¶ … Leadership and Management Nursing Issue: Nursing Shortage and Turnover

Nursing shortage and nursing turnover is a key contemporary issue that has an adverse impact on nursing with respect to health care delivery to patients. Owing to the increase in the number of baby boomers retiring, there is a major strain on the healthcare system due to their several medical health needs (Peterson, 2001). In addition to the deteriorating nurse shortage is the shortage of other staff comprising different associated health professionals, administrators, and support workforce. The shortage of other staff is unfavorably influencing nurses who have the most incessant and closest association with patients and their households (Peterson, 2001). What is more, current reforms have augmented accessibility to healthcare, which has instigated an even greater need for nurses. This issue of insufficient staffing gives rise to greater stress levels and considerable workloads. In turn, this leads to nurse turnover, with more and more nurses leaving their present positions due to job dissatisfaction and insufficiency in staffing. Having such a high turnover has been a mounting issue for healthcare providers and is instigating amplified expenses and exhausting financial assets for open positions within healthcare facilities (Cox et al., 2014). The purpose of this paper is to delineate the varying approaches of nursing leaders and managers to this particular issue in nursing practice.

Nursing Leaders' and Managers' Approach to Nursing Shortage and Turnover

It is the role of nursing leaders and managers to tackle this particular issue of nursing shortage and turnover. On one hand, nursing leaders and managers must go hand in hand as they complement each other within an organization. However, on the other hand, these two can be dissimilar, taking into consideration the varying roles of a leader versus a manager. A nurse manager holds an allotted position within the chain of command of an organization. She or he has decision-making authorities and control over particular procedures, and is expected to perform specific duties....

In several instances, the "power" possessed by a leader emanates from the capacity to inspire others, through efficacious communication and interpersonal skills (American Sentinel University, 2014).
In particular, taking into consideration the issue at hand, both nurse managers and nurse leaders play an important role in leading and giving direction to the healthcare facility. Nurse leaders and managers at all levels work in partnership to take into consideration developing trends, espouse inventive conceptions, and work toward the mutual objectives of quality, efficacy, and brilliance in practice. These two individuals offer guiding principles and act as leading frontline nurses while contributing to the success of a healthcare organization. In this case, the manager and leader are expected to make certain that there is a two-way flow of communication between the personnel and administrators. Therefore, the staff will be able to address issues that lead to shortage such as work schedules, level of pay and also level of dissatisfaction (Cipriano, 2011).

A nurse manager is characteristically a person held accountable for the management of nursing care and its quality within a distinct patient care area. It is through these responsibilities that I expect the nurse manager to handle the issue of nurse retention and decrease nursing turnover. In particular, I expect the nurse manager to envisage personnel with the greatest need for individual or intensive retention endeavors and ascertain the factors in the work setting that bring about low satisfaction (Andrews and Dziegielewski, 2005).…