Health Medical Homework Help

Write a short essay (500-600 words) responding to the following prompt. You should submit your response as a Word document.

How
should the Chief Nursing Officer impact nurses in their everyday
duties? Use the following excerpt from the IOM report, “The Future of
Nursing,” to help you develop your discussion, and you can use your own
experience as a healthcare professional to support your argument.
Personal narrative is not appropriate for this assignment; rather,
include your own critical and analytical ideas based on your
experiences. Because this is a relatively short essay, do not attempt to
address every aspect of the Chief Nursing Officer’s impact on nurses.
Instead, focus on two or three areas you think are most important.
Incorporate the research from your sources from Unit 3, as well as the
IOM report. Below is a brief excerpt from the IOM report:

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Harolds, J. A., & Miller, L. B. (2020). Quality and Safety in Healthcare, Part LXXVII: Major Roles of the Chief Nursing Officer. Clinical nuclear medicine.[MM1]

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Ingwell-Spolan, C. (2018, June). Chief Nursing Officers’ Views on Meeting the Needs of the Professional Nurse: How This Can Affect Patient Outcomes[MM2] . In Healthcare 6(2), page range. DOI or URL

Will Chief Nursing Officers Hear the Call?

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Although
chief nursing officers (CNOs) typically are part of the hierarchical
decision-making structure in that they have authority and responsibility
for the nursing staff, they need to move up in the reporting structure
of their organizations to increase their ability to contribute to key
decisions. Not only is this not happening, however, but CNOs appear to
be losing ground. A 2002 survey by the American Organization of Nurse
Executives (AONE) showed that 55 percent of CNOs reported directly to
their institution’s CEO, compared with 60 percent in 2000. More CNOs
described a direct reporting relationship to the chief operating officer
instead. Such changes in reporting structure can limit nurse leaders’
involvement in decision making about the most important product of
hospitals—patient care. Additionally, the AONE survey showed that most
CNOs (70 percent) have seen their responsibilities increase even as they
have moved down in the reporting structure (Ballein Search Partners and
AONE, 2003). CNOs face growing issues of contending not only with
increased responsibilities, but also with budget pressures and
difficulties with staffing, retention, and turnover levels during a
nursing shortage (Jones et al., 2008).

Nurses also are
underrepresented on institution and hospital boards, either their own or
others. A biennial survey of hospitals and health systems conducted in
2007 by the Governance Institute found that only 0.8 percent of voting
board members were CNOs, compared with 5.1 percent who were vice
presidents for medical affairs (Governance Institute, 2007). More
recently, a 2009 survey of community health systems found that nurses
made up only 2.3 percent of their boards, compared with 22.6 percent who
were physicians (Prybil et al., 2009).3 While most boards focus mainly
on finance and business, health care delivery, quality, and
responsiveness to the public—areas in which the nature of their work
gives nurses particular expertise—also are considered key (Center for
Healthcare Governance, 2007). A 2007 survey found that 62 percent of
boards included a quality committee (Governance Institute, 2007). A 2006
survey of hospital presidents and CEOs showed the impact of such
committees. Those institutions with a quality committee were more likely
to adopt various oversight practices; they also experienced lower
mortality rates for six common medical conditions measured by the Agency
for Healthcare Research and Quality’s (AHRQ) Inpatient Quality
Indicators and the State Inpatient Databases (Jiang et al., 2008).

The
growing attention of hospital boards to quality and safety issues
reflects the increased visibility of these issues in recent years.
Several states and the Centers for Medicare and Medicaid Services, for
example, are increasing their oversight of specific preventable errors
(“never events”), and new payment structures in health care reform may
be based on patient outcomes and satisfaction (Hassmiller, 2009; IOM,
2000; King, 2009; Wachter, 2009). Given their expertise in quality and
safety improvement, nurses are more likely than many other board members
to understand the issues involved and often can educate other members
about these issues (Mastal et al., 2007). This is one area, then, in
which nurse board members can have a significant impact. Recognizing
this, the 2009 survey of community health systems mentioned above
specifically recommended that community health system boards consider
appointing expert nursing leaders as voting board members to strengthen
clinical input in deliberations and decision-making processes (Prybil et
al., 2009).

More CNOs need to prepare themselves and seek out
opportunities to serve on the boards of health-related institutions. If
decisions are taking place about patient care and a nurse is not at the
decision-making table, important perspectives will be missed. CNOs
should also promote leadership activities among their staff, encouraging
them to secure important decision-making positions on committees and
boards, both internal and external to the organization.

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Institute of Medicine of the National Academies. (2010). The future of nursing: Leading change, advancing health. The National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK209867/

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Your instructor will evaluate your revision according to the following criteria:

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• The introduction clearly identifies the topic and establishes a specific argument
• The paper includes a clear thesis statement that provides direction and focus for the essay
• Each body paragraph develops the argument established in the introduction
• Each body paragraph has a clear focus on one idea
• Each body paragraph includes a precise topic sentence
• Transitions establish logical connections between paragraphs
• Within paragraphs, transitions create connections and relationships between sentences
• The language used is appropriate to the academic community
• The tone is objective in keeping with the scientific academic audience
• The paper incorporates the source effectively, using it as part of a meaningful discussion of the topic

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