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Learning Goal: I’m working on a nursing writing question and need a sample publish to help me learn.How should the Chief Nursing Officer impact nurses in their everyday duties? Use the following excerpt from the IOM report, “The Future of Nursing,” to help you develop your discussion, and you can use your own experience as a healthcare professional to support your argument. Personal narrative is not appropriate for this assignment; rather, include your own critical and analytical ideas based on your experiences. Because this is a relatively short essay, do not attempt to address every aspect of the Chief Nursing Officer’s impact on nurses. Instead, focus on two or three areas you think are most important. Incorporate the research from your sources from Unit 3, as well as the IOM report. Below is a brief excerpt from the IOM report:Will Chief Nursing Officers Hear the Call?Although chief nursing officers (CNOs) typically are part of the hierarchical decision-making structure in that they have authority and responsibility for the nursing staff, they need to move up in the reporting structure of their organizations to increase their ability to contribute to key decisions. Not only is this not happening, however, but CNOs appear to be losing ground. A 2002 survey by the American Organization of Nurse Executives (AONE) showed that 55 percent of CNOs reported directly to their institution’s CEO, compared with 60 percent in 2000. More CNOs described a direct reporting relationship to the chief operating officer instead. Such changes in reporting structure can limit nurse leaders’ involvement in decision making about the most important product of hospitals—patient care. Additionally, the AONE survey showed that most CNOs (70 percent) have seen their responsibilities increase even as they have moved down in the reporting structure (Ballein Search Partners and AONE, 2003). CNOs face growing issues of contending not only with increased responsibilities, but also with budget pressures and difficulties with staffing, retention, and turnover levels during a nursing shortage (Jones et al., 2008).Nurses also are underrepresented on institution and hospital boards, either their own or others. A biennial survey of hospitals and health systems conducted in 2007 by the Governance Institute found that only 0.8 percent of voting board members were CNOs, compared with 5.1 percent who were vice presidents for medical affairs (Governance Institute, 2007). More recently, a 2009 survey of community health systems found that nurses made up only 2.3 percent of their boards, compared with 22.6 percent who were physicians (Prybil et al., 2009).3 While most boards focus mainly on finance and business, health care delivery, quality, and responsiveness to the public—areas in which the nature of their work gives nurses particular expertise—also are considered key (Center for Healthcare Governance, 2007). A 2007 survey found that 62 percent of boards included a quality committee (Governance Institute, 2007). A 2006 survey of hospital presidents and CEOs showed the impact of such committees. Those institutions with a quality committee were more likely to adopt various oversight practices; they also experienced lower mortality rates for six common medical conditions measured by the Agency for Healthcare Research and Quality’s (AHRQ) Inpatient Quality Indicators and the State Inpatient Databases (Jiang et al., 2008).The growing attention of hospital boards to quality and safety issues reflects the increased visibility of these issues in recent years. Several states and the Centers for Medicare and Medicaid Services, for example, are increasing their oversight of specific preventable errors (“never events”), and new payment structures in health care reform may be based on patient outcomes and satisfaction (Hassmiller, 2009; IOM, 2000; King, 2009; Wachter, 2009). Given their expertise in quality and safety improvement, nurses are more likely than many other board members to understand the issues involved and often can educate other members about these issues (Mastal et al., 2007). This is one area, then, in which nurse board members can have a significant impact. Recognizing this, the 2009 survey of community health systems mentioned above specifically recommended that community health system boards consider appointing expert nursing leaders as voting board members to strengthen clinical input in deliberations and decision-making processes (Prybil et al., 2009).More CNOs need to prepare themselves and seek out opportunities to serve on the boards of health-related institutions. If decisions are taking place about patient care and a nurse is not at the decision-making table, important perspectives will be missed. CNOs should also promote leadership activities among their staff, encouraging them to secure important decision-making positions on committees and boards, both internal and external to the organization.Institute of Medicine of the National Academies. (2010). The future of nursing: Leading change, advancing health. The National Academies Press. https://www.ncbi.nlm.nih.gov/books/NBK209867/ Your instructor will evaluate your revision according to the following criteria:The introduction clearly identifies the topic and establishes a specific argument
The paper includes a clear thesis statement that provides direction and focus for the essay
Each body paragraph develops the argument established in the introduction
Each body paragraph has a clear focus on one idea
Each body paragraph includes a precise topic sentence
Transitions establish logical connections between paragraphs
Within paragraphs, transitions create connections and relationships between sentences
The language used is appropriate to the academic community
The tone is objective in keeping with the scientific academic audience
The paper incorporates the source effectively, using it as part of a meaningful discussion of the topic
***Attached is what I wrote for Unit 3, & the articles used (no need to look for or use any other article), I will include my professors’ suggestions on the last bullet, all of the other feedback received from my professor I modified already & made the necessary changes***
The paper I am submitting which I wrote – the assignment was to write a paragraph of at least 100 words based on the two articles you found in Unit 3 from the databases listed on the Nursing and Health Studies Guide. (Attached!)
Professor Feedback: “Daisy, looking back at your thesis statement for this paragraph and rereading the paragraph I suggest that you change the thesis from focusing on work environment to focusing on leadership communication (DONE!) The work environment is relevant to this general discussion (i.e. use it as a topic for one of the paragraphs in your next unit**). One suggestion to improve on this is to make a rough outline of your paper with the overall thesis and then include the thesis sentences of each of the subsequent paragraphs. Doing this is an easy way to ensure that the topic of each of your paragraphs support the individual paragraph thesis as well as your paper thesis. You did a great job incorporating your sources and with APA formatting. Overall, this is a solid paragraph.
Requirements: Write a short essay (500-600 words) responding to the following prompt. You should submit your response as a Word document in APA format.