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 assist 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.
1
Care Setting Environmental Analysis: Wound Center
Alexandra Sanders
Capella University
NURS-FPX6210 Leadership and Management for Nurse Executives
Dr. Mary Ellen Cockerham
October 11, 2021
2
Care Setting Environmental Analysis: Wound Center
The Wound Center (WC) at Regional Medical Center (RMC) in Orangeburg, SC, was
one of the departments with the highest retention and satisfaction rates in the entire hospital.
Although it was one of the smaller departments in the hospital, it treated over 60 patients a day
in the clins=c and at least 2o inpatients a day. The WC staff was comprised of an infectious
disease/certified wound specialty physician, a certified wound, ostomy, continence nurse
practitioner, seven registered nurses all certified in would care with two also certified in ostomy
care, a physical therapist with two assists, a medical office assistant and front desk staff. The
clinic had long wait times and long hours, but the clinic had little to no team turnover. This paper
will analyze how the clinic kept its staff retention high by looking at the discovery and dream
phases of Appreciative Inquiry and conducting a strengths, weakness, opportunity, and threats
(SWOT) analysis.
Synthesizing Stories
The center was an ambulatory care setting that saw patients from the community,
local nursing facilities, and transfers from other hospitals in the outpatient setting. The staff was
also responsible for treating any inpatient with a wound or needing specialized care from the
WOCN. With such a heavy patient load, there were times that the staff would work upwards of
14 hours a day, five days a week, and patients would leave without being seen due to the long
wait times in the clinic. A patient’s experience at a clinic can determine their perspective on their
treatment and experience overall (Le et al., 2019). Although the days were long and hard, the
staff retention in this department was 100%. How did a department that saw nearly as many
patients as emergency departments, work long hours, and rarely get breaks, manage to keep
3
100% retention? A survey was conducted that asked several questions regarding retention and
what made this clinic run so smoothly. Many of the employees stated that they stayed because of
the teamwork. When rooms got backed up, other staff would pitch in and lend a hand. The front
desk staff said that they would keep the patients in the waiting room updated on the progress in
the back and let them know how long their wait would be; they felt this helped to keep the
waiting room satisfied with their wait time if
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 setting performed at
its best with regard to
quality and safety goals.
Synthesizes stories and evidence
about times when a care setting
performed at its best with regard to
quality and safety goals. Identifies
knowledge gaps, unknowns, missing
information, unanswered questions,
or areas of uncertainty (where
further information could improve the
synthesis).
Propose positive, attainable
quality and safety
improvement goals for a
care setting.
Does not propose positive
goals for a care setting.
Proposed goals are positive
but not attainable, or will not
lead to ethical and culturally
sensitive improvement of
organizational quality and
safety, or are not clearly
aligned with the care setting’s
mission, vision, and values.
Proposes positive,
attainable quality and
safety improvement goals
for a care setting.
Proposes positive, attainable quality
and safety improvement goals for a
care setting, and identifies
assumptions on which proposed
goals are based.
Conduct a SWOT analysis
of a care setting, with
respect to quality and safety
goals.
Does not present the
findings of a SWOT
analysis of a care setting.
Conducts a SWOT analysis of
a care setting that is not clearly
focused on quality and safety
goals.
Conducts a SWOT analysis
of a care setting, with
respect to quality and
safety goals.
Conducts a SWOT analysis of a care
setting, with respect to quality and
safety goals, and impartially
considers conflicting data and other
perspectives.
Describe an area of concern
identified in a SWOT
analysis—relevant to a care
setting’s mission, vision,
and values—that should be
improved.
Does not describe an
area of concern identified
in a SWOT analysis that
should be improved.
Describes an area of concern
identified in a SWOT analysis,
but does not show its relevance
to a care setting’s mission,
vision, and values.
Describes an area of
concern identified in a
SWOT analysis—relevant
to a care setting’s mission,
vision, and values—that
should be improved.
Describes an area of concern
identified in a SWOT analysis—
relevant to a care setting’s mission,
vision, and values—that should be
improved. Identifies criteria that
could be used to evaluate such an
improvement.
Compare the AI and SWOT
approaches to analysis
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