Abstract
Healthcare organizations recognize the value to providing quality care requires implementing new methods practice, focused on reforming the structural components of the culture. As healthcare organizations prepare for the future, they are redirecting focus on creating an environment conducive to providing safe, quality, patient-centered services. The culture of healthcare is transforming the concepts of leadership and management focused on empowering their team to deliver quality, safe, patient care.
Keywords: transformational, culture of work environment, quality of leadership, organizational structure, patient-centered care, empowerment, safety
The Forces of Magnetism
Organizational Analysis
Healthcare organizations are in a
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Structural Empowerment centers on the idea that executive leaders can influence the professional practice of staff members by providing an innovative environment that supports collaboration and professional development, (Tinkman, 2013). Leaders can promote this type of environment using multiple methods, such as developing a strong strategic plan and solid policies and procedures, promoting certification, encouraging staff members to pursue higher education and become involved in the community and working to recognize nurses for their expertise and contributions. In turn, when staff members feel valued, they engage as part of a team that helps leaders achieve the organization’s mission and vision. The Medical/Surgical Manager reports directly to the Chief Nurse Officer, which works extensively in the strategic planning and decision-making process for the unit. As a key member of the Hospital’ leadership team, the Nurse Manager oversees the unit’s development to fulfill the patient care, and educational missions of the organization by following a Patient Centered Approach Model. The nurse manager rounds daily to assess the activities of all sections of the institution to monitor the competent, compassionate, …show more content…
In addition, the organization promotes involvement of nurses in professional organizations and among peers in the community, (ANCC, 2014). “Nurses must have the ability to work with other members of the organization to design organizational models for care delivery that meet patient/customer needs and priorities”, (Yoder-Wise, 2015). At Fort Duncan Regional Medical center the Management Team encourage all members of the team to participate in organizational activities such as, actively participate in organizations activities such as:
Town Hall Meetings, Inter-disciplinary Team Collaboration, the organization provides access to electronic educational material and encourage nurses to obtain skills certification, The EHR system has evidence-based practice methods and measurements built into the documentation components. Members of the organization and community are encouraged to access Health News from Fort Duncan Regional Medical quarterly newsletter, (FDRMC,
MSK has been effective in this area by implementing and continuously working towards efforts to educate and provide opportunities for everyone on all levels opportunities to be involved and succeed. The success of MSK over the years have not been left up to one individual but it has been a collaboration of individuals. The organizational structure and care model at MSK is aligned with their mission and value that reinforces the importance of safe, effective, and competent care. The collaboration efforts of various departments, units, programs and individuals all account for the sustainability of MSK’s organizational care model. This type of success has been implemented by holding everyone at MSK regardless of their position accountable for their overall
A nurse manager plays an important role on a hospital unit. Evans defines the role of a nurse manager as one who makes sure all the needs required on a daily basis are accomplished (Evans, 2011). Evans goes on to say that one primary responsibility of a nurse manager acting in the position of a leader is to “raise the level of expectation and help employees reach their highest level of potential excellence” (Evans, 2011). With this said, it is important to identify potential barriers and problems that a nurse manager would face on a given unit and create or adopt evidence-based interventions to eliminate these problems. When this is accomplished, it will help to foster a work environment that maintains safety to patients as well as staff.
Quint Studer’s, Hardwiring Excellence: Purpose, Worthwhile Work, and Making a Difference, is designed to motivate healthcare leaders to positively transform the culture of their organizations to move them from good to great. Studer notes that he aims for every healthcare leader to read this book and then ask all those who work with them to read it also. Hardwiring Excellence focuses on transforming culture by hardwiring positive attitudes in employees to create and sustain a great place for employees to work, for physicians to practice, and for patients to receive care. Studer emphasizes that transformation begins with core values of commitment to purpose, worthwhile work, and making a difference, which are cultivated by the ‘healthcare flywheel’ that creates the momentum necessary to drive change. Studer identifies nine principals that guide the flywheel to motivate transformation.
This addresses the environment in which nurses practices and strives for “an innovative environment where strong professional practice flourishes and where the mission, vision, and values come to life to achieve the outcomes believed to be important for the organization” (ANCC, 2008). This type of environment is accomplished by nurses working together towards a strategic plan outlined with facility policies and knowledge-based nursing and skills to achieve desired outcomes and accomplish organizational goals. I believe my facility does a great job with structural empowerment. Our nurse manager makes sure we know what our goals are as a unit. We review hospital satisfaction scores and infection rates to determine what practices need to be addressed for achieving organization and desired outcomes. We work to provide cost-effective care that exceeds national standards for excellence while working to strengthen bonds between staff members and making sure that at our facility “caring comes first”
An example could be the leadership and organization want the hospital to be recognized as a magnet hospital, in order to do that you need to empower your staff, to provide safe, effective, and efficient nursing care with the collaboration of the other health care members. Taking responsibility for our own empowerment can transform our coworkers, patients, departments, organizations, nursing profession, and even the society in general (Larkins, 2016).
Some aspects of the nurse’s job have been made easy and facilitated with the aid of other well trained professionals within their working environments. According to the American Nurses Association (ANA) (2012), registered nurse’s performance has greatly improved over the years as a result of their coordination and partnership with the health care system with other health care providers. As a result, registered nurses are today seen to occupy important leadership positions in the healthcare system and they participate when they are making decisions for patients as well as for other
...s by being role models of self-empowerment.” (Burkhardt & Nathaniel, 2014, p. 520) There are many constraints and issues which can affect the empowerment process. As nurses, we must address the “social, political, and environmental factors affecting empowerment” in order to provide the highest quality of nursing care. It is important to remember that “empowerment is an essential part of nursing care.” (Burkhardt & Nathaniel, 2014, p. 521)
Support of a decentralized organizational philosophy can transform organizations, staff, and patients because it affects the culture, improves staff outlook, promotes personal involvement and encourages staff to reach higher levels of quality care. In my organization, nursing leaders should strive to involve all patient care units and staff in shared governance, educate unit leadership council chairs, and build on the positive aspects by empowering, motivating and developing staff members. These actions will increase creativity, responsibility, intellectual stimulation, and well-being.
Cozen, F., & Mowbray, D. (2001). Leadership and the quality of care. BMJ Quality & Safety, 10(2). doi:10.1136/qhc.0100003
The healthcare’s culture, usually, is similar to the culture of the community it is located in. This is due to fact that healthcare organizations rely on the external factors around them while depending on the market sector in order
In summary, transformational leaders through their behaviors of compassion and selflessness encourage followers to emulate them. Through persuasive communication and confidence building, leaders advocate the adoption of new values and endorse the goals of organizational to their followers. Accepting of change, they focus upon coaching, communication, and mentoring to promote organizational success. Leaders challenge the process by encouraging others to challenge themselves to a higher performance. They create an open environment in which followers can create and innovate to meet the increasing challenges of tomorrow. Transformation leadership provides a model for impacting employee empowerment, developing an innovative culture and fostering organizational success in the ever-changing healthcare arena
How do we define a culture of excellence and then achieve it? “Excellence, by definition, means a state of (high) quality, superiority, eminently good, superior or first class”(Wiggins & Hyrkas, 2011, p. 1). Most health care organizations depend on reimbursement from private insurance, Medicare/Medicaid, private pay, and investors. Reimbursements for Medicare/Medicaid depend partially on patient satisfaction, which is evaluated through Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). These surveys evaluate all aspect of the patie...
Therefore, for nurses to see themselves as empowered, they must be free of oppressive leadership, work in a structurally empowering environment, as well as, believe they are capable of providing patient care independently (Rao, 2012, p. 400).
Quality health care is precipitously deteriorating amongst the nation’s health care industry. The health industry trends of high turn over rates amongst staff and important key employees are creating a rift in profit margins, decreasing patient quality care, triggering higher expenses and loss of patients (Hunt, 2009). In the “Best Practices in Health Leadership Talent Management and Succession Planning” case studies, presented by the National Center for
...ntinually evolve, a certain degree of freedom must be felt by its members, bureaucracy represents and organization from which chaos has completely been eliminated. Nurse Executives, therefore, will need to encourage staff to challenge existing practice. Given the current environment, creative conflict will need to be supported in order for our continued growth.” (McGuire, 1999, p. 9) I believe that Capital Health is on a path for success. They have modernized there organization chart causing a more decentralized environment. This new atmosphere fosters empowerment of its nursing staff. This sense of ownership over their practice provides growth not only for individual nurse, but the entire profession. This positive proactive change of the organizational structure will allow the hospital to experience continued growth and development that is propelled from within.