Recent orders
Nursing Leadership
Instructions
After reading Chapter 4 of the IOM report (Keeping Patients Safe) as well as your other readings
for this module, reflect on this content in relation to your work setting and patient safety.
Compose an initial pose that highlights an assessment of patient safety issues in your work
setting in relationship to the 5 management practices described in the IOM report (Keeping
Patients Safe) using evidence-based research.
1. Select and describe the most pressing patient safety issues in your work setting that you think
needs improvement.
2. Provide rationale using evidence-based research on your patient safety issue that speaks to how patient safety could be improved in your work setting. What are the best practices? How are
they being implemented? What could your work setting improve upon based on the best
practices presented in the literature?
3. Select one (1) out of the five (5) essential management practices that could best be utilized in
helping to implement the changes for improved patient safety based on the evidence-based
research you uncovered on your patient safety issue.
o * The five essential management practices are (IOM, 2003):
1. Balancing the tension between production efficiency and reliability (safety).
2. Creating and sustaining trust throughout the organization.
3. Actively managing the process of change.
4. Involving workers in decision making pertaining to work design and work flow.
5. Using knowledge management practices to establish the organization as a “learning
organization” (p. 3).
4. Given the readings you have competed thus far on leadership theory, in what ways do you
think transformational leadership would best support implementation of improved patient safety
practices in your work setting?
References
Institute of Medicine. (2003). Keeping patients safe: Transforming the work environments of
nurses. Retrieved from http://books.nap.edu/openbook.php?record_id=10851&page=3.
Institute of Medicine. (2004). Transformational leadership and evidenced- based management. In
Institute of Medicine. Keeping patients safe: Transforming the work environment of nurses.
Institute of Medicine Report (pp. 108-161). National Academies Press.
Social Psychology of Stereotyping, Discrimination and Prejudice
Social Psychology of Stereotyping, Discrimination and Prejudice
- How did Allport view prejudice?
- How does Dovidio et al explain the inconsistencies in Allport’s thinking?
- According to Dovidio et al what were Allport’s blind spots?
- According to Schneider how has stereotype research progressed over the years?
- How do Bar-Tal and Teichman use years of prejudice research to explain the Arab-Israeli conflict?
Advocating for Social Justice
Requirements
Consider the following topics. In many U.S. communities, low-income populations use the
emergency room instead of going to a physician or mid-level provider’s office. They often do not
pay the bill for their service, which shifts the cost of their care to other, paying patients at the
hospital. This practice drives up the cost of health care, but what else can hospitals do? They
have to have a certain amount of income to keep their doors open. Is this fair? What if these sick
people remain untreated and infect others? Is this just? Do they deserve care so that they don’t
infect others? We talk about a culture of poverty in this country. What does this mean to you?
What about those people who seem to bilk or misuse the health care system? Do they deserve care? If so, who should pay for it? Shouldn’t everyone be forced to carry health insurance so that
everyone has a pay source? Can we expect people to pull themselves up by their bootstraps?
Now consider the following questions:
What does social justice mean to you? Is social justice the same as socialized medicine or even
communism?
The notion of social justice is fairness so that everyone can achieve a certain level of health and
wellness. After all, the Constitution guarantees everyone the right to pursue happiness. Is the
health care system fair?
If you could wave a magic wand and fix the health care system, what is the first thing you would
notice indicating that it had changed? Or, in your opinion, do you think it needs to be changed at
all?