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Nurse Manager Skills:
The process of becoming a successful nurse manager entails multi-tasking across limitless issues on a daily basis that range from focusing on patient safety difficulties to solving disputes among the nursing staff. However, practitioners serving as nurse managers may find it difficult to have adequate time in the day to accomplish all the activities. The professional role of nurse managers is crucial in the delivery of quality health care and enhancing the effectiveness of these practitioners. Nonetheless, nurse managers need to have certain skills in order to enhance their efficiency in their respective job duties. Some of the necessary skills set include personal and professional accountability, career planning, personal journey disciplines, reflective practice behaviors, and leadership skills. These professionals can identify their strengths and weaknesses in these areas through evaluation that can be done using the Nurse Manager Skills Inventory that was developed by the American Organization…
Garner, C. (2011, April). Powerlessness is Bad Practice: Any Nurse Can Be a Facilitator of Change. Retrieved from American Sentinel University website: http://www.americansentinel.edu/wp-content/uploads/Facilitating_Change_White_Paper.pdf
Gscarlett. (2009, March 21). Using Goals to Grow in Nursing. Retrieved July 17, 2012, from http://allnurses.com/general-nursing-articles/using-goals-grow-379001.html
"The AONE Nurse Executive Competencies." (2011). The American Organization of Nurse
Executives. Retrieved July 17, 2012, from http://www.aone.org/resources/leadership%20tools/PDFs/AONE_NEC.pdf
nurse-manager for a hospital floor and focuses on a proposed change to that floor: the addition of a certified wound care nurse. It begins by describing the benefits of a specialized wound care nurse, the existing conditions on the hospital floor, and how each of the stakeholders would be impacted by such a change. It utilizes Lippitt's phases of change theory to describe how those changes would be implemented on the floor, outlining each of the phases in implementing such a change.
Wound care nurses play a special role in the hospital environment, and hospitals without those specialized nurses may not be able to offer the level of care as hospitals that have these specialized professionals. "Wound care nurses, sometimes referred to as wound, ostomy, and continence (WOC) nurses, specialize in wound management, the monitoring and treatment of wounds due to injury, disease or medical treatments. Their work promotes the…
Kritsonis, A. (2004-2005). Comparison of change theories. International Journal of Scholarly
Academic Intellectual Diversity, 8(1), 1-7.
McIsaac, C. (2007). Outcome measurement and EB wound care practice in home care:
Translating evidence into action: Evidence-based practice, education, and knowledge transfer. Retrieved January 16, 2012 from Medscape website: http://www.medscape.com/viewarticle/569492_2
One of the most important elements towards developing necessary skills and competencies in the nursing field is shadowing a practitioner in a healthcare setting or unit. The shadowing experience helps in observing how a nurse practitioner applies nursing concepts in daily activities that focus on delivery of high quality patient care. As a nursing leadership and management student, my shadowing experience involved observing WW, a nurse manager of a cardiac progressive unit. This paper provides a discussion of the shadowing experience with this nurse manager, which focused on identifying leadership styles she utilized to accomplish daily activities in the unit and enhance patient care. The discussion includes a review of the position, credentials, and leadership styles of the nurse manager. This paper also includes an explanation of how the nurse manager handled a conflict using the leadership style. An explanation regarding how the shadowing experience has changed my impression of…
Essentially, the book covers all the details of CTA methods, from examples and guidance to directions on how to study cognition in real-world settings and face the difficulties associated with rapidly evolving technology.
Institute of Medicine. (2004.) Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, DC.: The National Academies Press. Studies have shown that thousands of hospitalized Americans die each year, not because of disease or illness, but because of errors that occur while they are being cared for. This alarmingly statistic has been supported by a 2002 national survey where 42% of the American public reported having experienced an error related to their own care or of a family member. As a result, this issue has gained the attention of a variety of organizations as well as federal and state policy makers, and have encouraged more research on this issue, the dissemination of patient safety information and…
Buerhas, P., Staiger, D., & Auerbach, D. (2009.) The Future of the Nursing Workforce in the United States: Data, Trends and Implications. Sudbury, MA: Jones & Bartlett Publishers. This book provides an extensive, integrated body of data on the forces shaping the United States' nursing workforce. The book also identifies and illustrates the major changes in the existing nursing workforce as well as provides forecasts and insights for the future.
Crandall B., Klein G., & Hoffman R. (2006.) Working Minds: A Practitioners Guide to Cognitive Task Analysis. London, UK; MIT Press. Somewhat of a handbook, this book provides a set of tools for performing Cognitive Task Analysis (CTA.) CTA helps provide researchers with an understanding of the cognitive skills and strategies people use to act effectively and accomplish tasks. Essentially, the book covers all the details of CTA methods, from examples and guidance to directions on how to study cognition in real-world settings and face the difficulties associated with rapidly evolving technology.
Institute of Medicine. (2004.) Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, DC.: The National Academies Press. Studies have shown that thousands of hospitalized Americans die each year, not because of disease or illness, but because of errors that occur while they are being cared for. This alarmingly statistic has been supported by a 2002 national survey where 42% of the American public reported having experienced an error related to their own care or of a family member. As a result, this issue has gained the attention of a variety of organizations as well as federal and state policy makers, and have encouraged more research on this issue, the dissemination of patient safety information and the support of new information technology to assist with health care delivery.
Shirey M., Ebright P., McDaniel A. (2008.) Sleepless in America: Nurse Managers Cope with Stress and Complexity. J Nurs Adm., 38(3), 125-131. It appears that the performance expectations for nurse managers who practice in acute care hospitals may be unrealistic. In this article, the authors discuss interview data that show that as these expectations become more intense, so does the level of stress felt by the nurse managers. As a result, coping becomes more difficult and the entire well-being of nurse managers and the overall work environment are affected.
Nurse leaders and managers are vital in every aspect of a healthcare organization with regards to their role in ensuring the provision of quality care services. Given their significance in a healthcare organization, nurse managers and leaders need to develop essential competencies and leadership abilities. This implies that nurse leaders not only need to develop essential knowledge, competencies and expertise but should also focus on their leadership skills and abilities. One of the ways nurse managers and leaders can use to develop their leadership skills and abilities is through examining their competencies. The American Organization of Nurse Executives developed the Nurse Manager Skills Inventory that nurse managers can rate themselves based on several content areas (Denker, 2014). The tool can in turn be used as a platform for planning career pathway and identifying professional targets as a nurse manager.
As part of promoting my personal career plans…
Denker, A. (2014, November 20). Transformational Leadership in Nursing: A Pilot Nurse Leader Development. Retrieved from Bellarmine University website: http://scholarworks.bellarmine.edu/cgi/viewcontent.cgi?article=1004&context=tdc
Dever, K.H. (2010, August). The Skills, Competencies, Expertise, and Embedded Knowledge of Nurse Managers, as Leaders, in Long-Term Care. Retrieved from St. John Fisher College website: http://fisherpub.sjfc.edu/cgi/viewcontent.cgi?article=1005&context=education_etd
Garner, C. (2011). Powerlessness is Bad Practice: Any Nurse Can be a Facilitator of Change. Retrieved from American Sentinel University website: http://www.americansentinel.edu/wp-content/uploads/Facilitating_Change_White_Paper.pdf
Organizational ole Description
Long Island Jewish Northwell Health is a healthcare network comprising 21 hospitals, which makes it the largest integrated healthcare system in New York State. This integrated healthcare system has a huge employee base to an extent that it's the largest private employer in this state. In addition, Long Island Jewish Northwell Health has a huge service area that includes over 8 million individuals in New York. Despite having different hospitals and systems, the ultimate goal of this healthcare network is to provide highest quality care to all. For this practicum, the student chose 9 North, which is a medical surgical unit of this integrated healthcare system or network.
Long Island Jewish Northwell Health is headed by a president who is also the Chief Executive Officer. Under the president and CEO are more than 35 administrative leaders who head the different systems or departments in this healthcare network.…
Northwell Health. (2016, June 14). Nurse Manager -- OR -- Evening. Retrieved June 24, 2016, from http://jobs.northwell.edu/job/6588019/nurse-manager-or-evening-manhasset-ny/
Northwell Health. (n.d.). Vision and Leadership. Retrieved June 24, 2016, from https://www.northwell.edu/about/vision-and-leadership/leadership-team
The nurse manager skills inventory celebrates and encourages reflective practice in nursing. Organized according to specific skill areas, the inventory reveals strengths and weaknesses that can help the nurse manager improve his or her performance in real and measurable ways. eflective practice is a valuable tenet of professionalism in nursing, allowing for honest self-reflection and constructive change. eflective practice also allows nurses like me to focus on personal and professional goals and structure an implementation plan to reaching those goals. The personal goal for leadership growth I would like to focus on is specifically in the area of presentation delivery and public speaking. First, I will provide a reflective outline of the results of the nurse manager skills inventory in four key areas, followed by a brief discussion of how to apply my current leadership skill set to advocate for change in my workplace. As Wrubel et al.…
"Nurse Manager Skills Inventory," (n.d.). AACN, AONE. Retrieved online: http://www.aacn.org/wd/practice/docs/nurse-manager-inventory-tool.pdf
Wrubel, B.P., et al. (2004). A practical approach to promote reflective practice within nursing. Retrieved online: http://www.nursingtimes.net/Journals/2012/11/30/v/l/x/040323A-practical-approach-to-promote-reflective-practice-within-nursing.pdf
Conflict Management in Nursing
Conflict management is one of the most important aspects of a healthcare system. This is because of the impact that conflicts have on the effectiveness of nurses and other healthcare professionals. It is manifested in different ways that include the interpersonal conflict between nurses, a conflict between a nurse and the patient or his or her family and the conflict between a nurse and another professional working in a different discipline. Therefore, it is important for the nurse manager to have the right skills that will ensure that he or she can not only identify conflicts at an early stage but also ensure that the measures are taken to deal with the condition before it escalates. This paper looks at the concept of conflict management by focusing on the issue of interpersonal conflict as addressed in "Keeping the Peace: Conflict Management Strategies for Nurse Managers" by…
Johansen, M. L. (2012). Keeping the Peace: Conflict Management Strategies for Nurse Managers. Nursing Management, 43(2), 50-54
Conflict Management Issue in Nursing
Mary Johansen has conducted a study on conflict management strategies that can be used by nurse managers as part of initiatives to keep peace in their working environments. This study is based on the premise that dealing with conflicts in an effective way is crucial in nursing since it contributes to efficient and effective results. The efficient and effective results are evident in enhanced quality, staff morale, patient safety, and reduction of work stress for the caregivers. For nurse managers to develop effective means for managing of conflict, they need to approach the issue cautiously and thoughtfully since it entails handling working relationships that are vital for the effective functioning of the nursing unit. The relationships involved in the management of conflict in a nursing unit include nurses and other members of the multidisciplinary healthcare team who need to collaborate across the overlapping roles and…
Johansen, M.L. (2012, February).Keeping the Peace: Conflict Management Strategies for Nurse Managers. Nursing Management, 43(2), 50-54.
Bar code medication administration (BCMA) is one of the keys to minimizing medical errors in a manner consistent with evidence-based practice (Poon et al., 2010). However, universal embrace and utilization of BCMA remains stagnant. easons for resisting the transition to BCMA include nurse perceptions. Holden, Brown, Scanlon, & Tzion-Karsh (2012), for instance, found nurses reporting low perceived usefulness of BCMA in spite of the wealth of evidence supporting the technology. Perceived ease of use of BCMA was moderate, suggesting that it is mainly attitude factors preventing nurses from implementing BCMA in their institutions. When perceptions of the usefulness of BCMA increase, then compliance with BCMA standards can become more widespread. Any program that attempts to increase the utilization of BCMA must focus first on human factors including attitudes. This requires that all nurse leaders, as well as nurse educators, prepare advance practice nurses for using BCMA as a matter…
Duffield, C.M., Roche, M.A., Blay, N., & Stasa, H. (2011). Nursing unit managers, staff retention and the work environment. Journal of Clinical Nursing, 20(1-2), 23-33.
Roberts, B.R. (2013). Doctor of nursing practice: Integrating theory, research, and evidence-based practice. Clinical Scholars Review, 6(1), 4-8. doi: http://dx.doi.org/10.1891/1939-2095.6.1.4
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.
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. (2001). Implications of organizational learning for nursing managers from the cultural, interpersonal and systems thinking perspectives. Nursing Inquiry, 8(3), 196-199.
Faulkner, J., & Laschinger, H. (2008). The effects of structural and psychological empowerment on perceived respect in acute care nurses. Journal of Nursing Management. 16(2): 214-221.
Kanter, R.M. (1979). Power failure in management circuits. Harvard Business Review, 65-75.
.....nurse assigned to care for this patient, I would strongly advocate on behalf of the patient's autonomy. The clash between patient autonomy and the healthcare system and its representatives like nurses can only be resolved by being honest in this situation. The patient is under a high degree of stress, not only because of his health condition and the fear that brings out in him, but due to other stressful life events including his financial situation. He was also supposed to get married immediately before the bypass surgery was scheduled, and this is bound to add to his level of stress. The primary issue here is providing what the patient needs to keep him safe during the procedure, and if he insists on using his own pump, which he has successfully used for the thirty years he has lived with the disease of diabetes, then he should use his own…
The dependent variable in the study is the nursing rounds (which involves undertaking the prescribed protocols and actions to be taken as well as the frequency of rounds, i.e. one hour rounding and two hour rounding). The study aims to see the behavior of the nursing rounds variable when tested against the study's independent variables (which are patient's call light use, level of satisfaction, and safety). The title of the article, as readers may notice, effectively points out the dependent and independent variables in the study.
In terms of the relationships of the dependent and independent variables, the authors hypothesized that nursing rounds will reduce the call light use (negative direction, i.e. As one variable increases, the other decreases), increase patient satisfaction (positive direction, i.e. one variable increases and so is the other), and improve patient safety (positive direction).
For the first hypothesis (nursing round and call light use), probability…
Ebert, J.R. (n.d.). What Is an Abstract? Retrieved from http://employees.oneonta.edu/ebertjr/what_is_an_abstract.htm on April 9, 2009.
Meade, C.M, Bursell, a. & Ketelsen, L. (2006). Effects of Nursing Rounds on Patient's CallLight Use, Satisfaction, and Safety. AJN, 106 (9), 58-70.
Nachmias, C. & Nachmias, D. (1996). Research Methods in the Social Sciences. London: St. Martin's Press.
Nursing Mentor Scenario
Introduction- Just as the theoretical and practical backgrounds of nursing have changed over the past several decades, so has the nursing education environment itself. . Students now entering the field are diverse in culture, educational background, and most especially age and experience. Traditional undergraduates coming directly from High School or Junior College often interact with more mature and experienced students. In addition, nursing instructors remain challenged to recognize different learning needs and styles, and respect that adaptive scenarios might be necessary to further the learning opportunities for many students. e thus see that the most effective way of teaching in the modern nursing classroom is to adjust one's pedagogical paradigm outward and to actively find new and innovative ways of reaching each student, rather than expecting each student to completely bend to the tried and true curriculum of previous generations (Young, L., Petson, B., eds., 2006). Too,…
Bradshaw, M., & Lowenstein, A. (Eds.). (2011). Innovative Teaching Strategies in Nursing and Related Health Professions. Sudbury, MA: Jones and Bartlett.
Bulman, C. And Schutz, S. (1998). Reflective Practices in nursing. Sudbury, MA: Jones
And Barlett Publishers.Epp, A., & Price, L. (2011). Designing Solutions Around Customer Network Identity Goals. Journal of Marketing, 75(1), 36-54.
Cramer, C., Davidhizar, R. (2008). Helping At-Risk Nursing Students Succeed on the National Council Licensure Examination-Registered Nurse. The Health Care Manager.27 (3): 269-76.
According to the Joint Statement on Delegation produced by the American Nurses Association (ANA) and the National Council of State Boards of Nursing (NCSBN) "the N assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient's condition, complexity of the task, predictability of the outcomes, abilities of the staff to who the task is delegated, and the context of other patient needs" (Joint Statement).
In this particular case, it is easy to determine the frustrating aspects affecting Ms. W. It can also be a relatively simple matter to correct the situation in order to ensure effective care for Ms. . The nursing supervisor in this case would sit down with Ms. W. And map out a strategy for the patient's care, remembering of course that the key to successful delegation "depends on the quality of N and NAP working…
Joint Statement on Delegation, American Nurses Association and the National Council of State Boards of Nursing (NCSBN).
Potter, P.; Deshields, T.; & Kuhrik, M.; (2010) Delegation practices between registered nurses and nursing assistive personnel, Journal of Nursing Management, Vol. 18, Issue 2, pp. 157-165
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…
Storch, J., Rodney, P., Pauly, B., & Fulton, T.R., Stevenson, L., Newton, L., & Makaroff,
K. (2009). Enhancing ethical climates in nursing work environments. Retrieved September 27, 2014 from Canadian Nurse website: http://www.canadian-nurse.com/en/articles/issues/2009/march-2009/enhancing-ethical-climates-in-nursing-work-environments
The article examines the outcomes of the Leadership for Ethical Policy and Practice, which was a three-year participatory action research survey aimed at nurses, managers, and other team members. The respondents found that nurse leader support was a critical component when enacting ethical leadership initiatives. They also found that an ethical leadership model resulted in higher levels of job-related satisfaction at all levels of the healthcare management team.
Resources needed include manpower and positional aids mentioned previously in this report. Evaluation of the effectiveness of the change would be accomplished through data collection related to the frequency of pressure ulcer occurrence in patients and nurse compliance in the four hours supine positional rotation of patients. Questionnaires will also be administered to nursing staff in order to gain insight as to their attitudes, behaviors and perceived barriers to pressure ulcer prevention.
Phase V: Transplantation and Application
This study concludes that positional rotations of every four hours has been shown to be the most effective prevention of pressure ulcer formation in older patients in elderly care homes and further that that attitudes, behaviors and perceptions of barriers in the view of staff nurses predicts the effectiveness of the implementation of such a prevention program for pressure ulcer care. (Moore and Price, 2006)
Exact Nature of Practice Implications
____ Change the…
Moore, Z. And Price, P. (2004) Nurses' Attitudes, Behaviors, and Perceived Barriers Towards Pressure Ulcer Prevention Journal of Clinical Nursing 13, 2004.
Vanderwee, K.; Grypdonck, D.; Bacquer, De and Defloor, T. (2006) Effectiveness of Turning with Unequal Time Intervals on the Incidence of Pressure Ulcer lesions. JAN Original Research 10 July 2006.
Nursing: Utilization Review
The budgeting process at CHOMP is varied and requires that nursing managers and department heads keep a close eye on the daily activities of staff. It is described as a structured process that begins with planning meetings in August with the financial services department. The department director and the Vice President sign off on the budget in December, and then all budgets are reviewed by the President's Advisory Committee which includes the CEO and the Vice Presidents.
Department directors also have to sign off on their budget in November or December. Budgeting decisions are made by each nursing department. The budget is generally two to three million dollars, including wage and non-wage budgets. The budget is flexible. Nurses need to stay between 95-105% for productivity with an aim of 100%. The budget is averaged so on days when full time employees exceed the hours budgeted based on patient numbers they…
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Schmaedick, G.L. (1993). "Cost-effectiveness in the nonprofit sector: Methods and examples from leading organizations." Westport, CT: Quorum Books.
Ward Jr., W.J. (1994). "Health care budgeting and financial management for non- financial managers." Westport, CT: Auburn House.
Nurse Patient atios and Quality of Care
This study reviews the broad level of issues that surround the nurse/patient ratio: a critical shortage of trained and experienced nurses; increased political and fiscal demands from all sectors of society; rising costs internally and externally combined with a rising number of under-insured; and the conundrum of nursing ethics and the ability to foster excellence in care and patient advocacy. We note that there remains an issue about hiring more nurses -- where will these nurses come from if the nursing schools do not increase their recruitment efforts and broaden their curriculum. In addition, we note that the large majority of patients and stakeholders primarily want two things when admitted to a healthcare facility: better paid nurses and more highly-trained professionals who are satisfied with their vocation.
Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures…
More Nurses Make the Difference. (February 2012). The Lamp. 69 (1): Retrieved from: http://search.informit.com/au/documentSummary;dn=045435426132502;res=IELHEA
Safe Nurse Staffing: Looking Beyond the Numbers. (2009). Vantage Point, CNA. Retrieved from: https://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_ -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newsletters
Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft
For the Council on the Economic Impact of Health System Change. Retrieved from: http://council.brandeis.edu/pubs/hospstruct / Council-Dec-14-2001-Aiken-paper.pdf
Perceptual and attitudinal changes are needed to motivate readiness to learn. Self-directed education is key to adult learning and especially to continuing education in the health professions (McClaran et. al, 1999, p. 184). Studies show that nurses will identify their specific needs for training and education and seek them out. They are also able to learn from previous experiences and build upon them to expand their proficiency of management skills. They seek personal mastery, vision, and team learning in order to grow as individuals and team members. These adult learners, as Knowles expressed, are motivated to learn and seek out the information they need. With education to understand the realities of healthcare management and a chance to develop management skills, nurses have both expanded opportunities and responsibilities that can impact the world of healthcare and provide safer and more satisfactory patient care.
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Hiemstra, R., and Sisco, B. (1990) Individualizing Instruction: Making Learning Personal, Empowering, and Successful. San Francisco: Jossey-Bass.
Communication in a Collaborative Healthcare Context
Providing leadership in a healthcare context requires one skilled both as a manager and as a collaborator. The modern healthcare context is a highly collaborative environment in which medical professionals must work hand in hand with specialists, nurses, physicians, family members, physical therapists, mental health professional, administrators and the patients themselves in order to derive treatment of the highest quality. The discussion hereafter considers the implications of this collaborative environment to those serving in roles of leadership within the healthcare field with a particular focus on communication.
Communicating in the Collaborative Healthcare Context:
My consideration of communication in the healthcare context is taken from recent clinical experiences within which I interviewed an Advanced Practice Nurse, a doctorally prepared nurse and an ICU nurse manager. My time at the Pacific Institute of Nursing
Conference would yield a great many insights concerning the value…
Anderson, L. (2010). Communication in Nursing. Nurse Together.
Godbole, M. (2009). Communication Techniques in Nursing. Buzzle.com.
Schroyen, B. (2003). Developing Workplace Writing Skills for Nurses: Writing For Different Audience in the Heath Care System Requires Different Skills. Kai Tiaki: Nursing in New Zealand.
, 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…
Armstrong, P.W. "A time for transformative leadership in academic health sciences."
Clinical & Investigative Medicine, 30(3); 2007: E127-132.
Davidson, S.J. "Complex responsive processes: a new lens for leadership in twenty-first-
century health care." Nursing Forum, 45(2); 2010: 108-117.
" (Allen 2008) This means that nursing educators are also a key stakeholder.
Other stakeholders include healthcare facility administrators, corporate trustees and public office holders, who will often have entangled or competing interests relating to the profitability of operations and the political expediency of policy orientation. This will also be true of the various professional advocacy groups, nursing associations and lobby groups that will vie for influence in the discussion on any legislation relating to the nursing shortage.
A primary policy objective is to endorse any legislation that would aggressively enforce better recruitment of nursing students, better training of existing nurses, improvements in working conditions for nurses and mandated nurse-to-patient ratios. These objectives are underscored by evidence of the opportunities to save lives facilitated by mandated ratios. According to the text by Health Services Research (HSR) (2010), "key findings of the study reportedly include that 10-13% 'fewer surgical…
Allan, L. (2008). The nursing shortage continues as faculty shortage grows. Nursing Economics, 26(1), 35-40.
Berkowitz, B. (2012). The Policy Process. .
Cullen, E.; Ranji, U. & Salganicoff, A. (2010). Addressing the Nursing Shortage. Kaiseredu.org.
GovTrack. (2010). S. 1031: National Nursing Shortage Reform and Patient Advocacy Act. govTrack.us.
Nursing profession is a complex and important field of human care. In addition to the challenge of high workloads and long hours, nurses are also faced with the challenge of caring for persons who are often hostile or otherwise difficult to handle as a result of the conditions they suffer from. In such cases, nurses must provide care with professionalism and friendliness, regardless of their personal feelings. To be able to perform their work effectively over the long-term, it is vital for nurses to receive as much support as possible from their leaders and peers. In addition to leadership systems such as the transformational paradigm and the synergy model, there are also technical support systems that nurses can benefit most profoundly from.
The nurse's relationship to the information systems and technology department, for example, is of optimal importance. According to the Biohealthmatics.com Website (2010), this relationship is currently tragically underutilized…
Bigelow, B. And Arndt, M. (2005, Spring). Transformational Change in Health Care: Changing the Question. Hospital topics: Research and Perspectives on Healthcare. Vol. 83, no. 2.
Biohealthmatics.com (2010). Nursing Information System. Retrieved from: http://www.biohealthmatics.com/technologies/his/nis.aspx
Polifroni, E.C. (2007, Jan.). Guest Editorial: Ethical Knowing and Nursing Education.
Ryan, M.K. And David, B. (2003, Dec). Gender Differences in Ways of Knowing: The context Dependence of the Attitudes Toward Thinking and Learning Survey. Sex Roles, vol 49, Nos. 11/12.
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…
Communication between nurses is an important instrument for professionals to deliver safe, quality healthcare as a team. Therefore, provision of quality healthcare in hospitals, depends entirely on the capability of the health practitioners to communicate efficiently between each other. However, little healthcare education addresses inter-professional communication, and this may account for the major medical errors. In addition, communication is significant given the interdependence of professionals and the important role they play towards providing quality patient care. Various factors constitute effective and ineffective communication (Manjlovich, Antonakos and onis, 2010). espect is a factor that may facilitate effective communication while negligence is a factor that may facilitate ineffective communication.
The operating room is a crucial facility in the hospital setting. Many of the errors that arise in the operating room result from failed communication between the nurses, healthcare team and the patient. In addition, there are factors that may bring…
Manajlovich, M., Antonakos, L.C., & Ronis, L.D. (2009). Intensive Care Units,
Communication Between Nurses and Physicians, and Patient Outcomes. American Association of Critical-Care Nurses, 18(1), 21-30
Marshall, S., Harrison, J., & Flangan, B. (2009). The Teaching of Structured Tool
Improves the Clarity and Content of Inter-professional Clinical Communication. Quality and Safety in Health Care, 18(2), 137-140.
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…
Artinian, B.M., West, K.S., & Conger, M.M. (2011). The Artinian Intersystem Model. New York: Springer.
Bennett, S. & Bennett, J. (2000). The process of evidence-based practice in occupational therapy: Informing clinical decisions. Australian Occupational Therapy Journal (2000), 47, 171-180.
Burns, N. & Grove, S.K. (2009). The Practice of Nursing Research. St. Louis, MO: Saunders.
Cantrell, S. (2009). Performing under pressure: Caring for decubitus ulcers. Healthcare Purchasing News. Aug 2009.
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…
Aiken, L.H., & Patrician, P. (2000). Measuring organizational traits of hospitals: The Revised Nursing Work Index. Nursing Research, 49, 146-153.
Aiken, L.H., & Sloane, D.M. (1997). Effects of organization innovation in AIDS care on burnout among urban hospital nurses. Work Occupation, 42, 453-477.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J., & Silber, J.H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction [Electronic version]. JAMA, 288, 1987-1993.
Aiken, L.H., Clarke, S.P., Sloane, D.M., Sochalski, J.A., Busse, R.A., Clarke, H., Giovanetti, P., Hunt, J., Rafferty, a.M., & Shamian, J. (2001). Nurses' reports on hospital care in five countries [Electronic version]. Health Affairs, 20, 43-53.
he Neuman Model is appropriate for senior care.
Studies necessary with other models.
Penrod, et.al.; Reframing Person Centered Care for Persons with Dementia
Research and heory for Nursing Practice
Lit. Review, discussion
Research shows individual personhood approach has positive effects on care.
Biomedical and psychological models must be merged for persons with dementia.
Further study using different integration modeling.
Rajapaksa and Rothstein; Factors hat Influence the Decisions of Men and Women Nurses to Leave Nursing.
Qualitative, some quantitative analysis
For men, compensation largest barrier to remaining in nursing; for women dissatisfaction with career goals
Barriers to entry in profession for men and still social stigma
It is possible for hospitals and care centers to develop program to retain more nurses
Needs more demographic and psychographic variation.
Gillespie and Peterson; Helping Novice Nurses Make Effective Clinical Decisions
Their Experiences With a Refugee Population." Journal of Nursing Education.
Watson, J. (2008). "Social Justice and Human Caring." Creative Nursing. 14 (2): 54+.
North Mountain Medical is a super sniff facility as they specialized in high acuity level patient. The patient structure is respiratory, with staff trained in tracheostomy care and ventilator management. In house hemodialysis, in house physical therapy. This facility has been in operation since 2004. Patients in this facility do not self-diagnose. Patient diagnoses are from Medical doctors and Nurse Practitioners that work on site. Patient in the facility are cared for by interdisciplinary team. Certified nursing assistants that care for patient will normally report a Change in patient’s condition to the nurse. Nurse completes an assessment and report changes immediately to the doctor. In the event of an emergency patients are send to emergency room for further evaluation and treatment. Health is a right in this facility. Yes, most of the patient’s life style has impacted the health of the patient. Noncompliance with medication regimen and diet changes. Patients…
If nursing students are being asked to absorb 30-40% more information during undergraduate years, it is logical to see that they do so early in their academic career -- almost as a prerequisite for more advanced practicum.
Then, of course, there is the matter of the learning curve in professional education. If one compares schooling for registered nurses with that of physician's assistants or physicians, one often sees a growing gap between the clinical abilities of nursing staff and actual patient care needs. This cause has been attributed to deficiencies in some skill sets of new graduates -- which has the effect of pushing nursing schools and curriculum toward more robust materials (Berkow, Virkstsis, Sewart, and Conway, 2008). However, is the solution simply adding more materials to memorize and read, or might it be more efficient to take a look at the time frame of the educational experience and ask…
Berkow, Virkstsis, Sewart, and Conway. (2008). Assessing New Graduate Nurse Performance. Journal of Nursing Administration, 38(11), 468-74.
Burritt and Steckel. (2009). Supporting the Learning Curve for Contemporary Nursing Practice. Journal of Nursing Administration, 39(11), 479-84.
Heller, Oros, and Durney-Crowley. (2009, July 30). The Future of Nursing Education: Ten Trends to Watch. Retrieved September 20, 2010, from http://www.nln.org/nlnjournal/infotrends.htm
Holzmer, W. (2006). Quality in Graduate Nursing Education. Nursing Education Perspectives, 26(4), 236-43.
What causes staffing shortages in the field of nursing? Staffing shortages can be the result of many variables—turnover, unmet demand for services due to a lack of RNs, overwork (nurses calling in sick), and so on. Buchan (2002) identified the problem of staffing shortages in nursing as having an underlying cause in the nature of the health system itself as well as a social one: “Nursing in many countries continues to be undervalued as women’s work, and nurses are given only limited access to resources to make them effective in their jobs and careers” (p. 751). This is especially true in countries like Saudi Arabia, where nursing is viewed as woman’s work but is not valued highly by society—though it is recognized as being highly needed (Alyami & Watson, 2014). To address the issue of staffing shortages, the Institute of Medicine (IOM, 2012) has called for more nurses to…
high turnover of nursing personnel. The three main risks associated with this issue are 1) poor quality care, 2) unhealthy work environments, and 3) negative financial performance.
The first risk -- poor quality care -- is the result of a high turnover of nurses, which can lead to inadequate staffing. When there are two few nurses on any given shift, patients receive less care and attention because the nurses on shift are stretched in too many directions at once. Patients are required to wait longer, especially in the E, which can be problematic for patients requiring immediate care. Such is what happened to Edith odriguez at King-Drew hospital in L.A: she died in the E lobby waiting area because of insufficient attention given her by an over-stretched staff (AP, 2007).
The risk management solution to this first issue is to develop a temporary pool of nurses who can work on…
AP. (2007). Woman dies in ER lobby as 911 refuses to help. NBCNews. Retrieved from http://www.nbcnews.com/id/19207050/ns/health-health_care/t/woman-dies-er-lobby-refuses-help/#.V0XO57grLIU
Den, H., Deanne, N., & Belschak, F. D. (2012). When Does Transformational Leadership Enhance Employee Proactive Behavior? The Role of Autonomy and Role Breadth Self-Efficacy. Journal of Applied Psychology, 97(1), 194-202.
Geiger-Brown, J. (2010). Is it time to pull the plug on 12-hour shifts? Part 1. The evidence. Journal of Nursing Administration, 40(3): 100-102.
Ihan, M., et al. (2006). Long working hours increase the risk of sharp and needlestick injury in nurses: the need for new policy implication. Journal of Advanced Nursing, 56(5): 563-568.
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…
Adams, J., Erickson, J., Jones, D., & Paulo, L. (2009). An evidence-based structure for transformative nurse executive practice, Nursing Administration Quarterly, 33(4), 280-87
Advisory Board Web site. (2004). Available at: http://www.advisory.com .
Ales, B.J. (1995). Mastering the art of delegation. Nurs Manage. August; 26: 32A, 32E.
American Organization of Nurse Executives (2005). AONE Nurse Executive Competencies. Nurse Leader, 3(1), 15-22.
Healthcare Practices in Nursing Today
Over the last 50 years, health care systems all over the world have experienced rapid and significant changes. Some of these changes have been the result of innovative developments in medical science and technology that have greatly benefited patients, prolonging and saving the lives of millions. Some of these changes, however, have had the unfortunate result of limiting patient access to prescribed treatment and diminishing the overall quality of care.
Significant challenges are being faced in health care as systems restructure and reinvent themselves in a difficult and often painful effort to make more efficient use of their available resources (ICN, 2001). Since health care is such a labor-intensive industry, the stresses on these systems inexorably trickle down to affect those employed by the system. Nurses, who are the most highly trained caregivers who have ongoing, regular patient contact, stand at the very heart of…
Abramson, S. (1980). Adverse Occurrences in Intensive Care Units. Journal of the American Medical Association 244 (14): 1582-1584.
Ahmadi, M. (1989). Traditional vs. Nontraditional Work Schedules. Industrial Management 31(2), 20-23.
Bennett, M. & Hylton, J. (1990). Modular Nursing: Partners in Professional Practice. Nursing Management 21(3), 20-24.
Beauchamp, T.L. & Childress, J.F. (1994). Principles of Biomedical Ethics, 4th ed. New York: Oxford University Press.
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…
Bruning, S. And Ledingham, J.(1998) "Public Relations and Consumer Decisions: Effectively Managing the Relationships that Impact Consumer Behavior." Capital University. AEJMC PR Public Relations Educators Convention. 1998. New Orleans.
Dean, M. And Meyer, A., (2002). "Executive Coaching: In Search of a Model." Journal of Leadership. 21(2): 1-14.
Deci, E. (1971). "Effects of externally mediated rewards on intrinsic motivation." Journal of Personality and Social Psychology, 18, 105-115 ms, A.,and Savolainen, T. (2000) "The nature of managerial commitment to strategic change." Leadership and Organization Development Journal; 21(6):297-306.
Leonard, N.H. et al. (1995.) A self-concept-based model of work motivation. Paper presented at the 55th Annual Meeting of the Academy of Management, Vancouver, British Columbia.
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.
Communication, particularly in a global economy is critical to success. Communication allows individuals to discuss ideas and notions in a common language and format. It allows for the exchange of ideas that can ultimately help improve the well being of an individual, a company, or society overall. The healthcare industry is no different in this regard. In fact communication is paramount to the success of the industry overall. Management must be able to properly disseminate information to subordinates to drive both profitability and service. Subordinates must be able to freely communicate findings or ideas that can help improve the healthcare facility overall. Management must be able to listen to recommendation to guide the overall direction of the healthcare firm. As such, communication skills are a key competency for a nurse manager.
To achieve better communication skills one must first practice communicating. It is through this practice that I personally developed…
1) Schramm, W. (1954). How communication works. In W. Schramm (Ed.), The process and effects of communication (pp. 3 -- 26). Urbana, Illinois: University of Illinois Press
Nursing Health Care Informatics
"…At the beginning of the 21st century, nursing informatics has become a part of our professional activities…[and has] advanced the field of nursing by bridging the gap from nursing as an art to nursing as a science…" (Saba, 2001, 177).
Nursing Health Care informatics relate to and address technology and other cutting edge issues of great interest in the healthcare field. According to the AMIA, Nursing Informatics is the "…science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide." New and relevant knowledge presented in the genre of informatics helps to empower nurses and other healthcare practitioners to deliver the most effective patient-center care possible. This paper presents several informatics in the belief that applying healthcare technologies and practices that are genuinely progressive and helpful to today's nurse is…
AMIA (2009) Working Group Nursing Informatics. Retrieved March 9, 2014, from http://www.amia.org .
An, J.Y., Hayman, L.L., Panniers, T., and Carty, B. (2007). Theory Development in Nursing
And Healthcare Informatics. A Model explaining and Predicting Information and Communication Technology Acceptance by Healthcare Consumers. Advances in Nursing Science, 30(3), E37-E49.
Cipriano, P.F. (2011). The Future of Nursing and Health IT. Nursing Economics, 29(5).
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…
Cashin, J.A., Buckley, T., Newman, C., & Dunn, V.S. (2009). Nurse practitioner provision of patient education related to medicine. Australian journal of advanced nursing, 27(2), 12-
Carter, N. et al. (2010). The role of nursing leadership in integrating clinical nurse specialists and nurse practitioners in healthcare delivery in Canada. Nursing leadership, 167-185, doi:
Intro / Job Description for Endoscopy Nurse
An endoscopy nurse is a position available to Licensed Practical Nurses (LPNs), as well as egistered Nurses. Therefore, the minimum requirements of the position are the LPN or N degree. The service and care provided will vary from institution to institution, or employer to employers. However, the basic functions of the endoscopy nurse include providing support services for surgeons and physicians during any process involving endoscopy. Keefe (n.d.) describes the position as providing care to patients "with actual or potential problems involving the gastrointestinal (GI) tract during specialized procedures performed with lighted, flexible instruments known as endoscopes," (p. 1). Patient populations are diverse, because endoscopy procedures are performed in pediatric as well geriatric applications and everything in between. Therefore, the endoscopy nurse works in a diverse health care environment and with a diverse patient population. The endoscopy nurse is intimately familiar with…
Advanced Endoscopy Fellowship, Florida (2012). Mao Clinic. Retrieved online: http://www.mayo.edu/msgme/residencies-fellowships/internal-medicine-and-subspecialties/advanced-endoscopy-fellowship-florida
"Endoscopy Jobs," (2012). CareerBuilder.com. Retrieved online: http://www.careerbuilder.com/JobSeeker/Jobs/JobResults.aspx?tally=Category+Navigator+Selected&APath=22.214.171.124.0&nvjtl=%22JN050%22&sc_cmp1=js_navg_nvjtl&IPath=JRKV&excrit=QID%3dA3855799626362%3bst%3da%3buse%3dALL%3brawWords%3dEndoscopy%3bCID%3dUS%3bSID%3d%3f%3bTID%3d0%3bENR%3dNO%3bDTP%3dDRNS%3bYDI%3dYES%3bIND%3dALL%3bPDQ%3dAll%3bPDQ%3dAll%3bPAYL%3d0%3bPAYH%3dgt120%3bPOY%3dNO%3bETD%3dALL%3bRE%3dALL%3bMGT%3dDC%3bSUP%3dDC%3bFRE%3d30%3bCHL%3dAL%3bQS%3dsid_unknown%3bSS%3dNO%3bTITL%3d0%3bOB%3d-relv%3bRAD%3d30%3bJQT%3dRAD%3bJDV%3dFalse%3bHost%3dUS%3bMaxLowExp%3d-1%3bRecsPerPage%3d25
Florida Gastroenterology Society (2012). Retrieved online: http://www.fl-gastrosociety.org/
Kaufman, C. (2011). Endoscopy registered nurse salary & career outlook. Schools.com. Retrieved online http://www.schools.com/news/endoscopy-registered-nurse-salary-career-outlook.html
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…
Butts, J.B., & Rich, K., (2012). Nursing Ethics: Across the Curriculum and Into Practice. New York: Jones & Bartlett Publishers
Clark, C., (2008). Creative Nursing Leadership and Management. New York: Jones & Bartlett Learning
Clarke, V., & Walsh, A., (eds) (2009). Fundamentals of mental health nursing. Maidenhead: Open University Press.
Cowen, M. Maier, P. Price, G. (2009). Study skills for nursing and healthcare students. Harlow: Pearson Longman.
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…
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…
Gardner, J., & Walton, J. (2011). Striving to Be Heard and Recognized: Nurse Solutions for Improvement in the Outpatient Hemodialysis Work Environment. Nephrology Nursing Journal, 38(3), 239-253 15p.
Haas, S. A. (2016). Developing Staffing Models to Support Population Health Management and Quality Outcomes in Ambulatory Care Settings. Nursing Economic$, 34(3), 126-13
Halbesleben, Jonathon, Bonnie Wakefield, Douglas Wakefield, and Lynn Cooper. "Western Journal of Nursing Research." Western Journal of Nursing Research. 30(5) (2008): 560-577.
Kalisch, B., Tschannen, D., & Hee Lee, K. (2012). Missed nursing care, staffing, and patient falls. Journal of Nursing Care Quality, 27(1), 6-12.
Nursing Handoff Communication
This research work will be carried out on medical, rehabilitation and surgical wards in a couple of fairly large Australian hospitals with mostly six beds in each room and some double and single rooms as well. In one of the hospitals, bedside handover is being employed since a year or so, and nursing teams are also utilized, while in the second hospital, bedside handover is a new introduction and various models of nursing are utilized; the former (i.e., bedside handover) has superseded staff room-centered verbal handover. Aside from nursing personnel, team leaders (individuals in charge of managing a nursing unit and patient subgroup), nurse educators, nurse managers, and shift coordinators (responsible for overall ward functioning, typically together with the responsibility of team leadership), will be this research's focus (Smith & Mishra, 2010; Carroll, Williams & Gallivan, 2012). The condition for inclusion for nurses as well as patients…
Carroll, J. S., Williams, M. & Gallivan, T. M. (2012). The ins and outs of change of shift handoffs between nurses: A communication challenge [Electronic version]. British Medical Journal: Quality & Safety, 21(7): 586-593.
Donabedian, A. (1992). The role of outcomes in quality assessment and assurance. Quality Review Bulletin, 18: 356-360.
Halm, M.A. (2013). Nursing Handoffs: Ensuring Safe Passage for Patients. Am J Crit Care, 22: 158-162 doi: 10.4037/ajcc2013454
Manser, T. & Foster, S. (2011). Effective handover communication: An overview of research and improvement efforts. Best practice & research. Clinical anaesthesiology, 25(2):181-91. DOI: 10.1016/j.bpa.2011.02.006
Nursing in the Rural Area
A WELL-DESERVED SECOND LOOK
Rural nurses are particularly endangered by the current and worsening shortage in nurses. As it is, rural nursing is already beset with issues that range from a lack of professional practice system, the need for larger incentives for nurses to work in the rural areas, a general unwillingness to live in these areas among the nurses and the foreseen depletion of the supply of rural nurses. Possible solutions and approaches have been proposed.
Approximately 20% or 54 million U.S. residents live in locations categorized as rural (ushy, 2006). These residents are distributed across 80% of the nation's total land area. About 99 or fewer residents occupy every square mile in these areas and experience the shortage of nurses more acutely than in urban areas. Moreover, they have generally lower annual income, less education and poorer health status than urban residents. Local…
Arnaert, A. et al. (2009). Homecare nurses' attitudes towards palliative care in a rural community in western Quebec. 11 (4) Journal of Hospice and Palliative Nursing:
Medscape. Retrieved on October 17, 2011 from http://www.medscape.com/viewarticle/715133
Blaauw, D. et al. (2010). Policy interventions. World Health Organization. Retrieved on October 18, 2011 from http://www.who.int/bulletin/volumes/88/5/09-072918/en
Bushy, A (2006). Nursing in rural and frontier areas: issues, challenges and opportunities. Vol 7 # 1 Harvard Health Policy Review: University of Harvard.
Nurse's ole As esearcher
The nurse plays a unique role as a researcher. This involves them focusing on the latest treatment options, how they affect patients and the best times specific techniques should be utilized. Moreover, they must understand the numerous side effects of different therapies and how this will affect the patients they are working with. These areas help them to serve as confidant in comprehending how and when to apply certain procedures. (Allan, 2005)
At the same time, the nurse will understand the psychology, customs, behavior and biological factors which are contributing to a host of conditions. This enables them to comprehend the challenges patients are going through and the lasting impact this is having on them. When this happens, they can reduce suffering and improve their ability to cope with the issues they are facing. These insights will help patients to make a full recovery with reduced…
Allan, J. (2004). Clinical prevention and population health. American Journal of Preventive Medicine, 27(5), 470-481.
Allan, J. (2005). Clinical prevention and population health curriculum framework: The nursing perspective.
Allen, D. (2002). The Changing Shape of Nursing Practice. New York, NY: Routledge.
American Academy of Nurses. (2009). Nurses transforming health care using genetics and Genomics. Washington, DC: Author.
eport on Conditions at Brighton and Sussex University Hospitals NHS Trust
The following report is based on extensive observation of the conditions for patients living at the Brighton and Sussex University Hospitals NHS Trust. While some patients received moderate care, overall, the quality of care in this facility was appalling. All patients -- all people -- deserve to be treated with dignity, and this was far from the case. The conditions were especially distressing given that in general they could be fixed or at least ameliorated relatively easily. Not all of the ills of old age or disability can be remedied, of course. Pain and fear will be present even with the best possible care. Given that this is true, all possible efforts must be made to reduce fear, anxiety, and pain to the greatest degree possible.
The facts that this report is based on were documented by…
Grant, P. (2010). Ethical lessons from the 'undercover nurse': implications for practice and leadership. Medical Ethics 36: 469-472.
Margaret Haywood's diary. Retrieved from http://news.bbc.co.uk/2/hi/programmes/panorama/4701651.stm .
Online bulletin. Retrieved from http://www.southerneditorial.co.uk/bulletin/july05/breaknews.htm.
Reasons for the substantive hearing of the Conduct and Competence. Retrieved from http://www.nursingtimes.net/Journals/1/Files/2009/4/17/haywood_NMCruling.pdf
Short-Range Goal: Appoint persons who are responsible for retrieving and providing information.
One challenge that night personnel in a hospital face is the fact that technical and information personnel, along with the resources that they provide, are only available during daytime hours. In order to handle the issue, the first step will be to determine the extent of the problem.
During the first three days of the two-week period, interviews will therefore be conducted with night staff to determine their information and resource needs. he findings will then be compared with the availability of resources to the day staff to determine what can realistically be accomplished to reach the long-range goal.
On the first day, applications will be invited from the night staff for the position of information assistant at each particular floor. Such persons will have to have a proven record of reliability and ethics, as well as at…
Through interviews and regular monitoring and testing, the educator can also identify problems in the quality of nursing work, which will lead to the further identification and implementation of the staff's educational needs. By filling these needs, the role of the educator is to ensure excellence of care for patients and excellent knowledge for nurses.
Nurses for a Healthier Tomorrow. (2010). Nurse Educator. http://www.nursesource.org/nurse_educator.html
The National Association of Clinical Nurse Specialists - The NACNS was founded in 1995, specifically to enhance and promote the unique and high-value contributions that clinical nurses make to the health and well-being of individuals, families, groups, and communities in their particular branch of healthcare. They also have a foundation, scholarship programs, a journal and discussion portal, various levels of conferences, scholarship programs, honors and awards, and the ability for advanced certification. A Clinical Nurse Specialist is a licensed N who has graduate preparation (MA or PhD) in nursing specifically as a Clinical Nurse Specialist. This field of healthcare goes beyond the duties of an LPN or N, or even charge nurse, and deals with either advanced levels of clinical specialization, or broader, community and national health concerns. The field requires a rather significant academic bent, and the association is designed to support and enhance that paradigm focus (CNS -…
About ENA. (2010, January). Retrieved October 2010, from Emergency Nurses Association: http://www.ena.org/about/Pages/Default.aspx
About the ACNM. (2010, February). Retrieved from American College of Nurse-Midwives: http://www.midwife.org/members.cfm
CNS - Who We Are and What We Do. (2010, January). Retrieved October 2010, from National Association of Clinical Nurse Specialists: http://www.nacns.org/AboutNACNS/MissionStatement/tabid/57/Default.aspx
Kozier, B., Erb, G. & Blais, K. (1997), Professional nursing practice (3rd edition),
The author quotes Gary Zukav as emphasizing that if a nurse perceives herself as powerless and her image as negative, the idea can sink to the subconscious level and realize itself. She will be drawn to those who will reinforce the idea. Practitioner Pauline Robitaille's stresses impact each nurse has on others. Her influence on people she comes in contact at the peri-operative setting cannot be overstated. She found the published feedbacks of registered nurses in nursing journals as very positive while others were very negative. Those who gave positive feedbacks described the efforts of preceptors to teach and support them. Thus the intended learning flowed smoothly. However, other nurses reported the negative, punitive and critical behavior of their preceptors. The nurses described the difficulty of working with these preceptors. Hence, the nurses did not benefit from their experience with the preceptors.
Ulmer emphasizes that those in the profession must…
Gonzales, L. (2005). A mission for the center for nursing advocacy. 3 pages. Nevada RN Foundation: Nevada Nurses Association
Nursing BC (2002). How to create community media coverage for nursing. 2 pages. Registered Nurses Association of British Columbia: ProQuest Information and Learning Company
Ulmer, B.C. (2000). The image of nursing. 4 pages. AORN Journal: Association of Operating Room Nurses, Inc.
Willging, P (2005). it's time to take the politics out of nursing home quality. 5 pages. Nursing Homes: Medquest Communications, LLC
It is critical that NHAs are first qualified nurses, as their ability to relate to other nurses is essential to the organizational success of the nursing home ("Nursing home administrator jobs," 2011). Career paths for an NHA are rooted with education background and nursing experience. Although experience is necessary for being a successful NHA, a career path at minimum requires clinical licensing (Decker, & Castle, 2009).
The NHA is the management body over the facility, and their positions are in high demand. In the U.S. In 2008, approximately 17,000 nursing home administrators were responsible for the oversight of care for 1 million elderly adults and 1.3 million employees (Leister, 2009). Overseeing a large nursing staff, as well as vulnerable residents, are the daily demands of the NHA. The future of NHA field is concerning to researchers and professionals, as the number of licensed NHAs is on the decline. In Maryland,…
Decker, F, and Castle, N. (2009). The relationship of education level to the job tenure of nursing home administrators and directors of nursing. Health Care Management, 34(2), 152-160.
Leister, D. (2009). The vanishing nursing home administrator: stress and intent to leave.
Informally published manuscript, Capella University, Minneapolis, MI. Retrieved from http://gradworks.umi.com/3359575.pdf
Nursing home administrator jobs. (2011). Retrieved from http://www.nursinghomesjobs.org/nursing-home-administrator-jobs/
Charity, selflessness, altruism and entrepreneurship are, therefore, not contradictory. It is well-known that the well-paid traditional nurse is likely to be a better worker better able to devote more attention to her patient (Hardin & . Kaplow, 2001). Deductively, therefore, the independent nurse who is motivated to work well in order to be successfully self-employed would likely (although not necessarily) be a better nurse in terms of the intrinsic nursing characteristics than those employed by institutions.
Ironically, entrepreneur nursing can potentially make one into a better nurse, for aside from being motivated to perform excellently, the entrepreneur nurse can adopt her own style and afford to conduct thorough research into nursing theories and models that culminate in enhanced nursing.
The institutional nurse is classically overworked and, therefore, has little time for arbitrary activities; the entrepreneur nurse, on the other hand, can adequately fulfill the expectations of evidence-based nursing where she…
Hanink, E. (n.d.). Nurse Entrepreneurs. Working Nurse.
Hardin, D. & R. Kaplow (Eds.) (2001), Synergy for clinical excellence: The AACN Synergy Model for Patient Care. Sudbury, MA: Jones and Bartlett Publishers.
Johnson, P. (1977). Enemies of society. NY. Etheneum
My attitude has changed resulting from the information I learned about business communications quite dramatically. Business communication in my opinion was always something that was important to people working as managers or administrators, but I never fully understood how critical business communication is to all people regardless of the field they work in. The components of business communication most important to my field include learning how to translate one's thoughts into oral and written communication in multiple forms.
Nurses have to document all interactions, whether with patients or with other healthcare professional (Riley, 2000). hile many are provided with charts they can use to fill in information, it is also important for nurses to know how to create strong narratives and oral presentations when providing information to others. Multicultural communication is essential in nursing today because of the diversity present among the patients treated and the doctors, administrators and other…
Fitzgerald, J. (2001) Better-Paid Caregivers, Better Care, the American Prospect, 12.9, p.30.
Johnstone, M.J. (1999) Bioethics: A Nursing Perspective. Sydney: Harcourt Saunders.
Locker, K.O. (2006) Business and Administrative Communication, New York: McGraw-
Nursing - Discharge planning
Discharge Planning in Nursing
Mr. Trosack's Case
The three main health issues include movement hindrance where by Mr. Trosack will move with the help of a walker. Mr. Trosack diabetic condition is main health issue. Mr. Trosack is depressed and lonely and requires a special care and assistance. Mr. Trosack lives in a crowded apartment located at a second floor in a 3-storey building. The building does not have an elevator and thus Mr. Trosack has to use the stairs to reach to his apartment. The house has furniture and personal valuables and thus making it hard for him to use his walker once inside the room. e takes the garbage by himself since he lives alone because his wife died two years ago. e fears climbing up the stairs because of pain that emanate from the strain. is family works for 60 hours a week…
Hip fracture is a main health issue that happens in the United States. This study uses the baseline (1993) and data collected in 2006 in order to evaluate the aftermath of hip placement discharge. Patient discharge depends on the status code from the Medicare inpatient claim. They categorize discharge status depending on the condition of the patient. Mr. Trosack would fall for nursing facility because he would not get the required professional assistance from his family. In this study, most of the hip fracture patients went to a nursing facility.
An evaluation in this study reveals that at the time of placement, the patients had gone home for 90 days, and 180 days for patients discharged at a nursing facility. The evaluation of the care of hip placement patients needs consideration when choosing a discharge placement for them. Mr. Trosack, in addition to the surgery, is diagnosed with diabetes, hypertension, and obesity. The family, despite knowing all this, does not provide or hire a medical officer for a regular check up on him.
In order for Mr. Trosack to get well, it is crucial to refer him to a nursing facility. In this study, the home and rehabilitation discharge seems to decline while many people opt for the nursing placement, which increased. In these nursing facilities, patients are not likely to report any health issue compared to those placed at their homes. In addition, these nursing facilities offer functional needs to patients and may reduce hip fractures in elderly people.
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…
American Nurse's Association (ANA). (2004). The Nurses Code of Ethics. The Center for Ethics and Human Rights. Online at .
The American Organization of Nurse Executives (AONE). (2009). AONE Resource Center. www.aone.org.
Dimaria, R.A. & Ostrow, L. (2004). West Virginia University School of Nursing Makes the Move to Web-Based Learning. Technological Horizons in Education Journal, 31.
Emergency Nurses Association (ENA). (2008). Vision/Mission Statements and Code of Ethics. www.ena.org.
Perhaps a nurse must also be given a say in the way in which the entire healthcare system is being run today, especially since it is a nurse who is the closest to the patient, and who is completely responsible for the daily care of the patient, and it is a nurse who would put the patient on the road to recovery. A nurse would then be allowed and be given a chance to make use of her education, her leadership training, her skills in mass communication and her management skills in order to further the interest of the patient. The International Council of Nurses in Geneva, Switzerland has summarized the various duties of nurses today, as they increasingly take part in important decision making processes, as follows: 'strategic planning, budgeting, efficient resource planning and utilization, and the planning, management and evaluation of programs and services'. (Akinci, 2007) it can…
Akinci, Ugur. (2007, Jun) "More nurses in decision making roles, prospects and challenges" Retrieved 16 November, 2007 at http://www.nurse-recruiter.com/articles/misc/more_nurses_in_decision_making_roles.html
Allen, Davina. (2001) "The changing shape of nursing practice"
Beaulieu, Elise M. (2002) "A guide for nursing home social workers." Springer
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…
Veo, P. (2010). Concept mapping for applying theory to nursing practice. Journal for Nurses in Staff Development, 26(1), 17-22.
Kingma, M. (2006). Nurses on the move: global health care Migration and the economy. Nursing Leadership, 19(2), 92-94.
Morgan, J.C., & Lynn, M.R. (2009). Satisfaction in nursing in the context of shortage. Journal of nursing management, 17(3), 401-410.
Redman, R.W., & Potempa, K.M. (2009). Nursing education in human resources in: A worldwide crisis. Collegian: Nursing Journal of the Royal College of Australia, 16(1), 19-23.
The stengths of this design ae elated to the ease of application and usage. The design of the suvey was easy to administe and self explanatoy. While the weakness was elated to the willingness of the paticipant to Chapte Thee 5
paticipate complete the suvey and povide tuthful esponses. An additional weakness is elative to the age goup that was pesent fo the suvey and thei elationship to the use of computes.
Afte appoval of the study fom the Institutional Review Boad at Indiana
Wesleyan Univesity and Methodist Hospitals, Inc. Nusing staff wee ecuited to paticipate in fo the study. Paticipants wee eligible fo the study if they wee cuently an employee of the employed by Methodist Hospitals, Inc., It was also necessay that they hold a cuent nusing license, paticipated in online leaning, and wee able to ead and wite English. A egisteed nuse who has paticipated in…
Student characteristics for online learning success
The Internet and Higher Education, Volume 9, Issue 2, 2nd Quarter 2006, Pages 91-
105 Marcel S. Kerr, Kimberly Rynearson, Marcus C. Kerr
Chapter Three 13
Moreover, recent legislation such as the Affordable Care Act is expected to create an even greater need for nurses who can take on more advanced responsibilities. As one nurse stated on National Public adio: "…with the passage of the Affordable Care Act, which was passed in March, we're going to see 32 million new patients accessing the health care delivery system which previously weren't accessing this system. And currently, we don't have the capacity to provide high-quality, patient-centered care for this new expanded population" (NP, 2010)
Careers in nursing have become vast and varied, particularly for the highly educated, and pay for many of these careers is above $60,000 annually. While a nurse with a BSN who becomes an N can still advance in her career, enter management, or become a nursing professor, an MSN is necessary for nurses to enter one of the more prestigious and specialized subfields (Sacks,…
AACN. (2010, 10). The Impact of Education on Nursing Practice. Retrieved 02-14, 2011, from AACN: http://www.aacn.nche.edu/media/factsheets/impactednp.htm
Allen, J. (1988). Health Care Workers and the Risk of HIV Transmission. The Hastings Center Report, 18 (2), 2+.
NPR. (2010). Talk of the Nation: Role of Nurses in Primary Care May Expand. Retrieved 02-14, 2011, from NPR: http://www.npr.org/2010/11/16/131361359/role-of-nurses-in-primary-care-may-expand
OSHA. (2011). Bloodborne Pathogens and Needlestick Prevention. Retrieved 02-14, 2011, from OSHA.gov: http://www.osha.gov/SLTC/bloodbornepathogens/index.html