locate a quality improvement & cost saving project implemented in a healthcare setting such as hospital, clinic, nursing home, assisting living, and homecare in the United States.

MHA601 week2 discussion 1(300 words)
MHA601 week 2 discussion 2(300 words)This week, Discussion 1:asks students to locate a quality improvement & cost saving project implemented in a healthcare setting such as hospital, clinic, nursing home, assisting living, and homecare in the United States. Take a moment to read Section 4.4 Stakeholder Dynamics in the required textbook. You may not be able to find all needed information, which is fine as long as you indicate “no available information found in the article” in your response. Please reach out to your instructor if you have difficulty finding a project that was carried out in the United States.The U.S. healthcare system has been recognized as a high-cost delivery system with relatively poor quality outcomes, and this situation has not been improved to some extents (Ewing, 2013). Royer asserted that:
Public and private payers have responded to these issues with: 1) financial incentives to improve care outcomes; and 2) more stringent regulations for collecting data on and reporting medical errors and indicators of poor care. Executives and managers in leading health care organizations have recognized poor care coordination as an underlying cause of poor care outcomes, and undertaken large scale organizational process change initiatives to improve quality as well as to reduce costs. (as cited in Frates, 2014, Section 3.2, para. 4)
In the required textbook, Table 3.1: Differentiating Factors for Organization Cost Reduction Efforts lists four differentiators, speed, accountability, scope of change, and LEAN perspective (Frates, 2014). Successful efforts lead to measurable improvements such as less harm due to preventable errors, better patient health outcome and satisfaction, shorter waiting times, etc. The healthcare organizations benefit in a long-run because of reduced capital investments and ongoing expenditures, and an improved reputation that results from better quality care and service. Discussion 2 covers teams Delivery healthcare heavily relies on teamwork. Effective teamwork can enhance patient safety, improve quality of patient care, and reduce workload and burnout issues among healthcare professionals. But simply installing a team structure does not guarantee the team will operative effectively (Ezziane et al., 2012). Frates (2014) highlighted four attributes for both functional and dysfunctional teams in Table 4.2. Working effectively in and as a team is an important skill that can be taught and bred. The best quality and cost-effective care and outcomes are attained only if diverse healthcare professionals work together, learn together, and engage in clinical audits of outcomes and innovations to ensure progress in practice and service (Reiss-Brennan, Briot, Savitz, Cannon, & Staheli, 2010). Ezziane and colleagues (2012) argued that effective communication, comprehensive decision making, safety awareness, the ability to resolve conflict, and strong leadership are key contributors to the development of successful healthcare teams.

How To Write Award Winning Nursing Research Papers

How To Write Award Winning Nursing Research Papers
we will look into the basics of what is contained in a standard research paper.

Steps followed when writing a research paper

· Choose the topic-The chosen may be too wide hence you need to narrow it down to specifics for example in nursing your topic is giving home nursing care to terminally ill patients. This has moved from a wide nursing subject to a specific one.

· Formulate your research question or your problem statement-From your chosen topic there is a specific problem or issues you need to research on hence you formulate this issue. In our case you could write a nursing research paper on the impact of subsidized home nursing care for terminally ill patients. This guides you in collection of material as well as collection of data in the field.

· Collect your nursing research papers material-This could be from books or collection data from the field.

· Drafting of the initial paper-This is a rough draft from the material you have collected you go ahead and refine this draft by filling in any gaps missing from your guidelines.

· Prepare your final copy edit ad proofread then submit it for grading or publishing depending on the purpose.

What should be included in nursing research papers?

· Narrow down to your area of interest since nursing is wide get the specific issue you would like to research on.

· Prepare your proposal many institutions require you to submit a proposal before you go out to the field. Hence present your proposal and once it goes through begin your research.

· Conduct your research- Unlike other research papers your books have to be tried and tested previously. The information should directly relate and be linked to nursing. You should not conduct general research but concentrate nursing information.

· The nursing field is dynamic hence do your best to use the latest information in the field. Do not use books written by Florence nightghale on nursing when your audience is reading the nursing research papers almost a century later. The principles may be the same but a lot will have changed.

· Ethical writing if you are conducting nursing research papers on your patients, be ethical. If they have not consented use of their data do not use it.

· Privacy of your data ensures if it is a college paper that your school has a privacy policy especially if you are going to use your patients. This is to prevent leakage of sensitive information.

The nursing career is a noble one and the graduates should be well equipped upon graduation. Take time to write the best nursing research papers you can by taking the guidelines above into consideration.

Barriers to participation in governance and professional advancement: A comparison of internationally educated nurses and registered nurses educated in the United States.


Scientific management theory is one of the oldest management theories that were developed in the 20th century. Scientific management theory attributed to Frederick W. Taylor (Marquis & Huston, 2009). The theory is anchored on understanding workflows and improving labor productivity. Its application is depending on a high level of managerial control over employee work practices. The theory advocates for division of labor and specialization (Tomey, 2009). This theory in health care would give autonomy to the manager to plan health care schedules and manage their execution. Under this theory, the manager decides the training and development plan for the health care professional as opposed to giving them the chance to choose programs they deem appropriate to their career development (Tomey, 2009). This theory fails to appreciate the fact that the management requirements and those of the health care professionals are rarely identical. This leads to a discouraged workforce hence poor service delivery (Huber, 2013).

The theory ensures that scientific procedures are developed for every treatment plan or process and therefore the health professionals have no say or opinion about the routines. The health care given in this theory has to follow the laid down procedure, the long-term effect is the creation of monotony that leads to poor service delivery. The inefficiencies showcased by this theory led to participative decision making in the workplace (Marquis & Huston, 2009). In the health care context, participative decision making include the involvement of all health care professionals and the management in the problem analysis, solution implementation, and the general decision making process.

Information sharing as argued by Marquis and Huston (2009) is one of the most important aspects in achieving participative decision making. The health care professionals feel valued if the management shared the performance, status, plans, and the general health of the company according to Marquis and Huston (2009). Training and development opportunities also help significantly in the motivation of the workforce. The knowledge gained from this pursuit is beneficial to the organization in the long term as observed by Huber (2013. Another example of participative decision making is allowing health care professionals to make decisions on work schedules, budgets, and reward systems.


Huber, D. (2013). Leadership and nursing care management. Elsevier Health Sciences.

Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursing: Theory and application. Lippincott Williams & Wilkins.

Tomey, A. M. (2009). Nursing management and leadership. Elsevier, Missouri.

Wheeler, R. M., & Foster, J. W. (2013). Barriers to participation in governance and professional advancement: A comparison of internationally educated nurses and registered nurses educated in the United States. Journal of Nursing Administration, 43(7/8), 409-414.