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NHS FPX 5004 Assessment 4 Self-Assessment of Leadership, Collaboration, and Ethics

Student Name Capella University NHS-FPX 5004 Communication, Collaboration, and Case Analysis for Master’s Learners Prof. Name Date Self-Assessment of Leadership, Collaboration, and Ethics All organizations throughout the world work following a hierarchy where the leader is the one who works hard to fulfill his duties by achieving organizational goals and mission. Leaders should have various characteristics which enable them to perform their roles and responsibilities with a commitment to desired outcomes. A leader must become a role model for their team members to make certain that team is on the right track. The focus of this assessment is to self-evaluate my leadership qualities. Moreover, I will also share the ethical dilemmas that I faced during my leadership role.  Section I: Leadership and Collaboration Qualities in a Leadership Role  Leadership Qualities and Actions in Specific Experience In the year 2019, after completing my 10 years of service in Adult Internal Medicine Unit as a Registered Nurse, I got the opportunity to become a head nurse and lead a team of 45 nurses and nurse assistants. My responsibilities as the head nurse were to manage unit affairs like patient care issues, staffing issues, and collaborating with the nurse manager to look after the service line concerns. Moreover, I was also responsible for taking care of administrative issues by appropriately cooperating with the concerned departments. Other than these roles, one of the major roles that I played as a head nurse was leadership role. My roles as a leader included; supporting and advocating on behalf of my team, helping them to help our patients in a way that patients feel valued and their needs are fulfilled, encouraging them to improve their productivity by constantly inspiring them, and assisting them in solving conflicts to provide better healthcare (Ika et al., 2019; Qtait, 2023). The shared vision of the team was to provide effective patient care using standard practices to make certain that the patients are satisfied with the healthcare quality and that their health outcomes are improved. Moreover, the goal was to ensure that the team of healthcare professionals is well-trained and has adequate competencies to provide quality healthcare to the patients, help the organization fulfill its mission, and achieve growth and success.  Leadership Model and Core Values The leadership model that I mainly used for my overall leadership role is the transformational style however, in certain cases, I used democratic leadership as well in certain situations. Transformational leaders are those who engage with their team members to pursue shared goals. These leaders are sometimes called “inspiring” leaders because they build a trusting professional relationship with the team to encourage them and make them feel valued (Collins et al., 2019). During my role as a head nurse, the core values that I used at every step were making my team members (nurses and nurse aids) feel empowered and motivated within their roles. Moreover, I build strong and accessible lines of communication so that their concerns are heard and resolved. My profession as a head nurse allowed me to be welcoming and friendly with my team keeping the expectations high related to patients’ health outcomes. Besides this, I also equipped a democratic style of leadership in certain situations where the consensus from my team, their ideas and thoughts, and their opinions were asked to make them feel valued in this unit. Nurse leaders should value the opinions of nurses as they are the frontline staff taking care of healthcare consumers. Leaders who apply a democratic approach foster teams’ participation in decision-making, thus improving their morale. It also improves their sense of responsibility and teamwork. NHS FPX 5004 Assessment 4 Self-Assessment of Leadership, Collaboration, and Ethics This approach assists leaders in adding core values of trust, equity, open mindset, and mutual respect within the team which improves employees’ satisfaction thus resulting in better patient outcomes (Ebrahim et al., 2022). These leadership styles were successful in achieving the shared goals of the team as evidenced by a reduced number of complaints from the employees about being frustrated in their jobs, improved patients’ satisfaction levels, and decreased number of unsafe healthcare practices within the unit. Moreover, in terms of my personal and professional growth, I was rewarded with the best leader award for the year. My nurse manager frequently appreciated my initiatives and reforms within the organization that was improving the organizational performance and consumer rates.   Decision-making and Effective Communication Throughout my role, I got several opportunities to make decisions and effectively communicate with the team. There were many decisions that I made which I am proud of. For example implementation of EMAR and bar-code medication administration. This was a reform that was initiated holistically throughout the organization. Other important decisions that I made were in terms of patient care, improving staff competencies, and enhancing unit infrastructure. One of the experiences that I remember where a staff nurse neglected a patient’s medication which resulted in adverse events for the patient. In this situation, I showed autocratic behavior towards the staff and reprimanded her to show the importance of patient care and unacceptance of negligence especially in terms of medication. However, I have this realization that I should have communicated with the staff before imposing a decision on how and why this incident occurred to ensure the decision is made after analyzing all facts and figures.  Another important role that I played was effectively communicating the vision and goals with the team members. Communication about vision in an organization by effective leaders promotes team motivation by providing them the meaningful responsibilities within their roles. It strengthens the connection between employees and the organization thus giving them the drive to work for achieving the outcomes (Gochmann et al., 2022). My approach to communicating the vision and goals was to bring everyone on one platform. I used the techniques of engagement, frequent sessions, and personal and individualized meetings where I shared these goals. Moreover, I created a delegation team under my supervision (team leaders) and meetings were conducted to ensure

NHS FPX 5004 Assessment 2 Leadership and Group Collaboration

Student Name Capella University NHS-FPX 5004 Communication, Collaboration, and Case Analysis for Master’s Learners Prof. Name Date Leadership and Group Collaboration Lynnette Lakeland Medical Clinic Thank you for providing me with this opportunity to work alongside you on this project for our organization. This project will enable me to identify and prove my leadership abilities thus improving organizational issues. Healthcare organizations require effective leadership and collaboration so that organizational’ concerns can be resolved to improve patients’ satisfaction and healthcare quality (Restivo et al., 2022). The email that I received from you precisely explained that the focus of this project is the lack of understanding and acceptance of a diverse patient population among healthcare professionals. This issue is negatively impacting the organization’s patient influx because the patients do not feel comfortable in an environment where the staff is unable to understand their cultural values and beliefs. The culturally and religious diversified populations in the world impose a challenge for healthcare professionals to provide culturally competent care with the acceptance of diversity. This advocates the need of developing cultural competence among healthcare professionals, which is the ability to understand and accept the social, cultural, and religious views and beliefs of patients so that these factors can be incorporated to deliver culturally competent and preferred care to the patients (Swihart et al., 2023).  NHS FPX 5004 Assessment 2 Leadership and Group Collaboration Projects like these that include leadership and group collaboration entail the use of various leadership qualities which will assist leaders in effectively creating and executing the plans. These skills include effective communication, interpersonal skills, problem-solving skills, appropriate task delegation, decision-making, and the use of applicable leadership styles. Moreover, a patient-centered approach should be utilized to ensure that the vision behind the project is successfully achieved (Nieuwboer et al., 2018). A leader should have the ability to work inclusively with and for the team members by appropriately communicating the goals and plans for the implementation of the diversity issue project. This communication should not be imposed rather it should authorize the staff to develop an insight within them for incorporating the behavior in their clinical practices. Furthermore, the leader must possess decision-making ability so that if the team is stuck at any point, a leader can actively take in-charge to address the issue. Lastly, the leader should encourage their team to participate throughout the planning, implementation, and evaluation stages so that staff feels empowered and bring changes in their practices.  Comparison of Own’s Leadership Qualities and the Chosen Leader The leader that I would like to choose for this project should be like Randy Oostra, who is the CEO and president of ProMedica, US. Randy Oostra is one of the top leaders in the United States healthcare sector where he left his successful career as a consultant to help communities and bring reforms to healthcare sectors. ProMedica is a not-for-profit organization that operates in several US states which includes educational centers, hospitals, and nursing care homes. The organization has received several awards and high-star ratings in terms of the provision of quality care. It is also named among America’s best employers.  Randy Oostra has been a visionary leader whose focus was to keep services and the community balanced together. His ability to make effective decisions enabled him to successfully run the organization. Moreover, he kept his focus on community care so that staff can provide need-based and effective care keeping in mind the individualized factors of the patients and residents. The similarity between the Oostra’s and my leadership style is that both of us are focused on the goals and vision of the project thus, this will enable us to make effective solutions and implement them for our consumers in a successful manner. NHS FPX 5004 Assessment 2 Leadership and Group Collaboration For example; Randy Oostra kept his focus on providing services to the community for better health outcomes. Similarly, my focus throughout the project will be to ensure that healthcare professionals can provide culturally competent care to patients to achieve desired patient satisfaction. I will further bring reforms and innovations to the organization so that organization succeeds in the healthcare sector. One of the different approaches that I will use is bringing inclusivity and diversity in the healthcare forces from the community itself so that they will be able to better understand the values and beliefs that people behold.  Leadership Role Throughout the Project Throughout the project, I will play various leadership roles under the model of transformational leadership. The transformational leadership model is described as the leadership approach where a leader brings changes in their team members by inspiring them, creating a trustworthy environment, encouraging them to bring reforms, admiring innovations, and implementing them in the organization (Khan et al., 2020). Some of the approaches that I will use throughout the project are: Effective Collaboration in Professional Team  I will ensure that the transformational leadership style is carried forward along with collaboration with the staff to effectively address the diversity and lack of cultural competence in the staff. This collaboration will be done by establishing an interprofessional committee with various staff from different professions as well as community leaders. This interprofessional team will together identify the specific needs, cultural values, and beliefs of the patients living within the community so that patient-centered care, equitable, and justified care is provided (Samuriwo, 2022). Moreover, the interprofessional collaboration will ensure the sharing of knowledge and skills/competencies to promote employee satisfaction which will eventually result in better patient outcomes.  Effective collaboration between team members especially in a healthcare setting requires open and accessible communication lines which helps in building a professional and reliable relationship (Jankelová & Joniaková, 2021). The team will be encouraged to have weekly meetings where they will discuss their concerns related to the patients and healthcare to ensure their collaboration is meaningful for the consumers. Team members will be motivated and encouraged by their culturally competent care through various rewards and recognition. Furthermore, the team will be provided training on

NHS FPX 5004 Assessment 1 Leadership and Group Collaboration

Student Name Capella University NHS-FPX 5004 Communication, Collaboration, and Case Analysis for Master’s Learners Prof. Name Date Leadership and Group Collaboration In light of our previous conversations and subsequent written exchanges, I wish to convey my sincere interest in assuming the role of Project Leader. Although the identified needs for this project may be disheartening, I appreciate the organization’s active commitment to engaging the community in generating impactful and sustainable solutions through organizational capabilities and industry best practices. As a healthcare professional, my commitment to the well-being of others is of paramount importance. Since the beginning of my academic journey and entry into the healthcare sector as a trained professional, the Hippocratic Oath has served as my ethical compass. While traditionally associated with physicians, its principles of medical confidentiality and non-maleficence have guided me throughout my career. If given the opportunity to serve, I intend to uphold these ethical principles in all my duties and responsibilities. Initial assessments indicate that our target community of Haitians exhibits reluctance in utilizing prescribed healthcare services, as evidenced by significantly reduced utilization rates. This apprehension is often rooted in cultural values and norms not fully understood or respected. Furthermore, an internal employee survey has shown that 75% of employees directly or indirectly serving this target community have expressed “concerns” not only regarding diversity but also workplace incivility and poor work-life balance. While I have inquiries regarding survey methodologies, community engagement strategies, and resource allocation, I am confident in my ability to address these pressing issues based on my training, experience, and passion. Central to my approach to leadership and collaboration is an unwavering commitment to clarity. NHS FPX 5004 Assessment 1 Leadership and Group Collaboration From my earliest years to the present, I have sought effectiveness in all my endeavors. My approach emphasizes the clear definition of goals and objectives, along with the establishment of a precise direction and the means by which these goals and objectives will be achieved. This approach has consistently proven successful in my youth, educational pursuits, and my entire professional career. During my undergraduate studies, I encountered Maslow’s Hierarchy of Needs, which suggests that once a deficit need is satisfactorily met, it diminishes, and our activities shift towards fulfilling the next set of needs. This concept is applicable to business, where continued growth, observation, collaboration, and assessment are essential. Successful managers align their vision with that of the larger organization they are part of (Davis, Hellervik, Sheard, Skube, & Gebelein, 1996). In today’s workplace, project leadership is pivotal to success. All of humanity’s greatest achievements, from constructing the great pyramids to discovering a cure for polio to landing a man on the moon, began as projects (Larson & Gray, 2018). While commonly associated with the private sector for ensuring efficient productivity, project management is equally vital for achieving desired societal outcomes. A successful project leader effectively utilizes all available resources, including human resources. NHS FPX 5004 Assessment 1 Leadership and Group Collaboration For our discussion, the ideal project leader should value diversity. As an African-American female, I can readily relate to the historical and ongoing challenges faced by “communities of color” and historically marginalized groups such as women. While I do not compare myself to Martin Luther King Jr. (MLK), his approach during the Civil Rights Movement exemplifies outstanding project leadership. As a leader, I possess numerous professional and personal qualities essential for successfully leading the project team. Similar to MLK, I am characterized by a deep sense of love and compassion for the well-being of others. In both my professional and personal life, I am deeply troubled by inequities resulting from the fundamental disregard or marginalization of others. Regarding our current task, the Haitian community is diverse in itself, as well as in comparison to the larger diaspora in the United States. Understanding the historical significance, international relationships, resource allocation, governance, and immigration policies that impact the Haitian residents’ experiences is a priority. We must immerse ourselves in this history and align with those willing to comprehend it. NHS FPX 5004 Assessment 1 Leadership and Group Collaboration Another critical requirement for a successful project leader is the ability to build effective collaborations. As history teaches us, MLK forged powerful collaborations even among groups with opposing interests. In my healthcare leadership role, I also leverage collaboration to ensure successful healthcare outcomes. This involves managing personnel, insurance, diagnoses, emotional and legal considerations. I have found that establishing and maintaining effective collaboration is essential for project leadership. Whether identifying project stakeholders, balancing technical and sociocultural needs, distinguishing routine operations from project-specific tasks, or leading throughout all project stages, effective leadership is crucial. The composition of the interdisciplinary group of professionals will be a primary focus of my leadership in this project. My understanding is that the projected team size will be 4-6 individuals. After ensuring an effective process for identifying and selecting these team members, I would initiate initial communications with those selected to schedule our inaugural meeting. Once the team is assembled, I would introduce myself formally, offering insights into my identity as both a person and a leader. As a collaborative leader, I value diverse ideas, opinions, and viewpoints expressed professionally. While all viewpoints are valued, it is vital that I maintain appropriate decision-making authority while overseeing overall execution. Potential conflicts may arise if some team members feel their viewpoints were not fully incorporated into our decisions. However, as a leader, I am committed to demonstrating courage and aligning differing viewpoints with our project goals. Ensuring team input in setting project goals and designating stakeholders to ensure timely execution will further mitigate potential conflicts. To foster effective collaboration, I plan to utilize all available resources to lead and encourage open communication within the team. NHS FPX 5004 Assessment 1 Leadership and Group Collaboration Our communication will take place within a designated project management tool. For instance, Microsoft Project has proven effective, offering powerful tools for documenting, communicating, measuring, analyzing, and tracking resource utilization throughout the project cycle. Team

NURS FPX 4900 Assessment 1 Assessing the Problem Leadership Collaboration Communication Change Management and Policy Considerations

Student Name Capella University NURS FPX 4900 Capstone Project for Nursing Prof. Name Date Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations This evaluation centers on the situation of John, a 50-year-old male patient contending with Type 2 diabetes management challenges. This evaluation aims to scrutinize information from expert sources and scholarly articles to direct nursing interventions and recommend efficient leadership approaches for bettering patient results, personalized care, and patient experiences. Moreover, this evaluation investigates the influence of nursing practice norms and regulations on John’s diabetes control, underlining the essential contribution of nurses in policy formulation to avert sickness, enhance outcomes, and minimize hospital readmissions. Finally, this evaluation records the hands-on experience gained with John and similar cases, guaranteeing a comprehensive grasp of the issue and the requisite leadership, cooperation, and change administration tactics needed to elevate patient outcomes. Problem Definition and Relevance This evaluation examines a patient care issue within our healthcare institution, highlighting the significance of leadership, cooperation, and change administration in tackling these challenges. Our patient, John, is a 50-year-old Hispanic male who has been experiencing inadequately managed Type 2 diabetes and obesity. His family background includes diabetes, as both his father and uncle were diagnosed with the disease. Despite attempting numerous medications and lifestyle modifications, John’s blood sugar levels persistently remain elevated, with HbA1c levels surpassing 9%. John has visited our healthcare facility multiple times over the past year, seeking help with managing his diabetes. His most recent visit was two weeks ago, when he reported increased fatigue and blurry vision, both of which are common symptoms of uncontrolled diabetes. As a baccalaureate-prepared nurse, I am responsible for ensuring that patients like John receive appropriate and timely care to prevent further complications and improve their quality of life. NURS FPX 4900 Assessment 1 Assessing the Problem The problem of uncontrolled Type 2 diabetes is significant not only for the patient’s health and well-being but also for the healthcare organization’s performance and reputation. Poorly managed diabetes can lead to severe complications, such as kidney damage, nerve damage, and increased risk of cardiovascular diseases, resulting in frequent hospital visits and higher healthcare costs (Saeed et al., 2021). Furthermore, it can negatively impact patient satisfaction, as they may feel frustrated with their inability to manage their condition effectively. The issue of uncontrolled Type 2 diabetes is a significant public health problem, with statistics indicating its increasing prevalence in society. As a baccalaureate-prepared nurse, addressing this issue is highly relevant to my practice. My role involves providing comprehensive patient care, promoting health equity, and working towards improving population health outcomes. By focusing on patients like John, who struggle with poorly controlled diabetes, I can contribute to reducing health disparities, enhancing access to care, and empowering individuals to take charge of their health. My dedication to delivering top-notch, individualized care aligns with generating a favorable influence on the health and welfare of the communities. Evidence Analysis Numerous research studies from scholarly literature provide evidence that endorses nursing interventions connected to managing Type 2 diabetes in patients similar to John. For example, a systematic analysis underscores the efficacy of diabetes self-management education and assistance in enhancing blood sugar control and mitigating complications in Type 2 diabetes patients (Powers et al., 2020). Furthermore, a study accentuates the significance of a multidisciplinary team approach involving nurses in attaining improved diabetes outcomes (Catapan et al., 2021). The conclusions of these investigations align with nursing practices that emphasize patient education, self-management, and cooperation among healthcare experts. As nurses, we will provide comprehensive diabetes self-management education to John and other similar patients to improve their glycemic control and reduce the risk of complications. Additionally, we will collaborate with other healthcare professionals to develop and implement a multidisciplinary care plan that addresses John’s diabetes and related comorbidities. The conclusions of these investigations align with nursing practices that emphasize patient education, self-management, and cooperation among healthcare experts. NURS FPX 4900 Assessment 1 Assessing the Problem It is crucial to consider elements like the research design, the number of participants, and possible biases to assess the dependability of the information conveyed in these investigations. Additionally, examining the consistency of the findings across multiple studies and the overall quality of the research can help assess the evidence’s reliability. In the case of the systematic review, the authors synthesized findings from numerous high-quality studies, lending credibility to their conclusions. Furthermore, the large sample size and rigorous data analysis methods suggest the data are reliable (Johnson et al., 2020). Research has shown that adherence to nursing standards and policies can improve patient outcomes for Type 2 diabetes. A study by Sly et al. (2021) found that following evidence-based guidelines for diabetes care led to improved glycemic control and reduced hospital readmissions. Similarly, implementing clinical practice guidelines in diabetes care is associated with improved patient outcomes, including better glycemic control and lower rates of complications (American Diabetes Association, 2020). Nurses hold a vital position in formulating policies to enhance results, avert sickness, and decrease hospital re-admissions for individuals with Type 2 diabetes. According to a study, nursing involvement in policy development and advocacy can lead to more effective healthcare policies and better patient outcomes (Turale & Kunaviktikul, 2019). Additionally, a review by Kraaij et al., (2019) highlighted the importance of nursing leadership in shaping healthcare policies and improving diabetes care at the population level. NURS FPX 4900 Assessment 1 Assessing the Problem The literature suggests that the Chronic Care Model (CCM) can serve as a guiding framework for nursing actions during the practicum. The CCM focuses on improving the quality of chronic illness care by integrating proactive healthcare teams, self-management support, and care coordination (Keddy et al., 2020). This model can help guide nursing interventions for patients like John, enabling them to manage their Type 2 diabetes better and improve their overall health. Additionally, the Self-Determination Theory offers valuable insights into how nurses can support patients’ motivation and autonomy in managing their diabetes, further enhancing the effectiveness of the nursing