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 issue of…...
mlaReferences
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.
Nurse etention Capacity
Standards & Analysis on Nurse etention
The demand for nursing staff in the United States has significantly increased and according to the Center for American Nurses, employment in these positions have increased to an amazing 83% which is now at the highest it has been since 1980, and considering that this role is the biggest job in healthcare offering over 2.6 million jobs, the problem in hospitals, healthcare facilities, and in home care is the lack of nurses (Bureau of Labor Statistics, 2011). Furthermore, there are many reasons as to why experts and the healthcare facilities are unable to hire enough people to fulfill the positions within their establishments, and most research has determined that the main reasons there is such a shortage in nursing jobs is because of the poor management and leadership within the nursing work environment, the increased amount of responsibility and work load that have…...
mlaReferences
Bureau of Labor Statistics. U.S. Department of Labor, Office of Occupational Statistics and Employment Projections. (2011). Occupational outlook handbook 2010-2011 edition, registered nurses on the internet Washington, DC: Retrieved from http://www.bls.gov/oco/ocos083.htm
Chart Your Course International (2011). Nursing shortage. Retrieved from http://www.highretention.com/nursing_research.html
Monaghan, H.M. (2009). Effective leadership + nurse retention. Retrieved from http://www.visioninghealthcare.com/pdf/Article-Effective-Leadership-Nurse-Retention.pdf
Runy, A. (2006, January). Nurse retention. H&HN Magazine, Retrieved from http://www.hhnmag.com/hhnmag_app/jsp/articledisplay.jsp?dcrpath=HHNMAG/PubsNewsArticle/data/0601HHN_FEA_Gatefold&domain=HHNMAG
Nursing Leadership
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 the leader also…...
mlaReferences
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
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…...
mlaREFERENCES
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.
Introduction
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 holistic management…...
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 is…...
mlaReferences
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,
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 and medically complex…...
mlaREFERENCES
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 Leadership
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 Posner,…...
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 only is this…...
mlaReferences
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
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,…...
mlaWorks Cited
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
Nursing Sills
Grayce Sills and Nursing Leadership
Brief Biography:
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 the University of…...
mlaWorks Cited:
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.
Their leadership role deals with service to their clients, hence, they are their leadership role are similar in a way. However, they differ in that; Florence has the attribute of being autocratic, whereas Clinton is persuasive. Florence showed aspects of commanding whereas Clinton worked by means of winning the trust of others to support his initiative. Secondly, it is notable that nightingale is a nurse while Clinton is a politician. Additionally, they lived in different times, hence the level of development explains their difference in the way they approached issues. They both are holistic; however, Clinton is more open-minded as compared to Nightingale.
Self-analysis of myself as a leader
As a leader, a person works with a group. Therefore, the leadership skills that a person exercises should focus on establishing effective working relations and the environment. A quality leader has multidimensional traits, making him or her appealing and effective in behavior.
My strengths…...
mlaReferences
Parakala, K. (2012). Leadership - the Clinton style. Retrieved from http://www.itsmyascent.com/web/itsmyascent/career-advice/ -
/asset_publisher/W3x7/content/leadership-the-clinton-style
Yoder-Wise, P. (2011). Leading and managing in nursing (5th ed.). St. Louis, MO:
Elsevier. ISBN: 978-0-323-06977-9.
The Affordable Care Act Bills (ACA) 2010 enactment significantly impacted the United States Healthcare System.Evolution of the Affordable Care ActWhen the ACA was launched in 2010, it was a period when the United States was recovering from a harsh recession, the worst since the Great Depression. Policymakers at the time were concerned about the potential of the newly established law, with its ambitious insurance coverage expansion and strict requirements for employer-provided health benefits, to possibly hinder employment growth and the ongoing economic recovery. However, some speculated that the ACA, with its provisions designed to curb the growth in healthcare expenses and its strategies to expand the insured populace, would stimulate the economy. This economic boost would come from liberating funds that could be channeled toward job creation and wage increases, along with expanding demand in sectors other than healthcare (Schoen, 2016).The ACAs fundamental objective is to revamp insurance and health…...
mlaReferencesBlumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act—A progress report. New England Journal of Medicine. K., Motter, T., Rudsill, P., & Benson, L. (2022). The Affordable Care Act: Considerations for leveraging the power of nursing. Retrieved from https://www.doi.org/10.3912/OJIN.Vol27No02Man01 Collins, S. R., Rasmussen, P. W., Doty, M. M., & Beutel, S. (2015). Americans’ experiences with the marketplace and Medicaid coverage—Findings from the Commonwealth Fund Affordable Care Act Tracking Survey, March–May 2015. The Commonwealth Fund. https://www.commonwealthfund.org/publications/issue-briefs/2015/jun/americans-experiences-marketplace-and-medicaid-coverage Harper, K. J., & Benson, L. S. (2021). The value of including the nursing perspective in the boardroom. Nursing Administration Quarterly, 45(3), 192-196. https://doi.org/10.1097/NAQ.0000000000000470 Hellerstedt, W. L. (2013). The Affordable Care Act: What are its goals, and do we need it? The Centre for Leadership Education in Maternal and Child Public Health.Nurses on Boards Coalition. (2022). Home page. Retrieved from https://www.nursesonboardscoalition.org/ Schoen, C. (2016). The Affordable Care Act and the U.S. economy: A five-year perspective. The Commonwealth Fund.Woolf, S. H., & Aron, L. (Eds.). (2013). U.S. health in international perspective: Shorter lives, poorer health. National Academies Press.https://www.nejm.org/doi/full/10.1056/NEJMhpr1405667Cleveland,
Leadership is a challenge for all leaders across different realms and being a nursing leader is not an exemption. This is particularly taking into consideration the circumstances and issues distinctive to the medical and healthcare profession. As a nursing leader, it is imperative to not only be accountable for matters distinctive to their own individual departments or team, but are also responsible for organizing and facilitating interactions with other departments within the organization, to attend to patient health care; both direct and indirect. The prevailing healthcare system is gradually developing and progressing into a new system founded on a vision of health advancement, primary care and community-based home care, with hospitals continuing to be an essential pillar of the healthcare system but not its most important service (Gottlieb et al., 2012). Considering the evolving healthcare situation, a key issue in the contemporary times is that nursing leaders are not cognizant…...
mlaReferences
Al-Sawai, A. (2013). Leadership of healthcare professionals: where do we stand? Oman medical journal, 28(4), 285.
Baker Strategy. (2016). Denison Organizational Culture Survey. Retrieved from: https://www.bakerstrategy.com/programs/culturesurvey
Casida, J. J. (2008). Linking nursing unit's culture to organizational effectiveness: A measurement tool. Nursing Economics, 26(2), 106.
da Graca Batista, M., Furtado, L., & Silva, F. (2011). Situational Leadership and Professional Nurses' Satisfaction: The Example of Hospitals. 2011.
(Feldman & Geenbeg, 2005, p. 67) Staffing coodinatos, often nuse leades must seek to give pioity to educational needs as a eason fo adjusting and/o making schedules fo staff, including offeing incentives to staff not cuently seeking educational goals fo assisting in this pioity egadless of the implementation of a tuition eimbusement pogam. (Feldman & Geenbeg, 2005, p. 233)
Nuse Leades as Academic Theoists
The fact that many nuse leades seve as the fundamental souces fo new and emeging nusing paadigms and theoies cannot be ignoed in this eview. The theoies associated with nusing ae as divese as nuses themselves and seve seveal puposes. With egad to nuse ecuitment and the ole that nusing theoy and paadigm plays in it, nuse leades seve to espouse theoy though mentoship and taining that helps individuals see thei futue intinsic ole in nusing. To explain this ole a bief discussion of nusing theoy will…...
mlareferences and Affirmative Action in Making Admissions Decisions at a Predominantly White University. Journal of Instructional Psychology, 31(4), 269.
Burgener, S.C., & Moore S.J. (May-June, 2002) The role of advanced practice nurses in community settings. Nursing Economics 20 (3) 102-108.
Cimini, M.H., & Muhl, C.J. (1995). Twin Cities Nurses Reach Accord. Monthly Labor Review, 118(8), 74.
Cleary, B. & Rice, R. (Eds.). (2005). Nursing Workforce Development: Strategic State Initiatives. New York: Springer.
Daly, J., Speedy, S., Jackson, D., Lambert., V.A., & Lambert, C.E. (Eds.). (2005). Professional Nursing: Concepts, Issues, and Challenges. New York: Springer.
1. The Historical Impact of Joyce Travelbee's Theory on Nursing Practice
2. Exploring the Evolution of Joyce Travelbee's Theory in Nursing
3. The Influence of Joyce Travelbee's Theory on Nurse-Patient Relationships
4. A Historical Overview of Joyce Travelbee's Theory in Nursing Care
5. Examining the Legacy of Joyce Travelbee's Theory in Contemporary Nursing
6. Joyce Travelbee's Theory: A Historical Perspective on Nursing Philosophy
7. Uncovering the Historical Context of Joyce Travelbee's Theory in Nursing Education
8. The Enduring Influence of Joyce Travelbee's Theory on Nursing Research
9. Joyce Travelbee's Theory: A Historical Analysis of Its Impact on Nursing Ethics
10. Tracing the Historical Development of Joyce Travelbee's Theory in....
1. The Impact of Effective Leadership on Nursing Practice
2. Challenges and Opportunities in Leadership Development for Nurses
3. Transformative Leadership in Nursing: Inspiring Change and Innovation
4. The Role of Emotional Intelligence in Effective Nursing Leadership
5. Strategies for Developing Strong Nurse Leaders in Healthcare Organizations
6. The Importance of Ethical Leadership in Nursing: Fostering Trust and Integrity
7. Overcoming Barriers to Leadership Advancement for Nurses
8. The Influence of Gender and Diversity in Nursing Leadership
9. Building Resilience and Well-being in Nurse Leaders
10. Enhancing Patient Outcomes through Strong Nursing Leadership
11. Empowering Nurses to Lead: A Call to Action for Change
12. The Evolution of Leadership Styles in....
1. The Transformative Role of Leadership in Nursing: Inspiring Excellence and Patient-Centered Care
2. Leadership in Nursing: A Compass Guiding Innovation, Empowerment, and Patient Advocacy
3. The Essence of Nursing Leadership: Balancing Patient Care, Collaboration, and Organizational Success
4. Empowering Nurses Through Effective Leadership: A Key to Enhancing Patient Outcomes and Professional Satisfaction
5. The Vital Role of Leadership in Shaping the Future of Nursing Practice: Meeting the Challenges of a Transforming Healthcare Landscape
6. Leadership in Nursing: A Catalyst for Change and Continuous Improvement
7. The Impact of Transformational Leadership on Nursing Teams: Fostering a Culture of Excellence and Patient-Centeredness
8. The Qualities and Competencies of....
1. The impact of technology on the nursing profession
2. The role of emotional intelligence in nursing practice
3. The importance of evidence-based practice in nursing
4. The ethical dilemmas faced by nurses in healthcare settings
5. The challenges of caring for elderly patients in nursing homes
6. The role of cultural competency in providing nursing care
7. The impact of nursing shortages on patient care
8. The importance of effective communication in nursing practice
9. The role of nursing leadership in improving patient outcomes
10. The benefits of interdisciplinary collaboration in healthcare settings.
11. The role of nursing education in shaping the future of....
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now