...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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...Philosophy of Nursing Lindsay Prestwood, RN Georgia Southern University Spring 2012 NURS 3139 Philosophy of Nursing A philosophy is a person’s value statement composed of that person’s ideologies and characteristics. It is my personal opinion that a philosophy is strongly influenced by a person’s upbringing, their life experiences and is an evolving moral belief in an area of their life. There are differing opinions and statements that can define a philosophy. My philosophy in nursing is built on a firm belief that I should always maintain integrity, honesty and a heart to help health the sick and those in need, while laying aside my own personal biases do only what is right of a prudent nurse. Being a strong and prudent nurse is one that esteems the patient’s needs above their own needs. Nursing is the foundation to the practice of medicine in our nation. I will share one definition of a philosophy according to Yoder-Wise: A nursing philosophy statement outlines the vision, values, and beliefs about the practice of nursing and the provision of patient care within the organization. The philosophy statement is used to guide the practice of nursing in the various nursing units on a daily basis. (Yoder-Wise, 2011, 282) As I stated in my original philosophy, being a strong and prudent nurse who places a patient’s needs as top priority is the part of what encompasses my philosophy of nursing. Concepts and Beliefs When I stated in my philosophy that one must place the...
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...Running head: THE DEVELOPMENT OF A NURSING PHILOSOPHY The Early Development of a Professional Nursing Philosophy: The Art of Caring University of Texas at Arlington In partial fulfillment of the requirements of N3645 Professional Nursing Mary Alice Wise, RN, MSN/Ed November 16, 2013 Online RN-BSN The Early Development of a Nursing Philosophy: The Art of Caring “A philosophy is a set of beliefs about the nature of how things work and how the world should be viewed” (Chitty & Black, 2007, p. 329). Chitty & Black also state that the most vital nursing knowledge is based on person, environment, health, and nursing. These are the foundation on what the theories of nursing were built off of. My personal philosophy builds on the foundation and encompasses Virginia Henderson’s philosophy. I believe a nurse should be someone who is caring, shows compassion, advocates for the patient, shows empathy, knowledgeable, and does whatever it takes to improve patient care/outcomes. Choice of Nursing Unlike most people, when I was only five years old I already knew what I wanted as a career later on in life. My grandparents were always in and out of the hospital for various different health problems, and my parents would usually take me to visit them. I enjoyed being involved in my grandparents care and was always asking questions to the nurses’ and wanting to help with anything I was able to. My grandfather was battling cancer, and when we were...
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...Building a Personal Framework I have spent most of career practicing nursing in the surgical setting. I was a staff nurse on an orthopedic surgical unit for the first two and a half years after graduating from an associate’s degree nursing program. I then went back to my home of the Operating Room (OR), previously working as an OR Assistant prior to going to nursing school. I joined the cardiovascular team in the OR during my orientation period and absolutely loved it. Four years later I began my journey in nursing leadership. My first leadership position was the supervisor of an operating room, and was promoted to a nurse manager a few years later. Looking back, I’m not sure how I remained in management, I had little to no mentorship or guidance. Since then I have developed a passion for mentoring nurses and helping them be successful in both staff and leadership roles. Performing both inpatient and outpatient procedures, I get to be involved in the care of healthy and ill adult patients undergoing surgery, endoscopic procedures, and pain management procedures. I have a holistic approach to nursing care, and place the patient in the center of the care they receive during their stay. Of course, there are times during a patient’s stay, the focus must be placed in a particular area, such as patient safety in the operating room. Another important focus while the patient is undergoing surgery is the patient’s family and loved ones. We adopted a standardized process for...
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...Philosophy of Nursing Sonceria Roper Prairie View Nursing Science and Complex Systems NURS 7013 Vivian Dawkins, PhD, RN, NEA-BC February 11, 2015 Philosophy of Nursing Nursing philosophy is an examination of personal truths as they relate to clinical practice. They encompass values, principles, and assumptions held by an individual. Personal nursing philosophies are shaped by the nurse’s education, clinical experiences, cultural, and even spiritual beliefs. My personal nursing philosophy centers on patient empowerment. It is the belief that patients should be in control of their own care and that can only be achieved when patients internalize their need for self-change (McCarley, 2009). I belief in helping the patient be an advocate for themselves. Nurses should be providing a holistic approach while providing care. In this paper we will explore my assumptions and the concepts that not only define my philosophy, but shape my practice. I have found in my practice that we are not only treating patients, but their families, and the communities in which they dwell. For example, a 43 year old male patient comes into the clinic for a sick visit. His social history states that he works at a major airport and is married with two small children at home. The medical history includes hyperlipidemia, but otherwise he’s healthy. After assessing the patient, he is diagnosed with Influenza A. My job is to educate him on his symptom management and how he can prevent spreading influenza...
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...Personal Philosophy of Nursing Jessica Pons NUR/391 January 28, 2013 Sharon Thompson Personal Philosophy of Nursing To formulate my personal philosophy of nursing, I had to look at what my core values were. I am a kind, compassionate, honest, and caring. I chose nursing as my profession because nursing is something that always has been in my blood. I believe human life is precious and is to be valued. Not only do I consider my patient’s wellbeing, but I also look at the wellbeing of the families. Families take care of the patient when they are discharged. I also look at my fellow health care workers. Without being able to work alongside them, I could not take care of the patient properly. Lastly, I consider my own health. An unhealthy nurse cannot properly do their job. Caring for patients and their families, working well with coworkers, and taking care of your own health is what makes a difference because no matter how small the task, little things add up to big things. That is why I believe the world will get better one small step at a time. My Patients My patients are human beings. They are people with feelings and souls, and they are to be treated with just as much respect as everyone does. It does not matter if they are on their deathbed or just coming in because they have a cough. Being a positive role model is an important philosophy. I was raised watching my mother be a nurse and always enjoyed going to work with her and helping with small things such as...
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... 1 Associates Degree Nursing Education vs. Baccalaureate Degree Nursing Education: Differences in Clinical Practice Suja Kuruvilla Grand Canyon University: NRS-430V Professor Lorraine Hoover September 2, 2012 Health care is a field that is changing dramatically. Many practicing nurses have various degrees in nursing like Associate Degree, Diploma, Baccalaureate and Master’s degree. Due to the varying levels of education and training, differences exist between the nurses prepared with an Associate degree (ADN) when compared to those nurses who have trained in a Baccalaureate degree (BSN). Though nurses getting these degrees have their differences in preparation, nurses earning these degrees have adequate theoretical and clinical learning experiences. The license qualifying examination for many states- National Council Licensure Examination (NCLEX) - does not differentiate between ADN and BSN degree prepared nurses and allows nurses with both degrees to take the licensing examination after completion of the degree regardless of the educational background of the applicant. The differences in competencies between nurses prepared with an ADN compared to those prepared with a BSN include the quality of training and duration of the course. From research shown in many well published studies and from my own practice, I feel that such differences in training create various approaches to patient management in similar clinical situations and hence do have...
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...Bachelor Degree in Nursing (BSN) versus an Associate Degree in Nursing (ADN) when it comes to taking care of patients and employment?” I received a variety types of answers. Some of the answers were that there is more theory with Bachelors, they get paid more, helps with going into management, depends on the situation and experience is what makes a better nurse - no matter the degree. Besides the obvious of the longer length of the education and higher costs in obtaining a higher degree, what is that many employers are now preferring and requiring staff to have at least a BSN? Now, I am looking into studies that have been done and are ongoing through many schools and agencies. These findings continue growing. I found several differences between the ADN and the BSN educated nurse. I will discuss a few of them here. Similarities between the BSN and ADN Both the ADN and the BSN are similar and can function in many roles. Caring for the sick, skilled in promoting and maintaining health, having the same nursing philosophies and teachings, and many of the hands on skills. Both are qualified in passing of the same NCLEX licensing exam. ADN’s education are affordable and accessible which prepare the nurse for competent technical bedside nursing. Both students experience many of the same fears and stressors in obtaining their degree. A study from Oermann, Marilyn H., compared the stresses and clinical experiences between associate and baccalaureate degree nursing programs. The...
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...Running head: LEADERSHIP STYLE AND TODAY'S NURSING LEADERS Leadership Style and Today's Nursing Leaders Trends and Issues NRS 440V Kowanda Robinson Leadership Style and Today's Nursing Leaders Nursing leadership in health care today is a fast-paced, demanding and very challenging with shifting and competing priorities. Nursing leaders are receiving more scrutiny than ever as the performance expectations continue to rise at all levels of leadership in an effort to move health care organizations forward. Moreover, a managers’ success will largely depend upon their ability compare and contrast leadership styles, identify a leadership style that best fits their philosophy, in addition to that of the organization represented. Although there are at least fifteen different defined management styles, ranging from the very classic to the very creative, it has been determined that no one style is neither right nor wrong, only that different styles are needed for different situations (Marquis & Huston, 2008). The classic styles of management include autocratic, bureaucratic, laissez-faire and democratic. These are often considered the most basic of leadership styles. The article featured in Nursing Management focuses on Transformational leadership. Transformational leadership is a more creative, non-traditional management style (Raup, 2008) fits the writers leadership style and philosophy. The article further describes transformational leadership...
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...Running head: LEADERSHIP STYLE AND TODAY'S NURSING LEADERS Leadership Style and Today's Nursing Leaders Trends and Issues NRS 440V Leadership Style and Today's Nursing Leaders Nursing leadership in health care today is a fast-paced, demanding and very challenging with shifting and competing priorities. Nursing leaders are receiving more scrutiny than ever as the performance expectations continue to rise at all levels of leadership in an effort to move health care organizations forward. Moreover, a managers’ success will largely depend upon their ability compare and contrast leadership styles, identify a leadership style that best fits their philosophy, in addition to that of the organization represented. Although there are at least fifteen different defined management styles, ranging from the very classic to the very creative, it has been determined that no one style is neither right nor wrong, only that different styles are needed for different situations (Marquis & Huston, 2008). The classic styles of management include autocratic, bureaucratic, laissez-faire and democratic. These are often considered the most basic of leadership styles. The article featured in Nursing Management focuses on Transformational leadership. Transformational leadership is a more creative, non-traditional management style (Raup, 2008) fits the writers leadership style and philosophy. The article further describes transformational leadership as a dynamic...
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...PHILOSOPHY PAPER ON NURSING By: GITA GURAGAIN SUBMITTED TO: MICHELLE JACKSONVILLE UNIVERSITY CONTENT INTRODUCTION---------------------------------------- 1-2 INDIVIDUALS-------------------------------------------- 2 HEALTH CARE ENVIRONMENT------------------ 3 HEALTH & ILLNESS---------------------------------- 4-5 NURSING-------------------------------------------------- 5 CONCLUSION------------------------------------------- 6 REFERENCES------------------------------------------- 7 INTRODUCTION: Nursing is a discipline and a profession. As a profession, nursing is committed to assisting individuals in the performance of activities that contribute to their health. As a discipline, nursing supports the belief that there is a dynamic interrelationship between the individual and the environment (Meleis, et al. 2000). Nursing should be practiced recognizing the physiological, psychological, sociocultural, development and spiritual variables of the patient (Baranowski, Perry , & Parcel, 1997) . This nursing philosophy is based on Neuman System Model, Science of Unitary Beings and Social Cognitive Theory. Nursing is one of the external resources available to the person (Baranowski, Perry, & Parcel, 1997). Nurses use knowledge and skill in working with people to promote, maintain, and restore the balance between the person and the environment, and when necessary, to support a dignified...
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...routes end with the graduates of each program sitting for the same licensing exam, the NCLEX-RN. The baccalaureate nursing program is a 4-year degree offered at senior colleges and universities. It includes a more in-depth study of the physical and social sciences, nursing research, public and community health, nursing management and the humanities. BSN educated nurses are believed to be the most well-prepared of the three programs to meet the demands of the nation’s changing and more challenging healthcare needs.(“Fact Sheet: The Impact of Education on Nursing Practice”,2012) A study of the history of the available programs: the 3-year diploma usually provided by a hospital, the 3-year associate degree typically obtained at a community college, and the 4-year baccalaureate degree available at a senior college or university sheds light on the differences in competencies each educational path produces. To begin, is interesting to note that the diploma and associate degree programs were a result of hospital needs and a shortage of nurses available to meet those needs. Those programs were never intended to produce professional nurses capable of filling complex decision making and leadership roles. (Creasia&Freeburg, 2011, p.27).Their intent was to produce a technical bedside nurse quickly and efficiently. They balanced a general education platform with clinical nursing courses. Nurses from those programs have rose and stepped into leadership roles, oftentimes not pursuing additional...
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...received her nursing diploma from “Lewis-Gale School of Nursing” in Roanoke, VA, in 1961. She went on to complete her undergraduate and graduate studies at the University of Colorado. She obtained a “PhD” in educational psychology and counseling in 1973. Her primary work has been in the psychiatric field of nursing. Dr. Watson has taught many nursing courses through the years as well as did research and wrote numerous books and articles. Most of her work since 2000 has been on her theory and philosophy of caring. She has traveled and lectured across the world, studying and lecturing on her theories on nursing. In 1980, Watson and her associates started the “Center for Human Caring” at the University of Colorado (Alligood & Toomey, 2010, p. 92). Watson wrote her first book on the philosophy and science of nursing in 1979. She developed “10 carative factors”, which Watson describes as being the main ideas of nursing. The carative factors consider the persons involved in practice of caring. She believes in instilling faith and hope and being sensitive to self and others. Watson’s carative factors also are based on developing a trusting relationship with the person or patient. The creation of a healing environment that respects the wholeness and dignity of the person is a carative factor. Watson also looks at the human beings as a whole, consisting of body, mind and soul. She also believes in spirituality of all human beings. She believes in “transpersonal nursing-caring healing”...
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...and Theoretical Model for Nursing Administration Practice Philosophical and Theoretical Model for Nursing Administration Practice In an era of chaotic and unpredictable health care, I believe it is vital for nursing to employ a nursing leadership theory or philosophy that is specifically applicable to nurses and will holistically address and support both the science and art of this honored profession. According to Parker (2006) “A philosophy comprises statements of enduring values and beliefs held by the members of the discipline”(p.6). As nurses we use philosophical statements to explore compatibility among personal, professional, organizational and societal beliefs and values. I have learned that values are deeply held beliefs about what is good, right, and appropriate. Values are deep seated and remain constant over time. We accumulate our values from childhood based on teaching and observation of our parents, teachers, religious leaders, and other influential and powerful people. Our values and beliefs guide our actions and control our behavior. Values and beliefs are a key component to an individual as one's value system guides one through life personally and professionally. As a nurse leader, I consider it is extremely important to have a nursing philosophy that guides the thinking about, being, and doing of nursing (Parker, 2006). As a leader I believe it is important to have a foundation that addresses the phenomena of interest to nursing. It is vital to have the...
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...It is true that Nursing is a practice discipline that incorporates scientific and nonscientific knowledge originating from scholarly inquiry. To understand nursing one must understand the concepts, theories, and laws that are ever constant and evolving at the same time (Kelly Patricia, 2012). This understanding will inform practice. According to Simpao, A. F. (2013) “The theory framework of nursing science is built in a dynamic process that arises from practice and is reproduced through research, mainly by analysis and development of concepts and theories” (p. 56). Therefore, theory, research, and practice affect each other reciprocally and continuously. A nursing theory is a set of concepts, definitions, relationships, and assumptions or propositions derived from nursing models or from other disciplines and project a purposive, systematic view of phenomena by designing specific inter-relationships among concepts for the purposes of describing, explaining, predicting, and /or prescribing. Theories as a set of interrelated concepts that give a systematic view of a phenomenon (an observable fact or event) that is explanatory and predictive in nature. Theories are composed of concepts, definitions, models, propositions and are based on assumptions. They are derived through two principal methods; Deductive reasoning and Inductive reasoning. According to Buchanan Ernestine, (2011) “Nursing has come a long way since the days of Florence Nightingale and her pioneering actions that...
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