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NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision

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    NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision

    Student Name

    Capella University

    NURS-FPX 6212 Health Care Quality and Safety Management

    Prof. Name


    Planning for a Change: A Leader’s Vision

    Hello! I’m ________. Welcome to this presentation. Today, we’ll delve into the critical role of nurse leaders in fostering a culture of quality and safety in healthcare organizations. We’ll explore various aspects of a nurse leader’s role in developing, maintaining, and promoting a culture of quality and safety, emphasizing the importance of alignment with organizational goals. The presentation begins with an overview of quality and safety in healthcare, addressing the challenges organizations face in achieving these goals. We’ll examine the nursing leader’s role in enhancing patient safety and quality through staff education and error reduction opportunities.


    To start, we will summarize key aspects of the plan and discuss organizational functions, processes, and behaviors influencing quality and safety. We’ll cover current outcome measures, their strengths and weaknesses, outline steps to achieve the outcome plan, and present the future vision for the organization. We’ll conclude with a Q&A session. Feel free to jot down any questions for the end.

    Summarize the Key Aspects of a Plan

    Postoperative complications, medical errors, and surgical site infections in Alignment Healthcare were linked to under-skilled staff and lax protocols (Purba et al., 2020). This negatively impacted patient quality, functionality, and resource consumption. Addressing these issues involved a comprehensive plan centered on standardizing surgical procedures, incorporating preoperative care, team collaboration, effective communication, and strict infection control measures. A gap analysis identified areas for improvement, guiding the plan’s development.

    The plan, based on the Plan-Do-Study-Act (PDSA) framework, integrated surgical care analysis, staff training in infection control and preoperative planning, and aimed to eliminate surgery-related risks. Nurse managers play a vital role in promoting safety and quality, fostering open dialogue, transformative leadership, and adherence to established procedures.

    Organizational Functions, Processes, and Behaviors Affecting Quality and Safety

    Identifying organizational functions, processes, and behaviors is crucial. Insufficient communication and collaboration among healthcare professionals led to unskilled teams, impacting risk assessment and patient satisfaction. Hygiene protocol non-adherence, lack of accountability, and inadequate preoperative management were identified as processes affecting quality and safety. Staff behaviors, such as lax protocols and unskilled practices, further compromised patient care. The plan emphasizes the need for effective training of inter-professional teams to address uncertainties and improve patient outcomes.

    Current Outcome Measures and Their Strengths and Weaknesses

    Outcome measures, including unsafe surgical procedures, postoperative complications, readmissions, surgical site infections, and patient satisfaction, drive improvement efforts. These measures have strengths such as reflecting organizational commitment to infection prevention. However, weaknesses, like variability in surveillance, may impact accuracy. The presentation discussed optimizing measures through data consistency, risk assessment, and benchmarking.

    Steps to Achieving Outcomes

    Utilizing the PDSA framework involves planning, implementing, studying, and acting. Planning includes a needs assessment, gap analysis, and setting SMART goals. Implementation involves training staff, while studying focuses on monitoring progress through feedback loops. The final step, acting, involves refining strategies based on data analysis. The plan assumes accurate baseline data, active nursing staff participation, effective leadership, and prioritization of patient needs.

    Future Vision of the Organization

    The vision for Alignment Healthcare is to cultivate a culture emphasizing quality, safety, and continuous improvement. Collaboration among staff, commitment to patient safety, and leadership empowerment are essential. Fostering interpersonal cooperation, preventive measures, and effective risk management can enhance patient satisfaction. Nursing leaders play a vital role in promoting collaboration and open communication to achieve these goals.


    Unsafe surgical care procedures pose significant threats to an organization’s reputation and patient satisfaction. This presentation outlined organizational challenges and proposed a comprehensive plan for improvement. Outcome measures, steps to achieve outcomes, and a future vision were discussed. If you have any questions, feel free to ask.


    Braun, B. I., Chitavi, S. O., Suzuki, H., Soyemi, C. A., & Puig-Asensio, M. (2020). Culture of safety: Impact on improvement in infection prevention process and outcomes. Current Infectious Disease Reports, 22(12), 34.

    Dencker, E. E., Bonde, A., Troelsen, A., Varadarajan, K. M., & Sillesen, M. (2021). Postoperative complications: An observational study of trends in the United States from 2012 to 2018. BMC Surgery, 21(1), 393.

    Ferreira, D. C., Vieira, I., Pedro, M. I., Caldas, P., & Varela, M. (2023). Patient satisfaction with healthcare services and the techniques used for its assessment: A systematic literature review and a Bibliometric Analysis. Healthcare, 11(5), 639.

    NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision

    Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. Healthcare, 9(3), 346.

    Lu, L., Ko, Y. M., Chen, H. Y., Chueh, J. W., Chen, P. Y., & Cooper, C. L. (2022). Patient safety and staff well-being: Organizational culture as a resource. International Journal of Environmental Research and Public Health, 19(6), 3722.

    Oldland, E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses’ responsibilities for quality healthcare—Exploration of content validity. Collegian, 27(2), 150-163.

    Purba, A. K. R., Luz, C. F., Wulandari, R. R., van der Gun, I., Dik, J. W., Friedrich, A. W., & Postma, M. J. (2020). The impacts of deep surgical site infections on readmissions, length of stay, and costs: A matched case-control study conducted in an academic hospital in the Netherlands. Infection and Drug Resistance, 13, 3365–3374.

    Stoffels, M., van der Burgt, S. M. E., Stenfors, T., Daelmans, H. E. M., Peerdeman, S. M., & Kusurkar, R. A. (2021). Conceptions of clinical learning among stakeholders involved in undergraduate nursing education: A phenomenographic study. BMC Medical Education, 21(1), 520.

    NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision

    Troughton, R., Mariano, V., Campbell, A., Hettiaratchy, S., Holmes, A., & Birgand, G. (2019). Understanding determinants of infection control practices in surgery: The role of shared ownership and team hierarchy. Antimicrobial Resistance & Infection Control, 8, 1-10.

    Upadhyay, S., Stephenson, A. L., & Smith, D. G. (2019). Readmission rates and their impact on hospital financial performance: A study of Washington hospitals. Inquiry: A Journal of Medical Care Organization, Provision, and Financing, 56, 46958019860386.

    Viswanath, K., Synowiec, C., & Agha, S. (2019). Responsive feedback: Towards a new paradigm to enhance intervention effectiveness. Gates Open Research, 3, 781.