NURS FPX 6210 Care Setting Environmental Analysis Paper Example

NURS FPX 6210 Assessment 1 Care Setting Environmental AnalysisNURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

NURS FPX 6210 Care Setting Environmental Analysis Assignment Brief

Course: NURS-FPX 6210 Leadership and Management for Nurse Executives

Assignment Title: Assessment 1 Care Setting Environmental Analysis

Assignment Instructions Overview

In this assignment, you are tasked with conducting a comprehensive analysis of your care setting to support the development of a strategic plan for improving healthcare quality and safety. The analysis will involve two key approaches: completing the discovery and dream phases of an appreciative inquiry (AI) project and conducting a strengths, weaknesses, opportunities, and threats (SWOT) analysis.

Understanding Assignment Objectives

The primary objectives of this assignment are to assess the current state of your care setting, identify areas for improvement, and explore potential pathways for enhancing healthcare quality and safety. By employing the AI and SWOT approaches, you will gain valuable insights into the organization’s strengths, weaknesses, opportunities, and threats, which will inform the strategic planning process.

The Student’s Role

As a student, your role is to analyze the care setting environment objectively and comprehensively. You will conduct in-depth research and data collection to uncover both positive aspects and areas for improvement within the organization. Additionally, you will critically evaluate leadership characteristics and skills necessary for driving performance improvement initiatives in healthcare.

You Can Also Check Other Related Assessments:

NURS FPX 6210 Assignment 2 Strategic Planning Example

NURS FPX 6210 Assessment 3 Strategic Visioning With Stakeholders Example

NURS FPX 6210 Care Setting Environmental Analysis Paper Example


In the pursuit of healthcare excellence, understanding the dynamics of one’s care setting is paramount. This analysis delves into the Cleveland Clinic’s environment, exploring its successes, areas for improvement, and the leadership characteristics essential for driving performance enhancement initiatives. Through an appreciative inquiry (AI) lens and a strengths, weaknesses, opportunities, and threats (SWOT) analysis, this paper seeks to unearth insights vital for strategic planning aimed at improving healthcare quality and safety.

Part 1: Appreciative Inquiry Discovery and Dream

Synthesis of Stories and Evidence of Excellence in Quality and Safety Goals

The Cleveland Clinic in Ohio has demonstrated remarkable progress in enhancing patient care and overall health quality. Their journey in battling sepsis, curtailing hospital-acquired infections, and adeptly managing chronic diseases is a testament to their pursuit of excellence. For instance, through the application of real-time monitoring and predictive modeling tools, Cleveland Clinic has seen a significant decline in sepsis-related deaths, with the mortality rate dropping by 30% over five years (Fan et al., 2023). Additionally, their commitment to preventive measures like hygiene protocols has resulted in a 20% decrease in hospital-acquired infections over three years (Ojanperä et al., 2022). Moreover, through big data analytics, they have improved patient outcomes and reduced hospital readmissions for heart failure patients by 15% over two years (Averbuch et al., 2022).

These achievements underscore Cleveland Clinic’s commitment to patient safety and high-quality care, aligning with the organization’s quality and safety goals. However, there are still uncertainties, such as the specific methods used in sepsis care predictive modeling and the effectiveness of individual measures in preventing hospital-acquired infections. Further clarity is also needed regarding the link between big data analytics and improved patient outcomes in managing chronic diseases (Fan et al., 2023; Ojanperä et al., 2022; Averbuch et al., 2022).

Proposal of Positive, Attainable Improvement Goals for Quality and Safety

Despite the noteworthy accomplishments of the Cleveland Clinic, there are areas where further enhancements can be made. As a forward-thinking healthcare institution, the Cleveland Clinic is constantly seeking avenues to enhance the quality of its services, improve safety measures, and augment its impact on the community (Meehan & Sharp, 2023). Leveraging its robust infrastructure, proficient staff, and dedication to community service, the Cleveland Clinic is in a favorable position to build upon its successes and address the identified areas for improvement. This proposal operates on the assumption that the Cleveland Clinic is committed to continual learning and advancement and possesses the capacity to extend its influence within the community. Additionally, it presupposes that augmenting the training provided to nurses can better align with the diverse needs of the community, thereby enhancing patient outcomes and overall service excellence.

Goals Leading to Ethical and Culturally-sensitive Improvement

To further elevate the standards of service quality and safety, it is recommended that the Cleveland Clinic directs its focus towards expanding and enriching community-oriented initiatives while concurrently reinforcing the training provided to nursing personnel. This dual-strategy approach is poised to not only accelerate improvements in service quality and safety but also cultivate an environment conducive to ethical and culturally-sensitive practices. Through investments in community-focused programs, the Cleveland Clinic can broaden its reach, effectively addressing disparities in healthcare access and nurturing equity in health outcomes. Simultaneously, the enhancement of nurse training initiatives is anticipated to facilitate the delivery of culturally-sensitive care, catering adeptly to the diverse requirements of the community, and fostering the development of a resilient healthcare workforce (Zhao et al., 2022).

Alignment of Goals with Cleveland Clinic’s Mission, Vision, and Values

The proposed objectives are in harmony with the fundamental mission of the Cleveland Clinic, which is to offer comprehensive, top-notch, and patient-centric healthcare services. By amplifying efforts in community-oriented initiatives, the Cleveland Clinic could expand its impact well beyond the confines of its hospital premises, thereby nurturing healthier communities. Concurrently, reinforcing training programs for nurses aligns seamlessly with the Cleveland Clinic’s vision of fostering a culture that thrives on perpetual learning and excellence across all service domains. These endeavors are deeply ingrained in the core values upheld by the Cleveland Clinic, which include respect, integrity, and innovation. Consequently, these initiatives are poised to instigate a ripple effect of positive transformations throughout the broader community (Cleveland Clinic, n.d.).

Part 2: SWOT Analysis

SWOT Analysis for Quality and Safety Goals

To evaluate Cleveland Clinic’s current state concerning its quality and safety goals, a SWOT analysis was conducted. The SWOT framework, a strategic planning tool, served as the basis for this assessment. This tool is particularly useful for providing a comprehensive overview of an organization’s strengths, weaknesses, opportunities, and threats (Sisto et al., 2022). The analysis involved an internal evaluation of Cleveland Clinic, external research, and stakeholder interviews.

SWOT Analysis for Cleveland Clinic


  • Excellence in patient care
  • Innovative approaches in healthcare delivery


  • Inefficiency in some community programs
  • Lack of training in specific areas


  • Expansion of telehealth services
  • Collaboration with community organizations


  • Regulatory changes
  • Competition from other healthcare providers

The key findings from the SWOT analysis highlight Cleveland Clinic’s dedication to superior patient care and innovative health service delivery as significant strengths. However, weaknesses such as underperforming community initiatives and staff training gaps could hinder the attainment of quality and safety goals. Additionally, opportunities like telehealth expansion and collaborations with local organizations represent avenues for improvement.

Area of Concern Identified for Improvement

The SWOT analysis reveals a significant concern: the inefficiency of certain community programs within Cleveland Clinic’s service spectrum. Addressing these inefficiencies is crucial to fulfill the Clinic’s mission of providing comprehensive care to all segments of society. Evaluating improvement in this area involves considering program reach, impact on health outcomes, community engagement levels, satisfaction rates from feedback surveys, and alignment with the Clinic’s broader healthcare service delivery model.

Part 3: Comparison of Approaches

Mindset for AI vs. SWOT Approach

In employing the Appreciative Inquiry (AI) approach, my mindset was primarily focused on pinpointing instances of excellence within Cleveland Clinic’s care setting. The goal was to highlight best practices and delve into previously successful innovative solutions (Garrett, 2022). I aimed to uncover the organization’s positive core and contemplate how this core could propel future growth. On the other hand, when utilizing the SWOT approach, I adopted a more holistic perspective. This involved considering not only the internal strengths and weaknesses of the organization but also external opportunities and threats that might affect our quality and safety goals (Nilashi et al., 2023).

The mindset during the AI approach centered on gathering narratives reflecting excellence and high performance within our organization. I focused on qualitative data, such as personal stories, successful initiatives, awards, and accreditations, to reinforce our best practices and showcase our achievements in quality and safety. In contrast, the SWOT approach required a broader data collection effort. It encompassed Cleveland Clinic’s internal landscape, including strengths and weaknesses, as well as external environmental factors like opportunities and threats. This entailed gathering performance metrics, patient satisfaction scores, employee feedback, market trends, regulatory changes, and competition data (Nilashi et al., 2023).

Despite their differing focuses, both the AI and SWOT approaches aim to identify areas of excellence and improvement, necessitating active collaboration and interaction with colleagues. They promote open dialogue, fostering a shared understanding of our current state and future aspirations within our care setting. However, their communication emphasis and approach vary significantly. AI encourages an appreciative, positive dialogue, highlighting strengths, successful experiences, and potential growth opportunities. In contrast, the SWOT approach encourages a more balanced conversation, considering both positives and negatives, strengths and weaknesses, and facilitating candid discussions about the challenges, threats, strengths, and opportunities faced by the organization (Garrett, 2022; Nilashi et al., 2023).

Part 4: Analysis of Relevant Leadership Characteristics and Skills

Desired Leadership Traits and Skills for AI and SWOT Approaches

In performance improvement projects utilizing both AI and SWOT approaches, distinct yet complementary sets of leadership characteristics and skills are essential. In AI-based projects, creativity and innovation are crucial. These traits drive the identification of best practices and the envisioning of an ideal future state. Additionally, data-driven decision-making is vital to ground the vision in reality, ensuring that proposed improvements are practical and effective (Garrett, 2022). Conversely, in SWOT-based projects, strategic thinking is paramount to navigate the complexity of the care setting’s internal and external environments. The leader must possess a deep understanding of these dynamics to accurately identify strengths, weaknesses, opportunities, and threats. Adaptability also plays a vital role, allowing the leader to respond swiftly and effectively to emerging challenges and opportunities (Nilashi et al., 2023).

Certain leadership characteristics and skills are beneficial regardless of the analytical approach. Both AI and SWOT methodologies require collaboration as they thrive on diverse perspectives and collective wisdom. Critical thinking is a shared competency that enables leaders to discern essential information, make connections, and formulate robust improvement strategies. Adaptability, a necessary trait for SWOT-based projects, also proves beneficial in AI-focused initiatives. As the organization strives towards its envisioned future, the leader must adapt to the evolving reality, incorporating new data and experiences to continually refine the course of action. Lastly, a commitment to excellence is vital in both approaches. This trait ensures a steadfast focus on improving quality and safety, which are the central objectives of these analytical endeavors. This commitment propels the team towards realizing its shared vision, fostering a culture that values and pursues high-quality, safe, patient-centered care.


In conclusion, the environmental analysis of the Cleveland Clinic’s care setting highlights both achievements and areas for improvement in quality and safety goals. Leveraging the Appreciative Inquiry (AI) approach revealed instances of excellence and innovation within the organization, emphasizing the need to build upon these strengths for future growth. Conversely, the SWOT analysis provided a comprehensive overview of internal strengths and weaknesses, as well as external opportunities and threats, guiding strategic planning efforts. Leadership characteristics and skills essential for driving performance improvement initiatives were identified, emphasizing the importance of creativity, data-driven decision-making, strategic thinking, adaptability, critical thinking, and a commitment to excellence. By aligning improvement goals with the Clinic’s mission, vision, and values, and focusing on ethical and culturally-sensitive practices, the organization can foster positive transformations in healthcare delivery and patient outcomes.


Averbuch, T., Sullivan, K., Sauer, A., Mamas, M. A., Voors, A. A., Gale, C. P., Metra, M., Ravindra, N., & Van Spall, H. G. C. (2022). Applications of artificial intelligence and machine learning in heart failure. European Heart Journal – Digital Health, 3(2), 311–322.

Cleveland Clinic. (n.d.). Mission, vision & values. Retrieved from

Fan, G., Zhou, Y., Zhou, F., Yu, Z., Gu, X., Zhang, X., Liu, Z., Zhou, M., & Cao, B. (2023). The Mortality and Years of Life Lost for Community-Acquired Pneumonia Before and During COVID-19 Pandemic in China. Social Science Research Network.

Garrett, M. D. (2022). Applying appreciative inquiry to research in the field of inclusive education. Canadian Journal for New Scholars in Education/ Revue Canadienne Des Jeunes Chercheures et Chercheurs En Éducation, 13(1).

Meehan, R., & Sharp, J. (2023). Making a difference: Careers in health informatics. In Google Books. CRC Press.

Nilashi, M., Keng Boon, O., Tan, G., Lin, B., & Abumalloh, R. (2023). Critical data challenges in measuring the performance of sustainable development goals: Solutions and the role of big-data analytics. Harvard Data Science Review, 5(3).

Ojanperä, H., Ohtonen, P., Kanste, O., & Syrjälä, H. (2022). Direct hand hygiene observations and feedback increased hand hygiene compliance among nurses and doctors in medical and surgical wards – an eight-year observational study. Journal of Hospital Infection, 127.

Sisto, R., Fernández-Portillo, L. A., Yazdani, M., Estepa-Mohedano, L., & Torkayesh, A. E. (2022). Strategic planning of rural areas: Integrating participatory backcasting and multiple criteria decision analysis tools. Socio-Economic Planning Sciences.

Zhao, Y., Liu, L., Ding, Y., & Chan, H. Y. L. (2022). Effect of a culturally sensitive DEmentia Competence Education for Nursing home Taskforce (DECENT) programme in China: A quasi-experimental study. Nurse Education Today, 116, 105434.

Detailed Assessment Instructions for the NURS FPX 6210 Care Setting Environmental Analysis Assignment

Write a 4-7 page analysis of your care setting that supports development of a strategic plan and includes both the discovery and dream phases of an appreciative inquiry (AI) project and a strengths, weaknesses, opportunities, and threats (SWOT) analysis of the care setting.


Identifying analysis techniques for assessing competitive advantage is important for building health care strategy. Sustaining health care competitive advantage requires that leaders understand environmental demands to assist with minimizing weakness and threats from the external environment. This assessment provides you with an opportunity to examine your health care environment to determine whether what is being accomplished in your organization, department, team, community project, or other care setting is making a positive difference.

Note: You will use the results of this analysis to develop a strategic plan in Assessment 2.


You have been asked to conduct an analysis of your care setting that will result in two potential pathways toward a strategic plan to improve health care quality and safety in your organization, department, team, community project, or other care setting. To accomplish this, you will take two approaches to the analysis:

  1. Complete the discovery and dream phases of an appreciative inquiry (AI) project.
  2. Conduct a strengths, weaknesses, opportunities and threats (SWOT) analysis.

To help ensure that your analysis is well-received, the requester has suggested that you:

Present your analysis results in four parts: Part 1: Appreciative Inquiry Discovery and Dream. Part 2: SWOT Analysis. Part 3: Comparison of Approaches. Part 4: Analysis of Relevant Leadership Characteristics and Skills.

Your analysis should be 4–7 pages in length.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

One key aspect to being an effective leader, manager, or administrator is an awareness of your leadership strengths, weaknesses, and style.

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How would you assess your general leadership, communication, and relationship-building skills? How would describe your leadership style?

Imagine the future for a care setting that is your place of practice or one in which you would like to work.

What aspirational goals can you envision that would lead to improvements in health care quality and safety? How well do these goals align with the mission, vision, and values of your care setting?

Analysis Requirements

Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so at a minimum, be sure to address each point. In addition, you are encouraged to review the performance level descriptions for each criterion to see how your work will be assessed.

Writing, Supporting Evidence, and APA Style

Communicate professionally when conducting interviews and collecting data. Write clearly, with professionalism and respect for stakeholders and colleagues. Integrate relevant sources of evidence to support your assertions.

Cite at least 3–5 sources of scholarly or professional evidence. Include relevant interview information.

Format your document using APA style. Use the APA Style Paper Tutorial [DOCX]. Be sure to include: A title page and reference page. An abstract is not required. A running head on all pages. Appropriate section headings. Properly formatted citations and references.

Proofread your writing to minimize errors that could distract readers and make it more difficult to focus on the substance of your analysis.

Part 1: Appreciative Inquiry Discovery and Dream

Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals.

Collect stories from your care setting. You may collect stories through interviews or conversations with colleagues or provide your own. Explain how your stories are related to quality and safety goals. Describe the evidence you have that substantiates your stories. Identify the positive themes reflected in your stories. Describe other evidence (for example: data, awards, accreditations) that validates your care setting’s positive core.

Propose positive, yet attainable, quality and safety improvement goals for your care setting. Explain how accomplishing these goals will lead to ethical and culturally-sensitive improvements in quality and safety. Explain how your proposed goals align with your care setting’s mission, vision, and values.

Part 2: SWOT Analysis

Conduct a SWOT analysis of your care setting, with respect to quality and safety goals. Provide a narrative description of your analysis. Identify the assessment tool you used as the basis of your analysis. Describe your key findings and their relationships to quality and safety goals.

Describe one area of concern that you identified in your SWOT analysis—relevant to your care setting’s mission, vision, and values—for which you would propose pursuing improvements.

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Explain how this area of concern relates to your care setting’s mission, vision, and values. Explain why you believe it will be necessary and valuable to pursue improvements related to this area of concern.

Part 3: Comparison of Approaches

Compare the AI and SWOT approaches to analysis and reflect on the results.

Describe your mindset when examining your care setting from an AI perspective and from a SWOT perspective. Describe the types of data and evidence you searched for when taking an AI approach and a SWOT approach. Describe the similarities and differences between the two approaches when communicating and interacting with colleagues.

Part 4: Analysis of Relevant Leadership Characteristics and Skills

Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an AI and SWOT approach.

Explain how these characteristics and skills would help a leader facilitate a successful AI-based project and a successful SWOT-based project. Comment on any shared characteristics or skills you identified as helpful for both AI and SWOT approaches.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Evaluate qualities and skills that promote effective leadership within health care organizations. Analyze the leadership characteristics and skills most desired in the person leading potential performance improvement projects, taking both an appreciative inquiry (AI) and a strengths, weaknesses, opportunities, and threats (SWOT) approach.

Competency 2: Apply strategies to lead high-performing health care teams to meet organizational quality and safety goals.

Synthesize stories and evidence about times when a care setting performed at its best with regard to quality and safety goals. Conduct a SWOT analysis of a care setting, with respect to quality and safety goals. Describe an area of concern identified in a SWOT analysis—relevant to a care setting’s mission, vision, and values—that should be improved. Compare the AI and SWOT approaches to analysis with regard to data gathering and interactions with others.

Competency 3: Apply cultural, ethical, and regulatory considerations to leadership decision making. Propose positive, attainable quality and safety improvement goals for a care setting.

Competency 5: Communicate with stakeholders and constituencies to build collaborative partnerships and create inclusive work environments.

Communicate analyses clearly and in a way that demonstrates professionalism and respect for stakeholders and colleagues. Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

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Use the scoring guide to understand how your assessment will be evaluated.


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