BSN4008 Organizational and Systems Management for Quality Outcomes


We have seen that in a health-care organization there are multiple responsibilities including assessments of priorities in areas that require attention in an organization. The following annotated bibliography compiles a summary of the references that will be used to prepare a final paper that will identify nursing leadership priorities at Fantastic Medical Center (FMC) and proposed resources for addressing the priorities.
Previously identified nursing leadership priorities at FMC that will be the focus of the literature review are (a) nursing staff turnover, (b) nursing staff competency, and (c) medication errors of omission. Accordingly, the literature and available resources were searched utilizing terms that included the above listed priorities and terms to reflect any proposed resources for addressing the priorities in order to support strategies with evidence-based references.
Additional references will include readings from the course that involve systems leadership, organizational structure, and use of a systems-based approach for analysis of organizational issues. These may include Lewin’s change theory, or the diffusion of innovation theory. The synthesis of these references will help me build the foundation of to address strategies that can be used within FMC, both as an analysis for the project.
American Nurses Association. (2010). Nursing: Scope and standards of practice. (2nd ed.). Silver Spring, MD:
The American Nurses Association (ANA) provides standards and scope of practice for professional nurses (p. 1) including the importance of ongoing nursing education and the important role employers have in providing educational opportunities for nurses (p. 28). The book further establishes important nursing profession standards in regards to quality of patient care and nursing leadership (p. 55) thus creating an important foundation upon which priorities and strategies can be established.
American Nurses Credentialing Center. (2013a). Magnet designation for initial applicants. Retrieved from
The American Nurses Credentialing Center (ANCC) is a component of the ANA whose purpose is to provide certification and accreditation of individual nurses and health care organizations who have met certain criteria that include excellence in quality patient care and excellence in work environment (American Nurses Credentialing Center [ANCC], 2013b). One such designation that signifies excellence in care and practice is Magnet designation which among many requirements includes the requirement that all nurse managers and nurse leaders possess, at a minimum, a baccalaureate nursing degree (ANCC, 2013a).
Duncan, P. & Hunt, K. (2011). Strengthening nursing shared governance through implementation of unit-based councils. Nurse Leader, 9(5), 42-44. doi: 10.1016/j.mnl.2010.12.008
Utilization of UBCs proved effective in regards to the previously mentioned objectives due to the councils’ ability to facilitate input from nursing staff members who provide the actual care (p.42) thereby acknowledging the nurses’ real-world experiences and enabling communication and successful organizational-wide initiatives (p. 43). Moreover, the use of UBCs as a method of improving nursing staff satisfaction is supported. Strategies and challenges of incorporating UBCs into an existing nursing shared governance model are also discussed by the authors and helps to provide strategic ideas for incorporating UBCs into the current structure of an organization.
Fraser, S. (2011). Influencing outlook: The importance of nursing staff satisfaction. Nursing Management, 41(9), 12-16. doi: 10.1097/01.NUMA.0000387092.80316.22
The author, a candidate for a Master in Public Health, reviews the importance of nursing staff satisfaction by analyzing such issues as organizational cost due to staff dissatisfaction (e.g. high turnover, medication errors, burnout, decrease communication with leadership) (p. 12), and methods to assess and improve staff satisfaction. The author presents published studies and reputable nursing professional organizations’ assessments on the importance of nurse satisfaction which supports identifying nurse satisfaction as a leadership priority in an organization. Moreover, the strategies presented such as involving staff nurses in decision-making (p. 15) help to establish potential strategies to incorporate at an organization in an effort to ensure staff satisfaction.
Hauck, S., Winsett, R. P., & Kuric, J. (2012, April 28). Leadership facilitation strategies to establish evidence-based practice in an acute care hospital. Journal of Advanced Nursing, 664-674.
This article looks at the effects that leadership facilitation strategies have on implementing evidence in daily nursing practice and the effects on culture. It also looks into the organizational structures influence on implementation of evidence-based practice (EBP). The background provided for this research presents the need for leadership responsibility when facilitating change. The authors use Roger’s theory of Diffusion of Innovations. Five characteristics are described: willing to take risks, eager to change, embrace change, will change once results are seen and must be convinced it is a permanent change before changing.
The research was conducted on a voluntary basis through surveys. The nursing leaders created a strategic plan to enculturate EBP into the organization. These efforts matched the overall nursing strategy to increase the belief in and use of EBP. Seven strategies were identified and implemented. These are provided in a table in the article. The surveys were collected and the strategies were implemented and an additional survey a year later. The data is analyzed and presented in a table in the article. The results show that using multiple strategies to implement cultural change is beneficial. Transformational nursing leaders are needed to successfully facilitate cultural change.
Kash, B. A. (2014, January/February). Success factors for strategic change initiatives: A qualitative study of healthcare administrators’ perspectives. Journal of Healthcare Management, 59(1), 65-81.
This research article is focused on identifying success

BSN4008 Organizational and Systems Management for Quality Outcomes