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Nursing Leadership Theories
NURSING LEADERSHIP: COMPARISON AND ANALYSIS OF CONCEPTS & THEORIES
The work of Cherie and Gebrekida (2005) report that there is both formal and informal leadership in that managers are formally "delegated authority, including the power to reward or punish. A manager is expected to perform functions such as planning, organizing, directing (leading) and controlling (evaluating)." On the other hand, informal leaders are "not always managers performing those functions required by the organization. Leaders often are not even part of the organization. Florence Nightingale, after leaving the Crimea, was not connected with an organization but was still a leader." (Cherie and Gebrekida, 2005)
Early leadership theories included that of 'trait theories' which held a fundamental belief that "leaders are born, not made." Trait theory makes the assumption that an individual has "certain innate abilities, personality traits or other characteristics in order to be a leader." (Cherie…
Swansburg, C. Russel (2002). Introduction to Management and Leadership for Nurse.
Cherie, A. And Gebrekida. AB (2005) Nursing Leadership and Management. 2005. Retrieved from: http://www.cartercenter.org/resources/pdfs/health/ephti/library/lecture_notes/nursing_students/LN_nsg_ldrshp_final.pdf
The task that awaits a newly hired nurse unit manager in this particular care facility is going to be challenging. ith nurses complaining out loud about assignments, and with nurses calling in sick, being late to work and not being productive, the new unit manager has her hands full. This paper uses scholarly literature to propose steps to be taken to get the care facility back to operating the way it should be operating. The two most important components of her plan to get the unit back to being fully productive are conflict resolution and problem-solving.
Conflict Management Should Come Into Play
Before any major overhaul of the policies in the care unit can be completed, the new unit manager must deal with the conflict that exists. And so, because there is a great deal of literature on managing conflict, and because the manager has had experience in…
Cherry, Kendra. (2013). Transformational leadership. About.com. Retrieved June 13, 2013, from http://psychology.about.com .
Kelly, J. (2006). An Overview of Conflict. Dimensions of Critical Care Nursing, 25(1), 22-27.
Lusardi, P. (2012). So You Want to Change Practice: Recognizing Practice Issues and Channeling Those Ideas. Critical Care Nurse, 32(2), 55-63.
May, A., and Norbury, J. (2007). Follow the Leader. Emergency Nurse, 15(4), 16-21.
As nursing has moved toward professionalization, roles for nurses in leadership positions have been created. Historically, the roles of charge nurse, nurse manager, nurse educator, and nurse leader, have existed to coordinate and improve care delivery. In recent times, advanced practice nursing education has been introduced in order to formalize and improve performance of this role, in order to ensure evidence-based practice and improve patient care outcomes. While the presence of CNS's and other graduate-prepared nurses has been shown to improve patient outcomes, the existence of problems with medical errors and cost escalation still extant in hospitals has prompted health care leaders to develop a new role addressing these problems. This nascent, credentialed role, created by the American Association of Colleges of Nursing (AACN) in consultation with nursing faculty, clinical experts and other stakeholders, is called a Clinical Nurse Leader (CNL).
Nursing administrative position
The outcome variable of…
Aiken, L.H. (2002). Superior outcomes for magnet hospitals: The evidence base. In M. McClure & A.S. Hinshaw (Eds.), Magnet hospitals revisited (pp. 61 -- 81). Washington, DC: American Nurses Association.
American Association of Colleges of Nursing. (2005). CNL frequently asked questions. Retrieved October 5, 2007, from http://www.aacn.nche.edu/CNL/faq.htm .
Deutschendorf, A.L. (2003). From past paradigms to future frontiers: Unique care delivery models to facilitate nursing work and quality outcomes. Journal of Nursing Administration, 33 (1), 52 -- 59.
Manthey, M. (1990). Definitions and basic elements of a patient care delivery system with an emphasis on primary nursing. In G.G. Mayer, M.J. Madden, & E. Lawrenz (Eds.), Patient care delivery models (pp. 201 -- 211). Rockville, MD: Aspen Publishers.
Nursing management is a vital part of an effective healthcare system. It is a partner in professional satisfaction for nurses and a partner in achieving good health for individuals and societies alike (Oulton, 2006).
Being a nurse manager is a very tough job that requires a strong commitment and drive for success. It is important for some one who is thinking about embarking on a nurse manager career to get a good education as well as learn all that they can from those around them. It is also important for them to understand the demands that this type of job requires so that they can best plan for taking care of their selves as well as their job duties.
Nursing is a very well respected profession that offers a person a very rewarding career. It is also a very demanding career as well and should only be undertaken by a…
Nurse Manager Role. (n.d.). Retrieved December 3, 2009, from The Healthcare Performance
Institute Web site: http://www.healthcareperformanceinstitute.com/nurse-manager-role.jsp
Oulton, Judith. (2006). Nursing Management Today: An ICN Viewpoint. Retrieved December 3,
2009, from Web site: http://www.ihf-fih.org/pdf/Judith_Oulton.pdf
egardless of the field, most research studies show that collaboration and teamwork are among the top examples of job satisfaction and performance. In the modern healthcare situation, this tends to move far beyond just the physician/nurse relationship, and into the manner in which interdisciplinary teams work together for more positive patient outcomes. Leadership in nursing has become an expected part of the job description, and over the past few decades, not only do nurses engender more and more clinical responsibility, patient advocacy, and patient and family communication, they are asked to be informal leaders within a group situation that may range from informal patient assessments, new product testing, or procedural and hiring committees (Chang, W., et al., 2009).
Modern healthcare and nursing are more complex than ever before. The nurse's role is far more than simply an assistant is, and requires the understanding and application of a large…
Borkowski, N. (2011). Organizational Behavior in Health Care. Sudbury, MA: Jones and Bartlett.
Chang, W., et al. (2009). Job Satisfaction and Perceptions of Quality of Patient Care. Journal of Advanced Nursing, 65(9), 1946-55.
Clark, C. (2009). Creating Nursing Leadership and Management. Sudbury, MA: Jones and Bartlett.
Critical Thinking Company . (2013, June). Critical Thinking and Nursing. Retrieved from criticalthinking.org: https://www.criticalthinking.org/pages/critical-thinking-and-nursing/834
In this regard, she has demonstrated superior emotional intelligence (EI), a key component of democratic and transformational leadership (Sanders, Davidson, Price, 1996). She also is compassionate and helps the nurses who need more guidance to understand advanced procedures and how to get tasks accomplished. In this regard she shows transformational leadership skills (Lung, Braithwaite, 1992). All of these qualities I plan on emulating. The qualities I don't plan on emulating include her tendency to give nurses too much latitude in the quality of their performance over time; she needs to force greater accountability over performance for these nurses to improve. While she is a great leader, at times it appears she is too flexible, not demanding high enough performance for nurses to improve.
In conclusion, the N Unit Manager makes solid contributions to the value of healthcare service provided and has had many patients recommend her for awards and promotions.…
Lung, M., & Braithwaite, D. (1992). Management of change: A case study in nurse education. Health Manpower Management 18(2), 17.
Sanders, B.H., Davidson, a.M., & Price, S.A. (1996). The unit nurse executive. Nursing Management, 27(1), 42.
As a nurse supervisor develop a communication plan with your team, defining what and how will communicate, what communication modalities and behavior are acceptable, and what the consequences are if acceptable behaviors are not met.
In the recent past most nursing theories and researches have unanimously agreed and stressed on the importance of nurses as good communicators. Good communication skills are not only required to make the care taking process more efficient but also efficiency in terms of team management and leadership. Nursing theories have suggested that nurses take up diverse roles beyond care taking, which include counseling and educating and the care taking spectrum of nurses covers physical, mental, psychological and spiritual well-being. To address all these aspects, my communication plan lays stress on using multiple communication modalities that include both verbal and non-verbal in order to meet the required targets. Communication within the team should be…
Nursing Leadership: Two Paradigms
In its earliest incarnation as a profession, nurses were often conceptualized as attendants and helpers to physicians and patients, not as leaders. However, nurses over the years have attempted to eke out a unique sphere for themselves within the healthcare profession in the manner in which they integrate a patient's physical, social, psychological, and environmental needs. Today nurses are increasingly called forth to take on leadership positions within organizations, often as a result of cost-cutting efforts that shift responsibilities to nurse leaders that were once relegated to doctors and administrators.
The current available leadership models offered to nurses and to the leaders of healthcare organizations are numerous, and often draw from the literature of the business world as well as healthcare. "Now more than ever nursing needs vibrant and dedicated leaders…Leadership does not rest merely with administrators and high-level managers, but also can be developed and…
Domrose, Cathryn. (2002). A guiding hand. NurseWeek. Retrieved September 12, 2011
Roy, Josie. (2007). Horizontal Violence. ADVANCE for Nurses. Retrieved September 12, 2011
When this happens, they will be effective in reaching out to different patients (from a host of backgrounds). This is the point that the underlying quality of care will improve. As a result, I have learned how to apply these concepts to real world health care environments. This will help in day-to-day practices by preparing me for the new challenges that will be faced on a continuing basis.
ecommendations / Conclusions
The only recommendation is to show how leadership strategies must be adjusted to the health care environment and situation. Having this kind of flexibility will give nurses a major advantage in addressing a host of challenges in the future. This is when they can deal with the increased responsibilities and control the added amounts of stress. Once this takes place, is the point they are capable of maintaining high standards of professionalism, quality and ethics at all times. This…
Benner, P. (2010). Educating Nurses. Hoboken, NJ: Wiley.
Finkelman, a. (2012). Professional Nursing Concepts. Burlington, MA: Jones and Bartlett.
Lockwood, L (2011). Therapeutic Communication Techniques. E How. Retrieved from: http://www.ehow.com/about_5098131_therapeutic-communication-techniques-nursing.html
Nagelkerk, J. (2006). Leadership and Nursing Care Management. St. Louis, MO: Saunders.
Step 1: Use your experience identified with the lowest scores as the basis for reflective analysis.
Step 2: Write about this experience using the following frame (painting the picture).
It is important to me to continue to discuss the Pediatric Unit, because so much of what I do occurs there. In comparison to my high score as the mentor, I automatically shift into the service/provider role at times rather than the initiator role because of my tendency to assume tasks myself. My intuition and my personal knowledge of belief is that if I do it myself it is done the way it should be done. With the objectives of what needs to be completed, the assessment of my staff's competencies, effective delegation, the assumption of a fair assignment, and the acknowledgment of a "weak line," I am placed at risk in this role. My reason for taking on…
Covey, S. (1989). The seven habits of highly effective people. New York: Simon and Schuster.
Donaldson, S.K., PhD, RN, FAAN, & Fralic, M.F., DrPH, RN, FAAN. (Fall, 2000). Forging today's practice-academic link: a new era for nursing leadership. Nursing Administration Quarterly, 25(1): 95-101.
Facts not fiction, a firm base for managing everyday practice (1997). The Postgraduate Medical Office, University of Dundee.
Lane, A.J. (1990). Nurse extenders: refocusing on the art of delegation. Journal of Nursing Administration, 20(5).
The Importance of Effective Nursing Leadership Today
Today, the nursing profession is under unprecedented pressures to deliver high quality patient-centered care in the wake of the ongoing global coronavirus pandemic. In far too many instances, nurses are being overwhelmed on the front lines of patient care, and it may be weeks or even months before the peak of the pandemic is fully experienced. Against this backdrop, identifying ways that professional nurses can help achieve this goal by assuming appropriate leadership roles has assumed new importance and relevance. To determine the facts, the purpose of this paper is to provide a review of the relevant literature, including the student handbook, to describe the importance of leadership for professional nursing practice. Finally, a summary of the research and important findings about professional nursing practice and leadership are presented in the paper’s conclusion.
Review and Discussion
In some ways, the nursing profession is…
, 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.
It has been shown through research to be critical that the organization make the provision of support for the nursing staff in terms of their education and provisioning career support as well through making time and financial allocations to provide the necessary support system in which the nursing staff may advance their education and hence their career. (Cook, Horz & Mildon, 2006; paraphrased citing the work of: Robinson, (2001 and Hinshaw (2002) Additionally falling within these provisions of support are time and financial allocations for "research, special projects and publications (Kramer & Schmalenberg, 1988; as cited by Cook, Horz, & Mildon, 2006) the research fact sheet includes the necessity for organizations to "Support a 'bias toward action' (Kramer & Schmalenberg, 1988; as cited by Cook, Horz, & Mildon, 2006); and to "Enhance nurse-staffing rations (Hinshaw, 2002; as cited by Cook, Horz, & Mildon, 2006) and lastly to provide encouragement among…
Cook, a. Hiroz, J. And Mildson, B. (2006) Strategies and Outcomes Associated Magnet Hospitals Fact Sheet II of II - Nursing Health Services Research Unit 2006 September Online available at http://184.108.40.206/search?q=cache:wmmvrr7kMqUJ : www.nhsru.com/factsheets/Magnet%2520factsheet%2520Part%2520II%2520of%2 520II%2520-%2520Strategies.FINAL.pdf+Nursing+Leadership:+Healthcare +organizational+analysis&hl=en&gl=us&ct=clnk&cd=79.
Quality First: Core Values and Concepts for Quality Leadership (2006) American Health Care Association - Provider Guidelines. Online available at http://www.ahca.org/quality/qf_corevalues.htm .
Alexander, Jeffrey; Bloom, Joan; and Nichols, Beverly (1991) Nursing Turnover and Hospital Efficiency: An Organizational Level Analysis (1991) Institute of Industrial Relations University of California Berkley
Nursing Leaderships Role: 'Key' Factors in Organizational Analysis
In any organization, leadership is a key element of success. The leader is the person who defines not only the organization's mission, but its tone and cultural, and determines how the organization's resources will be deployed to achieve these goals. This paper will examine the role of nursing leadership, in particular how leadership can change a nursing unit.
Leadership study has developed over the course of the 20th and 21st centuries to move from the basic principles of scientific management to modern conceptions of the transformative leader who emphasizes organizational culture and personal development. Where the leader as manager was intended to be replaceable, modern leaders are individualistic and as such they can have a significant influence over the organization.
One of the unique facets of contemporary nursing leadership is that it has both an internal and an external focus. Internally, the leader must guide the unit, but…
Antrobus, S. & Kitson, A. (1999). Nursing leadership: influencing and shaping health policy and nursing practice. Journal of Advanced Nursing. Vol. 29 (2) 746-753.
Laschinger, H. & Leitner, M. (2006). The impact of nursing work environments on patient safety outcomes. The Journal of Nursing Administration. Vol. 36 (5) 259-267.
Richardson, A. & Storr, J. (2010). Patient safety: A literative review on the impact of nursing empowerment, leadership and collaboration. International Nursing Review. Retrieved April 25, 2016 from http://u.osu.edu/electives/files/2014/05/Patient-Safety-Why-Teamwork-Matters-Week-3-124bq6a.pdf
Modern nursing has become a multi-disciplinary career that encompasses a number of roles and requires more expertise than ever before. In modern nursing, there are a number of stakeholders: patients, families, the community, insurance companies, governmental agencies, administrators, colleagues, staff and physicians. Healthcare solutions in the 21st century require a collaborate effort that remains focused on continual progress towards customer service satisfaction. The key is to understand the overall paradigm of healthcare and nursing management -- even through the terms "manager" and "leader" are often used interchangeably, they are not. In general, management organizes affairs, projects, and people -- therefore subordinates are involved. The manager is in charge, but not necessarily leaders in that they do as directed and then direct tasks. Leaders do not have subordinates, rather they have followers. Leaders motivate, challenge, coach and inspire vision, enable others to act and encourage (Carrroll, 2005; Kouzes and…
Nursing Leadership Health Policy
Health Policy Change
The health policy change encompasses Medicare Part D. Medicare D. is also referred to as the Medicare prescription drug benefit. It is part of the Medicare program that is purposed to bankroll the cost of prescription drugs together with coverage payments for prescription drugs for Medicare recipients (Centers for Medicare & Medicaid Services, 2016). The proposed policy change with respect to Medicare Part D is the reduction and lessening of generic drug copayments to zero. In particular, this alteration will be a form of encouragement for the use of generic drugs amongst Medicare enrollees that are poorer by all in all eradicating their costs for generic drugs. Majority of the members of Medicare Part D that are categorized as having low income give out minimal compensation or nil for Part D prescription drugs. In the past year, with respect to generics, the costs…
Centers for Medicare & Medicaid Services. (2016). Medicare Prescription Drug Coverage. Retrieved from: https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/Downloads/CMS-4068-F3Column.pdf
Centers for Medicare & Medicaid Services. (2016). Prescription Drug Coverage - General Information. Retrieved from: https://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/index.html?redirect=/PrescriptionDrugCovGenIn/
Congress.gov. (2016). Senate Health, Education, Labor, and Pensions Committee. Retrieved from: https://www.congress.gov/committee/senate-health-education-labor-and-pensions/sshr00
Schultz, J. (2016). Proposed changes to Part D are long overdue. MedicareResources.Org. Retrieved from: https://www.medicareresources.org/blog/2016/07/08/proposed-changes-to-part-d-are-long-overdue/
The caregiver role includes those activities that assist the client physically, mentally, and emotionally, while still preserving the client's dignity. In order for one to be an effective caregiver, the patient must be treated in a holistic manner. Proper communication and advocacy is another role that the modern caregiver assumes when providing quality care (Carroll).
It is in the role of patient advocacy and cost-cutting that most nursing leaders are directly involved with hospital policy. Technology has increased the ease and ability for adequate communication -- there are more translators, access to databases, etc. within the field, and certainly there is more information about healthcare available for the layperson. However, the manner in which modern medicine works -- the reality that it is the nurse as opposed to the doctor who tends to follow the patient throughout their care, lends greater credibility to the use of the modern nurse as…
Carroll, T. (2005). Leadership Skills and Attributes of Women and Nurse Executives -Challenges for the 21st Century. Nursing Administration Quarterly, 29(2), 146-54.
Gershenson, Moravick, Sellman and Somerville. (n.d.). Expert to Novice: A Nuse Leader's Evolution. Nursing Management, 49-52.
Kouzes and Posner. (1994). An extension of the leadership practices inventory management systema dn individual contributors. Educational and Psychological Measurement, 54(4), 959-66.
Vesterinen, Isola and Paasivvra. (2009). Leadship Styles of Finnish Nurse Managers and Factors Influencing it. Journal of Nursing Management, 17(2), 503-9.
Nursing Leadership Issues
eflect on how you would create a safe environment in a healthcare setting by applying the 4 characteristics of a culture of safety. They are:
• Psychological safety. People know their concerns will be openly received and treated with respect.
One of the tenets of the total quality movement as expressed by W. Edward Deming is "Drive out fear" (Edward, 2012). The recommendation comes from a fundamental understanding of human nature: people do not like to call problem to the attention of their supervisors. No one wants to be the bearer of bad news, and in medical and healthcare settings this may be particularly true. Unsafe conditions can mean that patients are exposed to hazards or that employees are more likely to incur injury. In addition, nursing staff may occasionally find themselves in a position where a peer or another staff member are not following procedure. Not…
Edward, A. (2012). Project and Program evaluation. Global Health Strategies for Stability. Baltimore, MD: Johns Hopkins University, Bloomberg School of Public Health. Retreived ghss.cdham.org/wp.../Project-Evaluation_GHSS_AE_HO.pdf
____. (2010, March 29). Whistleblower protection for nurses in health care reform bill. Undercover Lawyer. Retreived http://www.undercoverlawyer.com/whistleblower-protection-for-nurses-in-health-care-reform-bill/
____. (2007). Evidence-based practice. Bio-Medical Library. Twin Cities, MN: University of Minnesota Libraries. Retrieved http://hsl.lib.umn.edu/learn/ebp/mod01/step1.html
Carey, R.G. And Lloyd, R.C. (1995). Measuring quality improvement in health care: A guide to statistical process. Milwaukee, WI: ASQ Quality Press. Retrieved http://books.google.com/books?id=IiISAjR73BkC&dq=quality+improvement+in+healthcare&lr=&source=gbs_navlinks_s
leadership is a theory, developed by Paul Hersey and Ken Blanchard, that argues "successful leaders should change their leadership styles based on the maturity of the people they're leading and the details of the task" (MindTools, 2014). This contrasts with most views prevailing in leadership scholarship, which tend to argue that leaders will have one leadership style. The underlying argument that Hersey and Blanchard are making is that in this world, there are so many different situations that arise that a single leader with just one leadership style will never be as effective as a leader who can adapt his/her style to suit the situation.
According to the Hersey-Blanchard situational leadership theory, there are four main leadership styles -- telling, selling, participating and delegating. These are then applied to four different maturity levels. The authors argue that at the lowest maturity level, the leader needs to focus on telling/directing, and…
Cummings, G., Lee, H., MacGregor, T., Davey, M., Wong, C., Paul, L. & Stafford, E. (2008). Factors contributing to nursing leadership: A systematic review. Journal of Health Services Research & Policy. Vol. 13 (4) 240-248.
MindTools. (2014). The Hersey-Blanchard situational leadership theory. MindTools.com. Retrieved November 14, 2014 from http://www.mindtools.com/pages/article/newLDR_44.htm
Schermerhorn, J. (1997). Situational leadership: Conversations with Paul Hersey.
As noted above, one of the most prominent leadership theories that has been applied to the nursing profession is transformational leadership. Properly applied and managed, transformation leadership can also be used to facilitate creativity in the workplace. For instance, according to Vesterinen, Isola and Paasivaara (2009, p. 504), transformational leadership can create changes and, by definition, is capable of transformed individuals and the organization in which they work. By providing the leadership needed to motivate employees to bigger and better aspirations, transformational leaders can therefore encourage the creative spark among their followers in ways that might not otherwise be possible (Vesterinen et al. 2009). Indeed, Vesterinen et al. (2009, p. 504) specifically state that, "A transformational leader motivates inspirationally, stimulates intellectually and considers employees individually." Taken together, these positive outcomes are valuable in any organizational setting, but they can be particularly important in health care settings.
Why understanding organisational culture…
Fourie, WJ & Keogh, JJ 2011, October, 'The Need for Continuous Education in the Prevention
of Needlestick Injuries,' Contemporary Nurse: a Journal for the Australian Nursing
Profession, vol. 39, no. 2, pp. 194-201.
Hutin, Y, Hauri, A, Chiarello, L, Catlin, M, Stilwell, B, Ghebrehiwet, T & Garner, J 2003, July,
Senior nursing staff ought to aid peers in their career development through helping them practically employ theoretical knowledge and promoting testing of novel skills within an encouraging, safe work climate. This illustrates a combination of leadership and developmental tasks, that together lead to the creation of proficient practitioners via practice-grounded learning. These nursing personnel ought to employ a supportive approach to leadership, incorporating mentorship, guidance and tutoring as their key values. Substantial support on the part of nursing supervisors is known to decrease emotional fatigue and buffer adverse impacts of their work environment. Thus, it would prove especially advantageous if supervisors offer junior employees emotional backing and provide proper performance-related feedback for improving their self-confidence (Seitovirta, 2017).
I personally feel that leaders ought to believe in and respect human dignity. Their leadership approach ought to integrate empathetic listening, encouragement, attentiveness, motivation, and preserving a rewarding organizational culture. It implies…
Nursing Leadership Portfolio
Education And Experience
My nursing education includes attaining my Associate Degree in Nursing (AND) at Florida State College at Jacksonville and my Bachelors of Science in Nursing (BSN) at the University of North Florida.
My Professional Nursing oles include UF Health Jacksonville as a egistered Nurse in Trauma/Surgery Progressive Care, egistered Nurse at Brooks ehabilitation Hospital in the Cardiac/Stroke Unit and egistered Nurse at St. Vincent's Medical Center in the Medical/Surgical GI Department. My duties at UF Health included caring for post-intensive medical/surgical patients in a progressive care environment and performing duties including medication administration utilizing EPIC EMA server, PICC line care, IV insertion, PEG tube feedings, TPN/Lipid Management, chest tube care, tracheotomy care, PCA assessment/management, catheter insertion, wound vac care, pulmonary, cardiac, neurological and GI assessment and management. At Brooks ehabilitation Hospital as a egistered Nurse in the Cardiac Stroke Unit I conducted care for post-surgical…
Harper, DC, et al. (2013) Leadership Lessons in Global Nursing and Health From the Nightingale Letter Collection at the University of Alabama at Birmingham. Journal of Holistic Nursing 2014 32: 44. 7 Aug 2013.
Healthcare Leadership Model: The Nine Dimensions of Leadership Behavior. (2013 NHS Leadership Academy.
The Future of Nursing: Leading Change, Advancing health (nd) Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing at the Institute of Medicine.
Overview of the Four Temperaments (2014) Kiersey.com. Retrieved from: http://www.keirsey.com/4temps/overview_temperaments.asp
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.
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.
Paths to Nursing Leadership" by Bondas (2006). This qualitative study attempted to determine the motivations behind nurses entering nursing leadership programs and for seeking out jobs in management positions in healthcare. This study was also a component of a research program in nursing leadership as a whole and of evidence-based care. One of the fundamental pillars of the study as a whole has to do with the belief that nursing has not spent enough time or attention in the development of nursing leadership to benefit patient care. Bondas also asserts that there simply isn't enough research on the motives of nurses and their reasons for dedicating themselves to a career in nursing and to nursing leadership as a whole. Bondas does a sufficient job of setting a case for the fact that nursing leadership can make a consistent and positive impact on patient care. Bondas also aptly illuminates how most…
Bondas, T (2006). Paths to Nursing Leadership. Journal of nursing Management. 14(5) 332-339.
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.
Diminishing a patient's sense of helplessness is a founding principle of Orlando's theory, and empowerment is important in ensuring that the patient does not feel lost after receiving a diagnosis and are being discharged. For example, Nurse B. recently treated a man who had been diagnosed with Type II Diabetes. He was afraid of becoming dependent upon insulin his entire life. Explaining how dietary changes and exercise, reducing his weight, and taking proactive steps of self-care could reduce his blood sugar helped the man regain a sense of control over his life. This does not mean that the patient must stand alone. ellness is a dialogue between nurse, environment and patient. Stressing how professional resources such as dieticians were there to help manage his nutrition and involving the man's wife in the way family meals were prepared also had a great impact in diminishing his sense of helplessness (Chinn 1983,…
Chinn, P. (Ed). (1983). Advances in nursing theory development. Rockville, MD: Aspen
Systems. Chapter 5, pp. 63-87. Used with permission from Peggy Chinn. Last Revised 2006. Retrieved 13 Oct 2007 at http://www.uri.edu/nursing/schmieding/orlando/schapters/files/chinnnjs.pdf
Valentine, Susan. (2002). "Nursing Leadership and the New Nurse." The University of Arizona College of Nursing. Retrieved 13 Oct 2007 at http://juns.nursing.arizona.edu/articles/Fall%202002/Valentine.htm
According to the APA Publication Manual, because a personal, unpublished interview consists of unrecoverable data, there is no need to cite it in the Reference List
Leadership Discussions First Half
Identify at least two ethical dilemmas that occur when you are in a position of leadership. What makes the dilemmas ethical? Would you expect each person to react to the dilemma in the same way?
People have different ways of reacting to dilemmas. In my position as a leader, I have encountered a situation where I had to choose tow rights. In this case, I was entangled in a dilemma because I value both student achievement and teacher autonomy when I pursue to enact policies that lower expectations. This was a heightened conflict because all school heads are public officials obligated to various people with competing interests and values. My position comes with dilemmas such as deciding whether to report teachers with questionable grading decisions. This dilemma is ethical because it puts pressure on the need to make ethical decisions. Further, in my response,…
Anthony, M. (2004). Shared governance models: the theory, practice, and evidence. Online Journal Of Issues In Nursing, 9(1). Retrieved from http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/T
Bittner, N., & Gravlin, G. (2009). Critical thinking, delegation, and missed care in nursing practice. Journal of Nursing Administration, 39(3):142 -- 146
DeSilets, L., & Dickerson, P. (2008). SWOT is useful in your tool kit. Journal Of Continuing
Leadership in Nursing
Excellence in leadership is an inherently innate skill set that over time emerges in the attitude, commitment and performance of subordinates. It is also reflected in how a given business unit or department coordinate, collaborates and trusts each other (Cohen, 2013). Compounding these factors are the often complex, highly intricate and often challenging aspects of managing and leading a nursing department (Swearingen, Liberman, 2004). The stresses and requirements of nursing leadership serve as a catalyst that accelerates leadership skills in nurse leaders. The challenges of orchestrating and leading a department are in many ways a crucible that leads to stronger nurse leaders capable of overcoming challenges and continually growing over time (Wong, Cummings, 2009). The most effective transformational leaders know how and when to rely on individualized consideration, intellectual stimulation, inspirational motivation and idealized influence (ao, 2013). Taken together these are the attributes that are essential for…
Cohen, S. (2013). Transitioning new leaders: Seven steps for success. Nursing Management, 44(2), 9.
Rao, M.S. (2013). Smart leadership blends hard and soft skills. Human Resource Management International Digest, 21(4), 38-40.
Swearingen, S., & Liberman, A. (2004). Nursing leadership - serving those who serve others. The Health Care Manager, 23(2), 100-109.
Wong, C., & Cummings, G. (2009). Authentic leadership: A new theory for nursing or back to basics? Journal of Health Organization and Management, 23(5), 522-38.
Either style may be beneficial in some situations but detrimental to organizational objectives (i.e. patient health and welfare) in others. A typical example of an appropriate use of authoritarian leadership would be in a working group consisting of individuals who have varying degrees of expertise and professional experience, particularly if they also have little experience working together as a group. On the other hand, the democratic style might be more appropriate in working groups consisting of very similarly skilled individuals with similar degrees of experience, especially where they have also worked together extensively and have demonstrated good self-management, decision-making, and collaboration within the group.
Leadership vs. Management
The principal difference between leadership and management is that leadership pertains more to people whereas management pertains more to operations (Marquis & Huston, 2008). Generally, organizational leadership involves improving the organization by addressing motivational issues and other factors that contribute to the morale…
Marquis, B.L. And Huston, C.J. (2008). Leadership Roles and Management Functions in Nursing: Theory and Application. (6th ed.). Philadelphia: Lippincott, Williams, & Wilkins.
Medley, F. And LaRochelle, D.R. "Transformational leadership and job satisfaction."
Nursing Management, Vol. 26, No. 9; (1995). Retrieved January 9, 2011 from:
Nursing Concepts and Theory
Conceptual-Theoretical Structure paper
Personal belief about nursing theory and knowledge development process for nursing practice
All nursing theories play an important role in defining nursing and giving the roles that nurses need to play. Originally, the role of nurses was simply to carry out activities as instructed by doctors, however, over the years, this role has been changed to include more responsibilities as the nursing world has evolved. Nursing theories describe, predict and explain the various phenomena in nursing practice and thus create foundations for nursing practice. They also help to generate knowledge in the field of nursing and to point the direction which the field should develop in future. This view is supported by Carper (1978)
who states that nursing theories elaborate nursing practice and create professional boundaries for the profession. Nursing knowledge comes from research that has been conducted on nursing which forms scientific…
Anderson, A.M. (2005). Nursing Leadership, Management, and Professional Practice for the LPN/LVN (3rd ed.). Philadelphia: F.A. Davis Company.
Carper, B. (1978). Fundamental patterns of knowing in nursing. Advances in Nursing Science, 1(1), 13-23.
Clark, M.J. (2003). Community health nursing: Caring for populations (Fourth ed.). Upper Saddle River, NJ: Prentice Hall.
Dayer-Berenson, L. (2010). Cultural Competencies for Nurses: Impact on Health and Illness. Burlington, Massachusetts: Jones & Bartlett Learning.
eview On Nurses Shortage
The supply of professional nurses relative to the increase in demand for their services has been on a general decline over the years. As a career choice, nursing has been facing perennial shortage of professionals. Most healthcare organizations will affirm that their daunting tasks were recruiting fresh nurses and retaining the ones already in practice. The 2008 projections from the Bureau of Labor Statistics showed that the demand for professional nurses would increase from the then two million to three million, which represents sixty percent increment. In ideal situations, the number of those who have enrolled in nursing will be sufficient to supply the rise in their number. Nevertheless, this would not be the case if nothing were done to salvage the worrying trend of most students not graduating or resorting to other careers. According to Benjamin Isgur of PWHC Health and esearch Institute,…
American Association of Colleges of Nursing. (2009, September, 28). Nursing Shortage Fact Sheet. USA: AACN.
Buerhaus, P.I., Staiger, D., & Auerbach, D.I. (2009). The future of the nursing workforce in the United States: Data, trends, and implications. Boston: Jones and Bartlett Publishers.
Blakeley, J., & Ribeiro, V. (2008). Early Retirement among Registered Nurses: Contributing Factors. Journal of Nursing Management, 16(1), 29 -- 37
Cummings, G., et al. (2008). The Relationship between Nursing Leadership and Nurses' Job Satisfaction in Canadian Oncology Work Environments. Journal of Nursing Management, 16(5), 508 -- 518.
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.
Most conclusions on this approach were vague or indecisive in terms of social, psychological or mental significance (ice, 1978, 1981; Graen et al., 1972; Ashour, 1973).
Furthermore, over the years, many scholars have come to the realization that leadership is situational and hence there are many realistic settings like the environment, the employees, the resources, etc. that determine the characteristics needed in a leader as well as his/her business approach (Hershey and Blanchard, 1977, 1984). This is why it is important to first understand the different types of scenarios that a leader can face and then use those scenarios as the foundation on which most leadership techniques and approaches are built. This idea of leadership being situational is very helpful in outlining the methods through which leadership can be developed and has taken up a good part of the last three-decade of research (Mckenna, Boyd and Yost, 2007).
Adler, a. (1946). Understanding human nature. New York: Permabooks.
Ashour, a.S. (1973). The Contingency Model of Leadership Effectiveness: An Evaluation. Organizational Behavior and Human Decision Processes 9: 335-76.
Bandura, a. (1997). Self-efficacy. The Exercise of Control. New York: W.H. Freeman. (Bass, B.M. 1985). Leadership and Performance Beyond Expectations. New York: The Free Press.
Bennis, W., and B. Nanus. (1985). Leaders. New York: Harper and Row.
Grayce Sills and Nursing Leadership
Grayce Sills dedicated her life's work to improving conditions for psychiatric health patients, both through reforms in the area of psychiatric nursing and through education of future generations of nurses. During the era succeeding orld ar II, the psychiatric nursing profession was making its first forays into mainstream treatment orientation. Grayce Sills would emerge into the profession during this time and, in the late 1950s and 1960s, would observe that the conditions to which psychiatric patients were often treated at this juncture were abhorrent, inhumane and inconsistent with the standards otherwise sought in general patient treatment. As a student of Hildegard Peplau, whom she refers to as the mother of psychiatric nursing, Sills would come to appreciate the need for greater demonstration of caring and compassion in this subsection of the nursing profession. (Barker, p. 79) Earning a Bachelor's Degree from…
Barker, P.J. (1999). The Philosophy and Practice of Psychiatric Nursing. Elsevier Health Sciences.
Fitzpatrick, J.J.; Shultz, C.M. & Aiken, T.D. (2010). Giving Through Teaching: How Nurse Educators Are Changing the World. Springer Publishing Company.
Houser, B. & Player, K. (2007). Pivotal Moments in Nursing: Leaders Who Changed the Path of a Profession. Sigma Theta Tau International; 1st edition.
Murray, A. (1995). OHIO STATE HONORS NURSING PROFESSOR AT WINTER COMMENCEMENT. Ohiostate.edu.
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.
Future of Nursing
The future of nursing: Leading change, advancing health
According to the Institute of Medicine (IOM) report The future of nursing: Leading change, advancing health, the future of medicine as a whole is inexorably tied to the future of nursing. Nurses are increasingly called upon to perform complex tasks as more of the healthcare burden gets shifted to nurses in the name of managed care and cost-cutting. The expanded population base of patients due to changes in legislation such as the Affordable Care Act (ACA) and the aging of the population further underlines the need for appropriate education of tomorrow's nurses and the reeducation of the nurses of today. This will require major policy changes and overhauls.
First and foremost, nurses must be better prepared to cope with a population that is very different from the population nurses treated in the past. Not only is it…
The future of nursing: Focus on education. (2010). IOM. Retrieved from:
The future of nursing: Focus on scope of practice. (2010). IOM. Retrieved from:
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.
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.
In these kinds of situations, the health care professional is taking the middle ground to satisfy both parties (which will lead to a number of challenges). This is from both sides feeling that they have won and will want more down the road. The only difference is that they are more emboldened in their position. This is problematic, because it can make the underlying situation worse in the future. (Feldman, 2008, pg. 128) (Daniels, 2004, pp. 485 -- 486)
To avoid these kinds of situations requires that compromise should be used as a solution when both sides agree to accept the proposal. This does not mean coming back in the future and exhibiting the same kind of behavior to achieve what they want. Instead, both parties have to be willing to accept the compromise completely. If this kind of approach can be taken it will create win -- win situations.…
Cavanaugh, S. (1988). The Conflict Management Style. Intensive Care Nursing, 4 (3), 118 -- 123.
Daniels, R. (2004). Nursing Fundamentals. Clifton, NY: Thomason.
DiMatteo, M. (1998). The Role of the Physician. Western Journal of Medicine. 168 (85), 328 -- 333.
Feldman, H. (2008). Nursing Leadership. New York, NY: Springer.
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…
Nursing Culture: Overcoming Barriers to Change
Introduction and Theoretical Framework
This program of study continues personal research and professional practice in the field of nursing within the area of public and private health systems. In an era characterized by increasing calls for more efficient approaches to healthcare delivery and accountability on the part of healthcare providers, there is a growing need for identifying opportunities to overcome organizational barriers to change that facilitate the implementation and sustainment of evidence-based practices over time. In order to accomplish this challenging enterprise, the nature of existing organizational barriers must be better understood, an issue that directly relates to the problem to be considered by the study proposed herein and which is discussed further below.
Statement of the Problem
According to Mannion, Davies and Marshall et al. (2005), the results of much of the research to date have identified a relationship between nursing culture and…
Banyard, V.L., & Miller, K.E. (1998). The powerful potential of qualitative research for community psychology. American Journal of Community Psychology, 26(4), 485.
Burton, S., & Steane, P. (2004). Surviving your thesis. New York: Routledge.
Dennis, C., & Harris, L. (2002). Marketing the e-business. London: Routledge.
Department of Health. (2000). The NHS plan: A plan for investment, a plan for reform. London:
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.
The author of this response has been asked to give two different leadership styles that have emerged and flourished in the nursing sphere and with the development of nurses. The two approaches shall be stated and why/how those approaches have contributed to the nursing paradigm. The Nursing Times website directly asks the question about what sort of leadership styles that "senior nurses" should exemplify and exude as part of doing their job and honing their craft. One style espoused in the response is a style that is conducive to helping nurses "apply theory to practice and encouraging them to test new skills in a safe and supportive environment" (Frankel, 2008). Of course, honing and perfecting skills is not always the easiest thing to do given that lives and such are commonly at stake. Even so, chances do exist and/or can be created and they need to be taken…
Criscitelli, T. (2016). Nursing Journals -- NursingCenter. Nursingcenter.com. Retrieved 20 January 2016, from http://www.nursingcenter.com/JournalArticle?Article_ID=1625758
Frankel, A. (2008). What leadership styles should senior nurses develop?. Nursing Times. Retrieved 20 January 2016, from http://www.nursingtimes.net/clinical-subjects/leadership/what-leadership-styles-should-senior-nurses-develop/1811643.fullarticle
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.
Nursing Leadership Priorities and Challenges
The priorities for nursing and nursing leadership are, on some levels, fundamentally simple. Nurses are simply tasked with providing the most effective care for their patient populations. This goal becomes much more nuanced when one begins thinking about how to properly achieve this goal. There is a considerable amount of research emerging in recent years surrounding this field which supports the notion that evidence-based practice is one of the efficient ways (Stevens, 2013) to improve patient outcomes. Therefore, in alignment with the chief priority of providing the best care to patients as possible, nurses must also prioritize how to do so utilizing evidence-based measures with a demonstrated efficacy in both clinical and outpatient settings.
However, justifying these two priorities creates an inherent challenge for nursing on a multiplicity of levels including those pertaining to organizations, roles, and individuals. Specifically, the difficulty lies in introducing new…
SMART Goal 1: Leadership Development
specific- Who is involved in the goal, what is the goal, where will it take place?
In regards to leadership development with the context of nursing leadership, a mentor would need to be approached. Leadership development hinges primarily on the individuals ability to learn and subsequently development needed skills. A mentor is a viable option in which to do so. As such the specific goal, as it relates to leadership development would be to acquire a mentor and meet periodically to discuss skill progression. It will take place within the confines of the hospital, either bi-weekly or monthly. In addition, another specific goal would be to identify personal areas of opportunity monthly and address those areas specifically with the mentor. In addition, the mentee will have specific metrics in which they are evaluated on in regards to leadership development. These metrics may include patient service…
Reeves, S., Macmillan, K., & van Soeren, M. (2010). Leadership of interprofessional health and social care teams: a socio-historical analysis. Journal of Nursing Management, 18(3), 258-
This study looks at the work between nursing and other professional teams that involve healthcare partially or fully. In this case, the inter-professional work is between nurses and social care teams and the subject is looked at from a socio-historical perspective. Indeed, the report looks at leadership when it comes to such inter-professional teams. Over the last quarter of a century, there are many that have been calling for more collaboration between such people so as to improve the overall quality of health care. It is indeed regarded by many to be one of the key approaches that can be undertaken to accomplish a higher standard of care. Rather than each team or group being its own proverbial island, there needs to be…
As a student who had only just completed the first semester of the course, I had no experience with pediatric patients prior to the shadowing task. Thus, the nurse shadowing task was a rather exciting experience for me, exposing me to several new aspects of pediatric care (Burkitt et.al 2001). However, its most heart- rending element was congenital patient care – seeing babies being born with an illness was a rather touching experience.
While a few of my peers were fairly well- informed on the subject of pediatric care, I wasn’t. Most of the information I gleaned and things I saw in the course of my nurse shadowing assignment were new to me. The nurse practitioner I was tasked to shadow provided me with detailed information about appendicitis, which is apparently a widely- occurring pediatric issue and, at times, may take long to diagnose (Gaydos et.al 2005). Further, I gained…
Combining Nurse Leadership With Advocacy
Personal rating using the nurse manager skills inventory
Personal and professional accountability
Personal growth and development -- Competent
Ethical behavior and practice -- Competent
Professional association involvement -- Novice
Certification -- Expert
Knowing your role -- competent
Knowing your future -- Competent
Positioning yourself -- Novice
Personal Journey disciplines
Shared leadership/council management -- novice
Action learning -- Competent
eflective practice -- expert
The contemporary nursing fraternity is going through high rates of attrition which has seen several nurses transfer to other professions ads well as a low number of new students enrolling to pursue the profession. This means that there is absolute need for the change in approach by the leadership to ensure those who are in the practice are effective to cover up for the low number of nurses as well as to retain them in the practice. The nurse leaders have…
American Association of Critical-care Nurses, (2006). Nurse Manager: Inventory Skills. Retrieved July 6, 2015 from http://www.aacn.org/wd/practice/docs/nurse-manager-inventory-tool.pdf
The shortage of nursing staff remains a major challenge in the U.S. According to the American Association of Colleges of Nursing (AACN) (2014), the shortage is expected to be even greater in the next one decade or so. The shortage has been fuelled by factors such as reduced enrolment into nursing schools, increased retirement of the nursing workforce, as well as higher demand for healthcare due to population ageing and greater incidence of lifestyle diseases (AACN, 2014).
The shortage of nursing staff has severe implications for the nursing workforce. A high number of patients relative to nursing staff often translate to increased workload for nurses. Indeed, nurses continue to grapple with unhealthily lengthy work shifts, often stretching up to 12-13 hours. It is an issue that has sparked a great deal of debate given the connection between excessive workload and nurse outcomes. Literature extensively demonstrates that excessive workload as a…
The healthcare practitioner must be particular immune to prejudices of an ethnic, racial, sexual or personal nature, with equal treatment quality and personal attention expected for all patrons of the medical system. This is why it is important for members of the healthcare community to be acquainted not just with the idea of a multitude of groups in its public, but with some level of understanding as to how different ethnic groups endure different health scenarios.
10. Show how you integrate critical thinking, clinical reasoning strategies, and communication methods in nursing practice with clients in varying health states.
The strategies described here above are especially important where addressing the personal and emotional needs of patients are concerned. This is because communication and critical reasoning will go a long way in making the patient feel comfortable, confident and cared for. Accordingly, we find that "one skill in nursing communication that would…
Anderson, L.L. (2010). Nurse Leadership vs. Management. Nurse Together.
Beyea, S.C.; Slattery, M.J. (2006). Evidence-Based Practice in Nursing. HCPro, Inc.
Leebov, W. (2009). Nursing Communication: How to Make Sure Patients Feel Our Caring. All Nurses.
MacDonald, C. (2002). Nurse Autonomy as Relational. Nursing Ethics, 9(2).194-201.
autobiography of the author of this report. The remainder of the report will mostly focus on the four meta-paradigms of nursing. Of course, those meta-paradigms are patient, nurse, health and environment. The author will also offer two practice-specific concepts from the scholarly literature that can be applied to the career and environment of the author of this report. Next up will be a list of propositions that will number five in total. As suggested and required by the assignment, the paper will integrate these discrete elements and in a way that connects to the concepts described. While analysis of the nursing professional can get a little silly and/or delve too much into a bit of navel-gazing, the profession is indeed noble and deep and is thus worthy of the proper full analysis.
The author of this report started as an electrocardiogram (EKG) technician and nursing assistant while the author…
Lee, R.C., & Fawcett, J. (2013). The Influence of the Metaparadigm of Nursing on Professional Identity Development Among RN-BSN Students. Nursing Science
Quarterly, 26(1), 96-98. doi:10.1177/0894318412466734
Schim, S.M., Benkert, R., Bell, S.E., Walker, D.S., & Danford, C.A. (2007). Social
Justice: Added Metaparadigm Concept for Urban Health Nursing. Public Health
MAKETING VS. CS
Henderson Nursing Philosophy
classification of theories Grid
She graduated from her first nursing program in 1921 and her career was at its apex in the 1970's as she was one of the more prominent authors of nursing textbooks through the 1970's (and before that dating back to the late 1950's). She was a research associated at Yale until she died in 1996. She died that same year at the age of 1998. Basically, her career was active in some form for nearly seven decades but it was highest in the middle part from the 1950's to 1970's.
Virginia Henderson started her medicine career after she graduated from the United States Army School of Nursing in about 1921. She later received her bachelor's degree in 1931 and her master's degree. Her Bachelor of Science as well as her master's from…
AAHN. (2015, January 21). Home. Retrieved January 21, 2015, from http://www.aahn.org/gravesites/henderson.html
McBride, Angela Barron (1996). "Remembering the first lady of nursing." Reflections in Nursing Leadership (Sigma Theta Tau).
Meleis, A. (2011). Theoretical nursing: Development and progress (Fifth ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
"Virginia Avenel Henderson." Virginia Nursing Hall of Fame, Virginia Nursing Archives. Special Collections and Archives, Tompkins-McCaw Library, Virginia Commonwealth University.
Health Information Technology has significant impacts on nursing policy and practice including the role of these professionals in patient education. Actually, the Information Technology development process in healthcare is based on the nurses' ability to understand the community and provide distinctive insights about patient education among other factors (Effken & Abbott, 2009). Since nurses are important elements of the healthcare system, they are critical in ensuring that the confidence of patients in the health providers is maintained even as technology mediates interactions.
The main impact of the emergence of Health Information Technology on the role of a nurse in patient education is that technology mediates interactions between patients and their care providers. As a result, nurses are required to ensure that the role technology plays in mediating these interactions does not affect the insights provided in the process or the delivery of improved patient care. Moreover, through Health Information Technology,…
Adams, K., Greiner, a.C. & Corrigan, J.M. (2012). Chapter 5 -- Patient Self-Management
Support. Retrieved from the National Academies Press website: http://www.nap.edu/openbook.php?record_id=11085&page=57
Bastable, S.B. (2008). Nurse as educator: principles of teaching and learning for nursing practice (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers.
Effken, J.A. & Abbott, P. (2009, August). Health it-enabled Care for Underserved Rural
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.
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.
Nursing Leadership and Management
Approaches of Nursing Leaders and Managers to Issues in Practice
Providing quality healthcare to individuals in need is imperative for all the stakeholders involved in the provision of healthcare. Among the stakeholders that play a key responsibility in ensuring the provision of quality, healthcare is the nurses who act as the advocates for individuals seeking healthcare. Providing healthcare to the population depends largely on the use of different strategies such as teamwork, continuous monitoring, and provision of opportunities that contribute to the personal and professional development of the healthcare providers. The success of the interventions adopted within the healthcare organizations also depends on the active roles played by the nurse managers and leaders in facilitating the adoption of the change agents. Therefore, the following essay focuses on the analysis of a comparison of the ways in which the nurse manager and a leader would approach the…
Corrigan, J., Eden, J., & Smith, B.M. (2003). Leadership by example coordinating government roles in improving health care quality. Washington, D.C.: National Academies Press.
Shale, S. (2012). Moral leadership in medicine: building ethical healthcare organizations. Cambridge: Cambridge University Press.
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:
Nursing Theory -- oy Adaptation Model
The oy Adaptation Model is one of the most commonly cited and used options when it comes to nursing theories. It has been in existence since 1976, and has had a number of years to be adjusted and changed to work with the adjustments that have occurred in the field of nursing over time (Alligood, 2011). Being able to adapt and change is a very important part of nursing, because all patients are different. Additionally, treatments and medications change rapidly, and that can be difficult to keep up with if a nurse is not focused on adapting his or her style and beliefs to the changing nature of medicine. Here, the importance of nursing theory will be explored, along with the key points that are used in the oy Adaptation Model. The views and ideas that the model provides when it comes to nursing…
Alligood, M.R. (2011). The power of theoretical knowledge. Nursing science quarterly, 24(4), 304-305.
Polit, D.F., & Beck, C.T. (2013). Essentials of nursing research. Lippincott Williams & Wilkins.
Roy, C. (2011). Extending the Roy adaptation model to meet changing global needs. Nursing science quarterly, 24(4), 345-351.
Roy, C. (2011). Research based on the Roy Adaptation Model last 25 years. Nursing science quarterly, 24(4), 312-320.