Nursing D2: REVIEW THE Literature : MATERNAL MENTAL HEALTH

As you plan, develop, implement and evaluate your nursing practicum project, reflect on how this project and your graduate education have prepared you to meet the growing needs of healthcare and the diverse populations we serve.This week you will address Essential II: Organizational Systems and Leadership.Recognizes that organizational and systems leadership are critical to thepromotion of high quality and safe patient care. Leadership skills areneeded that emphasize ethical and critical decision making, effectiveworking relationships, and a systems-perspective.RationaleOrganizational and systems leadership are critical to the promotion of high quality andsafe patient care. Leadership skills are needed that emphasize ethical and critical decisionmaking. The master’s-prepared nurse’s knowledge and skills in these areas are consistentwith nursing and healthcare goals to eliminate health disparities and to promoteexcellence in practice. Master’s-level practice includes direct care and afocus on the systems that provide care and serve the needs of a panel of patients, adefined population, or community.To be effective, graduates must demonstrate leadership by initiating andmaintaining effective working relationships using mutually respectful communicationand collaboration within interprofessional teams, demonstrating skills in carecoordination, delegation, and initiating conflict resolution strategies. The master’s preparednurse provides and coordinates comprehensive care for patients–individuals,families, groups, and communities–in multiple and varied settings. Using informationfrom numerous sources, these nurses navigate the patient through the healthcare systemand assume accountability for quality outcomes. Skills essential to leadership includecommunication, collaboration, negotiation, delegation, and coordination.Master’s-prepared nurses are members and leaders of healthcare teams that deliver avariety of services. These graduates bring a unique blend of knowledge, judgment, skills,and caring to the team. As a leader and partner with other health professionals, thesenurses seek collaboration and consultation with other providers as necessary in thedesign, coordination, and evaluation of patient care outcomes.In an environment with ongoing changes in the organization and financing of health care,all master’s-prepared nurses must have a keen understanding of healthcarepolicy, organization, and financing. This content aims to prepare a graduateto provide quality, cost-effective care, participate in the implementation of care, and assume a leadership role in managing human, fiscal, and physical healthcareresources. Program graduates understand the economies of care, business principles, andhow to work within and affect change in systems.The master’s-prepared nurse must analyze the impact of systems on patient outcomes, including analyzing error rates. These nurses will be prepared with knowledgeand expertise in assessing organizations, identifying systems’ issues, and facilitatingorganization-wide changes in practice delivery. Master’s-prepared nurses must use effective interdisciplinary communication skills to work across departmentsto identify opportunities and design and test systems and programs to improvecare. In addition, nurse practice at this level requires an understanding of complexitytheory and systems thinking and the business and financial acumen needed for theanalysis of practice quality and costs.Sample Content• Leadership, including theory, leadership styles, contemporary approaches, andstrategies (organizing, managing, delegating, supervising, collaborating, coordinating)• Data-driven decision-making based on an ethical framework to promote culturallyresponsive, quality patient care in a variety of settings, including creative and imaginativestrategies in problem-solving• Communication–both interpersonal and organizational–including elements andchannels, models, and barriers• Conflict, including conflict resolution, mediation, negotiation, and managing conflict• Change theory and social change theories• Systems theory and complexity science• Healthcare systems and organizational relationships (e.g., finance, organizationalstructure, and delivery of care, including mission/vision/philosophy and values)• Healthcare finance, including budgeting, cost/benefit analysis, variance analysis, andmarketing• Operations research (e.g., queuing theory, supply chain management, and systemsdesigns in health care)• Teams and teamwork, including team leadership, building effective teams, andnurturing teams