Please create a response to this :
“Scenario two discusses frequent readmission rates by about 25 patients suffering from CHF. These patients are unable to manage their own care because they are unfamiliar with their medications, have minimum support, and lack the resources necessary for care coordination. These patients are without a primary care provider, so they use the clinic and ED regularly instead of scheduled doctor appointments for routine care and monitoring.
The leadership style that I think will work best in this scenario is the relationally focused style. This style of leadership encourages employees to participate in decision-making. It uses open and clear communication, clear expectations, and encourages staff to learn from mistakes (Niinihuhta, 2022).
Using this leadership style, I would ask staff about their own experiences with the issue of frequent readmissions, and if they have any ideas how to decrease the readmission rates. I would also talk with case management nurses, and social workers on staff to determine what community resources are available for these CHF patients, and what kind of education can be provided while at the hospital to help them have a better understanding of their health problem and how to manage it home. I would brainstorm with staff and then inform them prior to implementing any new policy/procedures to help them prepare for any change that is coming.
Readmissions are more likely to occur for people in low socioeconomic positions (SEP) (Hospital Case Management, 2024). We can figure out which patients have a low SEP by completing the Social Determinants of Health on admission and then prioritizing these patients with case management efforts. Attending doctors’ appointments and properly taking medications are the two best ways to prevent rehospitalization. We can focus our efforts on providing resources for patients to be able to make it to their appointments and to maybe find home healthcare to help with medication administration. Social workers can be included to assist patients with resources in their area like meals on wheels to deliver low sodium meals that are appropriate for CHF. Creating a questionnaire asking things like: can the patient do all tasks necessary for self-care, can they afford their medications, do they have equipment needed to help monitor their health, do they have reliable transportation (Weeks, 2020). Knowing the answer to these questions and more will help us to understand what needs the patient has while at home and how we can help them manage the disease at home to prevent unnecessary readmissions.
Niinihuhta, M., & Häggman, L. A. (2022). A systematic review of the relationships between nurse leaders’ leadership styles and nurses’ work‐related well‐being. International Journal of Nursing Practice, 28(5), 1–22. https://doi.org/10.1111/ijn.13040Links to an external site.
Program to Improve Management of Heart Failure Shows Positive Results. (2024). Hospital Case Management, 32(1), 1–16.
Weeks, K., Kile, D., & Garber, J. (2020). Implementing a Nurse Discharge Navigator: Reducing 30-Day Readmissions for Heart Failure and Sepsis Populations. Professional Case Management, 25(6), 343–349. https://doi.org/10.1097/NCM.0000000000000437Links to an external site.”
Thank you
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