Nursing Leadership Report: Implementing a Healthcare Framework

This report examines a framework for safe, reliable, and effective healthcare, developed through a collaboration of experts. It outlines the framework's two main domains: cultural and learning systems, each encompassing several components. The cultural component emphasizes psychological safety, negotiation, accountability, teamwork, and communication, while the learning system focuses on improvement, measurement, transparency, reliability, and continuous learning. Leadership is highlighted as a crucial element that integrates both domains. The report emphasizes the practical application of these concepts in the workplace, including the importance of effective leadership, clear communication, transparency, and reliability to improve patient outcomes and workplace satisfaction. The conclusion stresses the significance of adopting and implementing the framework's nine components to ensure high-quality patient care within healthcare organizations. References include works by Frankel et al. (2017), Marturano (2017), Mundt et al. (2016), and Borden (2018).

Running head:NURSING LEADERSHIP
Nursing Leadership
Name of the Student
Name of the University
Author Note

1NURSING LEADERSHIP
Introduction
The administration of safe, reliable, and efficient healthcare in various organizations
has been the aim for years. This paper describes a collaboration of a group of experts over
fifteen years to develop this ideal framework of healthcare (Frankel et al., 2017). This
framework consists of cultural and learning domains along with nine interrelated components
to ensure the welfare of patients and families.
Summary
The framework of safe, reliable, and effective care has been introduced with the help
of a group of subject-matter experts from the Institute of Healthcare Improvement (IHI) and
Safe and Reliable Healthcare (SRH). It consists of two main domains –cultural and learning
systems, which overall consists of nine main components among them. The cultural
component overarches the concepts of psychological safety, negotiation, accountability, and
finally, teamwork and communication. The learning system oversees the concepts of
improvement and measurement, transparency, reliability, as well as continuous learning. The
final component is leadership, which can be included under both domains. The learning
system aims to target the improvement in healthcare by targeting the strengths and defects of
the system by the process of reflection and improvement. This ensures good and consistent
performance, data sharing among the healthcare workers, finally learning about the defects in
the system and correcting them. The components of culture ensure healthy and efficient work
ethics among the healthcare workers in a more holistic manner, like in terms of psychological
welfare and responsibility. Leadership, being a part of both concepts, involves the leader
influencing their team to learn, trust, and provide good healthcare while being mentally
healthy and upholding their values.

2NURSING LEADERSHIP
Application in the Workplace
From this paper, many concepts can be identified and put into practice for the
betterment of the organization. The learning points include –
 Leadership: This is an extremely important factor to take care of in any healthcare
organization. It has been seen that an efficient clinical leadership can significantly
increase workplace satisfaction of the workers, thus influencing the better quality of
care (Marturano, 2017). So, the leadership status in the organization should be
evaluated, and the framework should be applied.
 Teamwork and Communication: Clear communication and understanding between the
team members are indispensable in the case of administering the best quality
healthcare (Mundt et al., 2016). Mutual cooperation is the key to better job
satisfaction, reliability, and improved patient outcomes.
 Transparency: Healthcare is a very important field of work, and the workers must
remain completely transparent to each other as well as the patients seeking healthcare.
This important among the workers so that anyone can give suggestions freely about
the issue in hand. It is essential for the patients so that they can make an informed
decision about their treatment plan (Borden, 2018).
 Reliability: This will ensure consistent results in terms of healthcare and continuous
patient safety. For this, the practices in the organization should be standardized and
simplified so that they are easy to understand and repeat.
Conclusion
This paper concludes that both cultural and learning systems are of extreme
importance when trying to implement a framework of reliable, safe, and effective healthcare.

3NURSING LEADERSHIP
All healthcare organizations must adopt the nine components of the framework and
implement them per their own need. This will ensure the quality of patient care.

4NURSING LEADERSHIP
Reference
Borden, W. B. (2018). Optimizing Transparency to Empower Patients. JAMA
cardiology, 3(7), 640-641.
Frankel, A., Haraden, C., Federico, F., & Lenoci-Edwards, J. (2017). A framework for safe,
reliable, and effective care. White paper. Cambridge, MA: Institute for Healthcare
Improvement and Safe & Reliable Healthcare.
Marturano, A. (2017). Leadership in medicine: linking soft skills to moral values. Medicina e
Morale, 5, 633-642.
Mundt, M. P., Agneessens, F., Tuan, W. J., Zakletskaia, L. I., Kamnetz, S. A., & Gilchrist, V.
J. (2016). Primary care team communication networks, team climate, quality of care,
and medical costs for patients with diabetes: A cross-sectional study. International
journal of nursing studies, 58, 1-11.