In this assignment, I will briefly discuss the framework developed and implemented for quality of care in our healthcare system. I will then discuss the different aspects between leadership and management within the healthcare system, and how the role of the nurse manger can improve quality of care through their management skills. I will also discuss what management is and how the role the nurse manager can also enhance the quality of care through quality improvement initiatives, such as; patient safety. Finally, I will discuss how the use of information management systems used within our healthcare system can also help managerial nurses to monitor and improve on these quality initiatives.
In a report published by the Health Service Executive
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The quality of care is determined by not only the structure of the health system, but also the role of the nurse manager through the quality of education, training and competency. According to an article written by Draper, D.A. et al. (2008), nurses are on the front line of patient care and therefore can significantly influence the improvement of quality of care and ultimately enhance patient treatment and outcome. Draper, D.A. et al. (2008) also argued that potential implications, such as; high level of documentation, staff shortages and nurses education and training can all have an impact on nurses’ involvement in providing quality of care. Therefore, the role of the nurse in managing and improving quality of care can be challenging, especially if nurses do not have competency, appropriate training, education, support and the resources needed (McCallin, A.M. and Frankson, C. …show more content…
Leadership can be defined as a combination of having both personality traits and learned leadership skills, and it is the ability to guide, inspire, motivate and influence other person’s behaviour to set out and achieve optimum goals (Cherry, B. and Jacob, S.R. 2015). Management skills and nurses managers however focus on the systems and structure of the healthcare system itself and have been given the responsibility to co-ordinate and accomplish these goals, such as; time, staffing , problem solving and decision making (Cherry, B. and Jacob, S.R. 2015). An article written by Parand A. et al. (2014) defined a manager as an employee who is accountable and responsible for staff members and involved in the recruitment, training and education. Managers tend to adopt an attitude aiming towards goals that are necessary rather than goals that are desired; therefore managers are greatly required within the culture of the healthcare system (Zaleznik, A. 2004). These concepts both have common characteristics and require authority and power to be able to motivate and influence individuals to act in a certain
Throughout history nurses have been under appreciated, not to say its done on purpose. Luckily, the best nurses do not do what they do for praise or approval but because we care and want to see our patients improve. When I first read this article I was agitated at the fact that nurses werent even considered for a role in the Quality Alliance Steering Committee. Considering nurses play such a large rold in patient care and outcomes
Leadership has many definitions. Chin, Desormeaux, and Sawyer (2016) define leadership as a relationship between followers and a leader with the intent to promote change through a mutual vision. Therefore, leaders are active influences in the outcome of organizations, through their decision-making, strategies, and influence on followers (Dinh et al., 2014). Additionally, in the nursing context, it has been documented that a leader 's style plays a factor in patient outcomes (Fischer, 2016). Indeed, in an ever-changing, complex health care environment, nursing leadership has become a crucial factor in managing challenges and maintaining patient safety (Fischer, 2016).
Nursing administration on a national level is best described by The National Center for HealthCare Leadership (NCHL). This is a non profit organization that exemplifies quality care and leadership in the 21 st century. The goal of this organization is to improve healthcare on a national level through efficient and effective management that is in accordance with it’s mission. In keeping with it ’s mission, NCHL embarked upon an ambitious initiative with the support of the Robert Wood Johnson Foundation, examining the role of the senior leadership team in promoting quality and safety in his/her organization (Disch, Dreher, Davidson, Sinioris, & Wainio, 2011).
Organizational Systems and Quality Leadership A. In a study written by Liza Heslop and Sai Lu, the authors contended that nursing-sensitive indicators (NSIs) play a significant role in enhancing the nursing care performance of nurses (Heslop & Lu, 2014). To note, the NSIs also shows the structures, processes, and outcomes of nursing care that is why they greatly impact the way how nursing care is delivered (Magnet Today, 2013). For example, the Magnet Recognition is so focused on enhancing the quality of NSIs because “they want to achieve new levels of quality, efficiency and effectiveness” (Magnet Today, 2013). Consequently, the use of NSIs is also crucial with how nurses provide a high-quality patient care.
Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways.
1 posts Re:Topic 5 DQ 2 Continuous Quality Improvement (CQI) is a strategic approach to providing the best healthcare possible. It is a preventative strategy that uses constant innovation to improve work processes and systems by reducing time-consuming, low-value activities. Time that was once spent on rework and crisis management is now spent on planning, coordination and control. As a nurse manager, one of my duties is to map out a sustainable plan that is efficient and effective enough to help my organization face the issues of performance and quality of care (Ballard, 2010).
Unfortunately, at this moment, there is little improvement regarding the quality of patient care since the To Err Is Human report was published in 1999, by the Institute of Medicine (IOM, 1999). Presently, health care provider education should focus more on the demands on quality and safety. The beginning of Quality and Safety Education in Nursing (QSEN) was created to integrate quality and safety competencies in nursing education. For this reason, nursing schools should reinforce and focus on the competencies of QSEN, within the curricula of the baccalaureate programs.
Transition to Leadership Scholarly Paper: Transformational leadership Leadership demonstrated by nurses has been identified as an essential aspect of efficient functioning within a unit as well as, it is a pillar of high quality nursing care (Ajanaku & Lubbe, 2021). The state of healthcare is constantly evolving and changing and throughout this nurse leaders have played a part in helping transition to new best practices. Kouzes and Posner have developed a leadership mode centred on different leadership practices that when used helps develop effective nurse leaders. This model includes 5 areas of practice which includes: model the way, inspire a shared vision, challenge the process, enable others to act, and encourage the heart. For a nurse
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
What is a Quality Improvement Manager in Nursing? A quality improvement manager in nursing is a very special health care professional who combines their expertise in quality, health care and management to make systematic police and process improvements. What is Quality Improvement Management in Nursing? According to the American Nurses Association’s The Online Journal of Issues in Nursing (OJIN), quality improvement initiatives are driving major changes in the health care system.
In a health care setting the total quality would consist of effectiveness of treatments and the patient satisfaction with the service. Total quality management should focus on the patient because they are the ones to evaluate the effectiveness and appropriateness of the treatments. Quality management requires strong leadership roles within the organization among the executive. Everyone in the organization should try to accomplish a common goal. These goals should be geared toward total quality and supervisors should continue to motivate all clinical employees.
Healthcare is a complex industry and these skills are essential to a smoothly run system. For instance, leadership skills are considered very important because good leaders are able to be authoritative but also have an interpersonal relationship with the people they are mentoring or leading (Cushing, 2016). This creates a positive work environment and enhances quality of care given to patients. Furthermore, a well-rounded leader in the health care industry will create opportunities for their employees and introduce them to challenges while also supporting them though the situation (Cushing, 2016). Also, a skill incorporated into leadership that can be connected to management is the change factor of healthcare.
The Organizational Review The organization Memorial Hermann Health System is a provider that strives for excellence. The Memorial Hermann mission is “To lead healthcare to superior patient outcomes through the creation of a high-reliability culture with evidence-based quality and patient safety as our core value. " Having a strategic plan with specific measures of Clinical Excellence, Do No Harm, Saving Lives” (Memorial Hermann Health System, 2013).
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
He or she needs to learn to take control of issues and handle them as a good leader should instead to reporting all issues to the leader in charge. He or she assist the employees and protect them from being molested by both internal and external forces. They help to prevent unnecessary retrenchment of staff but rather redistribute them to other departments where their services are more useful. The nurse manager helps to motivate the workers by rewarding them financially and non-financially. He also inspire the nurses to provide a better patients care and become more productive and satisfied in their