...Effective Approaches in Leadership and Management: Nursing Staff Ratio Yu Chen Grand Canyon University: NRS-451V Nursing Leadership and Management October 11, 2015 Effective Approaches in Leadership and Management: Nursing Staff Ratio Introduction Identifying and maintaining the appropriate number and mix of nursing staff is critical to the delivery of quality patient care (American Nurses Association, 2015). Staffing issue is very important simply because this ongoing concern affects the quality of health care service, the safety of both patients and nurses. Many research shows that adequate staff ratio has close relationship with patients’ safety and recovery time of period. In this paper, different nursing leadership and approaches are discussed. Skills and methods employed by leaders and managers to address staff issue are described. My preferred approach is also presented. The Importance of the Issue The benefits and importance to maintain s safe staffing ratio is never underestimated. • Relieve nurses from overload, fatigue and burnout so that they can focus on work to reduce medical and medication errors • Plenty of nurses can provide better service and attention to patients so that complications will be decreased • Mortality could be decreased due to more frequent monitoring of patients’ health condition and prompt response from on-duty nurses and doctors Different Nursing Leadership and Styles Nursing managers and leaders must understand their...
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...Monitoring Melissa Stevens NUR/598 Patricia Dehof April 47, 2015 Monitoring When using research methods to monitor solution implementation there is one that is commonly used in incivility research. In general, “the operational method” is commonly used to measure exposure to workplace bullying through surveys: participants indicate how frequently they are exposed to different bullying behaviors or negative acts that neither refer to the concept of bullying nor ask for bullying recognition (Giorgi, 2012). Having the ability to use different operations on one conceptual variable gives a researcher the ability to key in on the conceptual variable of interest. Using conceptual and measured variables will show the relationship between the two variables. Measured variables can be divided into two types: nominal and quantitative variables. A nominal variable is used to name a particular characteristic i.e. if a person is a male or a female. Quantitative variables use numbers to show how a person has a distinguishing effect. In the operational method two measurement scales are used, the first is the interval scale where there are equal distances between scores on a measure that are comparable to the changes in the conceptual model. Interval scales have a true zero point. A ratio scale allows for the division and multiplication of values. In an ordinal scale, numbers represent if there is more or less of a conceptual variable but, there is not an exact indication of the interval...
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...Journal Number Two: An important primary goal of nursing is to facilitate the development of trust and to build upon a therapeutic relationship between the patient and members of the health care team. Demonstrating the skill(s) of effective communication is key. Assessment of a patient’s ability to communicate includes gathering information about the ‘contextual factors’ that influence communication itself. A context includes all the factors that influence the nature of communication and interpersonal relationships. This includes the patient’s internal factors and characteristics (psychophysiological) the nature of the relationship (relational) and the situation prompting communication (situational). Psychophysiological context refers to the patient’s internal factors and characteristics. First, monitoring some of the even basic physiological status such as pain, hunger and weakness. Second, paying attention to one’s emotional status and treating/preventing conflicts with anxiety, anger, hopelessness and even euphoria. Last but not the least, the growth & development status of the patient; simply not only looking only age but to the developmental tasks as well, perceptions/personality and the patient’s self-concept and self-esteem all play a vital role in communication itself. Relational context refers to the nature of the relationship between the participants. Is the relationship social, helping or working? As a nurse, I must pay close...
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...Professional EThics Professional Ethics Legal and ethical issues are frequently encountered in the health care setting and present unique challenges to health care professionals. Practicing nurses need to be knowledgeable with these concepts to ensure patient’s rights. In this paper, the author will describe the relationships between legal and ethical issues. In addition, the author will identify personal values and professional ethics and examine ethical theories and principles. Examples of applications of legal and ethical issues to current practice will also be provided. Relationships Between Legal and Ethical Issues “Ethics is the branch of philosophy concerned with evaluating human action” (Guido, 2010, p. 3). It is based on the principles of right and wrong and provides structure to behaviors and actions. Ethics are closely intertwined with morals and values. Morals are “personal principles that are acquired from life experiences, family and peer relationships, religion, culture, and the law” (Guido, 2010, p. 3). Values are “personal beliefs about the truths and worth of thoughts, objects, or behavior” (Guido, 2010, p. 3). Therefore, ethics are subject to an individual’s personal interpretation. In contrast, laws are rules and regulations established by some authority and enforced by judicial decision (Dictionary.com, 2011). The legal system governs actions and behaviors without regard to personal values, beliefs, and views. Laws are constantly evolving to...
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...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 & Jones, 1996; Slaughter, 2002; Taunton, Boyle, Woods, Hansen, & Bott, 1997). Further, staff nurses report burnout and dissatisfaction with their jobs and a concern about decreasing quality of care (Aiken et al., 2001; First Consulting Group, 2002). The data on the nursing shortage portends a health care delivery system...
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...Care Concept in Nursing Theoretical Foundations of Advanced Nursing Care Concept in Nursing Caring is a wide and assorted theory that can be defined in a number of ways. Caring is the practice by which nurses in a medical institution react to patients as exceptional people and make out their needs and feeling as they settle them. A large number of people consider caring as one of imperative aspects of nursing, to be precise, caring is a requisite component of nursing. Therefore, understanding the diverse concept is just like comprehending all that takes place in the nursing profession. Simply put, the concept of caring is a vital component of the nursing profession. Literature Review The concept of analysis is based on the empirical linguistics, but the most important issue is that, the nursing practice theories have their basis on the concept of analysis. Regardless of the wide variety of methodological strategies employed in the field of nursing, medical experts collectively concur that caring is not a retiring component that is correctly measured. Daly, Speedy, & Jackson (2009) states that Fealy argues that caring does not form the series of activities, but it forms the ways of taking actions that depend on the framework and is clear on the values. Leininger argues that caring is the most essential and critical ingredient to any curative process. Leininger, further dismisses the prospects of the responsibility to encourage nurses to get this concept of caring...
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...The Significance of Diversity in Nursing Diversity in the world of nursing is crucial in order to provide sufficient care to all individuals. Nurses have to be able to provide medical needs to all types of people, regardless of personal beliefs and customs. The purpose of this paper is to discuss the relevance of diversity and nursing including the significance it can have on patients receiving nursing care, problems with the low minority population in nursing, and a summary of the generational aspect of diversity in nursing. Importance of Diversity in the Workplace Across the nation, as the diversity of the population persistently expands, it is paramount the nursing workforce mirrors this evolvement to “effectively meet patient care needs and ensure cultural competency” (Mason, Leavitt, & Chaffee, 2014, p. 378). One important reason for nurses to study the effect of diversity is to improve the community and help promote the need for social change. There is a connection between the absence of variation in the workplace and health inconsistencies. If more nurses were to work with the indigent and minority populations, this “improves access among underrepresented groups” and would help with the discrepancy in health care (Huston, 2014, p. 137). Competent transcultural nursing care impacts the quality of care a patient receives by understanding the client’s needs holistically. Clark (2014) states that humility or the ability to learn from others and having an open mind is needed...
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...Countering Compassion Fatigue: A Requisite Nursing Agenda Deborah A. Boyle, MSN, RN, AOCNS®, FAAN Abstract Nurses have a longstanding history of witnessing the tragedy experienced by patients and families; however, their own reactions to profound loss and premature death have not been systematically addressed. There is a paucity of research describing interventions to prevent or minimize the ramifications of repeated exposure to traumatic events in the clinical workplace. Compassion fatigue is a contemporary label affixed to the concept of personal vicarious exposure to trauma on a regular basis. Yet this phenomenon of compassion fatigue lacks clarity. In this article, the author begins by describing compassion fatigue and distinguishing compassion fatigue from burnout. Next she discusses risk factors for, and the assessment of compassion fatigue. The need to support nurses who witness tragedy and workplace interventions to confront compassion fatigue are described. Citation: Boyle, D., (Jan 31, 2011) "Countering Compassion Fatigue: A Requisite Nursing Agenda" OJIN: The Online Journal of Issues in Nursing Vol. 16, No. 1, Manuscript 2. DOI: 10.3912/OJIN.Vol16No01Man02 Key words: Compassion fatigue, nurse stress, work setting improvements, communication skills Nurses care for ill, wounded, traumatized, and vulnerable patients in their charge. This exposes them to considerable pain, trauma, and suffering on a routine basis (Coetzee & Klopper, 2010; Hooper, Craig, Janvrin, Wetzel...
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...High-Risk Family Assessment and Health Promotion Paper Corey Hollmann University of Phoenix NUR/542 6/30/2014 Danielle Patrick High-Risk Family Assessment and Health Promotion-Suicidal Ideation Suicide and ideation to commit this final act, is a grave public health concern that is multifaceted and responsible for significant family risk. Suicide is a behavior that has worldwide resulted in nearly one million fatalities annually. Suicide is commonly an act driven by impulsivity and followed by thoughts of hopelessness and doom. In the United States, firearms, particularly handguns, are the most common means of suicide. Despite extreme notoriety, suicide and suicidal ideation remained stigmatized and hidden behind shadows of shame. Acts of deliberate self-harm and unsuccessful attempts remain largely underreported (Fleischmann et al., 2008; Freedenthal, 2007). Summary of Suicide Risk Health Profile The incidence of suicide has remained a significant health risk across multiple demographics, cultures, and sexes. In between the years 1999 and 2008, the suicide rate increased 10.5% and from 10.5 to 11.6 people per 100,000 population. Male's record rates that are four times greater than females while non-Hispanic whites recorded 14.1 suicides per 100,000 (National Vital Statistics System, 2008). Suicide is a behavior that exudes complexity that is characterized by methods to potentiate intentional termination of one's own life. The World Health Organization (WHO) has...
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...The High Cost of Horizontal Violence in Nursing Paisley Rojo Gen 200 July 21, 2015 Dr. Davidov The High Cost of Horizontal Violence In nursing, there is a growing concern called, horizontal violence. Horizontal violence is an act of aggression from one nurse to the other. Horizontal violence impedes teamwork, hinders patient care and causes a negative work environment (Becher & visovsky, 2012). Even though workplace politics exists in every profession, the effects of horizontal violence, or bullying, in nursing is a costly behavior. Nurses feel devalued in the workplace and experience psychological effects. Patients are likely to experience less favorable outcomes, and retention is difficult costing facilities large amounts of money to recruit and hire replacements. Types of violence Horizontal violence is physical and or verbal behavior that is believed by the recipient, to be degrading, threatening and considered inappropriate (Bartholomew, 2014). According to Doyle (2001), there are several ways to undermine one's dignity in the workplace. This list includes: humiliating and intimidating the victim, verbally assaulting, and implying threats. Intruding on co-workers, and stalking the targeted person, is another form of horizontal violence. Moreover, repeatedly imposing deadlines and tasks that are unfavorable or impossible is also considered as a form of workplace bullying. Dellasega (2009), states that the participants, willing...
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...evolution of the nursing profession has developed over the centuries, from the times of the Egyptians and stories garnered from the saving of the infant Moses, to the beginnings of the nursing process with Florence Nightingale, and to present professional practices. At the heart of practicing as a nurse is the mission to provide expedient, effective and compassionate care to patients to allow for recovery to regain a quality of life that is acceptable personally and socially. A. Functional Differences Professional development of nursing is imperative to maintain goals of continuing nursing practice. Organizations within this profession serve to regulate and enhance nursing practice, specifically regulatory agencies, such as boards of nursing, and professional organizations, comparable to the American Association of Critical-Care Nurses. Boards of nursing have multiple roles but primarily exist to safeguard the public’s health, safety, and welfare through these functions. Within each state, a board exists that regulates nursing practice through establishing minimum practice standards, approving schools of nursing, developing and adopting regulations, investigating complaints against nurses, conducting disciplinary hearings, and collaboration with consumers and nurses alike to increase public awareness (Board Mission, n.d.). Nursing boards are able to establish a standard of practice that each nurse is responsible for adherence. Professional nursing organizations (PNO)...
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...Nursing Ethics http://nej.sagepub.com/ Demarcation of the ethics of care as a discipline: Discussion article Klaartje Klaver, Eric van Elst and Andries J Baart Nurs Ethics published online 22 October 2013 DOI: 10.1177/0969733013500162 The online version of this article can be found at: http://nej.sagepub.com/content/early/2013/10/21/0969733013500162 Published by: http://www.sagepublications.com Additional services and information for Nursing Ethics can be found at: Email Alerts: http://nej.sagepub.com/cgi/alerts Subscriptions: http://nej.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav >> OnlineFirst Version of Record - Oct 22, 2013 What is This? Downloaded from nej.sagepub.com at Tilburg University on October 24, 2013 Article Demarcation of the ethics of care as a discipline: Discussion article Nursing Ethics 1–11 ª The Author(s) 2013 Reprints and permission: sagepub.co.uk/journalsPermissions.nav 10.1177/0969733013500162 nej.sagepub.com Klaartje Klaver, Eric van Elst and Andries J Baart Tilburg University, The Netherlands Abstract This article aims to initiate a discussion on the demarcation of the ethics of care. This discussion is necessary because the ethics of care evolves by making use of insights from varying disciplines. As this involves the risk of contamination of the care ethical discipline, the challenge for care ethical...
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...Empowerment is a concept we all have heard at one time or another it is utilized in numerous professions and specialties. Analysis of this concept will further understanding of empowerment for nursing professionals in areas from research, theory development or practice. Exploring the attributes, consequences, implications and model cases of empowerment can assist the nursing professional in utilizing empowerment to its fullest potential. Within the scope of nursing, empowerment can be seen not purely as how it relates to the client, or the nurse but also how it relates to both the client and the nurse (Rodwell 1996). The Walker-Avant method was used to analyze this concept, as it was the most commonly seen in nursing literature (McEwen & Willis, 2007). Aim This paper’s aim is to clarify the concept of empowerment and its implications for the nursing profession, by exploring how it pertains to nursing as well as other disciplines, its essential attributes, antecedents, consequences and empirical referents. Definition What is empowerment, and what does it mean? American Heritage dictionary defines empowerment as “To invest with power, especially legal power or official authority” or “To equip or supply with an ability; enable”. Dictionary.com defines it as “to give power or authority to; authorize, especially by legal or official means” or “to enable or permit”. Synonyms for empower include capacitate, entrust, permit and privilege according to Rogets Thesaurus. Understanding...
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...for someone with dementia has a burden of physical, social, spiritual and financial wellbeing that encompasses both subjective wellbeing and objective burden such as activities and events with the experiencing of deep relationship with the patient. Studies and experience shows that caregivers of people with dementia often suffer from low efficacy, depression, lower subjective wellbeing than others and high stress scores (Sorensen, 2006). These primary stressors indicate the facts and intensity of the caregiver’s experience, including the severity of patient’s medical state, behavior problems and cognitive or functional impairment. Hours of the day and tasks also plays a role in the care that is provide. The most depressing stressor is the patient’s behaviors wandering, outbursts and inappropriate...
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...measures that has to do with patients safety and care and at same time given the facility for unremitting standards fulfillment. NCH is 100% compliance with most standards of Joint Commission in the following area; Emergency Management, Human resources, Infection Prevention and Control, Performance Improvement, Right and Responsibilities of the Individuals, Transplant Safety. During the inspection at the facility, the hospital was found to be non- compliant in this listed areas; Environment of Care, Leadership, Life Safety, universal protocol, Medication Management, Medical Staff, National Patient Safety Goals, Nursing, Record of Care, Treatment and Services, and provision of care During the PPR, the hospital was found with an increase cluster in the hallways, it is a fire hazard and a safety issue. The nurses are not familiar with verbal order procedures, using the range of orders that received and the abbreviations that are prohibited in the documents. From the trend, there are areas at which the hospital needs to implement proper education and audit. An action plan needs to be implemented by the administration to address the fallout to enable the hospital be in full compliance with Joint Commission standard. There are some discrepancies that has to be looked into and resolve to enable NCH maintain the standard compliance with the Joint Commission. Instead of looking into problems found in each unit, there are trends affecting the hospital's patient care standard of complying...
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