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" (Grossman & Valiga, p. 165)
The text goes on to assert that the creation of such an environment should be at least in part facilitated by the establishment of open lines of communication. here nurses feel free to voice concerns, express positions based on professional experience and contribute to courses of treatment, feelings of morale and therefore performance levels are both likely to be higher. Therefore, the use of networking as a way of improving the multidirectional nature of communication is tantamount to helping reverse some of the negative personnel experiences demonstrated by the surveys.
As with networking, which calls for the improvement of professional lines of communication, we consider a more personal way of connecting with personnel as well. Developing Relationships is a critical part of helping to improve outcomes and experiences amongst nursing professionals. It is incumbent upon nurse leaders in this context to cultivate a sense…… [Read More]
Nursing -- Leadership and Management
Davies, A., Wong, C. A., & Laschinger, H. (2011). Nurses' participation in personal knowledge transfer: The role of leader-member exchange (LMX) and structural empowerment. Journal of Nursing Management, 19(5), 632-643.
The purpose of the work.
The purpose of the work was to report results of a study testing Kanter's theory by examining relationships of structural empowerment, leader -- member exchange (LMX) quality and nurses' participation in personal knowledge transfer.
A summary of its content
The study results support Kanter's theory and the relationship between structural empowerment, LMX and nurses' participation in transfer of personal knowledge. The study concludes that health-care organizations should implement and promote policies for nurses' positive work environments so they feel empowered to transfer personal knowledge. It also concludes that nurse leaders should have relationships empowering knowledge transfer in keeping with professional standards.
3. For what type of audience the…… [Read More]
Nursing leadership has a direct impact on patient outcomes and quality of care. From healthcare administration to policy decisions, from shift leadership and staff management, leadership is the cornerstone of nursing. Nurses and nurse educators are paying more attention to leadership, as research consistently shows how specific leadership styles and strategies impact specific patient outcome variables. For example, Wong, Cummings & Ducharme (2013) performed a systematic review of the literature and found that leadership is linked most directly to five categories of patient outcomes including patient satisfaction, mortality rates, adverse events, complications, and healthcare utilization. Therefore, strategic leadership is critical for the provision of effective patient care.
Strong leadership creates the type of healthcare environment that is most conducive to quality of care delivery. Factors like operational organization and procedural efficiency are directly linked to leadership (Wong, Cummings & Ducharme, 2013). Likewise, staff management styles will also have a strong…… [Read More]
, 2010). It is perfectly conceivable that this nurse leader would welcome more collaborative or shared leadership responsibilities, particularly since the setting for empirical clinical research on this very issue was, in fact, an ICU (osengren, Bondas, Nordholm, et al., 2010).
Finally, it appears from this interview subject's input into this project that she is a competent and effective nursing leader, largely by virtue of her description of her supervisory and administrative style and inclination. However, her input lacked any substantial data on the basis of which a reviewer could evaluate her effectiveness as a clinical leader more specifically. Those particular skill sets may occur in combination but they undoubtedly also occur individually within different leaders (Stanley & Sherratt, 2010). A review of historical literature (such as in connection with Florence Nightingale) clearly demonstrates that good nursing leaders may or may not necessarily also be equally good clinical leaders (Stanley…… [Read More]
It has been shown through research to be critical that the organization make the provision of support for the nursing staff in terms of their education and provisioning career support as well through making time and financial allocations to provide the necessary support system in which the nursing staff may advance their education and hence their career. (Cook, Horz & Mildon, 2006; paraphrased citing the work of: Robinson, (2001 and Hinshaw (2002) Additionally falling within these provisions of support are time and financial allocations for "research, special projects and publications (Kramer & Schmalenberg, 1988; as cited by Cook, Horz, & Mildon, 2006) the research fact sheet includes the necessity for organizations to "Support a 'bias toward action' (Kramer & Schmalenberg, 1988; as cited by Cook, Horz, & Mildon, 2006); and to "Enhance nurse-staffing rations (Hinshaw, 2002; as cited by Cook, Horz, & Mildon, 2006) and lastly to provide encouragement among…… [Read More]
In any organization, leadership is a key element of success. The leader is the person who defines not only the organization's mission, but its tone and cultural, and determines how the organization's resources will be deployed to achieve these goals. This paper will examine the role of nursing leadership, in particular how leadership can change a nursing unit.
Leadership study has developed over the course of the 20th and 21st centuries to move from the basic principles of scientific management to modern conceptions of the transformative leader who emphasizes organizational culture and personal development. Where the leader as manager was intended to be replaceable, modern leaders are individualistic and as such they can have a significant influence over the organization.
One of the unique facets of contemporary nursing leadership is that it has both an internal and an external focus. Internally, the leader must guide the unit, but…… [Read More]
Modern nursing has become a multi-disciplinary career that encompasses a number of roles and requires more expertise than ever before. In modern nursing, there are a number of stakeholders: patients, families, the community, insurance companies, governmental agencies, administrators, colleagues, staff and physicians. Healthcare solutions in the 21st century require a collaborate effort that remains focused on continual progress towards customer service satisfaction. The key is to understand the overall paradigm of healthcare and nursing management -- even through the terms "manager" and "leader" are often used interchangeably, they are not. In general, management organizes affairs, projects, and people -- therefore subordinates are involved. The manager is in charge, but not necessarily leaders in that they do as directed and then direct tasks. Leaders do not have subordinates, rather they have followers. Leaders motivate, challenge, coach and inspire vision, enable others to act and encourage (Carrroll, 2005; Kouzes and…… [Read More]
Nursing Leadership Health Policy
Health Policy Change
The health policy change encompasses Medicare Part D. Medicare D. is also referred to as the Medicare prescription drug benefit. It is part of the Medicare program that is purposed to bankroll the cost of prescription drugs together with coverage payments for prescription drugs for Medicare recipients (Centers for Medicare & Medicaid Services, 2016). The proposed policy change with respect to Medicare Part D is the reduction and lessening of generic drug copayments to zero. In particular, this alteration will be a form of encouragement for the use of generic drugs amongst Medicare enrollees that are poorer by all in all eradicating their costs for generic drugs. Majority of the members of Medicare Part D that are categorized as having low income give out minimal compensation or nil for Part D prescription drugs. In the past year, with respect to generics, the costs…… [Read More]
The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for one to be an effective caregiver, the patient must be treated in a holistic manner. Proper communication and advocacy is another role that the modern caregiver assumes when providing quality care (Carroll).
It is in the role of patient advocacy and cost-cutting that most nursing leaders are directly involved with hospital policy. Technology has increased the ease and ability for adequate communication -- there are more translators, access to databases, etc. within the field, and certainly there is more information about healthcare available for the layperson. However, the manner in which modern medicine works -- the reality that it is the nurse as opposed to the doctor who tends to follow the patient throughout their care, lends greater credibility to the use of the modern nurse as…… [Read More]
Nursing Leadership Issues
eflect on how you would create a safe environment in a healthcare setting by applying the 4 characteristics of a culture of safety. They are:
• Psychological safety. People know their concerns will be openly received and treated with respect.
One of the tenets of the total quality movement as expressed by W. Edward Deming is "Drive out fear" (Edward, 2012). The recommendation comes from a fundamental understanding of human nature: people do not like to call problem to the attention of their supervisors. No one wants to be the bearer of bad news, and in medical and healthcare settings this may be particularly true. Unsafe conditions can mean that patients are exposed to hazards or that employees are more likely to incur injury. In addition, nursing staff may occasionally find themselves in a position where a peer or another staff member are not following procedure. Not…… [Read More]
leadership is a theory, developed by Paul Hersey and Ken Blanchard, that argues "successful leaders should change their leadership styles based on the maturity of the people they're leading and the details of the task" (MindTools, 2014). This contrasts with most views prevailing in leadership scholarship, which tend to argue that leaders will have one leadership style. The underlying argument that Hersey and Blanchard are making is that in this world, there are so many different situations that arise that a single leader with just one leadership style will never be as effective as a leader who can adapt his/her style to suit the situation.
According to the Hersey-Blanchard situational leadership theory, there are four main leadership styles -- telling, selling, participating and delegating. These are then applied to four different maturity levels. The authors argue that at the lowest maturity level, the leader needs to focus on telling/directing, and…… [Read More]
As noted above, one of the most prominent leadership theories that has been applied to the nursing profession is transformational leadership. Properly applied and managed, transformation leadership can also be used to facilitate creativity in the workplace. For instance, according to Vesterinen, Isola and Paasivaara (2009, p. 504), transformational leadership can create changes and, by definition, is capable of transformed individuals and the organization in which they work. By providing the leadership needed to motivate employees to bigger and better aspirations, transformational leaders can therefore encourage the creative spark among their followers in ways that might not otherwise be possible (Vesterinen et al. 2009). Indeed, Vesterinen et al. (2009, p. 504) specifically state that, "A transformational leader motivates inspirationally, stimulates intellectually and considers employees individually." Taken together, these positive outcomes are valuable in any organizational setting, but they can be particularly important in health care settings.
Why understanding organisational culture…… [Read More]
Senior nursing staff ought to aid peers in their career development through helping them practically employ theoretical knowledge and promoting testing of novel skills within an encouraging, safe work climate. This illustrates a combination of leadership and developmental tasks, that together lead to the creation of proficient practitioners via practice-grounded learning. These nursing personnel ought to employ a supportive approach to leadership, incorporating mentorship, guidance and tutoring as their key values. Substantial support on the part of nursing supervisors is known to decrease emotional fatigue and buffer adverse impacts of their work environment. Thus, it would prove especially advantageous if supervisors offer junior employees emotional backing and provide proper performance-related feedback for improving their self-confidence (Seitovirta, 2017).
I personally feel that leaders ought to believe in and respect human dignity. Their leadership approach ought to integrate empathetic listening, encouragement, attentiveness, motivation, and preserving a rewarding organizational culture. It implies…… [Read More]
Nursing Leadership Portfolio
Education And Experience
My nursing education includes attaining my Associate Degree in Nursing (AND) at Florida State College at Jacksonville and my Bachelors of Science in Nursing (BSN) at the University of North Florida.
My Professional Nursing oles include UF Health Jacksonville as a egistered Nurse in Trauma/Surgery Progressive Care, egistered Nurse at Brooks ehabilitation Hospital in the Cardiac/Stroke Unit and egistered Nurse at St. Vincent's Medical Center in the Medical/Surgical GI Department. My duties at UF Health included caring for post-intensive medical/surgical patients in a progressive care environment and performing duties including medication administration utilizing EPIC EMA server, PICC line care, IV insertion, PEG tube feedings, TPN/Lipid Management, chest tube care, tracheotomy care, PCA assessment/management, catheter insertion, wound vac care, pulmonary, cardiac, neurological and GI assessment and management. At Brooks ehabilitation Hospital as a egistered Nurse in the Cardiac Stroke Unit I conducted care for post-surgical…… [Read More]
Nursing Theories Practices
Sister Callista oy initiated the Adaptation Model of Nursing in 1976. The theory has since then evolved to be one of the prominent nursing theories. The nursing theory defines and explains the nursing care provisions. The model by oy sees an individual as a composite of systems with an interrelationship (including biological, social, and psychological). According to Haaf (2008), a person strives towards retaining a balance across the systems and the outside world, although absolute balance levels do not exist. Individuals work towards living in unique bands that they can adequately cope. The model has four major concepts of environment, person, nursing, and health and its application has six steps.
According to Kraszeski & McEwen (2010), a person is a representation of societal standards, principles, or focus. oy's model positions the individual as the bio-psychosocial being throughout a continually changing environment. The person allows for…… [Read More]
Nursing Leadership and Management and Field Experience
Nursing Leadership and Management Field Experience
The problem identified concerns about patient safety and satisfaction arising out of shortage in nurse staffing. In the contemporary times, staffing has become a major issue concerning nurses, generally, and in this paper we attend to the issue in outpatient clinical settings. This problem of under-staffing of nurses has assumed significant importance and needs to urgent attention, as it has an influence on the satisfaction of the patients and more significantly their safety. An outpatient clinic cannot run if the patients have no desire or wish to go there. In addition, it becomes hazardous in risking the lives of the patients. The purpose of this research is to research the cause of understaffing on outpatient clinics together with the influences it has on patient safety and care. Additionally, the project encompasses examining the perspective of…… [Read More]
Paths to Nursing Leadership" by Bondas (2006). This qualitative study attempted to determine the motivations behind nurses entering nursing leadership programs and for seeking out jobs in management positions in healthcare. This study was also a component of a research program in nursing leadership as a whole and of evidence-based care. One of the fundamental pillars of the study as a whole has to do with the belief that nursing has not spent enough time or attention in the development of nursing leadership to benefit patient care. Bondas also asserts that there simply isn't enough research on the motives of nurses and their reasons for dedicating themselves to a career in nursing and to nursing leadership as a whole. Bondas does a sufficient job of setting a case for the fact that nursing leadership can make a consistent and positive impact on patient care. Bondas also aptly illuminates how most…… [Read More]
Hepatitis C Exposure Incident Report
Recently eighty patients at the Norman Regional Hospital have tested positive for Hepatitis C Employee James Hill admitted to reusing needles up to 25 time a day while administering pain medication. At least 38 cases can be positively associated with exposure at the clinic, while another 35 may be associated. As acting Nurse Manager, I have been assigned the task of developing a strategy for dealing with this situation. The following will discuss the issues and policies involved in effectively dealing either the current situation and developing a plan to prevent future similar events from occurring.
This issue is multifaceted and there are several elements to consider when dealing with the issue. The first concern is the safety of the infected patients. The second is that there many be possible violations of Federal laws involved. The third issue is to analyze the situation from a…… [Read More]
Diminishing a patient's sense of helplessness is a founding principle of Orlando's theory, and empowerment is important in ensuring that the patient does not feel lost after receiving a diagnosis and are being discharged. For example, Nurse B. recently treated a man who had been diagnosed with Type II Diabetes. He was afraid of becoming dependent upon insulin his entire life. Explaining how dietary changes and exercise, reducing his weight, and taking proactive steps of self-care could reduce his blood sugar helped the man regain a sense of control over his life. This does not mean that the patient must stand alone. ellness is a dialogue between nurse, environment and patient. Stressing how professional resources such as dieticians were there to help manage his nutrition and involving the man's wife in the way family meals were prepared also had a great impact in diminishing his sense of helplessness (Chinn 1983,…… [Read More]
Leadership Discussions First Half
Identify at least two ethical dilemmas that occur when you are in a position of leadership. What makes the dilemmas ethical? Would you expect each person to react to the dilemma in the same way?
People have different ways of reacting to dilemmas. In my position as a leader, I have encountered a situation where I had to choose tow rights. In this case, I was entangled in a dilemma because I value both student achievement and teacher autonomy when I pursue to enact policies that lower expectations. This was a heightened conflict because all school heads are public officials obligated to various people with competing interests and values. My position comes with dilemmas such as deciding whether to report teachers with questionable grading decisions. This dilemma is ethical because it puts pressure on the need to make ethical decisions. Further, in my response,…… [Read More]
Leadership in Nursing
Excellence in leadership is an inherently innate skill set that over time emerges in the attitude, commitment and performance of subordinates. It is also reflected in how a given business unit or department coordinate, collaborates and trusts each other (Cohen, 2013). Compounding these factors are the often complex, highly intricate and often challenging aspects of managing and leading a nursing department (Swearingen, Liberman, 2004). The stresses and requirements of nursing leadership serve as a catalyst that accelerates leadership skills in nurse leaders. The challenges of orchestrating and leading a department are in many ways a crucible that leads to stronger nurse leaders capable of overcoming challenges and continually growing over time (Wong, Cummings, 2009). The most effective transformational leaders know how and when to rely on individualized consideration, intellectual stimulation, inspirational motivation and idealized influence (ao, 2013). Taken together these are the attributes that are essential for…… [Read More]
Either style may be beneficial in some situations but detrimental to organizational objectives (i.e. patient health and welfare) in others. A typical example of an appropriate use of authoritarian leadership would be in a working group consisting of individuals who have varying degrees of expertise and professional experience, particularly if they also have little experience working together as a group. On the other hand, the democratic style might be more appropriate in working groups consisting of very similarly skilled individuals with similar degrees of experience, especially where they have also worked together extensively and have demonstrated good self-management, decision-making, and collaboration within the group.
Leadership vs. Management
The principal difference between leadership and management is that leadership pertains more to people whereas management pertains more to operations (Marquis & Huston, 2008). Generally, organizational leadership involves improving the organization by addressing motivational issues and other factors that contribute to the morale…… [Read More]
Nursing Concepts and Theory
Conceptual-Theoretical Structure paper
Personal belief about nursing theory and knowledge development process for nursing practice
All nursing theories play an important role in defining nursing and giving the roles that nurses need to play. Originally, the role of nurses was simply to carry out activities as instructed by doctors, however, over the years, this role has been changed to include more responsibilities as the nursing world has evolved. Nursing theories describe, predict and explain the various phenomena in nursing practice and thus create foundations for nursing practice. They also help to generate knowledge in the field of nursing and to point the direction which the field should develop in future. This view is supported by Carper (1978)
who states that nursing theories elaborate nursing practice and create professional boundaries for the profession. Nursing knowledge comes from research that has been conducted on nursing which forms scientific…… [Read More]
eview On Nurses Shortage
The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute,…… [Read More]
In the emergency room, this distinction can have a determinant impact on the ability of the staff to preserve life and diminish pain and suffering.
The introduction of a bioethical perspective into this dialogue invokes a question as to the primacy of an interest in pursuing to the utmost the well-being of the patient. This speaks to one of the core values associating the principles of the ANA with the treatment outcomes desired in patiences. An examination of the ANA's Code of Ethics reveals that a theoretical basis exists to contend a direct correlation between the nurse's self-interest and that which is best for any given patient. There exists an essential obligation for such healthcare practitioners to "examine the conflicts arising between their own personal and professional values, the values and interests of others who are responsible for patient care and health care decisions, as well as those of the…… [Read More]
Most conclusions on this approach were vague or indecisive in terms of social, psychological or mental significance (ice, 1978, 1981; Graen et al., 1972; Ashour, 1973).
Furthermore, over the years, many scholars have come to the realization that leadership is situational and hence there are many realistic settings like the environment, the employees, the resources, etc. that determine the characteristics needed in a leader as well as his/her business approach (Hershey and Blanchard, 1977, 1984). This is why it is important to first understand the different types of scenarios that a leader can face and then use those scenarios as the foundation on which most leadership techniques and approaches are built. This idea of leadership being situational is very helpful in outlining the methods through which leadership can be developed and has taken up a good part of the last three-decade of research (Mckenna, Boyd and Yost, 2007).
There were…… [Read More]
Grayce Sills and Nursing Leadership
Grayce Sills dedicated her life's work to improving conditions for psychiatric health patients, both through reforms in the area of psychiatric nursing and through education of future generations of nurses. During the era succeeding orld ar II, the psychiatric nursing profession was making its first forays into mainstream treatment orientation. Grayce Sills would emerge into the profession during this time and, in the late 1950s and 1960s, would observe that the conditions to which psychiatric patients were often treated at this juncture were abhorrent, inhumane and inconsistent with the standards otherwise sought in general patient treatment. As a student of Hildegard Peplau, whom she refers to as the mother of psychiatric nursing, Sills would come to appreciate the need for greater demonstration of caring and compassion in this subsection of the nursing profession. (Barker, p. 79) Earning a Bachelor's Degree from…… [Read More]
It is thus possible for the institution to retain nurses by strengthening the interpersonal leadership and management skills that lead to empowerment within the healthcare environment. This is especially supported by studies that found that despite the fact that a nurses' pay is important, it is not as critical in enhancing retention as a positive work place or an empowered environment that promotes teamwork and encourages ongoing learning, trust, and respect. (Chan, 2001).
It must always be remembered that nursing retention is the result of a combination of factors. There is no easy solution, and managers and leaders need to choose the combination of approaches that will be effective in their specific organization, since there is no one range or combination of strategies that will fit all.
Buerhaus, P., Staiger, D.O. & Auerbach, D.I. (2003) Is the Current Shortage of Hospital Nurses Ending? Health Affairs 22: 191-198.
Chan, C.C.A.…… [Read More]
Future of Nursing
The future of nursing: Leading change, advancing health
According to the Institute of Medicine (IOM) report The future of nursing: Leading change, advancing health, the future of medicine as a whole is inexorably tied to the future of nursing. Nurses are increasingly called upon to perform complex tasks as more of the healthcare burden gets shifted to nurses in the name of managed care and cost-cutting. The expanded population base of patients due to changes in legislation such as the Affordable Care Act (ACA) and the aging of the population further underlines the need for appropriate education of tomorrow's nurses and the reeducation of the nurses of today. This will require major policy changes and overhauls.
First and foremost, nurses must be better prepared to cope with a population that is very different from the population nurses treated in the past. Not only is it…… [Read More]
Batcheller, J.A. (2011). On-boarding and enculturation of new chief nursing officers.
Journal of Nursing Administration, 41(5), 235-239.
This article examines the on-boarding process for new chief nursing officers by examining the onboarding process for 6 new chief nursing officers. The examination is aimed at determining what type of support leaders new to an executive role requires and how to on-board leaders who are experienced, but who are new to a particular organization. The possible implications of this research is that if the on-boarding process is insufficient, then it may contribute to high turnover rates and the short length of chief nursing officer positions.
Carlson, C.L. & Plonczynski, D. (2008). Has the BARRIER cale changed nursing practice? An integrative review. Journal of Advanced Nursing, 63(4), 322-333.
This article examines whether the BARRIER cale, which identifies nurses' barriers to using evidence-based practice, contributed to an increase in the use of…… [Read More]
Furthermore, the supervisor must have a keen understanding of the laws and guidelines of the institution so that he can help in interpreting them to the staff. During the interview, there were times when directions were asked of the manager from the employees on how to go about tackling a problem. Sometimes the problems were so technical requiring the quoting of laws. I realized that this is a vital part of the managerial skill that has to be cultivated in order to make an effective manager. Also as the manager was doing his rounds, I realized that many people were asking him to solve their problems, be it social or technical, therefore, a leader should be have the ability of solving problems in a logical and reasoned manner and also be able to motivate people towards the efficient completion of tasks.
Learning about human resource is vital to understand about…… [Read More]
In these kinds of situations, the health care professional is taking the middle ground to satisfy both parties (which will lead to a number of challenges). This is from both sides feeling that they have won and will want more down the road. The only difference is that they are more emboldened in their position. This is problematic, because it can make the underlying situation worse in the future. (Feldman, 2008, pg. 128) (Daniels, 2004, pp. 485 -- 486)
To avoid these kinds of situations requires that compromise should be used as a solution when both sides agree to accept the proposal. This does not mean coming back in the future and exhibiting the same kind of behavior to achieve what they want. Instead, both parties have to be willing to accept the compromise completely. If this kind of approach can be taken it will create win -- win situations.…… [Read More]
In fact, nursing staff should have access to mobile technologies that allow for decisions to be made instantaneously at the bedside. For example, a PDA would allow nurses to access the literature directly from the bedside without leaving the patient's care. This would help integrate the caring aspects of nursing with the more objective aspects of evidence-based practice.
3) Discuss methods and specific plan to revise an unsuccessful project solution
If the project is unsuccessful, it could be because of insufficient opportunities for application. It may be better to implement the proposed solution in specific departments in which a large number of preventable errors had been tabulated. In this way, more dramatic changes to nursing practice might have been observed. It might also be helpful to survey the various departments in the healthcare institution and discover the specific areas of concern. Then, researchers can target these areas and encourage mentors…… [Read More]
Nursing Culture: Overcoming Barriers to Change
Introduction and Theoretical Framework
This program of study continues personal research and professional practice in the field of nursing within the area of public and private health systems. In an era characterized by increasing calls for more efficient approaches to healthcare delivery and accountability on the part of healthcare providers, there is a growing need for identifying opportunities to overcome organizational barriers to change that facilitate the implementation and sustainment of evidence-based practices over time. In order to accomplish this challenging enterprise, the nature of existing organizational barriers must be better understood, an issue that directly relates to the problem to be considered by the study proposed herein and which is discussed further below.
Statement of the Problem
According to Mannion, Davies and Marshall et al. (2005), the results of much of the research to date have identified a relationship between nursing culture and…… [Read More]
Third, lack of attention to evidence-based practice can lead to inconsistent delivery of care services.
Evidence-based practice relates to almost every aspect of health care at every stage of a client's relationship with the institution. For example, evidence-based practice informs the types of questions asked during the diagnostic procedures and might even impact the diagnosis itself (Bennett & Bennett, 2000). Evidence-based practice impacts the methods by which infections are prevented (Cantrell, 2009). Evidence-based practices impact the extent to which nurses are empowered to make sound, safe, and effective decisions (Scott & Pollock 2008). Evidence-based practice has the potential to transform the structure of a health care organization like MMH. This is because evidence-based practice changes the hierarchical structure in the organization due to the increased responsibility of nurses for conducting their own research. Alternatively, evidence-based practice can be an extension of organizational change. Health care organizations reducing the hierarchical nature…… [Read More]
The author of this response has been asked to give two different leadership styles that have emerged and flourished in the nursing sphere and with the development of nurses. The two approaches shall be stated and why/how those approaches have contributed to the nursing paradigm. The Nursing Times website directly asks the question about what sort of leadership styles that "senior nurses" should exemplify and exude as part of doing their job and honing their craft. One style espoused in the response is a style that is conducive to helping nurses "apply theory to practice and encouraging them to test new skills in a safe and supportive environment" (Frankel, 2008). Of course, honing and perfecting skills is not always the easiest thing to do given that lives and such are commonly at stake. Even so, chances do exist and/or can be created and they need to be taken…… [Read More]
ecause this is true, it is critically clear that the nursing leadership manager's role is one of a vital nature and that support for nurses in their role is the primary component that must necessarily be integral to leadership in nursing in dialysis units if the turnover of nurses is reduced to the lowest possible level. The nursing leadership manager's role is one that must proactively deal with burnout of these dialysis unit nurses instead of attempting to address these as they occur. Prevention is 'key' toward this end. As the demands grow for quality and competent nursing staff so does the need grow for competency in leadership nursing manager roles. ecause the dialysis unit nurse is very closely involved in their patient's care and because these patients are required to report for treatment several days a week for several hours a day the nurse's mental, physical and emotional state…… [Read More]
Nursing Leadership Priorities and Challenges
The priorities for nursing and nursing leadership are, on some levels, fundamentally simple. Nurses are simply tasked with providing the most effective care for their patient populations. This goal becomes much more nuanced when one begins thinking about how to properly achieve this goal. There is a considerable amount of research emerging in recent years surrounding this field which supports the notion that evidence-based practice is one of the efficient ways (Stevens, 2013) to improve patient outcomes. Therefore, in alignment with the chief priority of providing the best care to patients as possible, nurses must also prioritize how to do so utilizing evidence-based measures with a demonstrated efficacy in both clinical and outpatient settings.
However, justifying these two priorities creates an inherent challenge for nursing on a multiplicity of levels including those pertaining to organizations, roles, and individuals. Specifically, the difficulty lies in introducing new…… [Read More]
SMART Goal 1: Leadership Development
specific- Who is involved in the goal, what is the goal, where will it take place?
In regards to leadership development with the context of nursing leadership, a mentor would need to be approached. Leadership development hinges primarily on the individuals ability to learn and subsequently development needed skills. A mentor is a viable option in which to do so. As such the specific goal, as it relates to leadership development would be to acquire a mentor and meet periodically to discuss skill progression. It will take place within the confines of the hospital, either bi-weekly or monthly. In addition, another specific goal would be to identify personal areas of opportunity monthly and address those areas specifically with the mentor. In addition, the mentee will have specific metrics in which they are evaluated on in regards to leadership development. These metrics may include patient service…… [Read More]
Reeves, S., Macmillan, K., & van Soeren, M. (2010). Leadership of interprofessional health and social care teams: a socio-historical analysis. Journal of Nursing Management, 18(3), 258-
This study looks at the work between nursing and other professional teams that involve healthcare partially or fully. In this case, the inter-professional work is between nurses and social care teams and the subject is looked at from a socio-historical perspective. Indeed, the report looks at leadership when it comes to such inter-professional teams. Over the last quarter of a century, there are many that have been calling for more collaboration between such people so as to improve the overall quality of health care. It is indeed regarded by many to be one of the key approaches that can be undertaken to accomplish a higher standard of care. Rather than each team or group being its own proverbial island, there needs to be…… [Read More]
As a student who had only just completed the first semester of the course, I had no experience with pediatric patients prior to the shadowing task. Thus, the nurse shadowing task was a rather exciting experience for me, exposing me to several new aspects of pediatric care (Burkitt et.al 2001). However, its most heart- rending element was congenital patient care – seeing babies being born with an illness was a rather touching experience.
While a few of my peers were fairly well- informed on the subject of pediatric care, I wasn’t. Most of the information I gleaned and things I saw in the course of my nurse shadowing assignment were new to me. The nurse practitioner I was tasked to shadow provided me with detailed information about appendicitis, which is apparently a widely- occurring pediatric issue and, at times, may take long to diagnose (Gaydos et.al 2005). Further, I gained…… [Read More]
Combining Nurse Leadership With Advocacy
Personal rating using the nurse manager skills inventory
Personal and professional accountability
Personal growth and development -- Competent
Ethical behavior and practice -- Competent
Professional association involvement -- Novice
Certification -- Expert
Knowing your role -- competent
Knowing your future -- Competent
Positioning yourself -- Novice
Personal Journey disciplines
Shared leadership/council management -- novice
Action learning -- Competent
eflective practice -- expert
The contemporary nursing fraternity is going through high rates of attrition which has seen several nurses transfer to other professions ads well as a low number of new students enrolling to pursue the profession. This means that there is absolute need for the change in approach by the leadership to ensure those who are in the practice are effective to cover up for the low number of nurses as well as to retain them in the practice. The nurse leaders have…… [Read More]
The shortage of nursing staff remains a major challenge in the U.S. According to the American Association of Colleges of Nursing (AACN) (2014), the shortage is expected to be even greater in the next one decade or so. The shortage has been fuelled by factors such as reduced enrolment into nursing schools, increased retirement of the nursing workforce, as well as higher demand for healthcare due to population ageing and greater incidence of lifestyle diseases (AACN, 2014).
The shortage of nursing staff has severe implications for the nursing workforce. A high number of patients relative to nursing staff often translate to increased workload for nurses. Indeed, nurses continue to grapple with unhealthily lengthy work shifts, often stretching up to 12-13 hours. It is an issue that has sparked a great deal of debate given the connection between excessive workload and nurse outcomes. Literature extensively demonstrates that excessive workload as a…… [Read More]
The healthcare practitioner must be particular immune to prejudices of an ethnic, racial, sexual or personal nature, with equal treatment quality and personal attention expected for all patrons of the medical system. This is why it is important for members of the healthcare community to be acquainted not just with the idea of a multitude of groups in its public, but with some level of understanding as to how different ethnic groups endure different health scenarios.
10. Show how you integrate critical thinking, clinical reasoning strategies, and communication methods in nursing practice with clients in varying health states.
The strategies described here above are especially important where addressing the personal and emotional needs of patients are concerned. This is because communication and critical reasoning will go a long way in making the patient feel comfortable, confident and cared for. Accordingly, we find that "one skill in nursing communication that would…… [Read More]
autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author…… [Read More]
MAKETING VS. CS
Henderson Nursing Philosophy
classification of theories Grid
She graduated from her first nursing program in 1921 and her career was at its apex in the 1970's as she was one of the more prominent authors of nursing textbooks through the 1970's (and before that dating back to the late 1950's). She was a research associated at Yale until she died in 1996. She died that same year at the age of 1998. Basically, her career was active in some form for nearly seven decades but it was highest in the middle part from the 1950's to 1970's.
Virginia Henderson started her medicine career after she graduated from the United States Army School of Nursing in about 1921. She later received her bachelor's degree in 1931 and her master's degree. Her Bachelor of Science as well as her master's from…… [Read More]
Health Information Technology has significant impacts on nursing policy and practice including the role of these professionals in patient education. Actually, the Information Technology development process in healthcare is based on the nurses' ability to understand the community and provide distinctive insights about patient education among other factors (Effken & Abbott, 2009). Since nurses are important elements of the healthcare system, they are critical in ensuring that the confidence of patients in the health providers is maintained even as technology mediates interactions.
The main impact of the emergence of Health Information Technology on the role of a nurse in patient education is that technology mediates interactions between patients and their care providers. As a result, nurses are required to ensure that the role technology plays in mediating these interactions does not affect the insights provided in the process or the delivery of improved patient care. Moreover, through Health Information Technology,…… [Read More]
We can compare the healthcare workplace to what is seen by a person when he/she looks through a kaleidoscope: since there are numerous different patterns that appear as the moments pass by. The shortage of nurses which has been publicized widely and the high turnover rates amongst the nurses are some of the unwanted patterns which have occurred. The dependence of healthcare institutions on the nurse-managers for the retention and recruitment of nurses is steadily increasing (Contino, 2004).
There are a number of routes through which the critical care nurses have become the leaders. Most of these routes don't have any educational or managerial training as a part of the process. There is a need for effective strategies for the care leaders who provide critical care in order to inspire the staff and manage the departmental operations in an effective manner to get positive results. One of the strategies…… [Read More]
Performance scorecards provide a straightforward means of integrating metrics into a healthcare organization’s strategic planning. Scorecards are most effective when they have a clear purpose, identifying specific patient populations and outcome measures. According to Baker (2015), “savvy organizations select the best metrics to track that are appropriate to what the organizational staff members wish to measure,” which could include specific issues like patient vital signs or patient satisfaction survey outcomes (p. 224). Moreover, performance scorecards need to be simple, kept on a manageable scale so that the data gleaned can be readily communicated to inform organizational practices, policies, and procedures (Hansel, n.d.). The following performance scorecard includes three core categories including performance, quality, patient safety, and employee engagement, all while focusing on addressing the needs of a specific patient population: adults over the age of 65 who have been diagnosed with Type II Diabetes.
REVIEW…… [Read More]
Nursing Leadership and Management
Approaches of Nursing Leaders and Managers to Issues in Practice
Providing quality healthcare to individuals in need is imperative for all the stakeholders involved in the provision of healthcare. Among the stakeholders that play a key responsibility in ensuring the provision of quality, healthcare is the nurses who act as the advocates for individuals seeking healthcare. Providing healthcare to the population depends largely on the use of different strategies such as teamwork, continuous monitoring, and provision of opportunities that contribute to the personal and professional development of the healthcare providers. The success of the interventions adopted within the healthcare organizations also depends on the active roles played by the nurse managers and leaders in facilitating the adoption of the change agents. Therefore, the following essay focuses on the analysis of a comparison of the ways in which the nurse manager and a leader would approach the…… [Read More]
Nursing Doctoral Business Proposal
The benefits of staffing Advanced Nurse Practitioners (ANP) as ANP Case Managers
A Nurse Practitioner (NP) is a registered nurse educated and certified to operate autonomously and collaboratively in an advanced and comprehensive medical responsibility. The practitioner has several additional roles under which they are to conduct diagnostic investigations, prescribe medications and undertake referrals to specialist clinical medications. esearch suggests that when nurses undertake prescription roles, it can result to increased efficiency, maximization of resources, and improve patient access to medicines and enable nurses to provide timely and extensive care packages (Cashin, Buckley, Newman & Dunn, 2009). In the advanced practitioner context, the roles that exist include the Clinical Nurse Specialist, the Certified Nurse Midwife, the Nurse Anesthetist and the Nurse Practitioner.
On the other hand, an Advanced egistered Nurse Practitioner (ANP) is also a registered nurse who possesses professional knowledge base, intricate decision-making skills and…… [Read More]
Nursing Theory -- oy Adaptation Model
The oy Adaptation Model is one of the most commonly cited and used options when it comes to nursing theories. It has been in existence since 1976, and has had a number of years to be adjusted and changed to work with the adjustments that have occurred in the field of nursing over time (Alligood, 2011). Being able to adapt and change is a very important part of nursing, because all patients are different. Additionally, treatments and medications change rapidly, and that can be difficult to keep up with if a nurse is not focused on adapting his or her style and beliefs to the changing nature of medicine. Here, the importance of nursing theory will be explored, along with the key points that are used in the oy Adaptation Model. The views and ideas that the model provides when it comes to nursing…… [Read More]
A brief review of Dr. Patricia Benner's theory on the transition from novice nurse to expert nurse will provide the grounding for the three resources selected for the reference list. Brenner held strong beliefs about the validity of skills and knowledge gained through experience, and introduced the idea that an expert level of nursing is achieved as patient care is provided over time -- and as that knowledge is folded into the formal training that nurses receive when they earn a degree in nursing. Benner is famously known for asserting that a nurse could "gain knowledge and skills (knowing how) without ever learning the theory (knowing that). Dr. Benner posited a three-pronged approach to knowledge in the applied disciplines of nursing specifically -- and medicine in general -- that entails extending practical knowledge through research and clinical experience. Dr. Benner asserted that a nurse could not truly achieve…… [Read More]
Thinking Critically, Making Decisions, Solving Problems
The critical-thinking process can be used by answering 4 questions related to practical experiences. They are:
the underlying assumptions, interpretation of evidence, evaluation of arguments and the possible alternative perspectives.
LO 2: response
Creativity can be fostered by preparing, incubation, insight and verification.
LO 3: response
Decision-making and problem-solving skills can be improved by defining the problem, gathering of information, analyzing of the information, developing solutions, making a decision, implementation and evaluations of the solution.
Ref: page 11 and 112
LO 4: response
The major difference between individual and collective decision making process is the possibility of the exchange of ideas in the latter through brain storming sessions.
LO 5: response
For a leader, the stumbling blocks to making decisions and problem solving are the personality traits of the leaders, the experience, lack of adaptability and ideas…… [Read More]
Leadership and Management of Nursing Shortage and Nurse Turn-Over
Several research scholars have stressed the significance of effective healthcare leadership, and leadership by nurses is critical to this, since nurses constitute the largest healthcare worker group. For more effective nurse recruitment, hospital leadership should support the profession of nursing. It is vital for them to recognize their most capable nurse managers and nurses, and place them within communities for attracting individuals possessing similar traits into the profession. Furthermore, hospital leaders must team up with colleges/universities and secondary schools for picking out students who possess the traits needed for thriving despite challenges accompanying slow improvements to the healthcare sector. World-class hospitals or healthcare facilities do not simply sit back waiting for potential nurse candidates to find recruiting organizations (Curtis, de Vries & Sheerin, 2011).
One way of addressing this issue may be for a healthcare employer to offer a school/college with…… [Read More]
Nursing: Theory and Nursing Practice Issues
Theory and Nursing Practice Issues: Nursing
The modern-day staff nurse faces a variety of challenges in the work environment. These include inadequate staffing, the authority gradient, and issues related to changing models of care. The nurse leader has a duty to aid staff nurses working under him in addressing the challenges posed by these, and other issues facing the nursing profession. Leadership theories provide effective guidelines by which nurse leaders can address issues inherent in the nursing profession. In so doing, they accord staff nurses adequate opportunities to make meaning out of their lives. Leadership theories such as the situational leadership theory, the transformational leadership theory, role theory, and path-goal theory provides crucial insights from which nurse leaders could draw reference when seeking solutions for problems facing subordinate staff nurses. This text explores how leadership theory can be applied to nursing practice issues, and…… [Read More]
Week 6 Live Chat
An example of a change in demographics is when the demographic mix in society changes. This is an ongoing process, occurring daily. New census figures show the totals over a specific period, but somebody working in health care will be able to notice a demographic shift as it occurs. I have no idea what is meant by changes in disease.
Changes in societal norms and values could reflect a society that is less religious, is more tolerant, or that has different values with respect to things like elder care, or how to treat the dying.
Health care technology has been changing since the Industrial evolution, and the pace of change has become more rapid. New advances occur frequently, and will be introduced to medical practice regularly. obot-assisted surgery is an example of a new technological advancement in health care.
An example of a financial…… [Read More]
Identify the five components of magnetism and the forces of magnetism associated with each one.
The five components of magnetism include: organizational structure, management style, the quality of care, consultation / resources and autonomy. The organizational structure is looking at underlying amounts of bureaucracy and its ability to respond to new challenges. The management style is studying the approach that is used and the way the leadership is able to connect with everyone. The quality of care is focusing on safety and doing more for patients. Consultation and resources are when everyone is working together and receives the proper amount of support. Autonomy occurs with everybody acting and thinking creatively. Each one of these areas is critical in defining the healthcare environment and the way professionals are able to meet the needs of stakeholders.
Create a concept map using magnetism as your key concept.
To connect with everyone…… [Read More]
The author of this report is offering a brief treatise on the broader subject of magnetism when it comes to nursing, learning, leadership and evidence-based practice. The five components of magnetism, as described by Debisette, will be named and described one-by-one. In the appendix of this report there is a concept mind map of the broader subject of magnetism as covered and broken down in this report. Finally, there will be the showing of a strong relationship between the qualities specified for magnet designation and the associated benchmarking strategies and evidence-based practice models. While the magnet designation is not an entirely simple thing to describe, the facets that make up nurse magnetism are fairly easy to fathom when identified and described.
As noted in the introduction, there will be a description of the five elements of nursing magnetism as described by Debisette. Those five components are transformational…… [Read More]
Leadership: Enhancing Lessons Experience
According to Johnson, & Giorgis (2002), Leadership is the process in which an individual influences actions of others towards common goals, Formulates policies, strategies, and influence people towards achievement of the same strategies. Over the past decades, various changes in the world have led to various definitions of leadership. The fall of the Soviet Union, globalization and various advances have changed the world we knew. A woman in leadership positions is a new phenomenon; various leadership trainings are available, and leadership as a skill is now an asset for professionals. For African Universities to ensure knowledge transfer and observing millennium development goals, a good leadership structure is essential. A leader has exception skills and acts outrageously to situations (Padam, 2009).
Scholars have advanced various theories on leadership. Leaders' Individual personal attributes beat explains the trait theory, when one looks closely at Mahatma Gandhi and Hitler it…… [Read More]