NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

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Assessment 1: Care Setting Environmental Analysis
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Student Name
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Capella University
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Course Name
Prof Name
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MAR 10, 2024
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Part 1 - Grateful Inquiry Revelation and Vision
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Harmony of Narratives and Evidence of Excellence in Quality and Wellbeing Objectives
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The Cleveland Facility in Ohio has demonstrated remarkable progress in enhancing patient care
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and overall health quality. The organization's commendable strides in combating sepsis,
reducing hospital-acquired infections, and effectively managing chronic diseases testify to its
commitment to excellence. Cleveland Clinic's success in reducing sepsis-related mortality
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underscores the effective fusion of technology and healthcare. Through real-time monitoring and
predictive modeling tools, the Clinic has achieved a significant 30% reduction in sepsis-related
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deaths over five years (Fan et al., 2023).

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Furthermore, the Facility's steadfast adherence to preventive measures, including hygiene

protocols and targeted staff education, is evident in its accomplishment of a 20% reduction in
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hospital-acquired infections over three years (Ojanperä et al., 2022). Another significant
achievement is the innovative management of chronic diseases, particularly heart failure. By
utilizing big data analysis, the organization identifies potential risks and devises personalized
care plans, resulting in a notable improvement in patient outcomes. The readmission rate for
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heart failure patients has decreased by 15% over two years (Averbuch et al., 2022).
These narratives highlight Cleveland Facility's dedication to patient safety and excellent care,
aligning with its quality and wellbeing objectives. The reduction in sepsis-related deaths,
hospital-acquired infections, and hospital readmissions illustrates the Facility's commitment to
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outstanding patient care. While these achievements are supported by data, there are data gaps
and uncertainties regarding specific methods used in sepsis care predictive modeling and the
explicit link between big data analysis and improved patient outcomes in chronic disease
management.
Proposal of Positive, Achievable Improvement Objectives for Quality and Security
Despite significant achievements, Cleveland Facility has identified areas for improvement. As a
dynamic healthcare institution, it continuously seeks ways to elevate service quality, health
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standards, and community impact. With its established infrastructure, skilled personnel, and
commitment to community service, Cleveland Clinic is strategically positioned to build on its
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achievements and address areas requiring improvement (Meehan and Sharp, 2023). The
proposed improvement objectives embrace the Center's commitment to continuous learning and
growth, and the potential to enhance nurses' training to better meet the diverse needs of the
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community, thereby improving patient outcomes and overall service quality.
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Objectives Prompting Ethical and Socially sensitive Improvement
To further enhance service quality and health, Cleveland Facility should prioritize expanding and
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promoting community-centered programs and strengthening nursing staff training. This dual
approach aims to catalyze improvements in service quality and safety while fostering ethical and
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socially sensitive enhancements. Investing in community-centered programs can broaden the
Facility's outreach, addressing health disparities and promoting health equity. Strengthening
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nurse training will facilitate the delivery of socially sensitive care, cater to diverse community
needs, and build a resilient healthcare workforce (Zhao et al., 2022).
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Alignment of Objectives with Cleveland Facility's Mission, Vision, and Values

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The proposed objectives align with Cleveland Facility's core mission of providing
comprehensive, high-quality, and patient-centered care. By intensifying community-centered
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programs, the Facility could extend its influence beyond hospital premises, fostering healthier
communities. Similarly, strengthening nurse training resonates with Cleveland Facility's vision of
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fostering a culture of continuous learning and excellence across all service aspects. These
endeavors align with the Facility's values of respect, integrity, and innovation, contributing to
positive changes in the broader community (Cleveland Clinic, n.d.).
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Part 2: SWOT Analysis
SWOT Analysis for Quality and Wellbeing Objectives
To evaluate Cleveland Facility's current status regarding quality and wellbeing objectives, a
SWOT analysis was conducted. The SWOT framework, a strategic planning tool, provides a
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comprehensive overview of an organization's resources, weaknesses, potential opportunities,
and threats (Sisto et al., 2022). This analysis involved internal assessment, external analysis,
and stakeholder interviews.
SWOT Analysis for Cleveland Facility
Strengths:
- Excellence in patient care
- Innovative approaches in healthcare delivery
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Weaknesses:
- Weakness in community programs
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- Lack of training in certain areas
Opportunities:
- Expansion of telehealth services
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- Collaboration with community organizations
Threats:
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- Regulatory changes
- Competition from other healthcare providers
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The SWOT analysis emphasizes Cleveland Facility's commitment to superior patient care and
innovative healthcare delivery as notable strengths. These strengths significantly contribute to
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its quality and wellbeing objectives. Identified weaknesses, such as underperforming community
initiatives and staff training deficiencies, could hinder goal attainment. Opportunities, such as
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telehealth expansion and collaborations with local organizations, represent avenues for growth.
External threats, like regulatory changes and competition, could impede progress toward goals.
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The SWOT analysis reveals a significant concern: the inadequacy of certain community
programs within Cleveland Facility's service area. Upgrading these initiatives is crucial to fulfill
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the Facility's mission of providing comprehensive care and enhancing healthcare equity.
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Part 3: Comparison of Approaches

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Perspective of Appreciative Inquiry vs. SWOT Approach
In utilizing the Appreciative Inquiry (AI) approach, the focus was on identifying instances of
excellence within Cleveland Clinic, highlighting best practices, and exploring successful
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innovative solutions (Garrett, 2022). The AI mindset emphasized uncovering the organization's
positive core and contemplating how this positive core could drive future growth. In contrast, the
SWOT approach adopted a comprehensive perspective, considering internal strengths and
weaknesses, along with external opportunities and threats (Nilashi et al., 2023). The SWOT
mindset was more analytical, objectively evaluating factors influencing the organization's
performance.
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While both AI and SWOT approaches aim to identify areas of excellence and improvement, they
differ in focus and communication emphasis. AI encourages an appreciative, positive dialogue,
emphasizing strengths and potential for growth. In contrast, the SWOT approach necessitates a
more balanced discussion, considering both positives and negatives, strengths and
weaknesses, and facilitating honest conversations about challenges, threats, strengths, and
potential opportunities.
Part 4: Examination of Relevant Leadership Characteristics and Skills
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Desired Leadership Characteristics and Abilities for AI and SWOT Approaches
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In performance improvement initiatives employing both AI and SWOT approaches, different yet
complementary leadership qualities and skills are desired. For AI-based initiatives, creativity,
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innovation, and data-driven independent guidance are essential. These skills drive the
identification of best practices and envisioning an ideal future state (Garrett, 2022). In
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SWOT-based initiatives, strategic thinking is crucial for navigating internal and external
complexities, and adaptability is essential for responding promptly to emerging challenges and
beneficial opportunities (Nilashi et al., 2023).
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Certain leadership traits and skills are beneficial regardless of the analytical approach. Both AI
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and SWOT demand collaboration, critical thinking, resilience, and a commitment to excellence.
These characteristics ensure a holistic and comprehensive approach towards improving quality
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and wellbeing, fostering a culture that values and pursues high-quality, safe, patient-centered
care.
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References
Averbuch, T., Sullivan, K., Sauer, A., Mamas, M. A., Voors, A. A., Gale, C. P., Metra, M.,
Ravindra, N., & Van Spall, H. G. C. (2022). Applications of artificial intelligence and machine
learning in heart failure. European Heart Journal – Digital Health, 3(2), 311–322.
https://doi.org/10.1093/ehjdh/ztac025
Bartunek, J. M., & Balogun, J. (2022). Context and how it matters: Mobilizing spaces for
organization-community sustainable change. Strategic Organization, 147612702211258.
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https://doi.org/10.1177/14761270221125819
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Cleveland Clinic. (n.d.). Mission, vision & values.
https://my.clevelandclinic.org/about/overview/who-we-are/mission-vision-values
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Fan, G., Zhou, Y., Zhou, F., Yu, Z., Gu, X., Zhang, X., Liu, Z., Zhou, M., & Cao, B. (2023). The
Mortality and Years of Life Lost for Community-Acquired Pneumonia Before and During
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COVID-19 Pandemic in China. Social Science Research Network.
https://doi.org/10.2139/ssrn.4509972
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Garrett, M. D. (2022). Applying appreciative inquiry to research in the field of inclusive
education. Canadian Journal for New Scholars in Education/ Revue Canadienne Des Jeunes
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Chercheures et Chercheurs En Éducation, 13(1).
https://journalhosting.ucalgary.ca/index.php/cjnse/article/view/74418
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Meehan, R., & Sharp, J. (2023). Making a difference: Careers in health informatics. In Google
Books. CRC Press.
https://books.google.com/books?hl=en&lr=&id=fzzLEAAAQBAJ&oi=fnd&pg=PT11&dq=With+its
in
+well-established+infrastructure
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Nilashi, M., Keng Boon, O., Tan, G., Lin, B., & Abumalloh, R. (2023). Critical data challenges in
measuring the performance of sustainable development goals: Solutions and the role of big data
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analytics. Harvard Data Science Review, 5(3). https://doi.org/10.1162/99608f92.545db2cf

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Ojanperä, H., Ohtonen, P., Kanste, O., & Syrjälä, H. (2022). Direct hand hygiene observations
and feedback increased hand hygiene compliance among nurses and doctors in medical and
surgical wards – an eight-year observational study. Journal of Hospital Infection, 127.
https://doi.org/10.1016/j.jhin.2022.06.007
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Sisto, R., Fernández-Portillo, L. A., Yazdani, M., Estepa-Mohedano, L., & Torkayesh, A. E.
(2022). Strategic planning of rural areas: Integrating participatory backcasting and multiple
criteria decision analysis tools. Socio-Economic Planning Sciences, 101248.
https://doi.org/10.1016/j.seps.2022.101248
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Zhao, Y., Liu, L., Ding, Y., & Chan, H. Y. L. (2022). Effect of a culturally sensitive DEmentia
Competence Education for Nursing home Taskforce (DECENT) program in China: A
quasi-experimental study. Nurse Education Today, 116, 105434.
https://doi.org/10.1016/j.nedt.2022.105434
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Assessment 1: Care Setting Environmental Analysis

deaths over five years (Fan et al., 2023).

Furthermore, the Facility's steadfast adherence to preventive measures, including hygiene

Proposal of Positive, Achievable Improvement Objectives for Quality and Security

Alignment of Objectives with Cleveland Facility's Mission, Vision, and Values

Part 2: SWOT Analysis

SWOT Analysis for Quality and Wellbeing Objectives

SWOT Analysis for Cleveland Facility

Part 3: Comparison of Approaches

Perspective of Appreciative Inquiry vs. SWOT Approach

Part 4: Examination of Relevant Leadership Characteristics and Skills

analytics. Harvard Data Science Review, 5(3). https://doi.org/10.1162/99608f92.545db2cf

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