Leveraging Advanced Practice Nursing in Complex Health Care Systems.

Nursing Administration Quarterly
Samuel J Younger

Abstract

The US health care system has seen unprecedented growth in health care cost with only a mediocre return on investment. Achieving sustained quality improvement will require innovation that is effectively integrated into complex systems of care. Complexity leadership has the ability to place value on traditional quality improvement processes, with less focus on rigid structure and more attention on the potential for flexibility and creativity at the point of care. Clinical team leaders, such as nurse practitioners, must nurture adaptability to the constantly changing clinical environment while balancing structured thinking of team members. Nurse practitioners operating in interdisciplinary teams are well positioned to foster adaptive change through rapid cycle improvements at the point of care. As a learning approach to quality improvement, the PDSA (plan-do-study-act) method should be seen as a useful tool for organizations to create an emergent quality improvement process. This article discusses the significance of nurse practitioner leadership using the PDSA method informed by complexity leadership theory and the impact for clinical practice.

References

Dec 16, 1998·Annals of Internal Medicine·D M Berwick
Apr 10, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Agnès LeotsakosBill Munier
May 27, 2015·The Journal of Nursing Administration·Katreena Collette Merrill
Aug 27, 2015·International Journal of Health Care Quality Assurance·Jill Pattison, Theresa Kline
Oct 3, 2015·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Marcia Pencak MurphyElizabeth Carlson
Mar 15, 2018·JAMA : the Journal of the American Medical Association·Irene PapanicolasAshish K Jha
Jul 1, 2019·Journal of Nursing Regulation·Jeannie P CimiottiLinda H Aiken

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