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NU 413 Quality Care and Patient Safety Week 8 Discussion Board Post
According to the International Council of Nursing and the Institute of Medicine, one of the reasons for the current and future shortages of nurses relates to the work environment (climate/culture) (as stated in Stone P.W. (2008). The climate (environment) and culture (philosophy, principles, beliefs and values) aspects of an organization should be a system of shared assumptions, values, and beliefs, which governs how people behave in organizations. Strong leaders can educate, coach and mentor other workers, identify strengths and weaknesses in others and manage employees to reach goals in an efficient manner. Clearly, understanding organizational aspects that promote a stable workforce is important. Organizational climate is one of the all-encompassing, across-the-discipline aspects found in the healthcare work environment (Stone P.W. (2008). et al).
Identify and discuss the strengths and weaknesses of the work environment at your practice.
The strengths of the work environment in my practice are ones that foster and
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For me as an experience professional, sharing in decision-making, being active in creating standards of excellence (based on evidence-based data), and then setting an example for others to follow. Being involved and active in organizational climate (environment), and the setting of my own practice (critical care), is the best way of advocating for change, thus improving the environment in which nurses work can attract new students to nursing as well as engage current professionals in developing new creative models of care delivery that promote changes in practice and patient outcomes AHRQ. (n.d.) and Stone P.W. (2008). et
Cronenwett et al emphasises the key competencies for nursing are not only providing patient centred care, ensuring safety, team work but also quality improvement, suggesting all nurses must embrace change. However embracing change can be difficult due to many barriers. Brown et al and Gerrish identify some of these barriers such as time constraints, communication issues and differences professional issues.
If anyone knows me as a person, they will tell you that I’m adamant and open. I have no problem jumping up to the table and making my suggestions known if it has to do with a patient/resident getting the proper care. I learned from my clinical instructor it was that you stick up for your patients/resident no matter what and this is what I have set out to do. I always think that the resident/patient is my family member. With all the hustle and bustle of today and the pressures of the health care industry. I find that nurses have a hard time prioritizing their care and day. We either get scolded for not clocking out on time, the call bell on too long or using too many supplies. The companies and facilities want us to be happy and retain their nurses. When I am working day to day, I constantly am looking at the six “AIMS for Improvement”. The sixth on equitable is a
The American Nurses Association (ANA) developed a foundation for which all nurses are expected to perform their basic duties in order to meet the needs of the society we serve. The ANA “has long been instrumental in the development of three foundational documents for professional nursing; its code of ethics, its scope and standards of practice, ands statement of social policy.” (ANA, 2010, p. 87) The ANA defined nursing as “the protection, promotion, and optimization of health and 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” and used to create the scope and standards of nursing practice. (ANA, 2010, p. 1) These “outline the steps that nurses must take to meet client healthcare needs.” () The nursing process, for example, is one of the things I use daily. Other examples include communicating and collaborating with my patient, their families, and my peers, and being a lifelong learner. I continually research new diagnoses, medications, and treatments for my patients. As a nurse of ...
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”
(2015) implies that the unit manager together with work environment, greatly influences the nurse’s overall job satisfaction, and has little to do with the stress of caring for patients. Furthermore, studies show that stronger relationships amongst management, staff, patients and families, allows for bonding between each component of the healthcare pyramid and makes the job more “enjoyable”, thereby reducing the emotional fatigue associated with burnout. Research also states that changes in organizational policies such as nurse to patient ratio, short staffing, etc., reduce this risk (Australian Nursing Journal,
Nurse workplace environments have only really been studied during the last decade. There is growing research in this area especially due to the nursing shortage. International consensus is if you identify opportunities to improve working conditions for nurses, you will have a higher probability of maintaining staff (4). The success rate of retaining
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
The way you have to learn how to think in a different way. You have to bring all your knowledge and apply it to different situations to have better outcomes and make better plans. It is a constant change and you’re consistently learning new things. A person can choose to effect the community in a small way working with individuals. They can also choose to effect the community in a bigger way with the political side of nursing. They can influence new policies and make their community better. Nurse practitioners are able to have more time with patients and help meet their needs. They are able to teach patients about other issues that they have and come up with a plan to help improve them along with the main medical need. I want to take on patient care in an individual setting. To be able to be a support system and help them in the right direction that will benefit them in a positive
Nurses use evidence based practice and research to develop knowledge needed to practice in the nursing profession. Nurses use practical knowledge and theoretical knowledge in the many roles that nurses perform. As a provider of care and manager of care, nurses should use evidence based practice, research, and theoretical knowledge to ensure the best possible outcome for the patient. Lifelong education in nursing is necessary to keep up with the changes in nursing practice and to reinforce ethical knowledge and the core values that nurses use in their everyday practice. The professional value of caring as a nurse is one of the most important values. The caring attitudes of nurses will carry over to all other values that nurses should possess,
According to Breau and RÉAume (2014), some of the major reasons nurses are dissatisfied with their jobs is due to their salaries, work environment, and lack of educational and advancement opportunities. In fact, poor working conditions was a substantial predictor of a nurse’s intent to quit their job (p. 16). In addition, “unhealthy work environments are an important determinant of several work-related outcomes, including burnout, job dissatisfaction and turnover intent” (Breau & RÉAume, 2014, p. 17). Therefore, in order for nurses to overcome their dissatisfaction with work; nurse leaders need to create empowering environments that remove barriers to resources and information. In turn, nurses will then be able to share empowerment strategies,
Managers are called upon to understand and lead an ever-diversifying workforce. However, a manager’s job does not end there; these individuals also need to develop an understanding of themselves in order to manage effectively. Identifying strengths and weaknesses and areas in need of personal development is a career long endeavor. While we are all unique and will develop our own personal leadership style, there are several core efficiencies we must have in order to be excellent managers.
learning and how myself as practitioner can give to an effective learning environment. I have been a critical care nurse working in intensive care unit for almost seven years. I am graduated from local nursing school in 2002. At first, I worked on a regular hospital floor. One year later, I came to intensive care unit and obtained my intensive care post basic certificate in 2006. I was attracted to critical care nursing because of the challengers and the environment. Here in the intensive care unit my nursing skills and role continues to evolve.
In the following assignment, we are going to talk about motivation and how important it is for every organization to keep its employees motivated. Also, we will discuss different types of motivational theories, characteristics of a positive work environment, HR practices that positively influence affective process and behavioral process which includes motivation, job satisfaction, commitment, fair treatment, respect, health and wellness, diversity, effort, reduced turnover, absenteeism etc. In addition to this we will learn synthesis of Hackman and Oldham’s job characteristics, employees’ psychological state in relation to work outcomes and relationship between Maslow’s general components and job characteristics in view of motivating
First, work pressure is caused by various factors result of the inability of the individual to do his working required of him. First reason is a lot of working that makes employees feel bored and nervous. Doctor leaves all the works that should do him. Next reason, the nurses cannot take the time to rest and relax during the work of the causes of the pressure of work period. In some hospitals there are a little number of nurses or other way hospitals are suffering a shortage of nurses and doctor therefore have to work on nurses not only be able to take a break. Third, the lack of positive reinforcement and by not rewarding nurses at achieving excellent work. It can be barriers to organizational diversity because they can harm working relationships and damage morale and work productivity. There are Negative attitudes and behaviors in the hospitals workplace Such as, the negative nurses who speaks with doctor or other nurses by negative way and not smile. For example, when the others asked his opinion about something like patient result to gives them his opinion by negative way just the result do not read that. Another example, negative employee does not smile and nervous where affects patient when he goes to find addresses and nervosas nurses gives a patient negative idea therefore does not accept the patients treatment and does not want to go to the hospitals
As a leader, it is important to create a positive work environment that is based on honesty, trust, and values. The return from creating an environment that is based on these traits will lead to increased employee motivation, communication, productivity, cohesiveness, collaboration, and commitment that will move the organization forward to achieve great things. It is important as a leader to bring your employees together to work as part of a team and create a positive, healthy work environment. Health care leaders should strive to support and encourage both individual and team participation on all levels to create efficiencies within the workplace (Dye, 2010). Honesty, trust, and values are important concepts in creating an effective team