...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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...Nurse Management and Leadership Case Study Nurse Management and Leadership Case Study Introduction Good leadership is necessary in every business organization. When it comes to nursing, every health center must have a good leadership that supports the nurses so that they can maximize their performance. However, for leadership to be of good quality there needs to be a good working environment in all aspects (Pinelli et al., 2004). The following is a case study illustrating an ideal working environment that supports good nurse leadership in health institutions. Type of Organization The organization that I would like to work in is a medium sized health care center. The facility is equipped with all the necessary gear needed to deliver quality healthcare services. There are over fifty doctors and seventy qualified nurses in the organization. The healthcare center serves over five hundred outpatient patients daily. It has enough facilities to cater for approximately 250 in-patients at any particular point. This health facility has taken into consideration the guidelines that make it professionally fit for an advanced nursing role. The development and implementation of good governance in this facility has been taken seriously in order to promote the nursing role. The following are some of the principles that have been implemented in order to promote good governance in this health facility. The organization looks at all the aspects of service delivery to promote good decision...
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...Instructor Institution Leadership skills are very important they shape how a leader achieves his goals when it comes to leading his followers. There is usually no leader if they are no followers. However, how a leader carries out his duty while leading shapes the acceptance or the rejection of that leader by his followers. The leader must therefore have good leadership skills in order for him or her to succeed. The followers get to determine the amount of power a leader has in how he/she leads them. In cases where followers are not happy they tend to rebel. Therefore the skills in leadership are very important and not just anyone can be a leader. It takes skill and tactic to be a good leader (Mathena, 2002). In the nursing world, there are leaders. Different nursing units require leaders. The leaders are in charge of followers. The followers of a nursing unit head are usually the nurses. The duties of a leader of a nursing unit are to ensure that the nurses under them work effectively, to be able to handle conflict if any among the people involved in their unit and they is a fair share of work, to ensure that the working conditions of the nurses are appropriate and also to ensure that the patients are well cared for and that the nurse in charge of certain patients give this patients the best care possible (Young and Choi, 2015). Theories of leadership that define a leaders leadership skills To ensure that all this is met the nursing leader has to have leadership skills. There are...
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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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...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 began when a preliminary report by the Surgeon General’s Consultant Group on Nursing stated that nurses in leadership positions should have a minimum of BSN preparation (Orsolini-Hain & Waters...
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...Running head: THE CONTRIBUTION OF HIGHER EDUCATION IN NURSING 1 The Contribution of Higher Education In Nursing Grand Canyon University: NRS- 430 V Professional Dynamics THE CONTRIBUTION OF HIGHER EDUCATION IN NURSING 2 Nursing in today’s day 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...
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...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 even though the BSN offers courses that are not offered in the ADN program. Some examples of the courses include: leadership and management, nursing theories including...
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...Subject Area - Nursing Leadership Styles and Management Discuss the impact of transformational and transactional leadership styles on the management of violence and aggression within UK regional maximum security forensic mental health hospital. Incorporating organisation structure, change management, multidisciplinary working, staff motivation and retention, legal and ethical implications for nursing practice. Executive Summary: In this essay we discuss the transformational and transactional leadership styles in the management of violence and crisis situations within the clinical setting and in mental health units. We begin our discussion with studies on the need for disaster management teams and structured command system within hospitals to help ensure that patients receive proper care when needed. We then briefly discuss the differences of transformational and transactional leadership styles and suggest that both personality patterns and attitudes towards these styles determine care and change management within the hospitals. Introduction: Leadership styles within the nursing practice can be evaluated by understanding the relationship between management and planning, change operations and organisation structure. As Zane and Prestipino (2004) point out, hospital disaster manuals and response plans lack formal command structure in most cases and the hospital authorities rely on the presence of certain individuals who are familiar with hospital operations or hold...
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...The IOM Report: The Future of Nursing The IOM Report: The Future of Nursing The IOM also known as “The institute of medicine” has come out with a report and study on the nursing profession. This report states that the nursing profession needs to take a leadership boost in healthcare. This paper will discuss how the IOM impacts the future nursing education, nursing practice, and the nurse’s role as a leader. It also speaks of what the healthcare organization needs to do to implement these changes. The IOM‘s impact on education clearly states nurses need to make education a life long journey. This needs to be maintained even after nurses have obtained their licensure. Throughout this journey nurses and doctors need to be educated together accepting the role of students conjointly. Yes, it is costly on those pursing a nursing education. Costly in money, time and family. Thus making it difficult for most. However, the health care system is in dire need of higher level educated nurses. With a great demand in nurse researchers and faculty positions. It posses an obstacle to patient care. The IOM wants double the number of nurses with a doctorate degree by 2020. The education regimen also needs to be changed. According to the study, education needs to be on the cutting edge, one that will prepare nurses for caring for today’s distinct population. Classes on leadership, diversity, advocacy and evidence based practice need to be implemented. There is a big change...
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...Differences in competencies: Baccalaureate of Science versus Associate of Science in Nursing Grand Canyon University: Profession Dynamics Section 0106 September 30, 2012 Baccalaureate of Science versus Associate of Science in Nursing There are three educational pathways to becoming a Registered nurse. These include baccalaureate, associate degree, and diploma programs (Friberg et al, 2011). It has been proven in various studies that nurses with a higher level of education provide better quality patient care versus the associate level nurse (Rosseter, 2012). There are several differences in competencies between a associate and baccalaureate nurse that include mortality rates, leadership skills, critical thinking skills, health care promotion, clinical skills, and case management (Rosseter, 2012). Baccalaureate Program The American Association of Colleges of Nursing believes that a Baccalaureate degree has a significant impact on a nurse’s level of competency and knowledge base (Rosseter, 2012). The Baccalaureate program is a four year degree and the nursing courses are at the upper division level (Friber et al., 2011). Courses include health informatics, healthcare economics, leadership, research, and health policies (ANA, 2012). The components of the classes such as at Grand Canyon University (GCU) are liberal education, patient safety, evidence-based practice, management of information, health care policies, communication and collaboration, and professional...
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...Emergency Medicine Department (EMD). Using the Gibbs Reflection Cycle (Jasper, 2003) to guide me in this essay, I will be discussing about how my nursing managers practice transformational leadership in this reflection essay to motivate me to improve me as a better critical thinking registered nurse in EMD. Description This unfortunate incident happened in my work area, where patient with critical conditions receive treatment, Patient Acuity Category (PAC) 1. It was a busy shift and there were dozens of critical cases coming in...
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...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 of insurance a patient has or other legal obstacles. The BSN degree prepares the nurse to face these challenges to better take care of the patient. Todays health care setting is requiring more and more from the nurse than just knowledge of...
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...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 on acute illness, psychosocial dimensions of illness and public health principles (Creasia & Friberg). Brought on by a desperate nursing shortage after World War II, nurse educator, Mildred Montag proposed a new program for training nurses....
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...Education Preparation Eunsook Kim Grand Canyon University: NRS 430V June 14. 2015 Education Preparation Nursing still lies in the middle of evolution. When we look back from the foundation of nursing, this powerful waves move continuously from a small nursing skills class several decades ago up to the philosophy’s degree in nursing practice today. Since nursing is the holistic care of a human being, as caregivers, we must continue to invest time and effort into providing more advanced nursing to our holistic beings for their better health. According to the Institute of Medicine (IOM), nurses must be 80 % baccalaureate prepared RN workforce by 2020 (AACN Face Sheet, 2015). Therefore, nurses must endeavor to achieve the Bachelor of Science in nursing (BSN) for more competencies in their lifetime working field. Needless to say, patients will receive highly qualified care based upon enhanced education. Thus, BSN education preparation should be differentiate in order to meet these expectations. Different Competencies between the Associate-Degree Versus the Baccalaureate Degree Level The enlightened preceding nurses through many experimental years have developed many characteristics for a professional nursing. Currently educated nurses utilize their competencies that acquired from school in many different clinical setting environments. Compare to Associated degree level (ADN) focused on learning basic clinical skills within two...
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...Title: Difference in Competency Between Nurses Prepared at the Associate-degree Level Versus the Baccalaureate-degree Level Nursing is a job, a career and profession. With the historical development, nursing shaped its own progress under the influence of education. Well educated nursing workforce is related to care quality and patient safety. Associate degree and baccalaureate degree are different pathways for one who becomes a registered nurse through the education. This paper will discuss the differences in competency between associate degree nurses (ADN) and baccalaureate degree nurses (BSN). A clinical case scenario also gives the example that the difference of nursing care in making decision or approaches based on the various education level, ADN versus BSN. Associated Degree Nursing Mildred Montag (a nurse educator) was the first one who designed the associate degree in nursing (ADN) in 1952 to solve the severity of the nursing shortage. Ever since then, nurse profession had been recognized by diverse population. Therefore, an associate degree nurse can be defined as a nurse who gets fundamental and basics of nursing training in community college in two to three years and eligible to pass the National Council Licensure Examination (NCLEX) after the program. Baccalaureate Degree Nursing The baccalaureate nursing program has been established in the United States for over a century but developed slowly until the Second World War. The program had entered the...
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