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WU Leadership Strategies to Effect Organizational Change Discussion

WU Leadership Strategies to Effect Organizational Change Discussion


apply leadership strategies to effect organizational change for the promotion of patient quality and safety.

Submission Length: 2- to 3-page paper in response to 2 scenarios

Scenario 1

Tower 6 East is a 45-bed medical unit. The nurse leader, Ciera, is a new leader, and one of the measures of her performance is based on the number of medication errors reported on her unit. As a result, she has told everyone very clearly that she will not tolerate errors and that she wants the unit to have zero medication errors each month. When an error does occur, she meets individually with the nurse, writes up the nurse’s error, and puts a report in the nurse’s performance review files. She has put two nurses on performance probation thus far. As a result, the nurses on the unit are afraid to report when an error occurs, and they have begun to cover for each other and not report errors. You are a staff nurse on the unit and you want to serve as a leader and create a blame-free environment.

In your response, address the following:

  1. Identify and explain whether Ciera’s leadership style toward medication errors on the nursing unit is appropriate and explain why. Then, provide at least one outcome result from Ciera’s leadership approach on the nursing unit. (Yoder-Wise, P. (2019, p.498) Leading and managing in nursing (7th ed.). Mosby Elsevier.
  2. Explain what leadership style you would use to effect change in this scenario.
  3. Using the Paradiso & Sweeney article “Just culture: It’s more than policy”, explain a just culture and how a just culture might influence the outcome of medication errors on the unit.
  4. Scenario
  5. you are the charge nurse and the nursing assistant comes to you with the following question concerning an assignment she has been asked to carry out by one of the other RN’s on the floor. “Jerry pulled a patient’s dose of Digoxin and asked me to administer it because he is so behind. Am I allowed to do that?”In your response, address the following:
    1. After exploring your state nurse practice act, explain your response to the nursing assistant citing the applicable legal principles for delegation and promotion of drug safety on the nursing unit.
    2. Explain the education that would need to be provided regarding delegation principles, including the identification of items that can be delegated and items that cannot be delegated by Jerry; and, explain why the delegation educational plan you suggest is appropriate.
    3. Recommend strategies to develop an effective team that should be implemented on the nursing floor to help develop consistency with delegation. Explain how you would apply these strategies to enhance nursing roles and responsibilities for patient quality and safety as described in the scenario.


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