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Challenges of transformational leadership
Challenges of transformational leadership
Challenges of transformational leadership
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1. The proposed framework would change. The consideration for transformational leadership which may be who is to enact the change, however, change needs to be the framework. 2. The framework of change is a focus on the overall consistency of the project, to focus and structure the relationship between nurse retention and the changes in staffing (Bonnel & Smith, 2014). The relationship between the nursing environment within the emergency department to the lack of nurse retention with the focus on change. The purpose it to recommend the change to improve the situation and not just point at the problem. 3. The problem statement: The problem is the ED is not retaining nurses and faces a continuous influx of untrained, new nurses to fill
For Example, the NHS is facing difficulty in recruiting and retaining nurses and mid wives. This problem is mostly seen in inner cities and teaching trusts, although, the government has been trying to tackle this problem unfortunately, the root cause of staffing shortages remains complex.
The modern nurse has much to be thankful for because of some of the early pioneers of nursing, such as Florence Nightingale and Jensey Snow. However, the scope and influence of professional nursing, as well as the individual nurse, has seen more exponential growth and change in North America since the establishment of the first professional organization for nursing, the Nurses Associated Alumnae of the United States and Canada, which in 1911 came to be known as the American Nurses Association.
In order for a health care organization to maintain optimal function, the promotion of change is continuously necessary. Within the health care delivery system, there are a number of different techniques that nurses can use to determine where changes need to be made. One technique is called a SWOT analysis, which involves an evaluation of an organization’s strengths, weaknesses, opportunities and threats (Harrison, 2010).
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.
The stakeholders that are affected by the nursing shortage and nurse retention are the patients, the nurses themselves, the organization, and the payer. Nursing shortage and nurse retention has the biggest impact on the patients and their health. Knudson (2013) states that there is a correlation between nurse staffing and patient outcomes, failure to rescue, and patient mortality rates. Quality of patient care that the nurses offer their patients suffer as an effect of these issues. Patient suffer from lack of care, bed sores, falls, and medication errors when nurses are overwhelmed and stressed due to the nurse patient ratio being so high.
There are several factors that are considered the causes of the nursing shortage. Literature suggests that the shortage is linked to factors related to current population trends and the nature of the health care e...
The nursing shortage is divided into four different categories. The four categories are as follows; "willing nurse" shortage, funding or perceived funding shortage, shortage of understanding that nurses are needed to deliver care, and nurse education and empowerment shortages (What is the nursing shortage and why does it exist?., 18 October, 2007). To be able to repair this major problem, all four segments of shortages need to be addressed. The first nursing shortage, A "willing nurse" shortage, is the simple fact of not enough supply to fill the demand of nursing positions. This shortage occurs either because there are simply not enough nurses to fill the open positions, or because experienced nurses are opting out of nursing and the willingness to provide care due to the current occupational environment. The second nursing shortage is the funding or perceived funding shortage. This shortage is merely due to nurses not feeling as if they are being compensat...
The nursing shortage most likely does not mean a great deal to people until they are in the care of a nurse. The United States is in a severe nursing shortage with no relief in sight due to many factors compounding the problem and resulting in compromised patient care and nurse burnout. Nursing shortages have been experienced in the past by the United States and have been overcome with team effort. However, the current shortage is proving to be the most complex and great strides are being made to defeat the crisis before it becomes too difficult to change. Researchers anticipate that by 2010, the United States will need almost one million more registered nurses than will be available (Cherry & Jacob, 2005, p. 30).
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.
Many health care professionals are wondering why shortage transpired when managed care cost initiatives, implemented throughout the country, are dramatically decreasing the length of patient stays (Upenieks, 2003). In fact, such a situation should be resulting in a nursing oversupply. As the nursing shortage ensues, the need for recruiting and retaining highly skilled nurses committed to the organization will become necessary to maintain high-quality patient care. The recent national nurse shortage has resulted in higher nurse workloads; fewer support resources, greater nursing dissatisfaction, and burnout, making it more difficult to provide optimal patient care (Upenieks, 2003). The primary role of nursing is to provide the best possible care to patients.
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
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
A solid theoretical foundation is required to lead and manage change. For efficient and effective change to take place it must be intentional. Leadership set the tone and the direction of an organization allowing it or hindering it to change and adapt. Leader can use tactics and skills to create an organic change environment with the right change models and interventions when the organization is most ready for change.
Solutions for the nursing shortage beyond implementing safe nurse staffing ratios include: ongoing long-term workforce planning; institution of an education and practice system to promote more equitable compensation in the health care community based on a better understanding of the educational preparation required for different health care roles; implementation of specific strategies to retain experienced nurses in the provision of direct patient care, investigating the potential for using technological advances to enhance the capacity of a reduced nursing workforce; and advocate for increased nursing education funding under Title VIII of the Public Health Service Act and other publicly funded initiatives to improve
Other major issues in the nursing educational system include the need for increased faculty, faculty development challenges, nursing as part of an integrated healthcare team or workforce, and curriculum changes (specifically aligning the education with the practice environment). The proposed changes will attempt to set forth strategies to combat some of the nursing education systems devastating weaknesses.