...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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...Case Study: Evaluation and Morale An effective and productive performance evaluation is an opportunity for a health care manager and his/her staff to identify expectations, establish goals, give reinforcements for jobs well done, and identify areas that have opportunities for improvement. A successful performance evaluation will be one that fosters a healthy working relationship between manager and staff. The case study to be discussed involves a staff nurse who has completed his/her performance evaluation with his/her healthcare manager and has left the appraisal conference disappointed in its outcome and with concerns regarding one specific incident having weighed heavily on his/her evaluation (Mary & Joanne, 2011, p. 231). At the manger level the annual performance appraisal is a toll that should utilized to evaluate past and current performance, identify educational and professional development needs, give rewarding recognition for positive performance, and take disciplinary action if needed. Nursing professional standards of practice holds that each nurse has an obligation to adhere to the code of ethics. The standards of professional practice should be utilized as a criterion when evaluating a nurse’s practice ("Professional Standards," 2012). In reviewing the information provided by the case study this author has evaluated potential problems that could have contributed to the deterioration of the evaluation of this particular staff nurse. It appears that active participation...
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...Health Care Interview Veronica George HCS/235 06/01/15 Rebecca Luetke Health Care Interview For my health care assignment I have chosen a department manager at a Community hospital. Miss Rosemary Fiore is a Master’s Degree prepared nurse, currently work as a Nurse Manager with an extensive background in health care. She is someone I consider a strong leader, and mentor .She is very positive and genuinely enjoys her job. In my interview with her we discuss her responsibilities, her customers and how she interacts with others in her environment. In addition, she describes her educational back ground, the requirements necessary for licensure, her career paths that led her to the position, as well as her experience in the industry. She conversely shared the similarities of her position to other Leadership positions in other organizations. Our interview include her most important attributes to her success. She foresee this position adapting to changes in health care. She ultimately describe her perception of her role in the context of the broader health care industry. Mount Sinai Beth Israel Brooklyn is a unique 212 bed community hospital located in a very convenient part of Brooklyn in midst a Russian Jewish community. Recently acquired by one of the oldest teaching hospitals of city, Mount Sinai hospital thus the adoption for the name Mount Sinai Beth Israel. Mount Sinai Beth Israelis a valuable asset to the community. The institution has undergone numerous renovations...
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...excellent patient outcomes. The purpose of this paper is to gain insight into the nurse’s role as a supporter of an organization’s strategic plan from the perspective of a quality manager. Summary of the Interview The interview was conducted with Jennifer Price, the director of an intermediate stroke unit within a 794-bed hospital. The unit’s population of patients consists of stroke, seizure, back surgery and other types of intermediate care patients. The unit employs nineteen RNs, nine nursing assistants and three supervisors. During the interview, the nurse’s role in supporting the organization’s strategic agenda was discussed at length, along with ways to improve the nurse’s role in support of the organization’s agenda. The first question asked was how important is the nurse’s role in clinical outcomes. Jennifer stated that the impact that a nurse has on clinical outcomes is “huge,” due to the fact that nurses are responsible for all patient outcomes. Care of the patient in the hospital usually begins and ends with the nurse. With public hospital reporting, the fact that nurses play an instrumental part in a hospital organization’s strategic agenda is very evident. Hospital boards are also looking into how nurses support the organization and how they can improve frontline nursing care in respect to core measures such as never events, falls, CLABSI (Central Line...
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...Dr. Rosemarie Berman Associate Professor Chair, B.S.N. Program Nursing Contact Information Contact via email 703-284-1627 “You need to continue looking at yourself as many nursing professionals today…not only as a caregiver but as a leader. You need to expand your view and your scope that you are a leader in health care, you are an advocate for your patient, you are an advocate for your nurses. You need to be open for all of the different kinds of things that you can do and set those goals for yourself. Set those intermediate goals of “Where would I like to be and what can I do now to move forward in that area.” It really is up to you. It is up to you and your peers. You have the opportunity, with everything that is going on with health care today… you have the opportunity to have a tremendous impact on nursing, on society, on health care. I need to move forward in that area. I think that is where we need to be and I think you need to keep that truly as your focus and realize all of what you can do. I believe we can achieve it. So I am passing the Olympic torch to you nursing professionals.” The above quoted statement was transcribed from the interview done by GNSA Liaison, Blandine Augustin, a DNP student at Marymount University, with the interview as Dr. Rosemarie Berman, Associate Professor and Chairperson of the BSN program at Marymount University. This interview done in May 5, 2014 can be found in the World Wide Web having the address of...
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...Exercise 1-1 Interview a nurse manager. Discuss nursing-sensitive indicators and how they are measured and evaluated. How are these data used to improve nursing care? Interview a nurse manager or executive in a non-union environment regarding the signs and symptoms of increased vulnerability to collective bargaining activity. What strategies have been implemented when any of these symptoms appear? Based on an interview with a clinical manger of a medical unit, nursing sensitive indicators that are monitored on the unit are the following: 1. Restraint use, which is audited by a RN in the ICU. She looks at hours of use, documentation compliance with our hospital’s policy, and if death occurred within 24 hours of restraint use. 2. CAUTI (catheter associated urinary tract infections), which is monitored by infection prevention. 3. CLABSI (Central Line-Associated Bloodstream Infection), which is also monitored by infection prevention....
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...the two specific domains, responsiveness of staff and communication with nurses. HCAHPS survey scores were compared pre-implementation to post-implementation scores to determine whether or not the mean post-implementation had increased. Notably, the clinical manager and the student nurse spent a great deal of time throughout both the implementation and post-implementation...
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...Interview with a Nursing Information Expert: Guidelines and Grading Rubric Purpose The purpose of this assignment is to * Communicate your understanding of the importance of quality information in everyday nursing practice; * Discuss the roles and responsibilities of a Nursing Information Expert; and * Articulate how the professional nurse uses information or data in everyday practice to improve outcomes. Course Outcomes This assignment enables the student to meet the following course outcomes. CO #1: Describe patient-care technologies as appropriate to address the needs of a diverse patient population. (PO #1) CO #4: Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO #4) CO #8: Discuss the value of best evidence as a driving force to institute change in delivery of nursing care. (PO #8) Points This assignment is worth a total of 250 points. Due Date This assignment, Interview with a Nursing Information Expert, is due at the end of Week 6. Submit your completed Interview, using the Interview Form, to the basket in the Dropbox by Sunday, 11:59 p.m. mountain time. Post questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time will result in a deduction of points. ...
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...Quality Research Article Critique Factors Influencing Emergency Use of Nurse Practitioners: A Critique Problem and Purpose This is critique of a Qualitative Nursing article, the article is: Factors Influencing the Decision to Use Nurse Practitioners in the Emergency Department by Laurie A. McGee, MN, ARNP and Louise Kaplan, PhD, ARNP, published in Journal of Emergency Nursing, Volume 33, Number 5, October 2007. The problem that is stated in the article is there is a growing and serious problem facing the overcrowding of emergency rooms within the United States. There is a current epidemic of the population that relies on emergency room care as primary care. “The 2004 National Hospital Ambulatory Medical Care Survey (NHAMCS) reports an 18% increase in the number of visits to emergency departments from 1994 to 2004.” This causes long wait times and may cause emergency room doctors and nurses to be overworked allowing for a possibility for mistakes to handle the volume. “Overcrowding is defined as a situation in which demand for emergency services exceeds the ability of a department to provide quality care within acceptable time frames.” Overcrowding can delay care which is a patient safety issue and can lower patient satisfaction. “The Joint Commission on Accreditation of Healthcare Organizations' review of sentinel events has attributed patient deaths to delays in patient care. In hospital emergency departments, delay of treatment is the most common type of sentinel event.”...
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...Nurse Leader Interview Ariel Echevarria NUR/587 November 23, 2015 Professor Carla Hronek Leadership Interview Leadership can take on many forms and shapes. Each leadership style is unique and has a great impact on its team. Leadership is not about position, but more so about how a leader influences others to create a difference or change. The style of leadership that a leader portrays is often not chosen; it is more of a developed set of traits that come from the beliefs and values displayed on a daily basis. While it can be argued that leaders are born not created, leadership styles can be evolved based on experience and knowledge of how to motivate others. This paper will discuss points from an interview with a nursing leader. Included in the discussion will be the perspectives by the nurse leader in regards to leadership style, leadership role, challenges faced, and the effects of formal and informal power on an organization. Nurse Leader and Leadership Style Christine Roller RN (C.R.) has been a leader within her organization for the last ten years. Currently, she is the Nurse Manager of a busy observation unit and a 37-bed med-surg unit. She is a dedicated leader whose core values are strong and are the foundation of her confident leadership ability. As a leader, she is respected by her peers for displaying integrity, approachability, trust, and partnership; as evidenced by her annual peer reviews. C.R. describes her leadership style as charismatic. A charismatic...
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...Introduction This report is analysis of the Health and Rehabilitation center Envoy of Pikesville. Althea Layne director of nursing (my mother) has been at her management position for over 8 years. Envoy of Pikesville, located in Pikesville, Maryland was acquired in 2009. Envoy of Pikesville has been providing services to the geriatric population for over 35 years. Our two-story building has a large, state-of-the-art rehabilitation gym, a welcoming dining experience, and a serene inner courtyard. We feature an outstanding rehabilitation team that includes speech, physical and occupational therapy with 85% of our residents returning home. Their skilled nursing service’s resident-focused approach provides those who have suffered from a prolonged acute or chronic illness or have recently been injured or undergone surgery with the best care possible. In these cases, residents' conditions are often stable, but they continue to require assessment and treatment. And whether it’s nutritional support or assistance with self-care and the activities of daily living, our team is committed to meeting the needs of each resident at every stage of recovery. Their full range of rehabilitative services assists residents with physical, cognitive, psychosocial, and/or communication impairments. Respiratory, physical, occupational, and speech therapy programs use the coordinated efforts of an interdisciplinary team to contribute to each resident's rehabilitation – helping to ensure a successful...
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...Running head: INTERVIEW WITH A HEALTHCARE LEADER Interview with a Healthcare Leader NAME University of Phoenix Interview with a HealthCare Leader Leaders must have a vision for their organization that looks to the future of healthcare and not just deal with the present. Having a vision requires knowledge of the present and where their healthcare organization stands in terms of success. They must also know and be committed to the mission, goals and objectives of their organization. Interviewing a nursing leader in a long term health care facility provided this student with many new views of healthcare management and the challenges she’s presented with daily. The leader this student interviewed is a director of nurses at a longterm care facility with 100 beds, 28 of which are Medicare certified. She has a staff of 18 nurses and 32 certified nursing assistants. Her name is Patti and she has been in her position at various facilities for over 20 years and at the current facility for eight years .She is very knowledgeable about Medicare, Medicaid and case management. She has worked many sub-acute units as well as stepping in now to help with staff shortages. When an employee comes to her with a problem or complaint, the first thing she will ask is, “What do you think the solution is”? Her description of a leader is any person with integrity, honesty, and the ability to treat everyone with respect and dignity. She feels her leadership style is a democratic...
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...Delegation in nursing is the most evident but yet most overlooked of management skills. Integrating this ability is an essential constituent within the scope of the nursing practice. The American Nursing Association (2006) defines delegation as, “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”. With the anticipation of the baby-boomer generation and the utilization of unlicensed nursing assistive personnel (NAP) on the rise; how will healthcare prepare for such conditions? By distinguishing the nature of communication as well as personal interaction during delegation, may better clarify how both roles work together to carry out patient care and...
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...1. Tell us about yourself? Good morning. My name is Lingling Cui, an international student from Deakin University. it is really a great honor to have this opportunity for a interview. I am about to be graduated and registered in August after the 6 weeks clinical placement in Knox. So far, I have completed two clinical placements in Australia. One is mental, another is surgical unit. Prior to commencing my Bachelor of Nursing in Australia, I have graduated from Peking University and achieved my first Bachelor of Nursing following a 3.5 years study and 1.5 years clinical placement in medical surgical ward, theatre, pediatric ward, gynecologic ward, delivery room and emergency room. Besides studying, I am also working in nursing home from last year. I am a nice person with excellent nursing skill and interpersonal skill, which enable me to working in a team with pressure. Furthermore, I can listen and speak mandarin and English fluently. All the experience and skills that I gain during studying and working are around nursing, which enable me to prepare well for future career. 2. What do you know about this organization and why have you chosen to work here? Healthscope is one of Australia’s leading private healthcare operators and the second largest private hospital provider. Healthscope owns or manages 45 medical/surgical, rehabilitation and psychiatric hospitals. In addition, Healthscope operates a leading pathology business with facilities in Australia, New Zealand, Singapore...
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...in learning more about an assisted living and rehabilitation facility. It is also an opportunity to uncover the differences from an assisted living community and a skilled nursing facility. Emeritus at Harbour of Pointe Shores provides retirement and assisted living, respite services, and on-site rehabilitation. Similar to other long-term care facilities, the facility and staff are required to follow specific guidelines and regulations to maintain licensing and accreditation. However, these requirements may differ from other facilities because of the types of services provided. The presentation will touch on the differences between Emeritus at Harbour of Pointe Shores and other long-term care facilities, how public policy affects financing for the services offered, reimbursement for care, staffing needs and their roles, and how health care trends affect the operation of the facility. II. State and federal regulations A. Interview with the Administrator B. Review state regulations on Washington State Department of Health’s website. C. Review federal regulations on Washington State Department of Health’s website. III. Licensure and accreditation A. Types of licensure and accreditations held 1. Phone interview with Director B. Requirements for licensing and accreditation 1. Review requirements for licensing on the Washington State Department of Health’s website 2. Review requirements...
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