The Institute of Medicine (IOM) report on the “Future of Nursing” (2010) have challenged nurse leaders and frontrunners of health care organizations to act towards the challenges of expanding patient care demand. In response, the health care system faced rapid changes and a multifaceted shift in patient care model (Baker, 2017; Denker, Sherman, Hutton, Brunell, & Medina, 2015), leading to the expanding role of nurse leaders. Such, health care changes and nurse leadership concerns have affected the health care industry nationwide including the United States Department of Veterans Affairs (VA, 2014). Despite Veterans Health Administration (VHA) system vast network of leadership, the organizational pipeline is insufficient to successfully …show more content…
The WELCOME program creates a concrete experience that is in non-threatening environmental opportunity enriched with true-to-life management scenarios for the nurse learners to assimilate (Radovich et. al, 2011) and engaged through participation, observation, and debriefing (Rothgeb, 2008). The process allows “error in judgment” and permits “witnessing of consequences” on decisions taken (Rothgeb, 2008, p. 490).
Reflective Observation. Reflective observation transpires during and after the debriefing phase. Nurse participant can envision the tasks and review what has been done and experienced. The nurse leader’ personal experience, values, belief, and attitudes impact the ability to focus and identify differences. Such personal experience is redirected to the formation of new knowledge as based on VA core values. Nursing action includes watching, reviewing, and assessing (Kolb,1984).
Abstract Conceptualization. Interpersonal experience permits nurse learner to formulate abstract conceptualization while integrating management concepts and leadership experience, communicate new departmental plans and ideas, and redirect learner to consider new actions (Morse, 2012), modify existing abstract concept, and utilize theories as the foundation in framing
In particular, the use of Florence Nightingale’s theory of nursing as the basis of my new practice had allowed me to begin with the basics and work my way forward toward a more modern and holistic approach to nursing care. While Florence’s work focused mainly on the military and her care of soldiers, she began to establish schools of nursing to promote nursing education and to encourage people to view nursing as a viable profession, (Alligood, 2014. 63). Nightingale’s focus may have been care of the military, but she made great strides on getting recognition for nursing and her theories still affect the practice of nursing today. In the article, Nurses as Leaders, the author proposes that nurse leaders have made great strides since Nightingale’s time when nurses were conscripted to help care for wounded soldiers. Such a setting required these early nurse pioneers to rely on critical thinking and quick action in order to save lives. The author goes on to discuss how a change in nursing occurred in the early 20th century as new management styles emerged, most notable the “Scientific Management,” model. This style placed doctors at the top, then nurse managers, and on down to bedside care staff. Though this did allow some nurses the ability to move upward, nurses resented a doctor being in charge of their teams as the work of a physician and that of a nurse are two very different practices, ("Nurses as Leaders," 2016). This is quite different from the modern concept of a nurse executive as leader of
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
Wilcox, J. (2012). Challenges of nursing management and leadership. In J. Zerwekh, & A. Garneau, Nursing today transition and trends (7th ed., pp. 191-217). St. Louis, MO: Elsevier.
Health care organizations and the way patient care is delivered is rapidly changing. The ability to manage, promote, and facilitate change is one of the most important skills that nursing leaders need to be successful. Influencing change requires effective communication skills, and the ability to help others see the vision (Curtis, De Vries, & Sheerin, 2011). Nursing leadership can no longer take a top down approach when leading change. During periods of organizational change there is great uncertainty. Nurse leaders are responsible for influencing change by creating an atmosphere where information is shared, there is a reshaping of ideas, and a vision is created (Samela, Eriksson, & Fagerstrom, 2011). Effective communication is an essential
On the 1st of November 2013, I performed my first simulation on the module, Foundation Skills for Nursing. This simulation was on checking for vital signs in patients particularly, measuring the blood pressure (BP) which is the force of blood vessels against the walls of the vessels (Marieb and Hoehn, 2010). We also measured the temperature, pulse and respiratory (TPR) rates of a patient. This simulation’s objective was to engage us in practising some basic observation techniques taken on patients in and out of hospitals and to familiarise us on some of the tasks we will be performing when in practise. I will be applying the “What”, “So what”, and “Now what” model of reflection in nursing by Driscoll (2000).
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
To contribute patient safety and excellent care, nurses in all levels must have strong leadership skills. Nurses should have a voice in health policy decision making and should be an active part of advisory committee, commissions and board of nursing where policy decisions are made to improve patient care (IOM, 2010). This transformation will bring forth a more positive work environment for professionals as well as progress all aspects of patient centered
Hospital administrators will charge nurse leaders with ensuring that patient positive outcomes prevail while also controlling overhead. Nurse leaders are specially trained just for this task. Clinical Nurse Leaders are the experts that America’s patients will rely on to keep them safe and healthy in hospital settings.
The nursing career has a growing workforce, spurred on by the high demand for caregivers. The growing need for nurses has caused in influx of new nurses, graduating from school and ready to begin their career. Although there are many different work settings for nurses, one universal aspect of assisting new nurses is nursing leadership. Leaders within nursing are tasked with assisting new nurses as well as those who are veteran nurses, and their role is indispensible. “Health leaders model the behavior expected in the organization” (Ledlow & Stephens, 2018). Susan Eckert, the senior vice-president of nursing and chief nursing executive at Medstar Washington Hospital Center, is a prime example of a nursing leader.
Nursing should be a partner, with the medical teams in redesigning the American health care system. Policy making and efficient workforce preparation require advanced data collection and an upgraded information support. Therefor, Nursing profession need transform in three critical areas, which are education, leadership and practice (The Future of Nursing: Leading Change, Advancing Health.
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).
Sherman, R. & Pross, E. (2010). Growing future nurse leaders to build and sustain healthy work
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.
Leaders in healthcare have so many daily obligations that they have to meet and be responsible for. Today’s leaders have to keep up with scheduling, flexing, covering vacation, meetings, their department as a whole, and make sure everything runs smoothly. With the ever changing healthcare nurses have to be up to date on new technology, training, and new education. The department head is not only a supervisor; she is a bedside nurse meeting multiple demands. She takes on tasks that include everything from the bedside nurse, to unit meetings, to charge nurse, and to scheduling, just to name a few. Speaking to leaders and managers in healthcare today the stress is at all time high from the new healthcare reform, nursing shortages, and meeting daily productivity.
Being a registered nurse affords one the option of working in many diverse healthcare settings. In any practice setting the climate of health care change is evident. There are diverse entities involved in the implementation and recommendation of these practice changes. These are led by the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM), nursing campaign for action initiatives, as well as individual state-based action coalitions. Nurses need to be prepared and cognizant of the transformations occurring in health care settings as well as the plans that put them at the forefront of the future.