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Intervention #4- Create Support System for New Hires
To help anyone in a new environment succeed, support is essential. A healthy work environment is key for support. An environment is a system, the aggregate of conditions, influences, forces, and cultural values that influence or modify an individual 's life in work and in the community. A healthy work environment is an interrelated system of people’s structures and practices that enable nurses to engage in the eight work processes and relationships identified by clinical nurses in Magnet hospitals as essential to providing of quality care to patients in hospitals (Kramer, Brewer, Maguire, 2011). The single most important variable in the perception of a new graduate is a healthy work environment.
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Rightfully so, every nurse should be competent in their skills. Assessing the competence of practicing nurses is crucially important in identifying areas for professional development, educational needs, and ensuring that competencies are put to the best possible use in patient care (Meretoja, Isoaho, & Leino-Kilpi, 2004).
Tools to help these nurses be competent should be easy to learn, time saving, and efficient to the staff involved. Instruments to assess nurse competence should be relatively easy to use for self-assessment and for managers to use in annual review processes (Meretoja et al., 2004). The 73-item Nurse Competence Scale instrument, was a tool that was developed and tested for validity and reliability (Meretoja et al., 2004).The tool that may be most reliable in evaluation of skills, critical thinking, and clinical reasoning for multiple areas is the Nurse Competence Scale (Meretoja et al.,
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The QSEN tool offers clarity, consistency, and an objective evaluation in an area of nursing education that is sometimes viewed as inconsistent, subjective, and unclear (Eymard, Davis, & Lyons, 2013). The need for competency tools to evaluate beyond knowledge and technical skills is going to improve through positive patient outcomes (Maddox et al, 2014).
In conclusion, the call to lead a nursing team resides in each and every nurse. Finding the model of leadership appropriate for the situation can become difficult. As discussed, transformational leadership is quite different than situational, but both have important uses in different situations. The hiring process was examined from a nurse’s standpoint and six guided interventions including screening RNs behavior, increasing departmental funding for leadership training, initiating nurse residency programs, providing support for new nurses, clinical practice through scenarios and role playing, and creating tools to measure competency will likely help the institution meet its final goal of competent nurses resulting in higher patient satisfaction and
Nurses are key components in health care. Their role in today’s healthcare system goes beyond bedside care, making them the last line of defense to prevent negative patient outcomes (Sherwood & Zomorodi, 2014). As part of the interdisciplinary team, nurses have the responsibility to provide the safest care while maintaining quality. In order to meet this two healthcare system demands, the Quality and Safety Education for Nurses (QSEN) project defined six competencies to be used as a framework for future and current nurses (Sherwood & Zomorodi, 2014). These competencies cover all areas of nursing practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality
Senior nursing students will complete a QSEN weekly clinical journal requirement learn how to self-assess their progress toward demonstrating these nationally-based competencies. The students will select a different competency each week to address and discuss how they applied that competency to patient care or how they hope to better achieve that competency as a graduate nurse. By the end of the clinical rotation each student will have had a chance to focus on each of the six QSEN competencies: patient centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety and informatics. The students’ reflection on their clinical experiences each week will teach them how to integrate the core competencies required before graduation. According to Use of self-evaluative practices puts the power back upon the student to direct and think critically about their learning (Dickensen, 2015). Demonstrating these competencies supports safety and excellence in clinical practice (QSEN,
Theisen, J. L., & Sandau, K. E. (2013). Competency of new graduate nurses: A review of their weaknesses and strategies for success. Journal of Continuing Education in Nursing, 44(9), 406. doi:10.3928/00220124-20130617-38
Implementing care plans within legal, ethical, and regulatory parameters is a competency that all registered nurses but abide by. As stated before as a baccalaureate nurse you must include not only patients and their families but also the community and population (The Texas Board of Nursing, 2011). Following the nursing process the next competency include evaluate the results of the implementations that have occurred. Once again the biggest difference between the two degree plans is baccalaureate nurses will also include the community and population as well as the patient and their family (The Texas Board of Nursing, 2011). Education is a vital piece of nursing and must be completed at every possible opportunity. Educated patients and their families on promoting health and marinating health is a very important concept. Expanding this education to the community and population is a vital step in helping reduce risk for our patients (The Texas Board of Nursing, 2011). The last competency is the nurse’s role in coordinating human information and material management resources for patients and their families as well as the expansion to include communities and populations as ones transition to a baccalaureate nurse (The Texas Board of Nursing, 2011).
K. Lynn Wieck, RN, PhD, FAAN, is the Jacqueline M. Braithwaite Professor, College of Nursing, The University of Texas at Tyler, Tyler, TX, and CEO, Management Solutions for Healthcare, Houston, TX; Jean Dois, RN, PhD, NEA-BC, FACHE, is the System Director for Quality and Nursing, CHRISTUS Health System, Houston, TX; and Peggy Landrum, RN, PhD, is Clinical Professor, College of Nursing, Texas Woman 's University, Houston,
Increases the responsibility and accountability of professional nurses — an advantage for lifelong learners and knowledge workers, but a disadvantage for those without the proper knowledge and
As a nurse we are responsible for the safety and overall health promotion of our patients. Competency in the nursing field is what ensures patient safety and decreased hospital acquired injury. Continued competence ensures that the nurse is able to perform efficiently and safely in a constantly changing environment. Nurses must continuously evaluate their level of skill and find where improvement needs to be made in order to keep up to date with the expected skill level set by their
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
According to Lora Claywell, "The goal of QSEN is to ensure that all nurses develop the knowledge, skills, and attitudes (KSAs) to be pivotal in the quest for continuous quality and safety improvement" (Claywell 2014). The general idea, K, is that a nurse must have knowledge of the diversity of cultures, ethics, and education. The significance of this fact being that if the nurse is cognizant of the patient’s culture, beliefs, family values, support systems, and education level, a more thorough and comprehensive plan of care can be formulated. The premise, S, is that a nurse must be skilled in the ability to communicate with and advocate for the patient, assess for and properly treat pain, and incorporate the needs and concerns of the patient and their family.
Gardener, A., Hase, S., Gardner, G., Dunn, S. V., & Carryer, J. (2007). The 'Secondary' of the 'Secondary'. From competence to capability: a study of nurse practitioners in clinical practice. Journal of Clinical Nursing, 250-258. doi: 10.111/j.1365-2702.2006.01880.x.
Nursing is a profession that I have always been fascinated with. Nursing is defined as "health promotion, health maintenance, health restoration and providing care to the sick and dying" (Kozier and Erb). There are five values essential to nursing, which include altruism, autonomy, human dignity, integrity and social justice (AACN). Nursing is a profession in which the nurse uses caring as a central concept. Some other characteristics of the nursing profession include art, science, advocacy, and offering holistic care. Nurses use critical thinking in order to problem solve because every patient is unique. The nursing process when assessing a patient includes, data collection, analysis, planning, implementing, and evaluation. Nurses need to be able to deal with change in stressful, fast paced, hectic environments. The treatments and technology is constantly changing therefore nurses need to be able to make quick and important decisions.
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.
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).
My other career objective is to practice the inquiry competencies on a collaborative forum where generation of clinical knowledge is required to minimize patient risks on a timely basis. This skill will be paramount in translating the existing literature into a realm of knowledge that aims at improving the quality of care in the contemporary nursing. It will also help me to demonstrate the conceptual ability that meets the quality requirements in serving as a mentor for other practitioners in the healthcare
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.