NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

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Capella university

NURS-FPX 6210 Leadership and Management for Nurse Executives

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Date

Care Setting Environment Analysis 

A study of the care setting environment is critical because it impacts patients and staff members (Jamshidi et al., 2020).  Being a nurse leader at Cleveland Clinic in Ohio, I should comprehend the medical environment and devise ways to maintain a competitive edge, assuring constant enhancement in safety and quality results. This demands applying analysis strategies like Appreciative Inquiry (AI) and Strengths, Weaknesses, Opportunities, and Threats (SWOT) evaluation to identify areas for advancement and formulate a strategy. This report investigates the care environment at Cleveland Clinic and assesses its positive impact on patients.

Part 1: Appreciative Inquiry Discovery and Dream

Evidence Related to the Best Performance

The Cleveland Clinic has shown outstanding performance promoting patient care and quality of medical services. The role of Cleveland Clinic in managing sepsis, Hospital-Acquired Infections (HAIs) and efficiently administrating chronic diseases highlights its excellence. A significant instance is the implementation of an extensive plan to mitigate HAIs. The clinic achieved a 30% reduction in HAIs over three years by adhering to strict, scientifically proven procedures such as improved hygiene protocols, staff training, and promoting an atmosphere of safety with an emphasis on HAI prevention. The standardized infection ratio is 1.273, aligning with the national benchmark (Medicare, 2024). This achievement enhanced patient outcomes and confirmed the Clinic’s devotion to providing quality care.

Another example of the clinic’s excellence is the innovation of medical care for managing chronic diseases. By integrating data analytics, the Clinic efficiently analyzes the risk factors and implements a personalized treatment regimen. This approach improves chronic disease management and reduces hospitalization rates. Evidence showed that a 14.2% hospitalization rate falls for cardiac patients (Medicare, 2024). 

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Another example is Cleveland Clinic’s performance in mitigating sepsis and reducing morbidity and mortality. The sepsis ratio decreased to 0.6 in 2022 (Cleveland Clinic, 2022). The clinic has reduced sepsis-related mortality by about 30% through adopting real-time surveillance and technology. Positive elements in these stories include a strong focus on research-based methods for personalized care and a dedication to building a safe setting (Craig et al., 2020).  

Numerous honors and accreditations serve as evidence to validate Cleveland Clinic’s beneficial core. Cleveland Clinic recently awarded the American Association of Critical Care Nurses (AACN) Beacon Award of Excellence due to efforts to provide quality care to patients (Cleveland Clinic, 2020). Despite the achievement of these programs, there are still information gaps and uncertainties that require additional investigation. There is an urgency to comprehend how to maintain the progress made in lowering HAIs and sepsis and to expand the tailored care approach to other care regions. There is an urgency to discover the techniques to tackle the sociocultural factors influencing patient experiences at Cleveland Clinic.

Goals for the Care Setting

The proposed positive, attainable, and quality enhancement goals to offer efficient care at Cleveland Clinic are: 

1. Conducting communication skills and empathy training and an educational program for medical staff will improve effective communication between providers and patients and allow them to offer compassionate care (Sarmiento et al., 2020).
2. Establishing sepsis or infection avoidance and management programs that use data analytics to detect patterns and risks will boost patient outcomes (O’Reilly et al., 2023).
3. Conducting cultural competency training for caregivers will improve comprehension and offer ethical and culturally competent care to diverse patients (Lin & Hsu, 2022).

Improvements in Quality and Safety

Safety objectives are incredibly productive, and achieving them can enable the clinic to enhance safety and quality. It serves to address staff’s needs. Communication abilities and empathy training will help clinicians build trust among patients, improve patient knowledge of their care, and encourage joint decision-making and compassionate care (Sarmiento et al., 2020). An integrated sepsis management approach utilizing data analytics assists clinicians in providing effective and advanced care (O’Reilly et al., 2023). Improving cultural proficiency will guarantee that patient’s access to care at Cleveland Clinic reflects their cultural views and ethical principles, which is crucial to ensure that autonomy is maintained while offering care (Lin & Hsu, 2022).

Alignment with Care Setting’s Mission, Vision, and Values

The proposed goals are consistent with Cleveland Clinic’s purpose, values, or vision of providing outstanding individualized, collaborative care that is vigilant, compassionate, and culturally competent (Cleveland Clinic, 2024). The objectives are predicated on the assumption that interpersonal abilities, empathy training, and sepsis control and prevention programs can enhance patient outcomes. Improving cultural competency is vital to promoting fair care (Lin & Hsu, 2022).

By attaining these objectives, the Clinic will be equipped to fulfill its purpose and vision while also providing treatment that is tailored to the demands and desires of varied patient communities. The enhancement objectives are based on the assumption that specific training boosts abilities and efficient interaction among clinicians and patients (Sarmiento et al., 2020).

Part 2: SWOT Analysis

The SWOT evaluation was employed to examine the Cleveland Clinic’s current situation in terms of quality and health objectives. This strategic planning technique analyzes an organization’s strengths and weaknesses, as well as exterior opportunities and dangers (Khiew et al., 2020). Internal and external assessments and stakeholder feedback are included in the analysis. This study is vital for formulating strategic plans that connect with the clinic’s vision.

Strengths

Cleveland Clinic’s medical staff are incredibly competent and qualified, and they are committed to providing outstanding patient care. The Clinic has established a strong culture of safety and quality enhancement, which is supported by new medical delivery methods such as an integrated Electronic Medical Records system and medical informatics. Access to advanced medical devices and technology allows the Clinic to offer novel therapies (Alruwaili, 2021).

Weaknesses

Cleveland Clinic faces numerous weaknesses. Inadequate community programs and staffing levels can jeopardize patient care, and insufficient communication and teamwork among medical staff impact coordinating care. Additionally, inadequate patient awareness about disease and involvement impedes the optimal provision of healthcare, and adequate funding and disease control and prevention assets pose persistent dangers (Hosseinnejad et al., 2022).

Opportunities

There are many opportunities to improve the Cleveland Clinic’s care operations and outcomes. Enhancing patient awareness and participation initiatives about sepsis and HAIs can encourage patients and improve their healthcare. Applying data analytics and informatics to quality enhancement endeavors allows for educated decision-making. Partnering with community groups to address social and cultural factors of medical care can improve community health, and applying proven infection avoidance initiatives can lower the hazards (Wark et al., 2022).

Threats

The Cleveland Clinic must deal with various external dangers. Growing regulatory and administrative responsibilities can strain resources. Keeping patient volume stable is difficult due to competition with other medical facilities. Modifications in reimbursement rules and payment policies can affect economic stability, and the outbreak of novel infections poses an ongoing risk to patient security and outcomes (Khiew et al., 2020).

Relationships to Safety and Quality Objectives

The SWOT evaluation revealed various areas in which Cleveland Clinic can boost its safety and quality results. The Clinic’s strengths, such as experienced staff, innovative tools, and a robust culture of safety, aid in achieving goals with improved patient outcomes. It can be used to compensate for shortcomings such as insufficient community initiatives and irregular communication. These weaknesses can impede goal attainment. Opportunities like developing patient awareness and involvement programs and establishing research-based control and prevention approaches are crucial for goal achievement.

Addressing threats such as elevated regulatory demands and competition from other medical facilities can hinder goal achievement. They must be addressed to improve outcomes (Khiew et al., 2020). Despite the Clinic’s strong safety setting and trained medical staff, specific facts conflict. The clinic is confronted with the inadequacies of certain outreach programs, insufficient staff, and irregular communication, which affect healthcare quality and cooperation (Hosseinnejad et al., 2022).

The Area of Concern Identified in a SWOT Evaluation

One concern noted in Cleveland Clinic’s SWOT study is low staffing levels, which leads to substantial workloads and exhaustion among medical staff. The issue is critical to the Clinic’s goal, vision, and principles, which prioritize providing equal and top-notch care services (Cleveland Clinic, 2024). Insufficient staffing is associated with underperforming community programs. Overburdened staff can jeopardize patient safety and treatment quality, putting the Clinic’s mission to provide efficient patient care at risk. Staffing shortages pose a comparable danger to the vision of creating an inclusive, productive medical setting, resulting in higher errors, reduced patient satisfaction, and low staff morale (Ashipala & Nghole, 2022).

To solve this issue, solutions should center on optimizing workforce levels and improving worker satisfaction. These improvements can be evaluated using different metrics such as patient-staff ratios, employee and patient satisfaction, care outcomes, and standard of care. These can be evaluated using quantitative and qualitative information, such as staff-patient ratio data, employee and patient satisfaction and experience questionnaires, and frequent tracking changes in service quality indicators (Ashipala & Nghole, 2022). Strengthening this area underscores the alignment with the Clinic’s mission and offers a viable, outstanding healthcare setting.

Part 3: Comparison of AI and SWOT Approaches

The difference between SWOT and AI is centered on gathering data and communicating with other individuals. AI prioritizes favorable experiences and relationships, and it aims to find advantages and accomplishments through conversations, meetings, and interviews. This method necessitates stakeholder involvement, with a focus on developing connections and maintaining a favorable workplace atmosphere (Merriel et al., 2022). In comparison, a SWOT assessment is a quantitative technique that centers on finding advantages, disadvantages, possibilities, and dangers through questionnaires, metrics, and other resources (Wang & Wang, 2020).

A further noteworthy distinction between SWOT assessments and AI is their interaction with individuals. AI fosters collaboration and conversation, and it endeavors to promote a common goal and feeling of responsibility among participants. This technique can help to increase buy-in and assistance in executing an advancement plan (Merriel et al., 2022). While SWOT evaluation relies on the team’s viewpoints and values and can require effectiveness in fostering agreement and common goals (Wang & Wang, 2020). It is critical to note that both SWOT and AI methods contain presumptions and prejudices.

AI believes that positive interactions and experiences overcome negative factors, whereas SWOT believes that objective sources of data are more reliable than personal experiences (Dangga et al., 2022). When choosing a strategy to analyze, it is critical to be aware of presumptions and biases and examine their effect on results. Resolving presumptions and biases makes our analysis precise or efficient.

Part 4: Analysis of Relevant Leadership Characteristics and Skills

SWOT and AI methods uncover various positive leadership characteristics and abilities. In an AI structure, the leader should show the capacity to foster productive conversation and create an environment in which teammates feel comfortable expressing their achievements and thoughts. They must have excellent interpersonal skills and be able to recognize and acknowledge the team’s capabilities. AI strategy also demands a leadership that can efficiently manage meetings and direct the teammates toward common objectives (Merriel et al., 2022). While, the SWOT method demands leadership that can evaluate the team’s or organization’s shortcomings and strengths. They must be equipped to recognize areas for advancement and devise a plan to tackle them (Wang & Wang, 2020).

After analyzing the most desirable leadership traits for SWOT and AI methodologies, I uncovered numerous similar attributes that are critical to accomplishment. Initially, efficient interpersonal abilities are crucial in promoting constructive debate in AI or articulating strategic goals in SWOT. A leader should efficiently clarify thoughts and attentively listen to teammates (Hosseinnejad et al., 2022). However, there are uncertainties and information gaps when determining the appropriate leadership attributes for enhancement programs. It must be defined how significant leadership traits are substantial as compared to experiences and education. More analysis is required to determine the productive strategy for leadership for performance enhancement efforts in the clinic (Dangga et al., 2022).

Conclusion

In conclusion, an in-depth knowledge of a care setting’s benefits, constraints, opportunities, and problems is required for developing effective performance enhancement initiatives. Integrating SWOT and AI techniques provides extensive information, highlighting areas for advancement while capitalizing on present strengths. Moral and culturally informed leadership is required to execute these advances in medical settings properly.

References

Alruwaili, H. K. (2021). Clinical healthcare technologies: An analysis of healthcare technologies used in medical clinics. International Journal, 9(5). https://doi.org/10.30534/ijbmieh/2021/01952021

Ashipala, D. O., & Nghole, T. M. (2022). Factors contributing to burnout among nurses at a district hospital in Namibia: A qualitative perspective of nurses. Journal of Nursing Management, 30(7). https://doi.org/10.1111/jonm.13693 

Cleveland Clinic. (2024). Mission, Vision & Values. clevelandclinic.org. https://my.clevelandclinic.org/about/overview/who-we-are/mission-vision-values

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Cleveland Clinic. (2020) Recognition & Awards. clevelandclinic.org. https://my.clevelandclinic.org/departments/heart/about/recognition-awards

Cleveland Clinic. (2022). Sepsis Outcomes | Cleveland Clinic. clevelandclinic.org. https://my.clevelandclinic.org/departments/respiratory/outcomes/1083-sepsis

Craig, T. K. J., McKillop, M. M., Huang, H. T., George, J., Punwani, E. S., & Rhee, K. B. (2020). US hospital performance methodologies: a scoping review to identify opportunities for crossing the quality chasm. BioMed Central Health Services Research, 20(1), 640. https://doi.org/10.1186/s12913-020-05503-z

Dangga, L., Isu, R. J., Atto, A., Dami, Z. A., & Kartini, D. (2022). Using the appreciative inquiry model to develop the quality of educational organizations in Indonesia: SWOT analysis strategy. International Journal of Social Science Research and Review, 5(12), 652–665. https://doi.org/10.47814/ijssrr.v5i12.835 

Hosseinnejad, A., Rassouli, M., Jahani, S., Elahi, N., & Molavynejad, S. (2022). Requirements for creating a position for community health nursing within the Iranian primary health care system: A SWOT analysis. Frontiers in Public Health, 9, 793973. https://doi.org/10.3389/fpubh.2021.793973

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Jamshidi, S., Parker, J. S., & Hashemi, S. (2020). The effects of environmental factors on the patient outcomes in hospital environments: A review of literature. Frontiers of Architectural Research, 9(2), 249–263. https://doi.org/10.1016/j.foar.2019.10.001

Khiew, K. F., Chen, M., Shia, B. C., & Pan, C. H. (2020). The implementation of adopted balanced scorecard with new insight strategy framework for the healthcare industry: A case study. Open Journal of Business and Management, 8(2), 600-627. https://doi.org/10.4236/ojbm.2020.82036

Lin, M. H., & Hsu, H. C. (2020). Effects of a cultural competence education programme on clinical nurses: A randomised controlled trial. Nurse Education Today, 88, 104385. https://doi.org/10.1016/j.nedt.2020.104385

Medicare. (2024). Hospital Cleveland Clinic. Medicare.gov. https://www.medicare.gov/care-compare/details/hospital/360180?city=Cleveland&state=OH&zipcode=44195&measure=hospital-complications-and-death#ProviderDetailsQualityIndicatorsContainer

Merriel, A., Wilson, A., Decker, E., Hussein, J., Larkin, M., Barnard, K., O’Dair, M., Costello, A., Malata, A., & Coomarasamy, A. (2022). Systematic review and narrative synthesis of the impact of appreciative inquiry in healthcare. British Medical Journal Open Quality, 11(2). https://doi.org/10.1136/bmjoq-2022-001911 

O’Reilly, D., McGrath, J., & Martin-Loeches, I. (2023). Optimizing artificial intelligence in sepsis management: Opportunities in the present and looking closely to the future. Journal of Intensive Medicine,4(1), 34-45.‌ https://doi.org/10.1016/j.jointm.2023.10.001

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Sarmiento, P., Fernández-Gutiérrez, M., Baena-Baños, M., Correro-Bermejo, A., Soler-Martins, P. S., & de la Torre-Moyano, S. (2020). Empathy training in health sciences: A systematic review. Nurse Education in Practice, 44, 102739. https://doi.org/10.1016/j.nepr.2020.102739

Wang, J., & Wang, Z. (2020). Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis of China’s prevention and control strategy for the COVID-19 epidemic. International journal of environmental research and public health, 17(7), 2235. https://doi.org/10.3390/ijerph17072235

Wark, K., Woodbury, R. B., LaBrie, S., Trainor, J., Freeman, M., & Avey, J. P. (2022). Engaging stakeholders in social determinants of health quality improvement efforts. The Permanente Journal, 26(4), 28. https://doi.org/10.7812%2FTPP%2F22.035

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