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Professor’s Comment:
The referencing and citing of scholarly work is mandatory to support the idea that is being
presented in the participation discussion. ALL peer responses require an in text citation, a
reference, and 6 or more sentences. References should be between 2018 to 2022.
Post 1:
Contributing to the reengineering of healthcare by nurse managers and executives is a valuable
technique that assists businesses in defining priorities, delivering more cost-effective
treatment, and enhancing consumer value. A nurse leader plays a crucial role in reengineering
healthcare by establishing goals, policies, and processes for quality improvement that will
result in positive changes within the nursing profession and improved patient outcomes
(Thomas et al., 2016). Nurse leaders have been charged with participating in and contributing
to healthcare transformation to satisfy the demand for safe, high-quality, and patient-centered
care. In the past, nurses could not effectively contribute to large-scale, significant change due
to various barriers, including cultural disparities, legal restrictions, and policy limitations.
Nurse leaders are urged to use their knowledge and skills to propose inventive new approaches
to health care reform.
The nurse manager or leader can reengineer healthcare and may be accountable for modifying
present policies, practices, and procedures. The significant alteration many hospitals underwent
due to the COVID-19 outbreak is a good example. To remedy the situation, it was required to
develop new processes for observing safety and avoiding infection. The Reengineered
Discharge (RED) program, according to Popejoy et al. (2020), “prepares hospitalized patients
for home discharge” (p. 158). Consequently, all internal logistics for implementing these
processes became the duty of nurse leaders and managers.
Developing new strategic immunization programs for the population is another instance of
nursing managers utilizing reengineering. According to Bloom et al. (2017), “vaccines are now
universally recognized as a cost-effective and low-cost means of promoting health” (p. 214).
To satisfy the government’s vaccine regulations, it was required to fully adopt a new workflow
in which nurses may vaccinate all willing patients. Occasionally, immunizations were
administered outside hospital grounds, which considerably complicated the procedure.
Consequently, it can be asserted with certainty that nursing managers and leaders conduct
crucial healthcare reengineering duties.
References
Bloom, D. E., Canning, D., & Weston, M. (2017). The value of vaccination. Fighting the
Diseases of Poverty, 214-238. https://doi.org/10.4324/9780203791950-8
Popejoy, L. L., Wakefield, B. J., Vogelsmeier, A. A., Galambos, C. M., Lewis, A. M.,
Huneke, D., Petroski, G., & Mehr, D. R. (2020). Reengineering skilled nursing facility
discharge. Journal of Nursing Care Quality, 35(2), 158164. https://doi.org/10.1097/ncq.0000000000000413
Thomas, T., Seifert, P., & Joyner, J. (2016). Registered nurses leading innovative
changes. OJIN: The Online Journal of Issues in
Nursing, 21(3). https://doi.org/10.3912/ojin.vol21no03man03
Post 2:
Nursing managers and leaders have a significant role to play in the reengineering of healthcare. It
is anchored in the 2010 healthcare reform act which offers nurses avenues for delivering
healthcare and playing a significant role in leading the reforms process in the health sector
(Crewe & Girardi, 2019). The first aspect is to comprehend these opportunities and advocate for
ways to reduce disease prevention, chronic patient care and costs. Some of the emerging reengineering process include adoption of nurse-led innovations, generation of evidence and
engagement in research, redesigning of nurse education and qualifications, expansion of the
scope of practice, diversification of workforce, embracing of technology, and fostering inter
professional connections. Additionally, nurses play important roles as innovators who help shape
quality and safety. It is the role of the nurse leaders and managers to track data which helps to
boost nursing practices as a part of the broader efforts to improve the health of the patients.
Besides, in re-engineering, it is crucial to redesign the nursing education and ensure that nursing
practitioners have the requisite requirements and training which helps to improve the quality and
safety, evidence-based practice, research, and leadership. The scope of nursing can also be
expanded in the reengineering process in healthcare. It can be adjusted to allow Advanced
practice nurses (APNs) to practice to the full extent of their education and licensure. It will allow
them to work in partnership with physicians as they provide cost-effective care and help address
the primary care shortage (Steaban, 2016). It is necessary to adopt these changes because,
currently, statutory, and regulatory barriers prevent them from practicing to the full extent of
their licensure. Again, the workforce can be diversified to be able to reduce the present health
disparities. To be able to achieve these, nurse leaders and managers have to put efforts to
ensure that the nursing workforce reflects patient’s diverse backgrounds and cultural values.
References
Crewe, S., & Girardi, A. (2019). Nurse managers: being deviant to make a difference. Journal of
Management & Organization, 1-16.
Steaban, R. L. (2016). Health care reform, care coordination, and transformational
Leadership Nursing administration quarterly,40(2), 153-163.
Post 3:
Healthcare reengineering involves devising methodologies that seek to improve the efficiency
of care delivery, reduce costs, and improve customer experience and satisfaction. The
healthcare system is ever-changing and hence requires close attention to address emerging
issues. Approaches or methodologies to be employed must adhere to market needs as well as
customers’ expectations. System reengineering entails methodologies that consolidate all
recurring functions or processes to avoid redundancy that compromises efficiency.
Concurrently, it enhances the management of all functional units and plans in healthcare, thus
fostering smooth operation and care delivery (Helbig, 2018).
Nurse managers and leaders are the major decision-makers in the healthcare system. They are
responsible for the smooth and efficient delivery of healthcare services. They ensure that
healthcare policies are adhered to and followed. Nurse leaders advocate for the affairs of both
healthcare staff and patients or customers. They ensure that customers’ rights are respected and
their needs are addressed, while at the same time addressing staff issues. They do this by
empowering them to speak and act independently. Similarly, they stand and fight for those
lacking the power of self-advocacy (Crewe & Girardi, 2019). For instance, during the outbreak
of COVID-19, nurse managers and leaders ensured that healthcare staff was well-protected
from infection when caring for infected patients.
Managers are responsible for managing daily activities and ensuring that every function is
executed as required. They give directions on what to do and ensure that nurses are competent
in providing care services at the expected levels. They also solve cases and conflicts that may
arise among staff members or between staff and clients. In this case, they ensure that harmony,
unity, and normalcy prevail at all times. On the other hand, leaders are more concerned with
spearheading functions in a specific direction. They ensure that no one strays and that everyone
is focused on a single goal. Leaders are dedicated to certain goals and ensure that they are
achieved. Managers and leaders play separate roles in healthcare delivery; however, there is a
need to integrate both aspects of nursing leadership for outstanding outcomes (Lai et al., 2019).
In conclusion, healthcare reengineering refers to the reinvention of methodologies intended to
improve care delivery and efficiency in the healthcare system. Nurse managers and leaders are
responsible for the daily activities of the healthcare setting, hence ensuring that all policies are
implemented to the fullest. They advocate for everyone’s right to act independently or feel free
to air their issues of concern. They do this by empowering them to stand tall in times of need.
Nurse managers ensure that normalcy and harmony are ever-present in the healthcare setting.
They solve conflicts involving various parties. Leaders, on the other hand, are more concerned
with staff unity and participation to achieve set goals. The two aspects can be integrated to
realize effective results.
References
Crewe, S., & Girardi, A. (2019). Nurse managers: being deviant to make a difference. Journal
of Management & Organization, 26(3), 1–16. https://doi.org/10.1017/jmo.2019.72
Helbig, J. (2018). Reengineering Health Care
Management. https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leadingand-serving/v2.1/#/chapter/5
Lai, M., Kuan, P., Lai, P., Mai, C., Sulaiman, H., Kim, P., & Lim, C. (2019). Healthcare Big
Data Analytics: Re-engineering Healthcare Delivery through Innovation.
https://iejsme.imu.edu.my/wp-content/uploads/2021/08/5.-IRDI-PH-Policy-Series-3.pdf
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