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 of…...

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References:

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…...

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References

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…...

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Bibliography

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.

Nursing
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.

Personal ating

As part of promoting my personal career plans and development,…...

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References

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. The next…...

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References

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

Skills Inventory
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. (2004)…...

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References

"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 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 responsibilities…...

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Reference

Johansen, M.L. (2012, February).Keeping the Peace: Conflict Management Strategies for Nurse Managers. Nursing Management, 43(2), 50-54.

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 Mary…...

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References

Johansen, M. L. (2012). Keeping the Peace: Conflict Management Strategies for Nurse Managers. Nursing Management, 43(2), 50-54

.....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…...

Nursing Leadership
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 evidence-based practice. The BARRIER cale…...

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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.

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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References

About Us." (2005). Available:

 http://www.chomp.org/about_us/pages/Our_Mission.html 

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.

Introduction

Modern nursing is, by necessity, a mixture of complex balance: patient care vs. staffing; procedures vs. patient load;…...

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REFERENCES

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: -_Looking_Beyond_the_Raw_Numbers_2009-pdf&folder=pdfs/db/newslettershttps://www.nso.com/pdfs/db/newsletters/Safe_Nurse_Staffing_-_Looking_Beyond_the_Raw_Numbers_20094.pdf?fileName=Safe_Nurse_Staffing_

Aiken, L. (2001). The Hospital Nurse Workforce: Problems and Prospects."Draft

For the Council on the Economic Impact of Health System Change. Retrieved from:  / Council-Dec-14-2001-Aiken-paper.pdfhttp://council.brandeis.edu/pubs/hospstruct 

Nursing Comm
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 of effective communication tactics in…...

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Works Cited:

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.

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.

eferences

Goddard NL. Financial management. (1987).

In Vestal KW. Management concepts…...

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References

Goddard NL. Financial management. (1987).

In Vestal KW. Management concepts for the new nurse. Philadelphia: JB Lippincott, 127-152

Gotoh H. Continuing education changes nursing. Japanese Journal of Nursing Administration. 1992, 2 (1) 62-69.

Hiemstra, R., and Sisco, B. (1990) Individualizing Instruction: Making Learning Personal, Empowering, and Successful. San Francisco: Jossey-Bass.

The Impact of Hospital Hierarchy on Patient Care and Outcomes

Introduction
The hospital hierarchy plays a pivotal role in shaping the delivery of patient care and influencing the overall outcomes of medical interventions. The complex and multifaceted nature of this hierarchy involves a well-defined chain of command and responsibility, with each level possessing specific roles and accountabilities. Understanding the impact of hospital hierarchy is crucial for optimizing patient care, improving safety, and enhancing healthcare outcomes.

Chain of Command and Responsibilities
The hospital hierarchy establishes a clear chain of command, ensuring that decisions are made efficiently and that accountability is assigned appropriately. At the apex....

Nursing: The Art and Science of Caring

Nursing is a multifaceted profession that encompasses both the art of caring and the science of medical knowledge. It requires a unique blend of compassion, critical thinking, and technical skills. Students pursuing a nursing education have the opportunity to explore a wide range of topics that will prepare them for this demanding and rewarding career.

1. The Foundations of Nursing: History, Ethics, and Philosophy

The historical evolution of nursing from its humble beginnings to the modern profession we know today
The ethical principles that guide nursing practice and ensure patient safety and well-being
The philosophical....

Nursing as a Profession

The Evolving Role of the Nurse in the 21st Century
The Importance of Interdisciplinary Collaboration in Patient Care
The Ethical Challenges and Dilemmas Faced by Nurses
The Impact of Technology on Nursing Practice
The Future of Nursing: Emerging Trends and Innovations

Nursing Practice

Innovative Approaches to Patient-Centered Care
Evidence-Based Nursing: Integrating Research into Practice
The Role of Nurses in Telehealth and Remote Patient Monitoring
The Impact of Nurse Case Management on Patient Outcomes
Ethical Decision-Making in End-of-Life Care

Nursing Education and Training

The Importance of Simulation in Nursing Education
The Role of Technology in Nursing Education
The Challenges....