...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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...this paper is to look at the case study where a Quality Improvement (QI) team is working on the strategies to improve discharge teaching. This paper highlights the main issue with the case, uses transformation leadership theory to approach the concerns, and introduces strategies to solve the problem. Key issue The case study highlights the issue of the team where one of...
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...PMC3413924 The relationship between managers' leadership styles and emergency medical technicians' job satisfaction Azimeh Ghorbanian,1 Mohammadkarim Bahadori,2* and Mostafa Nejati3 1. School of Management and Medical Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran 2. Health Management Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran 3. School of Management, Universiti Sains Malaysia (USM), Malaysia Corresponding Author: Mohammadkarim Bahadori Health Management Research Centre, Baqiyatallah University of medical Sciences Tehran Iran Email: moc.liamg@htlaehirodahab Author information ► Copyright and License information ► Copyright © Australasian Medical Journal This article has been cited by other articles in PMC. Go to: ------------------------------------------------- Abstract Background/Aims Leadership plays a crucial role in many professions, especially in challenging positions such as emergency medical service jobs. The purpose of this study was to explore the relationship between managers' leadership styles and emergency medical technicians' job satisfaction. Method This is a descriptive and cross-sectional study that was carried out in 2010. The research population included 21 managers and 87 emergency medical technicians working in 23 stations in Isfahan city, Iran. The main tools used for data accumulation were the Multiple Leadership Questionnaire for evaluating leadership styles and the Job Descriptive Index for...
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...The Differences Between an Associate Degree Nurse and a Baccalaureate Degree Nurse Grand Canyon University Although the Associate degree in Nursing and the Bachelors degree in nursing ultimately lead to a nursing profession in the health care industry, there are many differences between them. The fast growing complexity of health care and broadening clinical knowledge have forced nurses to have the educational preparation to meet its complex demand. Unlike the Associate degree program (ADN), the Baccalaureate program (BSN), prepares professional nurses whose practice is based upon science in order to restore and maintain health. Both the ADN and the BSN degrees lead to a profession as a registered nurse upon successfully passing the NCLEX board of licensure exam. However there are major differences that set both degrees apart in the Health care industry There are major differences between the ADN and BSN degrees. One of the differences is the length of time required to complete both programs. The Associate degree requires two years of course work to complete whereas the Bachelors degree normally requires four years of course work. In some instances it but could be less especially in cases where the prospective student already has a bachelors degree in another field or an associate degree in nursing from a community college. In comparing the competencies of both the ADN and BSN degrees both programs produce competent graduates...
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...years regarding the importance of a higher educational background for the nurse. LPN'S were accepted for many years under the supervision of a ADN nurse. Now, the bar has been raised even more with the BSN nurse degree being the most sought after by employers. This paper will attempt to describe the differences in the Associates degree nurse and the Bachelors degree nurse. Both the ADN degree and the BSN degree will allow the new graduate to take the NCLEX-RN exam. The BSN degree will further enable the new graduate to practice under a richer educational background that focused on theory and leadership. The ADN degree program trains the nurse in task oriented clinical applications. This program came about during World War two when nurses were needed quickly to fill the demands the war was causing. As such, the ADN nurse is well qualified to care for patients direct care needs. On the other hand, BSN programs generally have a stronger emphasis on leadership and nursing theory. According to the Kaiser Family Foundation, there are currently 3,908,299 nurses in the U.S. workforce today. The nurse is most often the first health care professional the patient encounters when seeking treatment. This is a great responsibility bestowed on the nurse to carry when triaging a patient who could be in a life or death situation. The nurse works side by side with doctors, case management and social workers. The nurse many times needs to be aware of limitations in patient care due to the type...
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...Associate-degree level versus Baccalaureate-degree level nurses Karolyn M. Walker Grand Canyon University: NRS-430V Professional Dynamics June 24th, 2012 Competency Differences: Associate-degree level versus Baccalaureate-degree level nurses The future of nursing education changed forever in the 1950’s when Mildred Montag successfully created the two-year associate degree in nursing. Men and women who were unable to attend nursing school due to families, work situations, or for financial reason were able to attend these programs and aid in reducing the nursing shortage that was rapidly growing in our country. Montag proposed education for a new kind of nurse, a nursing technician (Schank & Stollenwerk 1988). This nurse would function as nursing technicians and be able to: assist in the planning of nursing care for patient, give general nursing care with supervision, and to assist in the evaluation of nursing care given (Schank & Stollenwerk 1988). Since this time, there has been much debate over the competencies of the “technical” nurse educated at the associate degree level and the baccalaureate level educated nurse. Many studies have been conducted to determine if there should be differentiated roles in nurses with different levels of education. According to the American Association of Colleges of Nursing, “the fact that new nurses pass the licensing exam at the same rate does not mean that all entry-level nurses are equally prepared for practice” (2012). Debates...
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...The Child Welfare System: Through the Eyes of Public Health Nurses Janet U. Schneiderman ABSTRACT Objective: This qualitative descriptive study investigates how public health nurses working within the child welfare system view the organization and the organizationÕs effect on their case management practice. Design: Semistructured interviews were conducted utilizing the Bolman—Deal Organizational Model. This model identifies four frames of an organization: symbolic, human resources, political, and structural. Sample: A purposive sample of nine nurses and one social worker was selected to participate in comprehensive interviews. Results: Data analysis identified two main themes. The first theme was the presence of organizational structural barriers to providing case management. The second theme was the lack of political influence by the nurses to change the structure of the organization; hence, their skills could be more completely utilized. Conclusions: Public health nurses who work in child welfare will need to systematically analyze their role within the organization and understand how to work in Òhost settings.Ó Nursing educators need to prepare public health nurses to work in non-health care settings by teaching organizational analysis. Key words: child protective services, organization, public health nursing. The purpose of this exploratory qualitative descriptive study was to investigate how public health nurses working in the child welfare system in a large metropolitan...
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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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...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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...FACTORS THAT INFLUENCE NURSE ATTRITION: AN ANALYSIS OF THE RELATIONSHIP BETWEEN SUPERVISOR LEADERSHIP STYLE AND SUBORDINATE JOB SATISFACTION by James D. Long A Dissertation Presented in Partial Fulfillment Of the Requirements for the Degree Doctor of Philosophy Capella University October 2004 UMI Number: 3147190 UMI Microform 3147190 Copyright 2005 by ProQuest Information and Learning Company. All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest Information and Learning Company 300 North Zeeb Road P.O. Box 1346 Ann Arbor, MI 48106-1346 © James Long, 2004 Abstract Within the healthcare industry, there is an issue of major significance that may result in inadequate levels of staffing to meet patient demand. It has been estimated that at the current rate, hospitals will be forced to function with a nursing vacancy rate of 20 % in the not-toodistant future. The purpose of this study is to determine the effect that leadership style has on the job satisfaction level of nurses. It has been indicated that job satisfaction levels negatively correlate with employee attrition rates (Vandenberghe, Stordeur, & D'hoore, 2002). Using the Multifactor Leadership Questionnaire (MLQ) 5X Short (revised) and the Abridged Job Descriptive Index/Abridged Job in General (AJDI/AJIG) psychometric assessments, nurses job satisfaction levels were compared to the leadership classification of...
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...Leadership and Nursing Turnover Emergence of new healthcare policy, changed vision in healthcare based on prevention and wellness and the attempt to add entire population under the shield of care, demand greater nursing care to meet the challenges. Good leaders can create expert nurses capable of undertaking future challenges and keep them in the facility, creating better patient satisfaction and outcome. Research article by Furtado, Batista, & Silva (2011) explores the leadership role in nursing turnover and career abandonment intention. This article is relevant today as many nurses abandon facilities for career growth, seek better work environment or change career altogether. The Issue of Nurse Turnover in Present Day Healthcare Nursing turnover is a huge problem affecting healthcare industry today. Literature review from the above mentioned research article shows that while economy is growing and unemployment rate is low, there shall be high nurse turnover but when job availability decreases and economic growth slows down, nurses are forced to stick to the same position whether they are satisfied or not. Also, some frustrated nurses are likely to abandon the career and seek job elsewhere. Healthcare organizations require highly trained, stable and fully engaged nurses to provide effective care and the financial cost of losing a single nurse is more than twice a nurse’s annual salary (Hunt, 2009). Financial burden of nurse leaving the facility, cost of hiring and training...
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...Competency Differential Between ADN and BSN The role of a nurse has been recognized for centuries. The educational requirements of a nurse have been debated for about as long. Throughout the centuries, the role of the nurse has changed and at the same time, so have the education requirements for entry into the profession. Nurses have been educated in different scholastic settings throughout the ages and although nurses function in similar roles within the workplace, there are differences in competency based on educational background. This paper will focus on the competency differences in students trained at the associate level versus those trained at the baccalaureate level. Prior to 1909, prospective nurses were taught in hospital-based schools. These nurses earned their Diploma in Nursing after spending 2-3 years of intense training, living and working in a hospital. In 1909, the first permanent undergraduate university nursing program was established at the University of Minnesota. The time and money that was required for university programs made it difficult for many and enrollment was extremely low compared to the hospital-based diploma programs (Creasia & Friberg, 2011). In 1924, working with an endowment established by the Rockefeller Foundation, Annie Goodrich started a baccalaureate program, Bachelors of Science in Nursing (BSN), at Yale University. In addition to the core training that nurses received in diploma programs, Goodrich’s program was based...
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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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...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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...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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