...Nurse Management and Leadership Case Study Nurse Management and Leadership Case Study Introduction Good leadership is necessary in every business organization. When it comes to nursing, every health center must have a good leadership that supports the nurses so that they can maximize their performance. However, for leadership to be of good quality there needs to be a good working environment in all aspects (Pinelli et al., 2004). The following is a case study illustrating an ideal working environment that supports good nurse leadership in health institutions. Type of Organization The organization that I would like to work in is a medium sized health care center. The facility is equipped with all the necessary gear needed to deliver quality healthcare services. There are over fifty doctors and seventy qualified nurses in the organization. The healthcare center serves over five hundred outpatient patients daily. It has enough facilities to cater for approximately 250 in-patients at any particular point. This health facility has taken into consideration the guidelines that make it professionally fit for an advanced nursing role. The development and implementation of good governance in this facility has been taken seriously in order to promote the nursing role. The following are some of the principles that have been implemented in order to promote good governance in this health facility. The organization looks at all the aspects of service delivery to promote good decision...
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...alerts the person to a change in normalcy that may dissipate over time once the insult has been resolved. In contrast chronic pain signals go on for weeks, months, or possibly years (MedlinePlus, 2015). Pain can make activities of daily living difficult, limiting function and impairing the quality of life. In the United States it is estimated that 25.3 million adults suffer from chronic pain. Around 4.4 million adults were classified as having the highest level of pain, category 4, with an additional 25.4 million adults experiencing category 3 pain (Nahin, 2015). In 2010 the estimated total cost of chronic pain management in the United States ranged between $560- $635 billion dollars (Gaskin & Richard, 2012). For these reasons it is evident why the role of the Nurse Anesthetist Pain Management Specialists exist. In accordance with providing continued pain management the board has to ensure that the future of this practice is grounded in the best evidence and the practitioners are proficient while adhering to the standard of care....
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...today’s population. The baby boomer generation is aging, and the cost of health care is at the forefront in the news. Case managers facilitate the process of navigating through the health care system to attain the proper treatment necessary for the patient, thus integrating a complex multidisciplinary health care system. Preparing new nurse case managers in this specialized field requires an advanced professional background based on education and experience. Keywords: case management, case manager, health care system The Growing Need for Case Managers The 65 years and older cohort in the United States will reach 20% of the population, reaching an estimated number of 80 million by the year 2050; while by the year 2020, a severe professional nursing shortage of two hundred and eight hundred thousand nurses is projected to occur. The discrepancy between the supply of nurses and the demand of health care services for an aging population is driving much emphasis on issues related to health care coverage, health promotion and prevention, and treatment of escalating chronic diseases that afflict this country, such as diabetes and dementia. The underlying message of this emphasis is the containment of health care cost, a burden patients will have to face when undertaking medical services, and revisions in health care places case management as an essential element for cost-efficiency and effectiveness of identifying health services for the client (Catalano...
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...Poisonous Management in Nursing American Sentinel University Poisonous Management in Nursing In today’s nursing world people in a management position can abuse their authority. A prime example is the case study “Nurse Manager Power” that is described in our text (Grohar & Langan, 2011). The case study describes Mrs. Jackson, the nurse manager, as a negative and abusive person. Mrs. Jackson publicly degrades, humiliates, and segregates her staff by showing favoritism. Overall, unit morale decreases because of the stigma in the unit. Upper management will now have to intervene to resolve the issue. There are several different types of power listed in our text. In this particular case, Mrs. Jackson uses coercive power. Coercive power is defined as “the use of fear to ensure compliance from subordinates” (Grohar & Langan, 2011). The staff fear repercussions if they bring their issues to Mrs. Jackson and staff members have their schedules created according to favoritism. There is also the use of legitimate power in this case. Legitimate power is defined as “the officially sanctioned right of the superior to exact rights and obligations from subordinates” (Grohar & Langan, 2011). Mrs. Jackson’s legitimate power comes from her position as nursing manager. She is responsible for controlling and running the coronary care step-down unit and with that comes power. Reward power is also apparent and is defined as “when a leader or manager uses their position...
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...Paper Case Study: Barbara Norris, Leading Change in the General Surgery Unit Term Paper Case Study Hodges University HAS 3129 Professor Mary MacLaughlin 12/10/15 Table of Contents Introduction to the Case Study…………………………………………………………………………………………..1 Statement of the Problems………………………………………………………………………………………………..2 Generating Alternatives and Analyzing the Data……………………………………………………………….2 Selecting Decision Criteria…………………………………………………………………………………………………..3 Analyzing and Evaluating Alternatives and Action………………………………………………………………4 Recommendations and Implementation Plan…………………………………………………………………….6 Conclusion……………………………………………………………………………………………………………………………9 References………………………………………………………………………………………………………………………….10 Term Paper Case Study Barbara Norris: Leading Change in the General Surgery Unit Introduction to the Case Study Healthcare is defined as the maintenance and improvement of physical and mental health, especially through the provision of medical services (healthcare.gov). Most healthcare organizations have a mission statement that reads something like this: Our mission is to provide extraordinary care, where the patient comes first, supported by world class education and research. The job of Nurse Manager within such an organization is to help patients by managing the nurses who care for them. This includes fostering a work place where nurses respect each other and feel valued while providing quality care to patients and their families. “A nurse Manager...
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...Colleges of Nursing (AACN), believes that the level of education a nurse has plays a significant role in the competency of nurses to give the best care outcomes for their patients. Nurses with Bachelor of Science in Nursing (BSN) degrees are better prepared through education to meet the demands placed on today's nurses in this highly demanding field. BSN nurses are recognized for their critical thinking skills and leadership abilities. BSN nurses are also educated in the areas of case management and health promotion. Nurses who obtain a bachelor degree are thought to have better adaptability to practice across a variety of settings, both inpatient and outpatient. Many healthcare organizations identify that baccalaureate degree nurses bring a unique value to the practice settings of the many fields of nursing (Bushy, 2014) There are 3 levels of education for those wishing to be a Registered Nurse. A Diploma Nurse, AND or Associate Degree Nurse, and a BSN or Bachelor Degree Nurse. A diploma nurse trains for 3 years in a hospital, an ADN trains for 2-3 years in a community college, and a BSN trains for 4 years at a university or upper level college. All three sit for the same NCLEX-RN exam to obtain their licensure to practice. The areas in which each nurse can practice are mostly similar except BSN nurses have management opportunities in which ADN nurses generally do not. The thought being that a BSN educated nurse is exposed to the additional education needed to handle the increased...
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...and age is a profession that is both rewarding and demanding. With increased pressure on hospitals to provide clinically sound medical care while functioning as a business, nurses are at the forefront of providing patient safety in a business environment. America depends on both two and four year institutions of higher education to prepare nurses, who will be working side by side in the healthcare environment. As a result of nursing job growth and projected retirement rates, it is estimated that America will need one million additional Registered Nurses by 2018 (Fulcher, Mullin, 2011). With strong evidence that a Baccalaureate degree in nursing improves patient outcomes, the IOM recommends 80% of nurses have a BSN by the year 2020. Evidence clearly suggests a relationship between a baccalaureate education and improved patient outcomes (Sarver, Cichra & Cline, 2015). One difference that may contribute to competency differences between ADN and BSN programs is number of credit hours obtained while in school. BSN programs require 120 credit hours whereas ADN programs require 71.5 (Fulcher, Mullin, 2011). Thus, the amount of hours spent learning is greatly reduced in an ADN program. One can infer that more school hours contributes to deeper understanding and knowledge. Hospitals that employ higher rates of nurses with BSN’s have a correlation with a decrease in mortality and morbidity (Sarver, Cichra & Cline, 2015). This finding is leading hospitals and legislation towards requiring...
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...individual in question. The purpose of this paper is to examine the quality of life of a patient with a cancer and describe an appropriate nursing care plan based on the patient’s values. Personal Perceptions Personal perceptions about quality of life and health promotion can greatly influence an individual nurse when attempting to create a plan of care for a patient with a lingering illness. I have worked in home health care setting as a visiting nurse and have experienced this scenario firsthand. I believe that one of the hardest parts of nursing is being able to put personal perceptions behind you in order to accommodate the needs and desires of patients. Understanding my own personal perceptions on quality of life was a lesson I learned quickly as a new nurse. I was caring for an elderly woman who recently suffered a stroke and needed several surgeries on her right shoulder due to a fall. The woman was no longer able to care for herself and was receiving assistance from her daughters. The family had cultural concerns and beliefs that their mother should not receive any narcotic pain medication even after several doctors had recommended narcotics for pain management until the surgeries were complete. I would visit with this patient and her daughters several times a week and often saw her in excruciating pain. I remember her describing the pain as “the worst pain I’ve ever felt – even worse than childbirth.” Her blood pressure and pulse were consistently elevated...
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...Title: Difference in Competences between Nurse Prepared at Associate Level vs. Baccalaureate Level Nursing- Patient Case Scenario Difference in Competences between Nurse Prepared at Associate Level vs. Baccalaureate Level Nursing history has proven the necessity of education in practice. Even though all nursing license or diploma have the same target of protection, promotion human being well-being and illness prevention, there are many different levels of tasks that different degree of nurses can proceed. Differences in Competencies between Associate Degree Nurse vs Baccalaureate Degree Nurses Education is the key factor for the growth and development of nursing. With associate degree, students have been prepared with all knowledge and skills to work in the real world. Information about diseases, treatments, diagnosis, signs and symptoms along with interventions are applied to the plan of care and communicated among the team. Within 3 years, an associate degrees program will prepare hands-on nurses to be ready for the real world of nursing. However, a 4 years of baccalaureate nursing program will encompass the associate program plus a broader scope of practice such as nursing research, management, public and community health, humanities and sciences. It opens up a bridge to get to master degree for a more in-depth nursing knowledge. All the additional courses of baccalaureate nursing program provide nurses ways to empower the roles of assessing, critical thinking...
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...principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are beside guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient assessment as a contributor to the factors that resulted in the death of the patient (Andersen, Fagerhaug & Beltz, 2009). The patient arrived at the facility complaining of severe pain in the hip region and the left leg. The nurse in charge conducted routine check for vital signs...
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...regards to dramatic changes in roles, education, and leadership. The changes are necessary to move forward in the volatile socio-economic times that the industry is currently facing. The move toward a deeper education development for all nursing roles, the strong push toward primary based care and case management, and changes to all levels of leadership are creating a financially stable patient centered industry that will thrive far in to the future. The Institute of Medicine has taken direct action to champion this change. Impact of IOM on Education Key message number two from the IOM publication speaks true to the desire for a more educated nursing field. “Future of Nursing: Leading Change, Advocating Health, states “nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression”. (The future of, 2011) The trend toward bachelor educated nurses is the foundation for the other changes that the IOM has put forth in this report. BSN nurses have further education and a more diverse background that will allow them to move seamlessly from education in to practice in the fields of leadership, case management and community settings all of which the report seeks to impact directly. Largely this movement is directed from the need of patient care coordination, the use of evidence-based practice and research skills within healthcare all of which the BSN have developed competencies according to American...
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...Associate Degree Registered Nurse and Baccalaureate Degree Registered Nurse. Many advantages are apparent for not only the Registered Nurse, but the patient as well if the nurse obtains a higher level of education. Patients will have better outcomes, quicker recovery times, decreased death rates, and decreased hospital readmissions. Nurses will have increased job opportunities, improved skills, higher pay, management opportunities, and will have achieved another step towards a Master of Science in Nursing or a higher degree path. Patient Care Registered Nurses with Baccalaureate degrees have proven to achieve better patient outcomes and fewer patient deaths. The nurse’s response time, sharpened assessment skills, and preparedness to handle patient emergency situations is enhanced. Patients may also have a shorter length of hospital stay, quicker recovery times, decreased death rates, and lower hospital readmissions. With the additional training provided to Baccalaureate Degree Registered Nurses, patients may feel as if their care is better and have more trust in the Baccalaureate Degree Registered Nurse. Advancement of Career After working many years as a nurse who performs direct patient care in a setting such as the emergency room, operating room or as a hospital floor nurse, many nurses want to make an advancement in their career or change to a different nursing role . At this point in time, only certain positions require that a nurse hold a Baccalaureate Degree...
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...principle is a major driver for the commitment of nurses and other care providers. Care providers are required to work in collaboration and include patients in the process of care. Nurses form the core of health care delivery in all facilities. The role they play in the coordination of care is essential for the professionalism of care providers. In the process of care delivery, it is important to understand the medical history of the patient to determine the most appropriate interventions to employ. Care providers should employ interventions that are besides guaranteeing positive health outcomes address the needs and interests of the patient. It is important to include family members in the treatment program since they understand the patient and his needs better. This paper employs Root Cause Analysis approach together with the Failure Mode and Effect Analysis to determine the impact of the events that resulted in the death of a patient Mr. B. A. Root cause analysis The principal purpose of the Root Cause Analysis is to conduct an evaluation of the highest level of the problem to identify the actual cause. In the case scenario, the root cause analysis rules out the possibility of inadequate patient assessment as a contributor to the factors that resulted in the death of the patient (Andersen, Fagerhaug & Beltz, 2009). The patient arrived at the facility complaining of severe pain in the hip region and the left leg. The nurse in charge conducted a routine check for vital signs...
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...Educational Preparation May 22, 2011 There are different routes in becoming a Registered Nurse. There is the 2-3 year Associate degree level (ADN), which can be obtained at a community college, and there is the four year baccalaureate degree (BSN), which can be obtained at a university. In both routes after finishing the program the candidate needs to take the licensing examination test called NCLEX-RN. When making a decision of what route to take the difference in competencies need to be taken into consideration. Differences include level of knowledge, skill preparation, and clinical judgment. A BSN degree nurse has a more comprehensive knowledge base than those who have an ADN. The bachelor nursing program includes everything taught to an associate degree nurse plus more detailed studies on physical and social sciences, public and community health, humanities, nursing research, and nursing management. Nurses that obtain a baccalaureate degree in nursing have a broader knowledge of disease prevention, health promotion, and risk reduction (Ellis, 2007). Having a BSN degree prepares a nurse to deal with illness and disease management in a more efficient way than an ADN nurse. In addition, those who obtain a BSN degree must be able to make critical decisions about patient care and learn to understand more in depth about the patho-physiology of disease processes (Forster, 2008). The ADN education is more task orientated, putting less emphasis on applying critical thinking...
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...over the last century, impart because of education. Nursing education has evolved from a trained nurse to a level of Doctorial Degree in Nursing. This paper will discuss the differences in competencies in two degrees in modern nursing the Associate Degree Nurse (ADN) and the Bachelor Degree Nurse (BSN) and how they relate to patient care situations. Differences in Competencies Associate Degree Nurse In 1942, World War II created a nursing shortage in American society. The Associate Degree program was established by Dr. Mildred Montag in 1943 at the Adelphi College of Nursing. Dr. Montag felt that a shorter education program for nurses would help with this nursing shortage. She never intended for this 2 year program to replace the nursing baccalaureate program (“Mildred Montag Envisions AD Nursing Education”, 2011). Montag’s idea of and Associate Degree Nurse (ADN) was to prepare technical skills in nursing for community hospitals and other patient care setting. AD nurses were eligible to take the RN licensure examination. She intended for these ADN’s to work under the baccalaureate level nurses in these facilities (Creasia, 2011). The ADN has graduated from a collegiate school. They have been seen as competent in technical skills in nursing for bedside nurses or secondary care setting and are eligible to take the NCLEX-RN exam. Upon passing the ADN is a Registered Nurse. The ADN has been trained in standards of Clinical Nursing Practice (Creasia, 2011), Assessment, Diagnosis...
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