The nation’s health is at risk and nurse should be encouraged to continue their education. Advancing educational levels help to prepare nurses for leadership roles and encourage autonomy in the nursing profession and practice. With health care policy constantly changing it is imperative nurses begin to design and advocate for healthcare policy to decrease or eliminate health care inequities. The American Nurses Association’s current definition of nursing is “the protection, promotion and optimization of health abilities prevention of illness and injury alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of individuals, families, communities and populations” (Nickitas, Middaugh & Aries, 2016, pg.
Finkelman, describes power as the ability to influence others and their decisions (2012). Based on Finkelman’s description of power I would consider myself as a powerful nurse. Often as a registered nurse, I have to utilize the power of persuasion through education and patient empowerment to convince and promoted healthy behavior changes to decrease re-hospitalizations. Furthermore, as an employee I am on a quality and improvement committee that meets monthly to identify ways the hospital can improve quality care, reduce cost, and implement evidenced bases cares/interventions.
Nurses are uniquely positioned to be present at virtually every level of our health care system, nurses work at the community centers, clinics, hospitals and nurses are also present not only as bedside clinicians but also at the level of management, in the form of nurse managers, supervisors all the way up to the Director of nurses. We have a unique vantage point of the real state of affairs of our health care system, with the push for higher education and training, nurses will start to occupy more influential
The Institute of Medicine (IOM) has a strong stance on nurses and leadership. They believe that nurses are a vital component to health care system and nurses in leadership roles can have a positive impact on such. Nurses are in all sorts of roles within the health care systems ranging from a staff nurse, nurse managers, to advance practice, all the way to congress (Finkelman & Kenner, 2013). In addition, they even serve in the boardroom within some health care organizations. Leadership doesn’t necessarily mean a nurse in a manager position, but a nurse who has an influence on staff.
Conclusion In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive
Shared governance is an innovative model used to provide direction for the professional practice of nursing. This model is used to direct nurses to participate in unit-based decision making that allow nurses to demonstrate accountability and ownership for their practices. The goal of the model is to improve quality patient care contain costs, and retain nursing staff. According to Marquis and Houston (2012), “In shared governance, the organization’s governance is shared among board members, nurses, physicians, and management” (p. 270-271). Shared governance is imperative in the healthcare institutions.
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice.
Nursing managers and leaders play a critical role in influencing the safety and quality of healthcare services on offer as well as the business of healthcare institutions. The managers and leaders individually strive towards influencing the behavior of the rest of the nursing personnel to provide direct, professional and individualized nursing care. Thus, although both of them play a mediated role, their responsibilities and style of accomplishing tasks within a health organization may differ. In practice, nursing managers and leaders are likely to employ significantly different approaches in identifying and exploiting resources within an institution and in resolving issues that may be threatening the operations of a healthcare institution.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
A notable finding of the study was the more autonomy the nurses felt they had compared to their peers on medical surgical floors. Their research states that oncology patients normally have complex cases and require a lot of knowledge and time. Due to the complexity of their cases, nurses on oncology floors tend to have much lower patient to nurse ratios and provide special training programs. This led to enhanced nurse autonomy as well as improve other aspects of their leadership skills such as improving their collaboration with physicians and other health care providers (Shang, Friese, Wu, Aiken, 2013). Overall, the findings showed that oncology nurses were more happy in almost every aspect of nursing environment compared to those on medical surgical floors.
This can only be done through support from senior management and nursing leaders (Carman et al., 2012). In turn, nurses would be able to cater care to their patients. Nurses play an essential role to nurture patient’s motivation for participation. Nurses need to encourage confidence for patients to become more involved in their care, especially during medical rounds, updates and allow them not to be coerced into their treatment by giving holistic information to make an informed decisions. Nurses spend the most amount of time with patients and that time can be used to build rapport and share knowledge with their patients.
According to Garson (2000), the primary issues of healthcare, which were improving access, lowering costs, and improving the quality of care, would accelerate through 2010. Later in 2008, the Institute of Medicine (IOM) along with the Robert Wood Johnson Foundation researched the need of radically changing the nursing profession to confront the issues of healthcare (National Academy of Sciences, n.d.). Through these issues the IOM has devised a report suggesting the transformation of nursing practice, education, and leadership. By transforming the nursing profession, the IOM will give way for positive changes in the healthcare system. With this said, the IOM has researched and devised a plan to confront the issues of healthcare, however, how will this impact the nursing profession?
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