...article, Authentic Leadership, Empowerment and Burnout: A Comparison in New Graduates and Experienced Nurses, Laschinger, Wong, and Grau (2013) “examine the effect of authentic leadership and structural empowerment on the emotional exhaustion and cynicism of new graduates and experienced acute-care nurses” (p. 541). Retaining nurses is critical, especially since the current workforce is reaching retirement age, in regards to the maintaining patient care standards. However, more nurses are reporting increased stress levels, dissatisfaction with the difficult working environments, as well as health concerns. In Canada, a government study identified that nurses absentee rates related to illness were 58% higher than any other labor force (Laschinger, Wong, & Grau, 2013, p. 541). Depression, as well as poor physical health are a few conditions resulting from the stress nurses experience from difficult working conditions. Nursing burnout affects more than just the nurse’s health, it also affects the quality of care the patient receives, which in turn links to increased mortality rates (Laschinger et al., 2013, p. 542). In addition, Laschinger et al. (2013) point out that with the current nursing shortage, healthy working environments must be implemented to retain experienced, as well as new graduate nurses from leaving the profession. They also noted that as many as 13% of new nurses resign within the first year due to negative working conditions. Therefore, leadership is key to...
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...The word is out Health Promotion is the new wave in healthcare. The concept of promoting health wellness and the implementation of prevention of disease by living more healthier is essentially a asset of healthcare . The concept of utilizing alternative methods of health promotion such as yoga, tai chi, meditation assists with treating the individual and society in a holistic manner. These concepts have been initiated in the schools, community centers and resources are more available thru the health care arena than ever before. I believe this new improved way of thinking will grow even further with the assistance of healthcare providers leading the way. In turn it will enrich the lively hood of many .It will expand a societies lifespan. People will grow into their later years of life more educated and more empowered in their health and its wellbeing. It is the responsibility of the healthcare professional, political legislation, the school teacher, the pastor in short everyone must have sense of responsibility to be the overseerers of health promotion. The process start with the foundation of nursing leading the way, along with other health care organizations laying the path of promoting health wellness to a brighter healthier society . Over the years healthcare has taken a tremendous change on how the delivery of care is delivered to both the individual and society. The best practice of care focuses on the prevention of disease and the idea of wellness. Compared to earlier...
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...with my love of science has fuelled my ambition and determination to pursue a career in healthcare, more specifically nursing. My first introduction to healthcare was a rewarding week of work experience shadowing a nurse at Spencer Court Residential Care Home in Woodstock, Oxfordshire. I gained a better appreciation for how secondary care is performed and observed how empowering the role of a nurse can be. I have also obtained a greater insight into other aspects of healthcare through work experience at my local pharmacy. Watching and learning how medications are dispensed was...
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...Maintaining Fluid Balance: A Health Promotion Paper Victoria Mendiola Excelsior College Health Assessment and Promotion in Nursing Practice NUR442 Dr. Deborah Mandel December 8, 2012 Maintaining Fluid Balance: A Health Promotion Paper • • . INTRODUCTION Fluid overload is a major clinical issue in patients with end stage renal failure. Oftentimes, unresolved and unaddressed fluid overload leads to congestive heart failure. Congestive heart failure is a progressive and systemic disease process that involves the interaction between the heart and kidneys. (Krishnan, 2007). Over time, worsening heart failure coupled with progressive kidney failure leads to diuretic resistance, consistent fluid volume overload and refractory heart failure. (Francis, 2006). Fluid balance is a goal for ESRD patients and should be one of the priorities for health promotion and prevention education. Fluid Overload and the Peritoneal Dialysis Client It is important to note that the client in this paper was diagnosed in 2007 for ESRD and hemodialysis treatment was initiated for this client right away. Initially, patient was getting three times a week dialysis treatments in-center. However, in the last three years, the client’s dialysis treatments were raised to four times per week to avoid fluid overload. Per client’s report, within the last year he would have 1-2 episodes of shortness of breath every three months ending in hospitalizations for congestive heart failure (CHF). In...
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...The ability of great leaders to develop a keen external awareness that separates the truly great communicators from those who muddle through their interactions with others is an also a great example of Emotional intelligence (EI). EI is considered by many to be a necessary ability for effective leadership (Lucas et.al, 2008). The study The impact of emotionally intelligent leadership on staff nurse empowerment: the moderating effect on span of control by Lucas et.al(2008) tested a model of nursing perception using a descriptive survey of over 200 hundred nurses to discover that higher EI nurse managers did not always translate to successful nurse leaders. The study indicates that leaders should be allowed “ to develop and use the leadership skill necessary for empowering their staff to practice to the full scope of their professional role”( Lucas et.al. 2008)....
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...Leadership Commentary Introduction Leadership is an important quality in all nurses. It is relevant to all levels of nursing and increases the quality of care we are able to give to our patients (James P. Smith, 2006). Leadership in nursing is not necessarily about being in charge but more about being able to make confident and competent decisions and influence the behaviour of others to ensure the best patient care is delivered. Throughout a community placement I endeavoured to improve my leadership skills and made use of an action plan to do this. I will make use of Gibbs (1988) reflective cycle to evaluate and reflect on this process. Gibbs is a simple and effective method of reflection and will allow a focus on the event and give a clear structure to the commentary and will also allow an action plan to be formulated to ensure the process is ongoing. Description During a placement with the district nursing team I identified leadership skills which I felt I needed to improve, which were achievable and relevant to nursing practice. I also took into consideration the leadership qualities framework from the NHS institute of innovation and improvement ( NHS institute for innovation and improvement,2005) this highlights a number a important aspects of leadership such as empowering others, collaborating with others and leading change through people. I felt that these were important and the skills which I would develop should be based around these concepts. The skills...
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...Leadership and Nurse Productivity Leadership and Nurse Productivity This paper will review an article by Elizabeth Curtis and Rhona O’Connell in Nurse Management-UK. “Essential leadership skills for motivating and developing staff” reviews the importance of leadership skill and empowering staff (Curtis & O'Connell, 2011). This article discusses the effect manager has on the staff they supervise, and how a negative attitude can produce negative results; whereby a positive and supportive environment can produce staff Nursing Leadership and Developing Staff Productivity. In the article, Curtis and O’Connell discuss the difference between transactional and transformational leadership. Transactional leadership is based on working on an agreed level of performance for a reward. Managers only intervene when something goes wrong. It is a reactionary type of managing. Transformational leadership, on the other hand, is supportive of the employee. Transformational leadership results in higher employee performance, positive relationships and greater employee satisfaction. When employees have job satisfaction is leads to increased productivity and retention. Data Analysis In reviewing and analyzing this article, the transformational leader has four main elements. These elements are charismatic leadership, inspirational motivation, intellectual stimulation and individual consideration (Curtis & O'Connell, 2011). This leadership style is important in...
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... Definition World Health Organization defined health promotion as the process of enabling people to increase control over, and to improve, their health. It moves beyond a focus on individual behavior towards a wide range of social and environmental interventions (WHO, 1986). Purpose of Health Promotion The central goal of health promotion is to enhance each individual’s ability to improve their own health. This goal can be achieved by creating an environment that supports the health of a person as whole. Nurses have a vital role in creating that environment. This is done by health education and by being the mediator - link between patients and health care resources. The different sectors of health care, that span into the nursing scope of practice, enable nurses to interact with patients in all phases of care. This implies huge responsibility on nursing as a primary care provider, directly involved in patient’s health promotion. Nurses Role in Health Promotion Nurses initiate and continue the health promotion process of individuals, families and community by assessing them for their knowledge level, life style, nutrition habits, socio-economic and cultural backgrounds. They...
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...and role theories. We also discussed about different types of leadership and their attributes, and the DNP prepared nurse leaders prospective in reference to patient safety and positive health outcomes. As the class progresses, I learn different types of leadership but the most fascinating one is the transformational leadership. As echoed by Tinkham (2015), this type of leadership, which is the process whereby the leader attend to the needs and the motive of the followers. Transformational leadership has good qualities that one should aspired for because the transformational leaders are this type of leaders are guided by inspiring their...
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...Chromosome Number For NUR 3516 Crisis Intervention Professor 07/26/2015 Chromosome Number Four The purpose of this paper is to explore the association of crisis intervention relative to nursing and genetics related to Huntington’s disease (HD). The focus will touch on several different topics associated with pre-emptive testing, pregnancy, educational barriers, strengths, signs and symptoms related to the potential of having an aneuploidy fetus. Also, the importance of time sensitive decisions during pregnancy, social support for potential results, financial resources and hardship related to testing. Additionally, the potential for impaired early on-set compromised cognitive functioning linked to Huntington’s disease. Finally, incorporating the expanded role of the professional nursing scope, practice, and ethical dilemmas associated with Huntington’s disease. Chorea a Brief History Huntington-Chorea was identified in 1872 as a rare inherited disorder secondary to “Chorea” jerky uncontrolled movements (Mandal, 2014). Chorea is Greek in origin and defined as “dancing in unison” (Merck Manual, 2015). 1872 the jerky movements were thought to be divine intervention or demon possession that required a type of exorcism to expel (Jumreornvong, 2015). Additionally, with the evolution of genetics in 1983 according to the US-Venezuela Huntington Disease Collaborative Research Project an approximate location of the gene was identified...
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...The future of the discipline of nursing depends on social and political factors as well as research and theory development. The use of theories by clinical nurses with varying levels of clinical expertise is rapidly increasing. In the past, the nursing profession has relied on the authority of educators, sociologists, psychologists, physiologists and anthropologists to provide answers to nursing problems. The purpose of this paper is to critically analyze a clinical-related practical concern that will impact the nursing professional environment. The United States is lagging behind other nations of the world in fully integrating midwifery into its health care system. “While midwives deliver only 6% of the approximately 220,000 babies in the United States each year, midwives in other countries attend up to 80% of their countries births.” (Bowers, 2000). In our ever-changing fast paced health care system, many woman feel that they receive little personnel attention during pregnancy and childbirth from their healthcare provider. Despite the high quality of care that midwives provide to expectant mothers, American women have few opportunities to use the service of midwives. Barriers to Midwifery care in the United States include physician opposition, public perception as substandard care, state and federal regulations, lacking of training programs, lack of acceptance among third-party payers and our political and economic environment However, midwifery has gained a foothold...
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...Leadership Vision Leadership Vision The dream of this nation is to have affordable, excellence, safe, and more available healthcare. Leaders within the healthcare system have realized the need for nurses to play an significant role in the development of the future plan of nurses. This development is seen as a means of shifting policies that affect healthcare approach, work environment and the diversity of the profession. Hence, as we embark on a new era of improved healthcare delivery, we should involve the participation of the nursing sector. My vision follows my institutions vision of positivity. I want a vision that incorporates nurses creating compassionate experiences that exceed patient and family expectations; and to serve as a catalyst to improve the health of our region, including optimizing care for every patient every time across the continuum of care and to ensure value through system efficiency, growth and financial strength. Vision Components This vision goes along with my favorite theorist Jean Watson theory of human caring. This theory involves making explicit that human caring and relationship-centered caring is a foundational ethic for healing practices; it honors the unity of the whole human being, while also attending to creating a healing environment. Caring-healing modalities and nursing arts are reintegrated as essentials to ensure attention to quality of life, inner healing experiences, subjective meaning, and caring practices, which...
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...Health Training on a yearly basis which would include a 6 month refresher. The training would comprise of learning about postnatal depression and other mental health illnesses, a one off 2/4 week perinatal placement, available guidance on how to access mental health services and the recognition of signs and symptoms within Maternal Health. Through implementation and evaluating the process of events the Transformational Leadership theory, will be used along with the Kotter’s Model to incorporate and deliver the vision, towards improvement of management for change; within the public health sector. Within this assignment Transformational Leadership will be critically analysed, in relation to the leadership role of the specialist public health nurse. Leadership within the National Health Service (NHS) continues to play an essential role and historical leaders such as Florence Nightingale (Kitching, 1993) had an effect on policy. This influenced change towards development and an up to date change would include the Darzi Review (2008) that discusses improvement of quality of care. Leadership is discovering the route ahead, while making others feel enthusiastic about following (Bass, 1985). This would include an influential and inspiring attitude along with other personal attributes that are needed; such as emotional intelligence, that addresses the effect of people’s feelings whilst being in tune with their own emotions and having the ability to connect with people is an essential...
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...Educational Preparation The difference between an Associate's degree education (ADN) and a Bachelor's degree education (BSN) has been a topic of discussion between nurses for years. Completion of either an ADN program or a BSN program will result in the same outcome, a Registered Nurse Licensure (RN). There are some nurses that would argue that there is no need to obtain a BSN degree unless the nurse is planning to work in a management position. Then, there are some nurses that would argue that in the very near future a BSN degree will be required in order to work in an acute care environment. Choosing one over the other depends on financial factors, the length of time to be spent in an educational program, and long-term career goals (Morrow, 2008). All of the arguments may have their validities, but in this paper this writer will describe the differences in competencies between nurses with an ADN education and a BSN education. There are two primary goals of any nursing program whether it is an ADN program or a BSN program. The first goal is to endow their nursing students with the appropriate tools to provide safe and competent care to patients. The second is to prepare their students to complete and pass the National Council of State Boards of Nursing Licensure Examination (NCLEX-RN). The NCLEX provides computer adaptive testing that measures minimal competence for safe professional nursing practice. Exam content includes health promotion, pharmacotherapeutics...
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...attainable? Why or why not? What can you do as a community health nurse to assist the United States in reaching this goal? In searching for objectives for young adult women, I came across a variety of pertinent objectives for the population. Specifically, I’m choosing to discuss objectives: C-18.2— Increase the proportion of women who were counseled by their providers about Pap tests; and HIV-17.1—Increase the proportion of sexually active unmarried females aged 15 to 44 years who use condoms (Healthy People 2020, 2013). I think these two go hand-in-hand when working to promote health for this population. In 2008, 59.8 percent of females between the ages of 21 and 65 were counseled by their providers about Pap tests (Healthy People 2020, 2013). Healthy People 2020 set a goal of a 10 percent improvement, hoping to achieve a targeted percentage of 65.8. Data collected by the Health Indicators Warehouse (2008) demonstrated that persons of younger age, who are unmarried, disclosed a lower percentage of counseling than that of older, married adults. This is significant to me!!! With the STD epidemic is feels that we have in this country, wouldn’t education be sterner for these types of populations? On the contrary though, I do find the objectives made by Healthy People obtainable. In my opinion, these are subtle increases that really should be met. Health care providers should be knowledgeable of the importance of Pap test to screen for potential problems. It’s an important...
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