inactive such as basic exercise (County Health Rankings and Roadmaps, 2019). This can be a health risk to the patient population that TCH cares for because of the risk of obesity, nutrition risk, and decline in health status. These health risks affect the organization of TCH with high number of readmissions, not enough providers to care for the influx of patients, and not enough outreach services to provide assistance to the poor. In the year 2013, TCH recognized there were not enough hospital beds within the institution to care for the large patient population. This led to the organization renovating the original hospital building, constructing a clinical care center, and building a west tower to be designated to critical acute care (Texas Children’s Hospital, 2020). The organization has also increased the number of outpatient clinics and urgent cares, but there can be more developed due to the growth of the city of Houston. The community is affected by these health risks because the number of infections and sicknesses rise in schools and corporations. Also, the availability of clinics and pharmacies are low within the low-income parts of the city of Houston. The community needs a rise of awareness with healthcare prevention and that comes from medical staff, so if the community members are not able to obtain health care, that is a large delay in patient care. Nurse Leader Interview Summary A4 Role of the Nurse Leader An effective team has levels of expertise within the organization. Texas Children’s Hospital has the Nursing Professional Development Team (NPD) who serves as the system leadership by determining and monitoring the institution-wide nursing education and development. The NPD team is centralized and has decentralized educators that are unit-based and filter, develop, and implement specialized education that is unit-specific. The nurse leader’s
CONSULTATIVE CHANGE RECOMMENDATIONS 6 role is a decentralized educator coordinator in the Pediatric Intensive Care Unit who has a formal and informal influence within the organization. Informally, the nurse leader is in the role of encouraging the direct staff to continue education, attend classes and simulation opportunities, and there as a supportive leader when necessary. Formally, the nurse leader provides educational services and ongoing training that facilitate the development of clinical personnel and empower patient-care providers to improve. The role of the nurse educator stems from the standards of practice for Nursing Professional Development and conceptualized as a facilitator, change agent, researcher, consultant, and leader (American Nurses Association, n.d.). The nurse educator role is responsible for the educational processes of orientation, annual competence assessment, preceptor orientation and development, required training, ongoing development, and student affiliations.
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