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Write a 4–6-page impact report to senior leadership that identifies the challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.


Embedded within the AONE (2015) competencies for nursing leaders are various components of systems thinking and systems leadership. Nursing leaders need to perform a historical review of organizational theories because it helps them understand the effect of structures and theories that are relevant to health care organizational systems. This understanding leads to knowledge on how these systems affect the role and scope of nursing practice.

Systems theory came into use within the business sector following a publication on the subject by Peter Senge. As time progressed, health care leaders adapted principles from systems theory and applied them to health care organizations and systems. Systems theory maintains that the parts of the whole affect each other in many ways, with interactions so complex that any event or action may have multiple consequences across the entire whole (Senge, 1990).

Use the following scenario as the basis for your report:


The unit-based Shared Governance Council of the organization where you work has identified a major nursing-related challenge (patient/staff safety, confidentiality, management/staff conflict, poor patient satisfaction survey scores, or nursing staff shortages) within your health care organization.

In an unusual move, your system administrator is considering creating a new nurse leadership position that would have the responsibility and authority to address this specific issue. As a member of the shared governance council`s subcommittee, you have been asked to write the committee`s final report.


Please follow these instructions to the Tee!

Write a 4–6-page impact report to senior leadership that identifies the challenge, analyzes how it affects the organization from a nursing perspective, and details the new position.

·        Use systems thinking and leadership theory as tools to approach this problem.

Construct the report with the following headings: (underlined)

The Nursing Challenge:

·        Identify the nursing challenge and its impact from a nursing perspective. Choose from:

o   Patient/staff safety, confidentiality, management/staff conflict, poor patient-satisfaction survey scores, or nursing staff shortages.

The System/Organization:

·        Explain how the nursing challenge creates a gap or conflict between the organization`s statements and practice.

o   Identify the organization type—that is, specialty hospital, teaching hospital, major health care system, et cetera, and summarize the organizational structure, its mission, vision, and philosophy statements.

o   Use systems theory and systems thinking to explain the gap or conflict.

SWOT Analysis:

Use the SWOT Analysis Template linked in Required Resources and include the SWOT analysis table in your paper. (included in the other attachment)

·        Identify organizational factors that impact the situation using a SWOT analysis.

o   For example, a budget cut may cause short staffing, which relates directly to the problem.

·        What factors within the system may facilitate a solution for this problem?

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