skills?
How would describe your leadership style?
Imagine the future for a care setting that is your place of practice or one in which you would like to work.

What aspirational goals can you envision that would lead to improvements in health care quality and safety?
How well do these goals align with the mission, vision, and values of your care setting?
Analysis Requirements

Part 1: Appreciative Inquiry Discovery and Dream
Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.
Collect stories from your care setting. You may collect stories through interviews or conversations with colleagues or provide your own.
Explain how your stories are related to quality and safety goals.
Describe the evidence you have that substantiates your stories.
Identify the positive themes reflected in your stories.
Describe other evidence (for example: data, awards, accreditations) that validates your care setting’s positive core.
Propose positive, yet attainable, quality and safety improvement goals for your care setting.
Explain how accomplishing these goals will lead to ethical and culturally-sensitive improvements in quality and safety.
Explain how your proposed goals align with your care setting’s mission, vision, and values.
Part 2: SWOT Analysis
Conduct a SWOT analysis of your care setting, with respect to quality and safety goals.
Provide a narrative description of your analysis.
Identify the assessment tool you used as the basis of your analysis.
Describe your key findings and their relationships to quality and safety goals.
Describe one area of concern that you identified in your SWOT analysis—relevant to your care setting’s mission, vision, and values—for which you would propose pursuing improvements.
Explain how this area of concern relates to your care setting’s mission, vision, and values.
Explain why you believe it will be necessary and valuable to pursue improvements related to this area of concern.
Part 3: Comparison of Approaches
Compare the AI and SWOT approaches to analysis and reflect on the results.

Describe your mindset when examining your care setting from an AI perspective and from a SWOT perspective.
Describe the types of data and evidence you searched for when taking an AI approach and a SWOT approach.
Describe the similarities and differences between the two approaches when communicating and interacting with colleagues.
Part 4: Analysis of Relevant Leadership Characteristics and Skills
Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach.

Explain how these characteristics and skills would help a leader facilitate a successful AI-based project and a successful SWOT-based project.
Comment on any shared characteristics or skills you identified as helpful for both AI and SWOT approaches.
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Care Setting Environmental Analysis Scoring Guide
CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Synthesize stories and
evidence about times when
a care setting performed at
its best with regard to
quality and safety goals.
Does not list stories and
evidence about times
when a care setting
performed at its best with
regard to quality and
safety goals.
Lists but does not synthesize
stories and evidence, or fails to
clearly relate stories and
evidence to quality and safety
goals.
Synthesizes stories and
evidence about times when
a care settin

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Tags: Care Setting Environmental Analysis: Wound Center, NHS_FPX6210, NURS-FPX6210 Leadership and Management for Nurse Executives