NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

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Care Setting Environment Analysis 

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

As a nurse leader at City Hospital, it is imperative to have a comprehensive understanding of the healthcare environment and develop strategies to sustain competitive advantage while ensuring ongoing improvement in quality and safety outcomes. This requires the use of analysis techniques such as the Appreciative Inquiry (AI) and Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis to identify areas of improvement and develop a strategic plan (Shah et al., 2020). 

The AI model involves the discovery and dream phases, which focus on the positive aspects of the care setting and envisioning the ideal future. Besides this, SWOT analysis is very necessary to identify the issues within an organization and helps in making changes according to new developments. 

We can build a strategic plan that maximizes the strengths of the care setting, minimizes the weaknesses and threats, and creates opportunities for continuous improvement by utilizing these two techniques. This assessment provides an opportunity to examine the healthcare environment at City Hospital and determine whether we are making a positive difference in the lives of our patients and the community.

Part 1: Appreciative Inquiry Discovery and Dream

Evidence Related to the Best Performance of Care Settings

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

The care setting at City Hospital has had several instances of performing at its best with regard to quality and safety goals. For instance, the hospital implemented a program that reduced hospital-acquired infections, resulting in a significant decrease in the number of patients who developed infections while in the hospital. The program was achieved through the implementation of evidence-based practices, such as hand hygiene, and the creation of a culture of safety that prioritized infection prevention (Glowicz et al., 2023).

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Another instance of the care setting performing at its best was when the hospital implemented a patient-centered care model (Kuipers et al., 2019). The model focused on providing individualized care that addressed the unique needs and preferences of patients. This resulted in increased patient satisfaction scores and improved clinical outcomes, such as reduced readmissions.

Knowledge Gaps

Despite the success of these programs, there are still knowledge gaps and areas of uncertainty that need further exploration. For instance, there is a need to understand how to sustain the gains made in reducing hospital-acquired infections and how to scale the patient-centered care model to other areas of the hospital. Moreover, there is a need to identify the best approaches to addressing the social determinants of health that may impact patient outcomes and experiences (Glowicz et al., 2023).

SMART Goals for the Care Setting

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Following are the proposed quality and safety improvement goals.

  1. Increase the frequency and effectiveness of communication between healthcare providers and patients by implementing communication skills training programs for healthcare providers (Burgener, 2020).
  2. Implement a comprehensive infection prevention and control program that leverages data analytics to identify patterns and emerging threats to patient safety (Azak et al., 2023).
  3. Enhance cultural competence by providing ongoing training and development for healthcare providers to better understand and address the unique needs and preferences of diverse patient populations (Stubbe, 2020).

Ethical and Culturally-Sensitive Improvements in Quality and Safety

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Safety improvement goals are very productive in nature and their fulfilment can lead an organization toward improvement of safety and quality whereas, it helps to keep requirements of employees in mind. Communication skills training will enable healthcare providers to establish trust and rapport with patients, improve patient understanding of their care, and promote shared decision-making (Chang et al., 2022). Enhancing cultural competence will ensure that patients receive care that is aligned with their cultural beliefs and values, which is critical to ensuring that care is delivered in a way that promotes dignity and respect.

Alignment with Care Setting’s Mission, Vision, and Values

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

The proposed goals align with City Hospital’s mission, vision, and values of providing high-quality, patient-centered care that is respectful, compassionate, and culturally-sensitive. The goals are based on the assumptions that communication skills training and infection prevention and control programs can improve patient safety and outcomes, and that enhancing cultural competence is critical to promoting equity in care. By achieving these goals, City Hospital will be better positioned to achieve its mission, vision, and values, and provide care that is aligned with the needs and preferences of its diverse patient population.

Part 2: SWOT Analysis

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis


  • Highly skilled and experienced healthcare providers
  • Strong culture of safety and quality improvement
  • Robust electronic health record system
  • Access to state-of-the-art medical technology and equipment


  • Inadequate staffing levels leading to high workload and burnout
  • Inconsistent communication and collaboration between healthcare providers
  • Insufficient patient education and engagement
  • Limited resources for infection prevention and control


  • Expansion of patient education and engagement programs
  • Integration of data analytics into quality improvement initiatives
  • Collaboration with community organizations to address social determinants of health
  • Implementation of evidence-based infection prevention and control strategies


  • Increasing regulatory requirements and compliance burdens
  • Competition from other healthcare providers in the region
  • Changes in reimbursement policies and payment models
  • Emergence of new infectious diseases and antibiotic-resistant organisms

Relationships to Quality and Safety Goals

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

The SWOT analysis identified several areas where City Hospital could improve its quality and safety outcomes. The strengths of the hospital, such as its skilled healthcare providers and strong culture of safety, can be leveraged to address weaknesses, such as inadequate staffing levels and inconsistent communication. Opportunities, such as expanding patient education and engagement programs and implementing evidence-based infection prevention and control strategies, can help address threats, such as increasing regulatory requirements and competition from other healthcare providers. Overall, the SWOT analysis provides a roadmap for City Hospital to develop a strategic plan that leverages its strengths, addresses weaknesses, capitalizes on opportunities, and mitigates threats to achieve its quality and safety goals.

The Area of Concern Identified In a SWOT Analysis

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

One area of concern identified in the SWOT analysis for City Hospital is the inadequate staffing levels leading to high workload and burnout. This area of concern is particularly relevant to the care setting’s mission, vision, and values, which prioritize the delivery of high-quality and compassionate care to all patients.

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

The criteria that could be used to evaluate improvements in the area of concern related to inadequate staffing levels could include staffing levels, staff satisfaction, patient satisfaction, and quality of care (Chaboyer et al., 2020). These criteria can be measured through quantitative and qualitative data, such as staffing ratios, surveys of staff and patients, of these criteria over time to evaluate the effectiveness of the improvement efforts.

Part 3: Comparison of Approaches

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

The comparison of AI and SWOT is differentiated on the basis of data collection and interaction with others. AI emphasizes positive experiences and interactions, and seeks to uncover strengths and successes through interviews, focus groups, and other forms of qualitative data gathering (Sacco‐Bene, 2022). This approach requires a high level of engagement and participation from stakeholders, and is focused on building relationships and fostering a positive organizational culture. In contrast, SWOT analysis is a more quantitative approach that focuses on identifying strengths, weaknesses, opportunities, and threats through surveys, metrics, and other objective data sources (Phadermrod et al., 2019).

Another key difference between AI and SWOT analysis is the way in which they interact with others. AI emphasizes collaboration and dialogue, and seeks to create a shared vision and sense of purpose among stakeholders. This approach can be particularly useful for building buy-in and support for change initiatives. SWOT analysis, on the other hand, is more focused on individual perspectives and opinions, and may be less effective at building consensus and shared vision (Aziz, 2019).

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

It is important to recognize that both AI and SWOT approaches have their own assumptions and biases. According to Dent (2019) AI assumes that positive experiences and interactions are more valuable than negative ones, while SWOT assumes that objective data sources are more accurate than subjective opinions (Hollingsworth & Reynolds, 2020). It is important to be aware of these assumptions and biases when selecting an approach to analysis, and to consider how they may impact the results of the analysis. By acknowledging and addressing these assumptions and biases, we can ensure that our analysis is more accurate, effective, and meaningful.

Part 4: Analysis of Relevant Leadership Characteristics and Skills

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

AI and SWOT approaches highlight several desirable leadership characteristics and skills. For an AI approach, the leader should possess the ability to encourage positive communication and foster an environment where team members feel comfortable sharing their successes and ideas (Curtis & Brooks, 2020). They should have strong emotional intelligence and be able to identify and celebrate the strengths of the team members. The AI approach also requires a leader who can effectively facilitate group discussions and guide the team towards their desired goals. In contrast, the SWOT approach requires a leader who is capable of assessing the strengths and weaknesses of the team members and the organization (Hollingsworth & Reynolds, 2020). They should be able to identify areas where improvement is needed and develop a plan to address them. Additionally, they must be able to gather and analyze data to make informed decisions and implement evidence-based practices.

Areas of Uncertainty

However, there are still areas of uncertainty and knowledge gaps when it comes to identifying the most desirable leadership characteristics and skills for performance improvement projects. For example, it is unclear how much weight should be given to specific leadership traits versus experience and qualifications. Furthermore, it is unknown how the specific culture and values of the care setting may influence the desired characteristics and skills of the leader. Future research and analysis are needed to fully understand the most effective leadership approach for performance improvement projects in healthcare settings (Hollingsworth & Reynolds, 2020).


NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

A comprehensive understanding of the strengths, weaknesses, opportunities, and threats to a care setting, coupled with an appreciation for the positive aspects of the organization, is critical for developing effective strategies for performance improvement. Using both AI and SWOT approaches to analysis provides a well-rounded view of the care setting and can help identify areas of improvement while building on existing strengths. Effective leadership, with a focus on ethical and culturally-sensitive improvement, is also essential in implementing successful performance improvement projects. Through continuous evaluation and improvement, healthcare organizations can ensure the provision of high-quality, safe care to patients while achieving their mission, vision, and values.

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis


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NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

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NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

Kuipers, S. J., Cramm, J. M., & Nieboer, A. P. (2019). The importance of patient-centered care and co-creation of care for satisfaction with care and physical and social well-being of patients with multi-morbidity in the primary care setting. BMC Health Services Research, 19(1), 1–9. 

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