It can be a centralized system where top leaders make decisions at the top and implementation flows downwards or a decentralized structure that accommodates decision making at various stages. No matter the structure, decision making will always require leadership to decide or oversee implementation.

Nursing leadership is for nurses who are in senior positions that other RNs. They have decision making roles such as planning work schedules, delegating responsibilities and overseeing training. Nursing care has undergone many transformations as nurses are now working in many other non-hospital facilities thus expanding nursing leadership to include contract negotiation.

Importance of Organizational Systems in Nursing

A regulatory system helps to create harmony in nursing by outlining the delegation, control, and coordination of responsibilities and roles. It supports a health care organization with the following:

Supervision: In work place setting, organization system defines a clear hierarchy defining who supervises which nurse. Nurses know who to report to and the coordinator of their schedules or hiring.

Governance: Organizational systems are essential in management especially for hospitals with a large nursing workforce. It creates a chance for participation by nurses in decision making. Nurse leaders share advice and give guidelines on the roles that nurses should pay to enable them in providing adequate care to patients. It also determines how nurses should participate in decision making about the delivery of bedside care to patients. Governance groups in nursing include professional practice, shared leadership, informatics and quality teams.

Are you a nursing student looking for the best nursing coursework writing services? Look no further! Our expert writers can help you with your coursework assignment today.

Coordination with other health care providers

Nurses work together with physicians and other professionals such as psychiatrists, therapists or physiotherapists with their performance rules. It requires an n organizational structure to engage with other professionals smoothly without compromising of patient care and conflicts in roles.

Role of Quality leadership in nursing

Nursing leadership should work towards improving and maintaining the quality of healthcare. A nurse leader has the responsibility to provide quality leadership by doing the following:

Encourage and mentor nurses: A good leader inspires the junior staff to understand patients and nursing values for them to offer competent care. Quality leadership also involves frequent mentoring to provide new skills and nurture the existing proficiency. Senior nurses should create some minutes within each shift for mentorship on specific work activities using documented evidence. Regular mentoring helps to alleviate weaknesses.

Delegate duties: Staff members dislike micromanaging as they feel that the nurse leader does not trust their training, skills, and ability to make decisions. A good nursing manager should know the team members well enough to understand their weaknesses, strengths, specialties, and preferences. Delegating duties according to their expertise helps in increasing efficiency and makes them glad because they feel you trust them. When nurse leaders make wise choices when delegating tasks, it helps to improve the overall quality of care for the patients and keep the entire team happy as everyone gives the best performance.

Communicate clearly and more efficiently: Communication is crucial for nursing leadership roles as nurses at various ranks of the nursing ladder rely on your instructions to perform their tasks. When your instructions are ambiguous, it is likely that someone will misinterpret them and it does not augur well in the sensitive part of caring for patients. Nurse leaders also deal with doctors, and other healthcare staff hence must be communicators to inform them about their needs, strategies, and instructions in an easy to understand manner.

The existence of organizational systems and quality leadership in nursing is essential in elimination conflicts as everyone knows what to do.It also helps in resolving disputes and creating schedules that enable nurses to prove optimal care without burning out.



Quality improvement (QI) consists of continuous and systematic actions leading to measurable upgrading in health care service and health status of the patients in the target group. Quality of care and outcome is essential due to a direct link to systems of care in an organization and overall service delivery. The ever changing healthcare systems requires medical facilities and staff to keep improving and changing the type of care they provide to patients to keep up with new demands.

Ways of improving Patient Quality of Care in the Ever Changing Healthcare System.

Using trained personnel- A well-trained team of nurses is critical for providing high-quality care with the desired outcomes. The lack of well-trained personnel or training facilities means that quality of care will be below par and without improvement. It is essential to hire experts and increase training to maintain a high standard of patient care.

Clear Communication -Excellent communication by health care providers and patients or their families helps to avoid anxiety and frustration. It is essential to create a contact desk with a skilled administrator to enhance interaction between the patients, care facility, and medical teams. Information and instruction on medical and administrative procedures should be clear without minimal jargon for faster understanding. It helps to use patient counselors as a link between the patients and hospital staff. It improves patient experience, reduces and simplifies the work of medical staff.

Are you a nursing student looking for the best nursing coursework writing services? Look no further! Our expert writers can help you with your coursework assignment today.

Increase access to service- Quick access and availability of physicians, nurses, and a hospital should be a guarantee to all. To improve patient experience, it is also necessary to minimize waiting time. High demand for health services in some states and countries increases waiting time. The solution is to embrace continual review of responses and other data from patients and use the feedback to make the essential changes for improving systems.

Using new technology and appropriate medication- It is necessary to keep upgrading to newer technology that helps to improve patient care at cost efficient rates. Access to quality low-cost medicine also contributes to the provision of the right care.

Improving patient Outcomes in ever changing health care system

Use of evidence based best practices- Evidence based practice is an essential pillar for quality improvement initiatives. EBP at the point care enables a nurse to make well- informed decisions and reduce chances of costly mistakes. Evidence based drug information patient handout, disease and condition summaries are some of the essential points of care resources. Automated measurements for consistency of best practice and the impact of outcomes contribute to better care and outcome.

Use of Electronic Health Records EHRs- EHRs help care providers to access complete health information on a patient to reduce diagnosis period. It also helps in supporting better patient outcomes by reducing errors and improving safety. In addition to recording or transmitting information EHRs compute and maximize its use to make a difference in the outcome. For example and EHR maintains a record of patients allergies thus checks and alerts clinicians about possible conflict with new medication.

Use of proper equipment-A health care facility that intends to achieve better patient outcome should invest in essential equipment and instruments. They are vital for the performance of medical systems and contribute to better standards. An appropriate maintenance system is critical to maintaining optimal performance.

Medical facilities will make faster progress in improving Patient quality of care and outcomes in the ever changing Healthcare System frequent training sessions to nurses and providing them with access to resources on the latest developments in practice.

Healthcare systems should begin by understanding the existing weaknesses or problems to prioritize the areas that deserve quick attention.



The U.S health care system is the largest in the world. The total cost of running the system in more $2.5 annually and over $20,000 annually for a four member family. Running of the U.S health care system relies on these factors:

The U.S. Health Care System Health insurance

Americans access health insurance by buying their policies or through the contribution by employers. Insurance coverage pays for some of the medical expenses by policy holders, but there are always complaining about the high cost. Some Americans did not have an instance at all. It is the issues that the former administration was addressing by introducing Affordable Care Act fondly called Obamacare, legislation that allowed everyone to have insurance. President Donald Trump has since scrapped it.

Americans have a choice of these different managed care plan insurance plan that coordinates financing /delivery oh health care services for enrolled members so as to provide care of highest possible quality at most affordable cost possible.

Managed care plans are of these three types:

Health maintenance organizations HMOs: Prepaid health insurance plans paying for health care within a particular network except for emergencies. A primary care physicians coordinate most of the care and choose a specialist if necessary.

Preferred provider organizations PPOs: Prepaid insurance that allows patients to visit any health provider they prefer but pay a higher amount for getting service from a provider who is not on their network. PPOs are expensive than HMOs but provide more flexibility to members.

Point of service plan: covers treatment by an HMO physician but still allows members to get treatment from other practitioners and receive partial coverage. It is a mixture of HMO and PPO whereby members can get most of the care from the limited HMO network.

Health Saving Account: A medical savings account for enrolled members of high-deductible health plans HDHPs. It allows people to set pre-tax income aside and deposit it in HSA to pay for expenses relating to health care. It is like a personal saving account that lets you own and control money buy for medical purpose.

The U.S. Health Care System medical cost

Cost of healthcare is an emotive issue in America as the cost of doctor consultations hospital admissions and surgeries is expensive than in many countries. Many people feel that cost is an s result of overpaying doctors, hospitals and gross overcharging for prescription drugs. No law places a maximum amount on the cost of medical service.

Another school of thought is that these factors contribute to high cost of medical expenses.

Training for healthcare professionals: Doctors and other medical practitioners go through extensive education and training to be the best. The cost of tuition and training activities is high.

Cost of drug manufacturing: Medicine in the market take millions of dollars to fund research, development, approval and market a single pill. Medicine for treating chronic conditions has the highest cost.

Equipment and technology: The cost of developing or nuking medical equipment and training doctors to use them is as high as manufacturing drugs. An ever aging population needs access to best equipment that promotes their well being hence stretching the cost of reduction and purchases.

The U.S. Health Care System Legislation

Acts governing the way healthcare systems run, and other matters that affect cost are dependent on legislation to a large extent. Market forces may have a role, but some legislation has a major effect. For example, there was a high number of Americans without any health insurance plan, but ACA sought to address the issue by increasing affordability for low-income earners and the age of members’ dependents. Repealing if the act means there will be a need for other legislations to cater for population targeted by Obamacare.

Healthcare providers lament that cost of lobbying healthcare laws is over $500 million compared to $317 million for oil/gas, defense and aerospace combined. Any interested party that funds the lobbying will recoup the money by increasing the cost of drugs, equipment or service to the consumers.

The quality of health The U.S. Health Care System is good, but Americans still want a way of lowering cost of medical service and transparency on the billing of services and insurance plans.



Importance of environmental health

Maintaining a healthy environment is essential to increasing life expectancy and quality. Preventable environmental factors are the cause of 26% of all deaths among children of under 5 years and 23% of all deaths in the globe. It also helps in eliminating these environmental factors that are known to cause diverse and far reaching effects.

  • Exposure to hazardous substances in food, water, air and soil
  • Climate change
  • Natural and technology disasters
  • Occupational hazards

If the environment is poor, it will have a significant impact on the people whose health is already at risk. Environmental health should address the ecological and societal factors that increase the likelihood of exposure and infection.

Role of Nursing in Environmental Health

Boards of health in various areas may or may not have nurses in their term, but these health care professionals are a significant part of this field when they serve at any level of public health or other institutions. Nursing training is a vital foundation for preparing someone to become a nurse researcher, educator or communicator in environmental health.

In environmental health, the nursing role is essential in these ways:

Detection of unusual disease

Patients who visit a primary care office or an emergency department in a hospital will first encounter a nurse. The nurses are the medical personnel who directly speak with patients to get vital and accurate health information about the existing symptoms. In this sense, a nurse is a prime position to identify that there is an unusual disease pattern.

If the disease is as a result of exposure to environmental hazards, nurses will be valuable in redesigning the examination process and accompanying questions to increase chances of detecting if toxic exposure is the cause.Nurses also help to improve the quality of surveillance systems by providing uniform and comprehensive reports on the symptoms they discover on their patients at the local and state health departments.

Creating awareness and providing environmental health education

Nurses encounter many people that doctors at work, school, and homes. All these areas are potential sites for an environmental hazard exposure. Nurses will achieve more success in educating the people about outbreaks of diseases caused by environmental exposure as their connection with the community is personal than that by other medical professionals.

Community nurses have a better perception of the community needs about environmental health education and implementation of programs. They can participate in the development of regulations and policies to govern this branch of health.

Additionally, nurses are usually good communicators who can translate and communicate medical and technical jargon to a language of the layman. It is a critical strategy to educate the public about existing environmental health issues when working to implement procedures for improving conditions that affect their health.

Caring and managing outbreaks

Nurses have much responsibility in cleaning health care facilities and ensuring that they are safe for patients, visitors and other workers. They also manage the care of patients with infections from exposure to hazardous materials in the environment including caring for those who are in isolation wards.They determine the way to dispose of dirty linens, cleaning fluids, biological materials and disinfect the surrounding surfaces to ensure that there is no further spread of the infection.

Due to their role in providing primary health care, nurses are at the center of environmental health education and managing any diseases causes by exposure to toxins.



Nursing competencies are the outcome of combining skills, knowledge, abilities, values, and attitudes that support effective performance in the nursing profession.

Benefits of Nursing Excellence and competencies to patients

Nursing excellence is an essential quality in providing quality care till the patient heals. Without excellence, in nursing, the illness will not get better. For example, a nursing attendant to a patient with a venomous ulcer should provide the necessary compression bandaging, or it will not heal. In the absence of excellence, the ulcer will not heal fast. There cannot be fast discharge with support stockings and follow up appointments and the patient it is likely to spend the next six months attending follow up appointments twice or thrice a week.So excellent care often translates to cost effectiveness.

Nursing might have trying moments, but nursing excellence requires a practitioner to consider it as his or her responsibility to gather strength and embrace the positive qualities that a care giver should be having.Nurses who care about excellence will genuinely listen to their patients without making judgments.They should be open sharing to new ideas, work restructuring, and innovation.

When providing care in any situation, it is necessary to ensure that these basic and essential nursing qualities are shining.

  • Compassion
  • Tolerance
  • Empathy
  • Authentic, honest relationship

Professionals who subscribe to these qualities are the ones who shine a light on the values of this noble profession. These factor contribute to nursing excellence.

Factors contributing to Nursing excellence and competencies

Nursing competency relies on the ability of an individual to collaborate with other health care team members, patients, and their families.

Nursing is a profession that requires empathizing and doing everything that contributes to the health of a person. These components contribute to nursing competency:


A competent nurse must have the care aspect. It requires an understanding of the patient needs at the level that allows the determination of the right personalized nursing therapies necessary for healing the patient.


Curing for nurse takes more than treatment. It also involves assisting patients to understand the state of their health including the existing problems and helping them to get ways of coping. After helping patients to understand their condition, the next step for nurses is to administer treatments. Nursing competency is exhibited in the way a nurse uses the clinical nursing judgments to determine whether a nursing plan is valid by looking at the patient outcome.


Coordination of patient care requires organizing and timing of medical and other relevant professional services to meet holistic needs by patients. Often, a patient needs other simultaneous services to make up a proper care. Nursing competencies lie in the way can determine the other type of care that a patient requires for holistic care. A professional nurse also has an outstanding ability to supervise, teach, and direct all the people they work with when providing nursing care.

Autonomy for Nursing Excellence and Competencies

In recent years, nursing has profession has become more independent and nurses are no longer mere helpers to physicians. They are becoming more noticeable as they spend much time with patients providing the necessary care and watching them on behalf of doctors and other medical professionals. Nurses are now even using evidence based practice and setting its standards thus making it more independent.

Standards of nursing care scribe the competencies necessary for someone to practice in a professional role. The standards describe the quality of care, education, ethics and performance appraisal. It assures the client of high-quality care and outlines nursing excellence and competencies for the professional care givers.