discussion reply 148

According to Kim 2018, these two basic loops –reinforcing and balancing – can be seen as the two corresponding building blocks of two multifaceted common and profitable systems. These simple structures are combined to create a complex system that nursing managers are expected to manage. For example, in the manager-employee reinforcing loop, positive reinforcement from the manager is capable of producing good employee productivity, while negative reinforcement can produce poor employee productivity over time. Herein, the balancing loop comes into play so as to try and bring such situations to a desired state and keep them there. Therefore, it is my view that organizations can operate on both types of feedback, the goal is to ensure that there is a balancing loop.

Chaos in an organization can come about as a result of sudden change, whereas complexity is concerned with both the structure and the system and how interrelated they are. It is important for administrators to understand chaos and complexity in a health care setting as they are required to display a strong foundation of trust and respect to navigate change, deploy new solutions, and stay focus on organizational goals amidst chaos. Healthcare systems are interlinked with other equally complex systems in society. Personal values and cultures are a part of guiding complexities in healthcare and as an administrator, it is important to guide these complexities through principles and ongoing creativeness until they are complete. To understand complexity, administrators should develop a ‘system mindset’ that identifies changing between parts of the system and adapts to unexpected change (Greenhalgh & Papoutsi, (2018).

References

Greenhalgh, T., & Papoutsi, C. (2018). Studying complexity in health services research: desperately seeking an overdue paradigm shift. BMC medicine, 16(1), 95. https://doi.org/10.1186/s12916-018-1089-4

Health care administrators should be prepared to function competently under chaos and complexity within healthcare. It concerns me that in present day nursing healthcare administrators and clinical nurse leaders are ill prepared and lead within an emotional state and bend policies and procedures to fit whatever emotional state they are feeling within the complex and chaotic environment. Experiencing the global Covid19 pandemic firsthand has shifted my view of leadership and administrators alike. Continuing education is great and essential for specific leadership roles however experience is the best teacher. If administrators are not prepared to manage within a complex and chaotic healthcare environment much like what we are experiencing now people will die unnecessarily.

Reference

Hardavella, G (2017) How to give and receive feedback effectively. Breathe (Sheff) Vol 13(4) pp 327-333- doi: 10.1183/20734735.009917

Dyess, S (2016) Growing Nurse Leaders: Their Perspective on Nursing Leadership and Today’s Practice Environment. OJIN. Vol 21

#3 Dscussion 4 Stephanie Mortimer-Wallace

One innovative strategy that can be utilized to promote access to nursing informatics is through the integration and utilization of trained nursing informaticist. Data collection is the means of supporting informatics and can be utilized in demonstrating how lucrative certain protocols, practices and procedures have been. The inclusion of a trained nurse informaticist will reinforce measurements and the ability to analyze data from various areas of the healthcare organization which will focus on supporting better patient outcomes as well as supporting the nursing practice (Nibbelink et al., 2019). Trained nurse informaticist have the ability to reorganize parts of the process that requires tweaking as a result of nursing input and make the activities nurses perform simpler, while improving patient care. These professionals work on driving efficiency and enhancing best practices throughout the entire healthcare system.