Barbara Norris Case Study Case Studies

There is also the challenge of having to become involved with quality improvement aspect because it involves having to deal with diverse aspects of the quality related to the patient. The accomplishments can come about in the sense when the head nurse would start recognizing the subordinate working under him/her (Cummings, 2013). This would make the subordinates feel that they are being appreciated owing to which they would start working in a more efficient manner. The skills required to support the performance role is to be able to be willing to work for extra hours. This way, the subordinates would take inspiration from the head nurse regarding work and may look up to him/her and might turn up early for work as well.

This paper will discuss the organization, mission, vision, values, and goals of the organization I am currently employed at. The nursing mission of the organization will be discussed, in addition to the unit nursing mission and its consistency with the goals of the organization as a whole. How my work relates and contributes to the unit’s mission as well as strategies to strengthen the mission and vision will be included. Lastly, the nursing department structure will be discussed along with pros and cons of using that organizational model.

A telling leader is defines the roles and tasks for each staff, and then supervises them very closely. They can do this through communication, as it is very important in leadership. Two-way communication is the best way of being touch with nurses. This is particularly for inexperienced or first-time employees who need to be closely monitored by an experienced leader. This leadership style is particularly effective for staffs that lack of competency but committed to achieving their roles. Through the communication, they can identify any usual signs of work stress of the employees, the factor that employees want to resign, and the suggestions for organization improvement provided by the employee. For instance, if someone complaints about the problem in the work job, do not ignore the complaints, but the situation need to be investigated and the problems should be tried to solve. To decrease the number of injuries to staff and incidents of patient, they have to establishing healthy work environments. It is quite challenging to create a healthy work environment for employees at the same time supporting a healing environment for patients. They can help by identifying core issues that causing the incidents and providing safety strategies training to employees to improve the work

However, there are certain strategies that can overcome these barriers. For instance, the nurse’s resistance to change and poor communication of objectives is overcome by constant communication of the benefits of this leadership style not just through word, but also through actions until they understand its

Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the

Transactional Leadership is based on the principles of the social exchange theory, in which an individual would expect to give and receive benefits or rewards when engaging in a social interaction (Sullivan, 2012). The interaction will cease if one or both person decides that the exchange of benefits and rewards are no longer worthwhile. Transactional Leadership theory also focus on the task that need to be carried out and makes sure they are done the right way as compared to Transformational Leadership theory which focus on staff empowerment (Marquis and Huston, 2015).

Weiss, S. A, & Tappen, R. M. (2015). Essentials of nursing leadership and management: (6th Ed). Philadelphia: F.A. Davis

Langabeer II, J. R., & Helton, J. (2015). Health care operations management. Jones & Bartlett

This may involve effective mobilization of the available nursing staff and review of the responsibilities durations for the nurses to the recommended levels to avoid straining the workforce. Consequently, reorganization will help redistribute nursing functions among the available staff, thereby averting high personnel turnover due to overload. Similarly, the manager is likely to employ the staffing function to identify and hire qualified nursing personnel to fill out the understaffed nursing levels. This will significantly reduce individual workload and enable nurses to adequately address the unique needs of their clients, thereby facilitating delivery of quality and personalized nursing care to patients. Thirdly, the nursing manager is likely to employ the controlling function to assess work results against established performance standards in an effort to determine the effects of nurse turnover and shortage on the organization. In the event of significant discrepancies, the manager may resort to such corrective actions as introducing incentives to motivate and retain the existing staff or attract highly qualified nursing personnel. Therefore, in addressing staff turnover and shortage, a nursing manager is likely to employ strategies aimed at coping with the presenting complexities as opposed to dealing with change (Jadvar,

The addition of nurse leaders in the executive suite is essential in facilitating the perception that nurses are critical decision makers in the health care industry. Furthermore, it is imperative that a formal succession plan is incorporated in organizations to assure strategic leadership, quality care, and operational effectiveness incorporate nursing at the uppermost level of decision and influence (Trepanier & Crenshaw, 2013). The Chief Nurse Executive role is evolving as a tactical authority in acquiring a major influence on our nation’s health care delivery systems and clinical outcomes (Bradley, 2014). As health care shifts and changes, nursing must be at the forefront to assure optimal influence

When hospital facilities have poor management, it can present itself in various forms, it can be reflected through patient care and the overall morale of the nurses. A hospital with will lackluster leadership may need to reevaluate and make necessary adjustments. A manager that is a focus on patient safety and the wellbeing of the nurses can contribute to increased productivity. So, his hospital made a choice in the ER to implement changes to the patient ratios and increased the amount of staff. The initial nurse to patient ratio was 1: 4 and move to 1:3. This change has allowed the nurse to provide more time with the patient, increasing the quality of and reducing nursing

Turnover is a significant problem in many long-term care (LTC) facilities. In fact, the typical turnover rates in LTC range from 55% to 75% for nurses (Barbera, 2014). Maple Manor was no exception. Approximately eight months after accepting a nursing position at the facility, the nursing department began to have extensive turnover problems. At one point, nurses were working a minimum of 16 hours of overtime weekly to meet staffing shortfalls. I resigned seven months after the turnover issues began. At the time of my resignation, the turnover problem had not been resolved, but it did seem less critical.

The Nursing profession currently consists of more than 3 million members. It is the nation’s largest segment of the health care labor force. The importance of their contribution to a medical system is concealed in the fact that they span many domains - from hospitals & health clinics to public health centers. Their varying educational attainments allow serving the miscellaneous needs of the communities ranging from direct patient care to scientific research. Many studies have shown that, coupled with the capable leadership, nurses can improve the efficiency of hospital care. In particular, Transforming Care at the Bedside (TCAB) program initiated by the Robert Wood Johnson Foundation, which ran from 2003 to 2008, produced a statistically

One of a healthcare facility’s greatest resources is its staff. Each organization is affected by the quality of care delivered by the staff, as their decisions and behaviors can make the difference between an average department and a great one (Studor Group, 2011). Consequently, the selection of staff is one of the greatest decisions made by the nurse leader. This decision may affect not only patient satisfaction scores but also the satisfaction of staff and physicians. The selection of staff is one that the nurse leader must make carefully and seriously.

It is important to distinguish an effective manager and a good leader, also to recognise the concept of being a good leader as well as an effective manager, managers aspiring to become a leader can benefit from acquiring leadership skills, a good leader possess several qualities that could easily be termed as good managerial skills. Hence a leader must be well developed physically, mentally and intellectually to be able to assume such positions.