...experienced by Delmar General Hospital with their nursing staff. The report begins with a discussion of nursing, moves on to an overview of motivational theories, as well as stress and its effects on motivation. The issues occurring within this hospital with their nursing staff will be reviewed and interpreted by the private consultant. The private consultant will then conclude with a discussion of her final recommendations in terms of what can be done by Delmar General and their management staff to increase motivation and decrease stress levels, with examples from supporting research. No matter what ones goal may be, motivation always plays a big role in achievement. In the workplace, individuals must be motivated to perform their best however, frequent conflicts can often hinder ones motivation levels by causing stress. Managers within the workplace can attempt to achieve maximum productivity while maintaining a positive employee affect through the use of various kinds of motivational plans. The nursing profession is one of many within healthcare that deal with a lot of stress and motivational issues. Currently nursing is facing a series of issues that makes understanding stress and motivation very important for healthcare managers. It was estimated by the US Department of Health Human Services in 2004 that by the year 2020 there would be a shortage of between 400,000 and 1,000,000 registered nurses (Badgett, 2011). Nursing is in great need of individuals for many reasons...
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...Elizabeth A. Curtis, Jan de Vries, Fintan K. Sheerin This article provides an introduction to the issue of nursing leadership, addressing definitions and theories underpinning leadership, factors that enhance leadership in nursing, and the nature of leadership content taught in undergraduate programmes. Highlighted are differences between leadership and management, and the notion that leadership can be ‘learned’. The authors also point out that there is a discrepancy between how leading undergraduate nursing programmes prepare students primarily in the transition of education to practice, and the suggestion from a number of nursing publications that leadership in nurses should be fostered throughout their education. Key words: Nursing leadership n Management n Factors that enhance leadership n Undergraduate programmes he importance of effective leadership in health care has been emphasized by a number of authors (Dunham and Fisher, 1990; Hewison and Griffiths, 2004; Carney, 2006; Greenfield, 2007; Sutherland and Dodd, 2008), and nursing leadership is pivotal to this as nurses represent the largest discipline in health care (Oliver, 2006; Marquis and Huston, 2009; Roussel et al, 2009; Sullivan and Garland, 2010). Research on leadership has demonstrated a positive relationship with improved patient safety outcomes (Tregunno et al, 2009); healthy work environments (Shirey, 2009); job satisfaction (Heller et al, 2004; Sellgren ...
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...The Nurse Manager Name here South University The Nurse Manager Responsibilities of nurse manager Nurse mangers is the leader of a specific department or unit of a healthcare facility. The nurse manager is responsible for recruitment and retention of the nursing staff, collaborating with other health care providers on patient care, and assisting patients and their families when needed. The nurse manager works with administration communicating and interpreting the facility’s policies and procedures to the staff. Usually with other departments in the facility, the nurse managers develop quality improvement measures tracking the patient services and care. According to Espinoza et al (2009), the nurse manager plays a pivotal role in developing that work environment—one that fosters nursing excellence and keeps an engaged nursing workforce. The ideal nurse manager fosters a working environment where the staff feels valued and respected, allows staff to have input and participate in decision making skills and encourages professional growth. The role of a nurse manager is demanding and involves much dedication to the organization. Nurse Managers Accountability The dedication to patient care, the staff and the organization is equal to the nurse manager’s accountability measures. The American Organization of Nurse Executives recommends a career plan, creating an environment in which professional and personal growth is an expectation. Nurse Managers are encouraged to pursue advanced...
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...Factors That Contribute to Nurse Manager Retention Mickey L. Parsons, Jana Stonestreet Disclosures Nurs Econ. 2003;21(3) * Print * Email Introduction The purpose of this study was to describe factors that contribute to a health system's successful retention of nurse managers. This study is the first of a series that will provide the foundation for developing the nursing organization as a "health-promoting organization." The background and significance, theoretical framework, study findings, and executive strategies are discussed. The results and implications are intended to guide executive strategies, including organizational interventions, to build the nursing organization for quality patient care and positive working environments. Background and Significance The glue that holds the hospital together are the first-line managers. However, these managers are caught in a crossfire. Torn between multiple needs — patient, the staff, and the administration — nurse managers have been downsized and stretched over multiple units (Curtin, 2001). Nurse managers responsible for multiple units are severely challenged to maintain the needed blend and balance of clinical and business management, which is essential to staff nurse retention. Report after report identifies the importance of the nurse manager in retaining nursing staff (Boyle, Bott, Hansen, Woods, & Taunton, 1999; Corser, 1998; Cullen, 1999; Flannery & Grace, 1999; Fletcher, 2001; Kerfoot, 2000; Leveck...
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...Nursing Shortage and Nursing Turnover Nursing shortage is a phenomenon that is affecting nurses and the provision of adequate patient care in today’s health care industry. Nursing shortage is said to occur when the demand for employment of nurses is far greater than the number of nurses willing to be employed at that time (Huber, 2010). According to the American Association of Colleges of Nursing (A.A.C.N.), “the nursing shortage is expected to increase as baby boomers age, and the need for health care increases” (A.A.C.N., 2013, Para 1). In the United States, Registered Nurses (R.N.) make up the largest recorded working population of the health care profession, and the Bureau of Labor Statistics estimates that 2.7 percent of the workforce comprises of nurses compared to 3.6 percent in the last 6 years (A.A.C.N., 2013). This decrease is attributed to the current shortage and high turnover of nurses. This current trend in the nursing profession has a great effect on the provision of health care because it has reduced the quality of care of patients, increased accidents amongst patients, absenteeism rates and staffing among others. The purpose of this paper is to discuss the causes of nurse turnover and shortage, find out ways nurse leaders and managers may resolve this problem, and also to discuss the writer’s own personal and professional philosophy of nursing regarding this issue. Nursing shortage is also evident by the reduction in the availability of new nurses, inadequate...
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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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...(Meeting, email, etc.) Stake holders (higher up) Director of Nursing, Clinical Manager Management process: strategic communication plan reviewed and approved by senior management • Explain the Purposeful Hourly Rounding project in detail by giving a timeline of each phase of the project. • Present PowerPoint on Purposeful Hourly Rounding to both Clinical Manager and Director of Nursing and take feedback and modify presentation prior to meeting with nursing staff • Review the audit tool with the Clinical Manager prior to having champions begin audits on the unit of nursing staff preforming hourly rounding • Review HCAHPS scores with clinical manager...
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...Williams & Wilkins THE JOURNAL OF NURSING ADMINISTRATION Nurturing Charge Nurses for Future Leadership Roles Patricia A. Patrician, PhD, RN, FAAN Douglas Oliver, DNP, RN, ACNS-BC, NE-BC Rebecca S. Miltner, PhD, RNC-OB, NEA-BC Charge nurses are untapped leadership resources that can be groomed for future advanced leadership positions in healthcare organizations. The purpose of this study was to understand the development needs for the charge nurse role. This study demonstrates they receive little or no training for assuming positions of leadership and offers suggestions for enhancement of preparation. There is growing evidence of an impending crisis in chief nursing officer (CNO) retention.1 Seventy percent of CNOs report they will change jobs or retire in the future.2 The critical need for succession planning in nursing leadership has been demonstrated, yet two-thirds of CNOs reported that they do not have succession plans in place.3 Proactive planning is clearly needed to prepare the next generation of nursing leaders.4 The 1st step in succession planning is to identify nurses to mentor and develop. Commonly, nurses in management roles are likely candidates for development; however, many organizations do not consider charge nurses candidates for advancement based on the perception of the role as more of a task master than leader.5 Martha Dawson, DNP, RN, FACHE Kathleen A. Ladner, PhD, RN, FACHE and play a mission-essential role in managing patient flow, staffing, patient...
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...Health Care Professionals 1 Health Care Professionals Leslie T. Moore Strayer University Professor Tataw August 9, 2011 Health Care Professionals 2 Abstract Health care professionals play a key role in the provision of health services to met the needs and demands of the population. This includes the health policy issues that greatly impact and affect our health care system in the United States currently and in the future. This paper will discuss and identify health care professionals and the role that they play in the United States health care system Health Care Professionals 3 1. Indentify and describe the three reasons there may be a physician shortage rather than a surplus in the United States. There are many dimensions to the future of physicians and other medical professions, but all fade away in the face of one major fact. In the year of 2010, the rate of medical staff departures from active practice may reach epic proportions, far outstripping the ability of hospitals or training programs to respond. It’s the baby boomers moving into retirement at age 65. The trend is also growing due to a number of reasons. Demographic ...
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...Leadership and Management: Nursing Staff Ratio Yu Chen Grand Canyon University: NRS-451V Nursing Leadership and Management October 11, 2015 Effective Approaches in Leadership and Management: Nursing Staff Ratio Introduction Identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care (American Nurses Association, 2015). Staffing issue is very important simply because this ongoing concern affects the quality of health care service, the safety of both patients and nurses. Many research shows that adequate staff ratio has close relationship with patients’ safety and recovery time of period. In this paper, different nursing leadership and approaches are discussed. Skills and methods employed by leaders and managers to address staff issue are described. My preferred approach is also presented. The Importance of the Issue The benefits and importance to maintain s safe staffing ratio is never underestimated. • Relieve nurses from overload, fatigue and burnout so that they can focus on work to reduce medical and medication errors • Plenty of nurses can provide better service and attention to patients so that complications will be decreased • Mortality could be decreased due to more frequent monitoring of patients’ health condition and prompt response from on-duty nurses and doctors Different Nursing Leadership and Styles Nursing managers and leaders must understand their role in the importance of...
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...care delivery. Nurses throughout this process have had to adapt to a work environment that is constantly being changed and restructured. As a result, decreased job satisfaction, increased incidence of compassion fatigue, and nurse to patient ratios involving higher acuity levels have all contributed to the vast nursing shortage that is being experienced today. In addition, patient satisfaction scores and Medicare reimbursement have been greatly affected as well. Despite all of the aforementioned issues, there are some facilities that are taking the extra step to recognize and promote nursing excellence by setting the standards higher in an attempt to gain Magnet status. The focus of this writing is to compare and contrast the expectations of the approaches that nurse leaders and managers may use regarding magnet status as well as discuss the approach that most identifies with the values and beliefs of this author. Magnet status, as defined by Miriam Hospital, is a designation awarded to hospitals for their creation of a “Magnet Culture”; an environment that not only supports nursing practice, but focuses on professional autonomy, decision making at the bedside, nursing involvement in...
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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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...Strategies for Conflict Management in Nursing Carmen Buzea Lewis University Almost J, Doran D, Hall L, Laschinger H. Antecedents and consequences of intra-group conflict among nurses J. Almost et al. Antecedents and consequences of intra-group conflict. Journal of Nursing Management [serial online]. November 2010; 18(8):981-992. Available from: CINAHL Complete, Ipswich, MA. Accessed October 3, 2013. A research made at Ryerson University, in Toronto by Almost J. PhD, RN, Doran D, M, PhD, RN, FCAHS, MC Gillis Hall L, PhD, RN, FAAN, and Spence Laschinger H,K, PhD, RN, FAAN, FCAHS, test a hypothetical model between nurses and also conflict management style that result in job stress and job satisfaction. One of the main reason that contribute to nurse shortage derived from conflict among nurses that have also a negative impact on the retaining of competent staff and patient care. The outcome of conflict can be both functional and dysfunctional, but the workplace relationship consist more of dysfunctional conflict rather than functional conflict where in conjunction with a better collaboration and support can result in less job dissatisfaction that is the cause for nursing shortage. Studies are made and conflicts between doctors and nurses are reported but the most stressful type of conflict that result in job stress remain among nurses. Four studies were analyzed and provide provision for the previous circumstances of conflict in nursing work place. Core self- evaluation...
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...Introduction The aim of this piece of work will be to describe, analyse and evaluate what role the staff nurse holds in the effective management of the care of the bereaved person. Throughout the author will relate this to the bereavement of a family following the death of a loved one in a care of the elderly setting. In relation to this assignment and because the focus of this assignment is on the staff nurse effectively managing the care of the bereaved person the author will focus on the issue of the importance of good leadership in supporting staff in what could be an emotionally challenging environment. In relation to supporting the staff nurse being able to provide effective care for the patient the author will also be considering the areas of teambuilding and staff development, training and support. It should be remembered that bereavement may occur not just after a death but after any form of loss. Loss is a normal part of everyday life, life involves change and changes often involve an element of loss, (Read, 2002). What is bereavement? Shakespeare once wrote “all that lives must die, passing through nature to eternity”. Death is one of the largest causes of bereavement, although not exclusively. Bereavement is the term used for the emotions and behaviours felt and displayed by a person who has suffered some form of loss, particularly the death of a person close to them or known to them, (Egan, 2003). Coping with bereavement Coping with the emotions...
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...Diversity and Leadership in Nursing INTRODUCTION For many years, people tended to think of nurses as one homogenous group. Nurses were expected to be able to take care of problems in whatever circumstances they were presented. Things have changed, today, nurses are increasingly having the choice of specializing and branching out to other fields in nursing. Nurses have the diversity to continually educate themselves and raise their level of knowledge. Mary O’ Connor, explored the art of the nine dimensions of nursing leadership and the relationship between the nine dance metaphors. In this paper, I am going to explore one of the nine dimensions . I chose of diversity as a vehicle toward wholeness, and reflect on my own story of diversity and what I believe is a good nurse leader. Diversity and Leadership in Nursing As a small child, I knew I wanted to be in the medical profession, from playing doctor and nurse in my childhood years, to now in my adult life becoming an Registered Nurse. My mother was a nurse, and I find myself walking in her shoes everyday. My mother always had stories to tell me of her work experiences and she encouraged me and gave me the confidence I have today. After 20 years of being in the nursing profession, and 20 years of learning on the job, I have no regrets about my career choices. My career has lead me to where I am today. I have come to realize that it is is important to appreciate that leadership roles are different from management...
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