Based on the specialty area and role that you selected in , in a 3- to 5-page paper (excluding the title page, references, and appendices) create a scenario or case study to illustrate the type of organization you would expect to work in as this type of nursing professional. Include in the scenario or case study: The work for W1A4 is attached, The professor took off several points because I used 1st person. Paraphrase it if you need to use it.

Title: Examining the Organizational Structure for a Nursing Professional in an Acute Care Setting

Introduction:
In the field of nursing, professionals work in diverse settings, each having its own unique organizational structure and dynamics. This paper presents a scenario that explores the type of organization an acute care nurse practitioner (ACNP) might work in. The scenario demonstrates the crucial role an ACNP plays in delivering quality patient care within a complex healthcare system. The focus of the scenario is on the organizational structure, highlighting the interprofessional collaboration, leadership, and decision-making processes involved.

Scenario:
Sophia, a highly experienced ACNP, works at a large academic medical center located in a bustling urban environment. The medical center is a tertiary care facility renowned for its specialized services and cutting-edge research. Sophia’s primary responsibility is to provide advanced nursing care to patients admitted to the Medical Intensive Care Unit (MICU). The MICU is a highly specialized unit that caters to critically ill patients requiring intensive monitoring and interventions.

Organizational Structure:
The organizational structure of the medical center follows a multidisciplinary approach, with a clear hierarchy and various departments working in collaboration. At the top of the hierarchy sits the Chief Medical Officer (CMO), who oversees the entire medical center and is responsible for strategic planning and decision-making. Below the CMO, specialized departments exist, such as Emergency Medicine, Cardiology, Oncology, and Critical Care, each headed by a respective medical director. These departments are staffed by physicians, nurses, technicians, and other support personnel who work together to ensure comprehensive patient care.

Within the Critical Care department, Sophia reports directly to the Medical Director of Critical Care, Dr. Smith. Dr. Smith provides guidance, sets expectations, and ensures the smooth functioning of the MICU. Under Dr. Smith’s leadership, a team of clinical nurse specialists, nurse managers, and ACNPs collaborate to deliver evidence-based care to critically ill patients. The ACNPs in the unit work in close conjunction with physicians, pharmacists, respiratory therapists, and other healthcare professionals to design and implement patient care plans.

The decision-making process within the organization is structured and collaborative. Regular meetings are held where case presentations, treatment plans, and patient progress are discussed. Sophia actively participates in these meetings, sharing her expertise and collaborating with the interdisciplinary team. The decision-making process is evidence-based, and clinical guidelines and protocols are consistently followed to provide standardized care. Additionally, the team engages in continuous quality improvement initiatives, conducting audits and implementing changes to enhance patient outcomes.

The organization has a shared governance model, which encourages participation and input from nursing staff in shaping policies and procedures. Sophia is an active member of the nursing practice council, where she advocates for the advancement of nursing practice and contributes to research initiatives. Furthermore, the medical center actively supports professional development, offering opportunities for continuing education, research involvement, and career progression.

Sophia’s role as an ACNP in the MICU encompasses direct patient care, research, and education. She is responsible for assessing, diagnosing, and prescribing appropriate treatment plans for critically ill patients. Additionally, she collaborates with physicians to manage complex cases, performs advanced procedures, and initiates consultation when required. Sophia actively engages in research efforts, participating in ongoing projects and translating evidence into practice. She also plays a crucial role in educating nursing staff, residents, and medical students, sharing her knowledge and expertise in critical care nursing.

Conclusion:
The scenario presented above illustrates the organizational structure typically found in an acute care setting, specifically within a large academic medical center. The hierarchical structure, interprofessional collaboration, evidence-based decision-making, and support for professional development contribute to the provision of quality patient care. As an ACNP in such a setting, Sophia’s role is multifaceted, involving direct patient care responsibilities, active participation in interdisciplinary team meetings, continuous quality improvement efforts, research involvement, and educational activities. This scenario highlights the complex and dynamic nature of the organizational structure that supports the ACNP’s work in delivering high-quality care to critically ill patients in an acute care setting.