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Role of the nurse in leadership
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In the 1980s, hospitals were struggling with a nursing shortage. A new recognition called the Magnet program was awarded to hospitals which fulfilled certain requirements and had attracted and retained nurses (Dumpel, 2008). The question asked is if hospitals with Magnet Recognition deliver higher standards of care when compared to other hospitals. It is also been brought up that these hospitals are attracting more nurses to work for them due to their superior work environments. This paper will explore the actual effects the Magnet Program has on hospitals.
Magnet recognition is awarded by the American Nurses Credentialing Center. To date, over 200 hospitals have achieved the recognition of Magnet Status (Kaplow, 2008). Fourteen characteristics described as the Forces of Magnetism are used to promote what a Magnet hospital provides in terms of care. Examples include quality of care, quality of nursing leadership, quality improvement, and professional models of care. The main aspects of the forces involve having RNs taking on responsibility and leadership to help managers create b...
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.
Magnet Status is a credential of organizational acknowledgment of nursing superiority((Nursing world). It is given to hospitals that have satisfied the requirements intended to determine the quality and strength of their nursing (Nursing World). The magnet status award is given to hospitals by the American Nurses' Credentialing Center, which is an associate of the American Nurses Association (The truth about nursing, 2012). This award was started in 1990 as a way to recognize hospitals that offer outstanding nursing care(Hopkins Medicine). Since 1990, out of all 7,569 hospitals in the united states, only 258 of those hospitals have received the honor of magnet status (Hopkins Medicine). Magnet status does not come easy, so hospitals must work very hard in order to meet the strict requirements (Hawke, 2003). Magnet status is a
The magnet recognition program began in the early 1980s as a stride towards promoting nurse retention in the United States. Administrators, directors, staff nurses, and hospital administration gathered together to discuss the essentials of hospital designation. The original research, gathered in 1983, was targeted to identify successful nurse retention. In 1993, the ANCC approved the standards set forth in previous research to become standardized utilizing the forces of magnetism. The 14 characteristics described by the ANCC as “forces of magnetism” define the structure of excellence within the healthcare environment. McClure & Hinshaw (2002), describe the following 14 characteristics that attract and retain nurses to magnet hospitals: “Quality nursing leadership, organizational structure, management style, personal policies and programs, professional models of care, quality of care, quality improvement, consultation and resources, autonomy, community and health organization, nurses as teachers, image of nursing, interdisciplinary relationships, and professional development”.
Is Nurse Executive/Nurse Management Practice a Profession? Nursing Economics, 30(1), 38-39. Munoz-Price, L. S. (2009). "The 'Price' of the 'Price'. " Long-Term Acute Care Hospitals.
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).
Nursing Economics. (2004). The effect of case management on US hospitals. Retrieved from Medscape News Today: http://www.medscape.com/viewarticle/473679
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.
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
It has been said that CNSs may be considered ‘invisible champions’ despite the many positive and significant contributions that they make to quality improvement.” (Walker, Urden, & Moody, 2009, p.515). Due to a CNS involvement in quality, evidence practice and safety issues are seen and addressed. Magnet status is a very complex process. There are 14 Forces of Magnetism which are the groundwork of obtaining Magnet status. The new model consist of an added 5 major components. These five components are as follows: “(1) transformational leadership; (2) structural empowerment; (3) exemplary nursing practice; (4) new knowledge, innovation, and improvements; and (5) empirical quality results.” (Walker, Urden, & Moody, 2009, p.515). As I view these new added components I see that the CNS role is an asset to applying and maintaining Magnet status. Which leads us into the question of how a CNS impacts the cost and quality of
The region’s labor market is already tightening, as a result of which competition for skilled healthcare professionals is increasing. Kaiser Permanente would have to compete with the existing hospitals in recruiting and retaining qualified management and staff personnel responsible for the day-to-day operations of each of its hospitals and physician practices, including nurses and other non-physician healthcare professionals. The scarcity of nurses and other medical support personnel in the region presents a significant operating issue. This shortage may require Kaiser Permanente to enhance wages and benefits to recruit and retain nurses and other medical support personnel, recruit personnel from foreign countries, and hire more expensive temporary personnel. Competition for skilled healthcare professionals may lead to a further increase in Kaiser Permanente’s wage
Magnets have a long history in medical applications. In 18th century Europe, the use of magnets was just another type of what we now call “faith healing.” To this day, people continue to experiment with magnetic therapy. The magnetic devices that are claimed to be therapeutic include: magnetic bracelets, insoles, knee and wrist bands, back and neck braces, and even pillows and mattresses. Magnetic therapy has become so common that a Google search for “magnets and pain relief” returns over 700,000 results. Some advocates of magnetic therapy claim magnets to be a strong alternative to conventional pain medication. But are magnets a legitimate form of medicine? Besides the use of magnets in everyday life—in televisions, refrigerators and computers—magnets have acquired a medical reputation for relieving pain. Magnets are said to increase circulation to problem areas, reduce swelling and aid in recovery. As of 2007, the National Center for Complementary and Alternative Medicine (NCAM) had performed a number of preliminary scientific studies with no clear results on the efficacy of the healing powers of magnetic devices. Just as important, NCAM, continues to pronounce magnet therapy as a mystical form of relief that is very real but cannot yet be explained. Still, magnet merchants dominate internet searches. As explained by Cepeda, Carr and Sarquis, “…it is crystal clear that billions of dollars [$300 million in the U.S. alone] have already been spent on magnet therapy, or perhaps, wasted on magnet therapy. To be blunt, there is no proven benefit to magnet therapy.” This paper will examine the legitimacy of magnet therapy, the pseudoscience that acts as evidence to its supporters and the science that challenges its fac...
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Bedside nurses want to change staffing levels to assure that they have enough time to both keep up with the constantly evolving health care and to provide safe patient care. Yet, healthcare employers consider that reducing nurse patient ratio is an unnecessary expense that has not been proven to improve quality of patient care (Unruh, 2008). Employers emphasize that raising nursing staffing level is not cost-effective. In fact, in accordance with ANA’s report (2013), a study, in the Journal of Health Care Finance, confirmed that reducing patient-nurse ratios increased hospital costs, but did not lower their profitability. Higher hospital costs were attributed to wages and benefits allocated to newly hired nurses. Yet, according to Cimiotti et.al (20112), it is more costly for hospitals to not invest money on nursing.
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.
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.