Background The nursing leadership problem is there are not enough bachelor prepared nurses to staff hospitals nationwide, because Magnet hospitals have a goal to have 80% of nurses in the hospitals to have a four year Bachelor of Science in nursing degree by the year 2020 (Sarver, Cichra, & Kline, 2015). This problem of the shortage of nurses stems from the baby boomers retiring and needing more medical care. So to offset the need for nurses, more two year programs for nurses have begun around the area to increase the nurse population to accommodate the baby boomers. The problem is leading to the nurses who are working short staffed becoming dissatisfied with their job and jumping around from hospital to hospital causing high turnover rates …show more content…
The process management has to go through to get a job approved is very extensive and requires several signatures from different levels of command, and then the Human Resource department ultimately makes the decision how many nurses the manager is allowed to hire for a particular unit based on average census over the last six month. Management is also limited on who they get to interview based on the applications that are put in by nurses and then further decreased by who human resources clears for the manager to interview. Management is currently only receiving applications from nurses who have bachelor …show more content…
Since we have determined the pro’s and con’s for nursing staff regards to bachelor degrees, we will now explore the hospitals’ pro’s and con’s to hiring a nurse with a bachelor’s degree. The American Medical Association printed an article describing the relationship between nurses with bachelor degrees or higher in regards to surgical mortality rates and failure to rescue. The study was designed to test whether hospitals with high proportions of direct-care nurses educated at the BSN level or above have lower risk- adjusted mortality rates and lower rates of failure to rescue. The study also tested whether the educational backgrounds of hospital nurses are a predictor of patient mortality beyond factors as nurse staffing and experience. The results showed for each 10% increase in the proportion of nurses with higher degrees decreased the risk of mortality and of failure to rescue by 5%, after controlling for patient and hospital characteristics. The study reported if the proportion of BSN nurses in all hospitals was 60% rather than 20%, 3.6 fewer deaths per 1000 patients and 14.2 fewer deaths per 1000 patients with complications would be expected. Nurse’s years of experience was not found to be a significant predictor of mortality or failure to rescue in the
Magnet hospitals are named for their potential to attract and retain qualified nurses. Magnet hospitals are facilities that have been certified by the American Nurses Credentialing Center for promoting positive patient outcomes through best practices in nursing (Upenieks, 2003). The Magnet environment fosters autonomy and professional nursing practice. Research shows that Magnet hospitals have better work environments, a more highly educated nursing workforce, superior nurse-to-patient staffing ratios, and higher nurse satisfaction than non-Magnet hospitals (Aiken, Kelly, & McHugh, 2011). Implementation of that environment requires the ability to create trust, accountability, and open communication in changing times. The American Nurse Credentialing Center (ANCC) organized 14 Forces of Magnetism into 5 Model Components to measure outcomes for the Magnet Recognition program. The first of the five components, Transformational Leadership, encompasses two of the 14 Forces of Magnetism: Quality of Nursing Leadership and Management Style (American Nurses Credentialing Center). The leadership approach best suited for the pursuance of Magnet recognition would be a transformational leadership approach. Nurse executives in a Magnet institution require the ability to foresee the future needs of healthcare, and must devise plans of action to meet those needs. They must communicate, monitor, engage, and inspire others toward the common goal. Management, likewise, has to communicate ideas and monitor progress, but must also be prepared to organize the undertaking and implementation of future pathways.
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
In order to practice as a nurse in the United States a passing score on the National Council Licensure Examination-Registered Nurse after attending a certified nursing program is mandatory (Dyess & Sherman, 2009). After completion of this prerequisite, nurses are licensed and expected to have the same general knowledge of all other nurses. A study done by the Advisory Board Company showed that only 10% of hospitals feel that their new graduate hires are fully equipped to offer secure care (Dyess & Sherman, 2009). Currently 10% of nurses working in an acute care atmosphere are recent graduates (Dyess & Sherman, 2009). Recently the notion that newly graduated nurses are not fully prepared to enter the working force has raised c...
Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
I believe that leadership is not something that you are born with, but that has to be learned over time. You learn to become a leader from watching other leaders, and also from personal experience. People should become leaders; so that they can help others do their best. They should not become leaders for the title and power that may come with leadership. Being a leader does not mean you get to boss people around by telling them what to do. The purpose of a leader is to guide others by encouraging, showing them the way, and by challenging them to do the best that they can do. I learned leadership through personal experience. In high school I played sports and had many class projects to do. My senior year was the first time my school had a soccer program, and I along with two other girls was captains. As we all know, when a group of girls come together, the drama comes too. All three of the captains had to work together and show the girls that if we wanted this program to be a success and grow, they had to work together as well. It was hard at first, but when we encouraged everyone, it worked out better than expected in the end. Also, in my business class, we had a lot of projects that were mostly group projects. During the end of the year, we had a project where we had to make up a new product. My partner and I were both seniors and it was a stressful time with finals, SAT scores, graduation, and trying to become honor graduates. We were tired and just did not want to do another project, but our teacher, Mr. Brace, did not give up on us. He showed us what to do, and encouraged us constantly every day. He would tell us many positive things and would check up on us. He was a great teacher and a great leader. Leadership may be one wo...
One of the problems that faces most health care facilities are being able to recruit and retain their nurses. Nursing shortage and turnover are a complex issue that is affecting healthcare delivery. Nurses form the majority in healthcare and mostly direct caregivers, its deficit poses a dangerous effect on the care of the sick and the disabled. Curbing the nursing shortage and turnover is important for facilities to hire and train their leaders and managers. A good leader or manager should be creative, effective, committed, initiative, motivated, and can handle stress (Huber,
Nurse’s can demonstrate leadership by facilitating outstanding care to patients and it is related to how one’s values and behavior affect others. A leader is all about with success and contribution and a successful leader set his/her standards, goals and strategies at high. One can become a leader by assigned or emerged but both will be working towards a common goal of good or bad. In leadership, positive attitude is the key to success and problems and challenge in healthcare industry demand that nurses seek and fill the gap.
An organization’s mission, vision, and philosophy determine the goals the company seeks to achieve and describes the structures used to reach objectives. The mission statement speaks to the relationship the organization has with the community by linking its actions to the people it serves. The vision statement gives details of the organization’s purpose and values to employees and customers. The philosophy defines principles and overall beliefs that guide the organization in reaching its goals (Current Nursing, n.d.). For this paper, I will describe the mission and vision statements of my organization, discuss how my role supports the mission, discuss pros and cons of the nursing department’s structure, and give examples of how nursing could
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
Sherman, R. & Pross, E. (2010). Growing future nurse leaders to build and sustain healthy work
One of the few careers left in the United States that is said to be everlasting, seems to be getting a taste of reality. What once was a thriving career has steadily begun to struggle with a call to arms. Hospitals around the world are finding that the need for nurses is increasing as new nurse graduates are decreasing. Nursing schools are unable to produce enough new graduates to meet the need. Which causes a need for adequate instructors with the knowledge necessary to educate nursing students. Even with the rate of nurses graduating each year with Bachelors and Associates, why are we in such a drastic need for nurses? Has the population and illness increased so fast that our current nurses are not able to keep pace? Many researchers have attempted to figure out what may be causing this need. This need for nurses is vital to patient care and outcome, but we still lack consensus. The question that has been asked since the 1980s with no resolution.
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
“What is a nurse?”. Denotatively, a nurse is “a person trained to care for the sick or infirm, especially in a hospital”; But nurses are far than just a trained individual, nurses are far more important which is why they are in such high demand. Nurses have always been in high demand. For hundreds of years now nursing has played a very important role in health care and the lives of numerous individuals. “The United States alone plans to add more than 382,000 nursing jobs in the next 10 years”. Four factors explaining why nursing jobs are currently in such high demand are: The academic selection process is very rigorous, the growing number of retiring nurses, nurses not having what it takes to keep up, also to prevent the doctors from getting