Here are some directions to help and an example paper to provide clear direction on the expectation. Each student is required to write ONE paper and submit ONE paper for grading. This paper will have TWO sections. It appears that the assignment to be submitted is the #3 portion of the assignment however; the grading rubric speaks to the #1 portion of the assignment. Do not create a power point presentation. This assignment is one paper and the first section of the paper will be the “presentation”.
Below is the assignment: As the country focuses on the restructure of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and less will be available in acute care hospitals. 1. Write an academic paper of (500-700 words) to educate nurses about how the practice of nursing is expected to grow and changes. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. 2. Share your thoughts and ideas on this research with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics and medical homes. This is the “presentation”. 3. Include nurse colleague responses (You can use an APA formatted heading to identify “Colleague Feedback”) and discuss whether their impressions are consistent with what you have researched about health reform (800-1000 words) 4. A minimum of three scholarly references are required for this assignment. 5. Combine the 500-700 words (Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.)+ the 800-1000 words (Colleague Feedback) = One paper with 1300-1700 words This assignment uses a grading rubric that can be viewed at the assignment’s drop box. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
The Grading rubric includes the below required elements: • Clearly states how the practice of nursing and patient delivery will evolve, while addressing relevant concepts that include continuity or continuum of care, accountable care organizations, medical homes and nurse managed health clinics. • Evidence of Feedback and Forecasting of Nursing Role From Colleagues • Use of vocabulary regarding Evolving Practice of Nursing and Patient Care Delivery • Originality • Mechanics of Writing (includes spelling, punctuation, grammar, and language use) • Research Citations (in-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
Teacher’s comment
This paper will have TWO sections. It appears that the assignment to be submitted is the #3 portion of the assignment however; the grading rubric speaks to the #1 portion of the assignment. Do not create a power point presentation. This assignment is one paper and the first section of the paper will be the “presentation” I do not mean to sound harsh… please do not take my message as being harsh  Several of the students had questions and we have been having a discussion within the Questions for the Instructor Forum. I posted this announcement with an example paper to ensure that everyone understood. 1. Do you want me to grade the assignment and give you 1/2 the points? 2. Would you rather that I reassign the submissions to you and you can re-work and submit a paper, with both sections as required for grading? Hi Wilene, I looked at your document titled, “Nurses impressions on the projected changes and growth in health care provisions” and do not see the individual feedback from three (3) nurses as the assignment required. The assignment requires that you speak to three (3) separate colleagues (nurses) and discuss the data that you collected and obtain their specific feedback about continuity of care, accountable care organizations, medical homes and nurse-managed health clinics. This document that you submitted is a general discussion but I do not see that you actually spoke to specific nurses? I am reassigning both documents back to you. Please read the announcements, review the example paper and re-do this assignment.
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The three most important power sources for a nurse leader, in my opinion, are referent power, expert and reward power. Referent power is important for a nurse leader because if a nurse leader is hardworking, responsible and sets an example for the team, the team will follow their example which will benefit the organization. Expert power can be a needed benefit in leadership role, this gives employee’s and team members confidence in their leader and they will feel as the leader can mentor them as the leader has a high level of knowledge and skills. Expert power and leadership can be a great asset to an organization with new employees and new nurses. Finally reward power can be used as a tool to motivate staff to reach their full potential by using rewards as an incentive.

Leaders create a culture of ownership and investment in the collective action of work, helping to build a community around the purposes of work and deepening the understanding of the relationship among individual work activities, the collective convergence of that effort, and its power to make a difference (Porter-O’Grady, 2016). Using referent power leaders must first gain the trust of the followers or team members by leading by example. After the leader’s trust, honesty and respect are gained by the team members, they will model the leader’s behavior. Expert power is best used by teaching staff new techniques new evidence-based practice, and new policies and procedures. If staff know their leader as an expert, they will be more likely to absorb the new information. Reward power can be used to increase performance, and rewards can incentivize the benefits of doing a good job.

Expert power is a frequently used source of power in my work. On our unit we have a manager, assistant manager and a clinical nurse leader. With these three leaders available it allows the nurse of the floor to feel confident that they can go to one of the three managers/ leaders to obtain information if they are unsure of a policy, procedure and or if they just need some advice. I know personally having this type of support empowers me to be a better nurse because I know we have a support system to back us up.

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