...Leadership & Management in Nursing Shortage & Nurse Turnover We are all leaders and managers at some point in our lives. There are many opinions about the differences in leadership and managerial styles of leading. There are those who use the terms interchangeably and believe they are the same, those who believe that “leaders” and “managers” are opposites, and those who are in between. Although there are fundamental differences, individuals can be successful in both roles, and organizations need both to be successful. The purpose of this paper is to define and discuss the approaches in leadership and management styles in relation to the nursing shortage and nurse turnover using theories, principles, skills, and roles of the leader versus manager, and to identify this student’s professional philosophy of nursing and personal leadership style. Definitions of Leadership & Management Styles Leadership and management are two terms that are frequently compared. They are not the same, but they are linked. Some people have one or the other skill sets while others may have both. According to the Educational Business Articles (EBA) (n. d.), leaders focus on achieving tasks by keeping the team inspired, motivated and empowered (transformational leadership). It also involves expecting the best out of everyone for the benefit of achieving the team’s goal (EBA, n. d.). Some effective leadership characteristics are: vision, motivation, inspiration, persuasion, teamwork, building relationship...
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...Relationship between Nursing Leadership and Nurse Turnover Fred James August 21, 2011 Relationship between Nursing Leadership and Nurse Turnover Nursing leadership sets the social climate of an institution. The relationship between nursing leadership and nursing retention will be discussed utilizing a relevant article. The findings will be illuminated upon and ideas will be brought forth to the governance body to support strong nurse leadership. There is a direct correlation between effective nursing leadership and nursing retention (Force, 2005). In addition, Force (2005, p. 336) concludes that the “Two key issues that are affecting healthcare organizations are nursing retention and recruitment." Therefore, nurse managers are an essential part of recruiting and retaining staff. At a time when the economy is bad and nursing cost the hospitals a great deal of time, effort and money it is important to try to retain nurses. In the operating room, it takes about six months to a year to train a nurse, whether it is a new graduate nurse or a nurse from the floors. According to Grohar-Murray and Langan (2011) “One of the most serious of the issues facing healthcare delivery is in nursing shortage. There are some signs this problem is abating, but currently the United States is experiencing a critical nursing shortage that is expected to intensify it is estimated the current shortage of registered nurses will be 340,000 by the year 2020” (p. 10). The cost...
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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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...Application of Theory Neukenya Jokines Chamberlain College of Nursing Application of Theory The future of nursing is dependent upon nursing leadership that adheres to the professional standards in regards to education, research and practice. On a daily basis decisions are made by nurses that directly affect the lives of others. Nursing theory is a guide that has been set in place in order for nurses to look upon when it comes to daily healthcare decisions. It was stated by Cody (2003), that “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to the problems of nursing leadership, problem solving and decision making. Cody (2003), also states that “nursing practice will be transformed to the betterment of humankind when all nursing practice is fully autonomous and guided predominantly by nursing theory” (pg. 230). For many years nursing practice has found its foundations from nursing theories. Understanding how nursing knowledge within healthcare organizations influence patient and organizational outcomes are discussed in the middle range theory of nursing intellectual capital (Covell, 2008). Intellectual capital is defined as the combination of collective knowledge of individuals and structures in an organization or society. The theory consists of two concepts of nursing which includes human capital and nursing structural capital. According to (Covell & Sidani, 2013) “Intellectual capital theory defines human capital...
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...Application of Nursing Theory Nurses have to make numerous decisions on a day to day basis. Some are simple decisions and other issues are more complex and require guidance to make decisions. Nursing theory is one way for nurses to make decisions based on problems or situations they face. As Cody (2003) states, “one learns to practice nursing by studying nursing theories” (pg. 226). This statement can be applied to problem solving and decision making. By using theory, nurses can apply concepts to solve problems, since practice is derived from theory. It is also noted by Cody (2003), that “nursing practice will be transformed to the betterment of humankind when all nursing practice is fully autonomous and guided predominantly by nursing theory” (pg. 230). This includes all aspects of nursing including nursing leadership, nursing education, nursing informatics and health policy. The middle range nursing theory of nursing intellectual capital is one that was developed to understanding how nursing knowledge within healthcare organizations influences patient and organizational outcomes (Covell, 2008). It is comprised of two mutually supporting concepts of nursing human capital and nursing structural capital. Nursing human capital is influenced in the workplace by nurse staffing and employer support for continuing professional development and is directly related to patient and organizational outcomes. The nursing structural capital is directly related to patient outcomes (Covell...
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...The Future of Nursing through Education, Practice and Leadership Grand Canyon University Nursing 430 Professor Jude Belmonte Raeanne Shope December 15, 2013 The Future of Nursing through Education, Practice and Leadership In the 21st century the focus of healthcare and the way it is disbursed needs to change to fit the needs of an aging population. As the face of healthcare changes, nurses must change and become more involved in all aspects of patient care. Nurses must step out of the shadows and assume a leadership role and shape policies that affect patient care. The Institute of Medicine report” The Future of Nursing” researched nursing education, practice and leadership and made recommendations on how to elevate nurses to their full potential. Changes need to occur throughout the profession with emphasis on education, practice changes and leadership. There are numerous barriers that prevent nurses from responding to the rapidly evolving heath care setting. These barriers will need to be removed so nurses can lead changes and drive advances in health care (The future of, 2011). Nursing is one profession with multiple entry level positions, LPN, ADN, and BSN. With so many levels of education and no seamless transition of education from one level to another, nurses struggle to achieve higher education. Improving the education system and achieving a more educated workforce, specifically increasing the number of nurses with baccalaureate degrees, will change...
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...Professional Foundations in Nursing Assessment/Background In the time that I have spent in the clinical setting during my nursing education, I have noticed several problems that concerned me. One of the main concerns I have seen in the hospital setting is staff turnover among the nursing profession. The turnover can ultimately lead to temporary problems like understaffing. Thankfully though, I believe this problem is amendable with proper intervention to facilitate a change toward staff retention. So why is staff turnover a problem in the nursing profession? First and foremost, this is not a unifactoral issue. In fact, staff turnover is the byproduct of multiple job related factors and stressors in the nursing profession. For instance, job-related stress plays a major factor in decreasing one’s job satisfaction. Stress in nursing usually occurs when one perceives that his or her resources are exceeded in a given situation (Esther, et al., 2005). Typical factors that can promote stress in a nurse are high job demands and excessive work hours. With these factors, the nurse may continually feel overworked, while also feeling like they are working “all the time.” Other factors that could cause stress are having little control over your work environment or having limited supportive relationships in the workplace. As we all realize, at least some sense of control and peer support are necessary to promote feelings of job satisfaction (2005). Finally, staff turnover itself can cause stress...
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...of ensuring that their love ones are placed in nursing homes. According to the Center of Disease Control (CDC) (2012), about 1.5 million Americans live in nursing homes and about 22% of 5.3 million people 85 years of age or older had a nursing home stay in 2006. They go on to say, there are approximately 16,000 nursing homes and about 1.7 million nursing home beds in the United States. While only twelve percent of nursing home residents are between the ages of 64-74, 45% are over 85 years of age. It is estimated that anyone over 65 years of age will have a 43% chance of spending some time in a nursing home (Kemper and Murtaugh, 1991) and about 24 % of these individuals will spend less than a year in residence at a nursing home (CDC, 2012). The key employees of the nursing home that have the most interaction and greatest impact with the residents of nursing homes are the registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). For several years the shortage and turnover rate of nursing home staff has long been a serious problem for multiple nursing homes nationwide (Pillemer, et al., 2008). Providing effective and safe quality care in nursing homes requires clinically and interpersonally competent staff. Research findings suggest that inadequate supervisory, managerial, and human resource practices within nursing homes contribute to poor outcomes, including high nursing staff turnover, lower employee satisfaction, and poor clinical...
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...Governors University October 2015 Managing Organizations and Leading People Task 1 A1. Description of the Organization The Medical University of South Carolina (MUSC) is the leading medical center in South Carolina providing medical care to surrounding communities and training to future health care professionals with affiliations to six different colleges and universities. The Medical University was founded in 1924 as a Medical College for the training of physicians. It was one of the first medical universities in the United States. In 1955 it was expanded into the Medical University of South Carolina, the medical center it is today, providing health care and training health professionals is areas of pharmacy, nursing, medicine, graduate studies, health professions, and dental medicine. MUSC is a not for profit organization serving millions of people in South Carolina and surrounding states with over 12000 employees and training approximately 2600 health care professionals every year according to the Medical University of South Carolina, MUSC Administration website. The Mission of MUSC is to improve health and maximize quality of life through education, research and patient care. They have the Vision to be nationally recognized as a Premier Academic Medical Center and to be a leading and transformative Academic Health Center being recognized as top 25 among academic medical centers. According to the Medical University of South Carolina, MUSC Administration...
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...5. The consequences of nursing turnover 6.1. Loss of patients * Healthcare organizations have reported having to turn away patients to other healthcare facilities due to lack of available staff resulting from high level turnover. This is a particularly significant concern for healthcare organization operating in states that mandate minimum nurse to patient staffing ratio (xxx). 6.2. Decreased quality of patient care * Staff shortages caused by nursing turnover are associated with significant decreases in the general quality of patient care, increases in the length of patients stays within hospital and greater number of hospital acquired infection (xxx). 6.3. Increased contingent staff costs * Many healthcare organizations are forced to rely on contract nurses to overcome staff shortages caused by high level of nurse turnover. Such contract nurses can cost twice as much to employ as nurses employed directly by the company (xxx). 6.4. Increase nurse turnover * Nurse turnover creates staffing shortages that increase the work demands placed on the organizations remaining nurses. This heightens the risk of the remaining nurses quitting due to excess workload and constantly increasing nurse turnover within organization (xxx). 6.5. Increased turnover of medical support staff * High level of nurse turnover creates disruptive, unstable work environments that negatively impact the retention of other medical service providers that...
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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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...The Footprint of a Nursing Home Leader Many of us promised our parents that we wouldn't ever put them in a nursing home. Reality is that more than 3 million Americans rely on services provided by nursing homes at some point during a year and 1.4 million of these reside in the Nation’s 15,800 nursing homes on any given day (Bonner, 2013). In my position as Vice President of Operations with a publically traded healthcare company, I support twelve nursing homes. One such nursing home is a 194-bed for-profit Center that provides post-acute, rehabilitative, skilled nursing, and short and long-term care services. This Center is located in Texas approximately 5 miles from the border of Mexico. In an effort to support the Centers’ mission to “Make a Difference – Every Day, Every Time,” there are six key objectives vital to success: 1. Culture: Maintain a productive and positive employee environment. 2. Care: Provide quality care so residents may achieve their optimum level of functioning thus living an improved quality of life. 3. Census: Anticipate community health needs and develop business partnerships that help improve market share. 4. Cash: Ensure timely and effective collections. 5. Cost: Control operation costs. 6. Compliance: Comply with regulatory requirements. Strong leadership is essential for this Center to successfully reach its key objectives. While the leadership at this Center has a history of consistently attaining key objectives...
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...work place is challenging due to dissatisfaction of their job. Tang and Ghani (2012) argued nowadays, even though there are abundant opportunities available in Malaysia, nursing is no longer popular as it used to be. Chaulagain and Khadka (2012) stated one of the issue raise in quality improvement program is job gratification among nurses as it is a crucial issue being faced by most healthcare organization. The efficiency of healthcare services is affected due to increase rates of nurse’s turnover and absenteeism resulting from low job satisfaction. Understanding the factors that nurses are satisfied and dissatisfied will enable interventional measures be taken to improve the working conditions. Whereas such understanding will not improve the retention rate, it will improve the nurses’ work performance leading to better quality care to the patient (Newman et al, 2002). Judge et al (2002) assert the most widely investigated in the history of healthcare organization psychology, job satisfaction is the most widespread research topic. This module required us to identify and debate on a contemporary issue. Hence, factors influencing job satisfaction among Malaysian nurses will be explore through reflection on experience and the literatures I retrieve using database. Reflective practice is an important aspect of nursing management and in this essay discussion on implications of job satisfaction among nurses affecting...
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...TOPIC: LEADERSHIP STYLES CONTENts page INTRODUCTION 3 UNDERSTANDING ON LEADERSHIP STYLES 3-9 DISCUSSION ON LEADERSHIP STYLE OF A LEADER 10-11 THAT IS APPARENT IN THE EFFECTIVE PROVISION OF HEALTHCARE DISCUSSION ON LEADERSHIP STYLE OF A LEADER 11-12 THAT FACILITATES POSITIVE STAFF DEVELOPMENT CONCLUSION 12-13 INTRODUCTION in today ever rapid changing and challenging healthcare environment, nurses are required to develop their leadership skills where effective leadership styles they choose to deliver high quality care with improved patient safety outcome (Treguno et al, 2009); healthy work environments (Shirey, 2009): job satisfaction (Heller et al, 2004; Sellgren et al, 2007); lower turnover rates (Gelinas and Bohen, 2000); and positive outcome for organization and patients (Wong and Cummings, 2007) and healthcare providers (Cummings et al, 2005). It must be emphasized that leadership should not be viewed as an optional role or function for nurses. Nurse leaders nowadays confronting challenges like new roles, new technology, financial constraints, greater participation...
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...Baylor HealthCare System: Efforts in Reducing Turnover Rate Background Baylor Health Care System is one of the premier health care systems in the United States. Located in north Texas, U.S., Baylor employs approximately 16,000 people who serve more than 110,000 patients annually in 12 hospitals and 85 clinics. For 103 years Baylor has not only provided quality healthcare, but has been a major contributor to the community by supporting programs through the Dallas Chamber of Commerce, The United Way, The American Heart Association, and Habitat for Humanity. In 2003, the company launched a new human resources initiative. Their goal was to improve relationships between employees and managers in an effort to reduce employee turnover and make Baylor Health Care System a workplace of choice. In order to do this, the human resource team knew they needed to revamp their leadership training curriculum. They conducted a needs assessment with the key leaders and contributors within the organization to determine the skills and behaviors which had to be changed in order to achieve their goal. Intervention “We didn’t want a canned training program. We wanted one that was customized to Baylor’s needs that integrated with other training and HR systems in our organization,” said Phyllis Wright, Director of Training and Organizational Development for Baylor Health Care System. “Our goal is to have all of our HR systems integrated so we hire and train leaders based on the behaviors and...
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