Posted: September 23rd, 2015

Organizational and Systems Leadership

Organizational and Systems Leadership
o Recognizes that organizational and systems leadership are critical to the
promotion of high quality and safe patient care. Leadership skills are
needed that emphasize ethical and critical decision making, effective
working relationships, and a systems-perspective.
Organizational and Systems Leadership
Rationale
Organizational and systems leadership are critical to the promotion of high quality and
safe patient care. Leadership skills are needed that emphasize ethical and critical decision
making. The master’s-prepared nurse’s knowledge and skills in these areas are consistent
with nursing and healthcare goals to eliminate health disparities and to promote
excellence in practice. Master’s-level practice includes not only direct care but also a
focus on the systems that provide care and needs of a panel of patients, a defined
population, or community.
To be effective, graduates must be able to demonstrate leadership by initiating and
maintaining effective working relationships using mutually respectful communication
and collaboration within interprofessional teams, demonstrating skills in care
coordination, delegation, and initiating conflict resolution strategies. The master’sprepared
nurse provides and coordinates comprehensive care for patients – individuals,families, groups, and communities – in multiple and varied settings. Using informationfrom numerous sources, these nurses navigate the patient through the healthcare systemand assume accountability for quality outcomes. Skills essential to leadership includecommunication, collaboration, negotiation, delegation, and coordination.
Master’s-prepared nurses are members and leaders of healthcare teams that deliver a
variety of services. These graduates bring a unique blend of knowledge, judgment, skills,
and caring to the team. As a leader and partner with other health professionals, these
nurses seek collaboration and consultation with other providers as necessary in the
design, coordination, and evaluation of patient care outcomes.
In an environment with ongoing changes in the organization and financing of health care,
it is imperative that all master’s-prepared nurses have a keen understanding of healthcare
policy, organization, and financing. The purpose of this content is to prepare a graduate
to provide quality cost-effective care, to participate in the implementation of care, and to
assume a leadership role in the management of human, fiscal, and physical healthcare
resources. Program graduates understand the economies of care, business principles, and
how to work within and affect change in systems.
The master’s-prepared nurse must be able to analyze the impact of systems on patient
outcomes, including analyzing error rates. These nurses will be prepared with knowledge
and expertise in assessing organizations, identifying systems’ issues, and facilitating
organization-wide changes in practice delivery. Master’s-prepared nurses must be able to
use effective interdisciplinary communication skills to work across departments
identifying opportunities and designing and testing systems and programs to improve
care. In addition, nurse practice at this level requires an understanding of complexity
theory and systems thinking, as well as the business and financial acumen needed for the
analysis of practice quality and costs.
The master’s-degree program prepares the graduate to:
1. Apply leadership skills and decision making in the provision of culturally competent,
high quality nursing care, healthcare team coordination, and the oversight and
accountability for care delivery and outcomes.
2. Assume a leadership role in effectively implementing patient safety and quality
improvement initiatives within the context of the interprofessional team using effective
communication skills.
3. Develop an understanding of how healthcare delivery systems are organized and
financed and how this affects patient care, and identify the economic, legal, and political
factors that influence health care.
4. Demonstrate the ability to use complexity science and systems theory in the design,
delivery, and evaluation of health care.
5. Apply business and economic principles and practices, including budgeting,
cost/benefit analysis, and marketing, to develop a business plan.
6. Design and implement systems change strategies within that improve the care
environment.
7. Participate in the design and implementation of new models of care delivery and
coordination.
Sample Content
• Leadership, including theory, leadership styles, contemporary approaches, and
strategies (organizing, managing, delegating, supervising, collaborating, coordinating)
• Data-driven decision making based on an ethical framework to promote culturally
competent, quality patient care in a variety of settings, including creative and imaginative
strategies in problem solving
• Communication, both interpersonal and organizational, including elements and
channels, models, and barriers
• Conflict, including conflict resolution, mediation, negotiation, and managing conflict
• Change theory and social change theories
• Systems theory and complexity science
• Healthcare systems (organizational structure and finance) and organizational structures
and relationships (e.g., finance, organizational structure, and delivery of care, including
mission/vision/philosophy and values)
• Healthcare finance, including budgeting, cost/benefit analysis, variance analysis, and
marketing
• Operations research, e.g. queuing theory, supply chain management, and systems
designs in health care
• Teams and teamwork, including team leadership, building effective teams, and
nurturing teams
Examples of Integrative Learning Strategies
• Conduct an organizational assessment describing the relationship between
organizational structure, leadership, and decision making.
• Analyze an integrative case study describing an organizational problem addressing
communication and conflict within healthcare teams.
• Engage in a formal debate and present to the class a contemporary issue in healthcare
leadership.
• Conduct a literature critique including a comprehensive summary and a critical analysis
of contemporary healthcare leadership.
• Analyze an organizational conflict and present a strategy to deal with the conflict.
• Develop a business plan including a budget.
• Present to an interdisciplinary team a cost-saving idea that improves patient outcomes
and improves efficiency.
• Analyze unit resources and set priorities for maximizing outcomes.

• Design a program proposal including needs assessment, implementation, and evaluation
plan.
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