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QUESTION # 1: Review the phases of strategic planning in Chapter 16. Also review Table 16-1, the strategic plan of action for the Orthopedic Center of Excellence.
Figure 16-2 illustrates how strategic planning is similar to the nursing process. In what ways are they different?
In what ways can nurses be involved in strategic planning, based on the details of the process that is presented in Chapter 16? Are there management opportunities for involvement in strategic planning, implementation, or evaluation at your workplace? If so, what might those opportunities be?
QUESTION # 2. Review the steps in the quality process shown in Box 20-2. Describe a process at your workplace (or a workplace you have known in the past) where things do not go smoothly or there are repeated errors because a quality improvement process has not yet been applied.
Describe the problem, then describe what kinds of data should be collected to provide more information about what is “broken” and deserving of attention to be fixed.
Suggest an implementation that would resolve the problem to achieve a desired outcome.
Comment on the problems and QI investigations suggested by your classmates.
QUESTION # 3. Review the information about ethical principles (page 89). Of the eight principles listed in chapter 5 in box 5-4, share with the group for discussion examples of how at least two of those principles were used in leadership or management decisions or actions in your experience.
You may use situations where you were the decision-maker, or situations where you were an observer or recipient. Discuss the examples that are offered and comment on whether there might have been alternatives to the decision that was made – comment on the ethical implications of alternatives that were not taken.
QUESTION # 4. Among the many topics in Chapter 11 regarding communication, privacy, informatics, nursing data sets and languages, and emerging technologies, select one topic that you would like to know more about.
Locate a recent article from a nursing journal on your selected topic, and prepare a summary of the article along with your comments about the implications for nursing practice. Provide a full APA-style reference for the article.
Comment on the topics shared by your classmates and the ideas about implications for practice.
QUESTION # 5. Review the topics in Chapter 12.
Identify three topics discussed in Chapter 12 that are new and unfamiliar to you in your career so far as a nurse. Formulate some questions about those topics that you would like to have answered, so that you may understand the topics more thoroughly.
Review the questions posed by your classmates. Are you able to answer any of the questions that they have raised on topics they have identified? Provide some insight or more information for your classmates in areas where you are able to do so.
If there are additional resources that you can share to address any questions raised, please feel free to do so.
At the conclusion of the discussion, the group should suggest ways to get remaining questions answered. Keep in mind, too, that the clinical experience in BSN451L might offer an opportunity to have questions on financial matters answered by your preceptor or other management personnel at the clinical site.
QUESTION # 6. Staffing and related functions such as forecasting, evaluating unit productivity, and use of various classification systems vary from organization to organization, and often even from unit to unit.
Share what you know about how these functions are carried out within your organization. If you are not aware of how staffing functions are carried out, try to find out.
Comment on how forecasting is done, who has a say-so in the actual scheduling for work or temporary furloughs, when to use agency or pool nurses, and how productivity is evaluated.
If there is a staffing system that you prefer, describe which elements are reasonable and user-friendly, in your view. Compare and contrast your own views and observations with those of your group-mates. Draw on information from Chapter 14 to strengthen your discussions.

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