NURSE 100 Perspectives In Nursing


The core values and principles that nurses use to communicate should be based upon empathy, patience and love.

Kuys, et al.

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(2014). Listening is more important than communicating. This helps to develop better and more understanding relationships between the support person and the care provider.

Answer to Question: NURSE 100 Perspectives In Nursing

Title: Short Term Rehab and long-term Care


The adult population of skilled nursing facilities is what we are looking at.

This facility has both long-term and short-term rehabilitation services.

With the concept of short-term rehab, and long-term healthcare services, the west has enjoyed a lot of success.

Short-term rehab centers are promoted to promote independence in the older age group.

Skilled nursing centers are skilled at providing long-term assistance to seniors who have suffered from long-term illness.

The Performance Scorecard





For the care of elderly patients, nursing professionals must develop communication strategies that are effective.

* Effective communication strategies improve understanding between patients (and hospital staff)

* Helps to resolve ethical dilemmas


Modern medical technology and tools allow for better diagnosis.* Faster diagnosis

* Accurate identification of problem condition


Reduce the number patient falls within the care arrangement* Reducing staff injury

* Improved patient outcomes

* Reduces additional expensesEmployee engagement

Training of certified nursing professionals by the American Nurses Association.

* Improvement of standards of care

* Reducing the chance of errors within the hospital

* Improved organizational process Table 1: Performance data scorecard (Source: Author)

The Essential Processes

The performance data scoring system includes several parameters like -performance and quality, safety, engagement and employee engagement.

These parameters help to continuously improve organizational processes and impact on the quality of patient-care.

These indicators are further discussed.Performance:

A care facility’s communication skills are one of its key performance indicators.

Nurses should base their communication strategies on core values, such as compassion, empathy and love.

Kuys, et al.

(2014). Listening is more important than communicating. This helps to develop better and more understanding relationships between the caregiver and the support person.

It is essential to develop active listening skills and empathy communication skills in order to improve the performance of nurses who are responsible for elderly adults in short-term rehab.

Effective communication and listening skills allow for the resolution of ethical dilemmas. These arise often when there is a difference of opinion between the patient and the nurse (Bagshaw et. al., 2014.).Quality:

Two factors are crucial in determining the quality of support services within a rehab: technology and skills. (Silva Eslick and Duque 2013, 2013).

For long-term treatment, it is important to provide effective medical interventions to patients.

A lot of the interventions depend on a proper diagnosis.

The importance of having skilled professionals capable of handling and managing diagnostic tools that allow for an assessment of the patient’s current health is paramount.Patient Safety:

Patients’ safety is paramount. We aim to reduce the rate of falls among adults patients.

The implementation of fall risk assessment tools is one way to do this. These scores allow individuals to see the likelihood of them having an accident.

It is possible to reduce the risk of injuries by focusing on the ergonomics and design of the hospital (Verleye Gemmel, Rangarajan, 2014.

Employee Engagement

Recruting nurses who have been licensed by recognized bodies can help improve the standard of care.

Further screening is done during the recruitment process to ensure that the staff are chosen appropriately.

To ensure effective and sufficient engagement, there are a variety of options available. For example, performance bonuses and incentives could be offered to nursing staff.

Additional Measure:

In this regard, taking responsibility for mistakes and the wrongs done is one of the ways to encourage employee engagement.

This could be a positive example for subordinates or junior nurses, where they can learn to be more responsive to their client.

Fiabane. Giorgi. Sguazzin & Argentero (2013) pointed out that a motivated staff is more likely than a disengaged staff to do well at their work place.

Advantages of Performance Scorecards

Advantage Number One

The performance scorecards help to track financial success as well as shareholder value.

Advantage Number Two

Brand positioning and image are influenced by customer satisfaction and market share goals.

In order to establish long-term customer care, it is important that the objectives of customer happiness are met.

Advantage number three

The balanced scorecard offers a strong framework for strategic plan and facilitates the establishment of cause-and-effect relationships.

Crawford, Buckman, & Bergeron (2014) commented that organizations using a strategic framework to communicate performance report better than those who don’t.

Current Trends

Current Trend Number 1

Healthcare agencies want to use strategies and programs to improve the patient experience and customer satisfaction.

There have been positive results from mystery shopping which has helped to understand the patient’s perspective.

The aim is to put yourself in the shoes of the patient.

For a better understanding and appreciation of the patient’s ideologies, the healthcare sector is becoming secret shoppers.

White, Wells & Butterworth (2014) noted that the reports of mystery shoppers have led changes in patient care, including better explanations of procedures.

Current Trend Number 2

Employees should feel comfortable asking questions about organizational processes.

This creates an environment that encourages respect and mutual admiration between staff members and the organization.

Collini, Guidroz & Perez (2015) commented that reflecting on organizational shortcomings can be helpful.

Employee Engagement and Healthcare Quality

Further study and analysis has shown that engaged employees can make a difference in the organization’s expansion.

Al-Balushi et. al.

(2014). The organization’s productivity can be improved by implementing appropriate employment engagement policies.

Current Tools

The implementation of various tools can measure employee engagement.

An employee survey questionnaire can be used to measure engagement. It collects information from employees regarding organizational procedures and methods.

Performance feedback can be helpful for both professional and personal growth.

Also, employees must be part of the organizational decision making process.

Melnyk & Gallagher?Ford (2014) state that a positive culture can improve organizational performance and help with internal disputes.

S.C.O.R.E and other measurement tools can be used by employees to improve their satisfaction. Here, SCORE stands for Simple-Connect-Observe – React-Engage and is customer service training designed to equip staffs with key concepts of service excellence.

These methods are helpful in fostering a positive attitude in hospital staff by using connect. It helps them to communicate with patients and their families.

Improving employee engagement

To encourage employee engagement, leaders must communicate clearly with employees about the organizational goals as well as financial information.

Employees will not be able to see the impact of their actions on the finances and the goals of the nursing home if they don’t get it.

Management should consider the opinions and suggestions of employees in the meeting, according to Andreasson Eriksson & Dellve (2016).

Employees should be allowed to have questions regarding organizational processes. This is a way to improve the engagement policies.


Weeks 1 & 2

Week 3-4

Week 5-6

Week 7-8

Week 9-10

Effective communication strategies


Implementation of advanced technologies and tools in medicine


Evidence-based methods to reduce falls in elderly wards


Implementation policies for employment engagement


YesGantt Chart(Source: Author)

Leadership Practices

There are several leadership practices that can help improve organizational culture in an organization.

The leader must be held responsible for the actions of any employee who does not follow his instructions.

This is because the leader has the responsibility to pass on the work done by his employees.

Silva, Eslick & Duque (2013) stated that when the leader is accountable, employees feel gratitude and take responsibility.

The leader can reach out to employees by using effective communication strategies. This will help with the resolution of organizational conflicts.

Leadership must also value self-reflection for their professional and personal growth.References:

Al-Balushi S.; Sohal A. S.; Singh P. J. Al Hajri A. Al Farsi Y. M. & Al Abri R. (2014)

Review of literature on the readiness factors for lean implementations in healthcare.

Journal of management and health, 28(2). pp. 135-153.Andreasson, J., Eriksson, A., & Dellve, L. (2016).

Managers of health care are asked to share their views on how to improve the care process.

Journal of nursing administration, 24(2). 219-227.Bagshaw, S. M., Stelfox, H. T., McDermid, R. C., Rolfson, D. B., Tsuyuki, R. T., Baig, N., … & Majumdar, S. R. (2014).

Study of a prospective cohort multicenter study to examine the relationship between frailty as well as short- and long-term outcomes in critically ill patients.

Canadian Medical Association Journal. 186(2). E95-E102.Collini, S. A., Guidroz, A. M., & Perez, L. M. (2015).

The mediating effect of employee engagement on turnover in healthcare.

Journal of nursing Management, 23(2). 169-178.Crawford, E. R., Rich, B. L., Buckman, B., & Bergeron, J. (2014).

The antecedents as well as the drivers of employee involvement.

Theory and practice of employee involvement, 57-81.Fiabane, E., Giorgi, I., Sguazzin, C., & Argentero, P. (2013).

Work engagement and occupational stresses in nurses and healthcare workers: The role and influence of organisational factors and personal factors.

Journal of Clinical Nursing, 22(1), 2614-2624.Kuys, S. S., Peel, N. M., Klein, K., Slater, A., & Hubbard, R. E. (2014).

Long-term care for older people: A systematic review of the literature and meta-analysis.

Journal of the American Medical Directors Association. 15, 3, 194–200.Melnyk, B. M., Gallagher?Ford, L., Long, L. E., & Fineout?Overholt, E. (2014).

The establishment of evidence-based practices competencies for practicing registered nurses, advanced practice nurses, and other healthcare professionals in real?world clinical environments: Proficiencies to improve healthcare quality and reliability, patient outcomes, as well cost effectiveness.

Worldviews on Evidence Based Nursing, 11(1). 5-15.Silva, R. B., Eslick, G. D., & Duque, G. (2013).

A systematic review and meta analysis of exercises for falls prevention in long term care facilities.

Journal of the American Medical Directors Association. 14 (9), 685-689.Verleye, K., Gemmel, P., & Rangarajan, D. (2014).

Evidence from the nursing homes sector: Managing engagement behaviors in networks of customers and stakeholders.

Journal of Service Research (17(1)), 68-84.White, M., Wells, J. S., & Butterworth, T. (2014). The impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the ‘Productive Ward’.

International journal nursing studies, 51(12), 1634-1643.