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Nurse leadership case study
Apply leadership to nursing practice
Apply leadership to nursing practice
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The Robert Wood Johnson Foundation (RWJF), a philanthropy organization, has been involved in health matters facing Americans for over 40 years with focus to child and family wellbeing, health coverage, health leadership and workforce, health systems improvements and healthy weight. Since its inception in 1972, RWJF support has grown and is now the largest philanthropy body devoted exclusively to health in the nation (RWJF, 2015). In this paper, the author discusses the RWJF Committee initiatives and their effect on nursing education, nursing practice and nursing workforce development, the role of action based coalition and expound on the state of Oklahoma Campaign team report. In 2008, RWJF and Institute of Medicine (IOM) launched an initiative mandated to assess and transform …show more content…
The nurses would perform as per their training, access the direct reimbursement for services offered thus more would be able to access care. The change would see more nurses take up leadership roles and participate in decision making. Being at the center of practice, the nurse would be the best placed to identify and effectively implement innovations on patient-centered care. Once implemented, the nurse residency programs would access funding harness the transition from training to practice. The effects on nursing education includes a growth in the number of higher cadre of nurses equipped with leadership and community health skills and knowledge. Institutions with higher trained nurses have recorded less mortality rate (AACN, 2014). The growth in number of nurses would positively impact on the nursing shortage thus leading to improvement on care outcome (AACN, 2014). The training institution require nurses at doctorate level thus the initiative to double the existing number will assist the institution prepare adequately for the growing number of students (IOM,
Nursing, as a crucial part of the health care system, keeps evolving while dealing with an increasingly complex clinical situation that involves quality of patient care. Therefore, to successfully handle these scenarios, nursing needs to become more advanced, clinically and academically. A DNP degree is needed in this situation because according to Dunbar- Jacob, Navito & Khalil (2013), a DNP degree is considered to have more impact on nursing than a Master’s or Bachelor’s degree due to the advanced clinical education a DNP provides (p. 425). Hence, the DNP degree has an enormous impact in nursing practice especially in terms of improving clinical care, promoting leadership roles, and improving educational status.
The Robert Wood Johnson Foundation has been in operation for more than 40 years and has been instrumental in working to improve the status of health and the health care for all individuals within the United States of America. They hold a vision “as a nation, to strive together to create a culture of health enabling all in our diverse society to lead healthy lives, now and for generations to come” ("Robert Wood Johnson Foundation," 2014). The Foundations nursing programs has early initiatives that would improve the profession with the advancement of nurse practitioners, programs improving nursing academics, improved hospital nursing. Currently the foundation is developing leadership skills in advanced level nurses and transforming working conditions of nurses within the hospital setting. In support of nursing and in light of the nation’s severe nursing short...
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 health care system and nursing practices are undergoing rapid changes, which are as well becoming complex. Preparing nurses balance these changes is a significant challenge. The Institute of Medicine (IOM) report explored how nursing profession has to change to bring out a more solid health care system. As a result of these changes, the Institute of Medicine (IOM) decided to examine “Future of Nursing, Leading change and Advancing Health” (Creasia & Fribery, 2011). This paper will discuss the impact of the 2010 IOM report on nursing Education, nursing Practice with emphasis on primary care, its effects on present nursing practice, and the nurse’s role as a leader.
Many communities, regions, and states are working together to create the culture of health by redefining the meaning of getting heathy and staying healthy. These communities, regions and states are addressing the social, physical, economic environment that people live in. The Americans can overcome the multitude of disparities and creates equalities with the help that directs resources, research, compassion and community involvements (Maughan, 2014). Health disparities are not just a health issue, it is a combination of financial issues, racial issues, education issues and others. Nursing leaders can address these health disparities differently. For example,
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.
...ch like life in general, is full of uncertainty, as well as endless possibilities. As long as nursing continues to grow, there is no limit to the achievements that can be accomplished in the profession, for not only the individual patients, but also for the healthcare industry as a whole. Nurses must remember, that as they move forward, they will continue to break down barriers and stake their claim as a necessity in healthcare. Nurses must also hold tight to the teachings of their predecessors. The future of nursing holds great advances in healthcare and technology innovation; but, most importantly, the future of nursing needs to be saturated with nurses that are willing to put their heart and soul into healing the human spirit. The future of nursing must bring with it the teachings of the past, while providing their patients with the most qualified nursing care.
The nursing shortage is a growing issue in the United States. The problem began in the 1930s, as there was increased hospital use. Nursing shortage resulted in many hospitals to close beds or hire temporary nurses, which is expensive with the aim of filling the gap and providing less optimal care to the patients (Chan et al., 2013). The issue is not that individuals are not going into the field of nursing. It is the fact that existing nurses are not furthering their education and becoming educators. Shortsightedness and retention concerning retention and recruitment contributed to the beginning of a shortage of nurses in the late 1990s, and the shortfall has lasted for long. Additionally, the lifespan of human beings has increased
The nursing shortage is currently a growing issue in The United States. The shortage began in the late 1990's. “This downsizing and shortsightedness regarding recruitment and retention contributed to the beginning of an acute shortage of RN's by the late 1990s... the current shortage has lasted longer and been more severe than any nursing experienced thus far." (Huston 2017 pg 69). As a result of advancing technology and extensive research on medicines, the average lifespan of humans has increased. With an increase in the demand, “the U.S. nursing shortage is projected to grow to 260,000 registered nurses by 2025. A shortage of this magnitude would be twice as large as any nursing shortage experienced in this country since the mid-1960s.” (AACN 2014). There are many factors that contribute to this nursing shortage, including the outdated misconceptions about the nursing professions, retiring nurses, and underfunding of nursing programs, especially issues in
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
...ation and can ultimately build cultures of nurse retention and enhance quality of care. Furthermore nurse residency program can positively transform work environments, interpersonal relationships and professional practice and mitigate the reality shock that can paralyze new nurses. As the nurses turn over and inadequate staffing is a major crisis in the above organization identified, successful implementation of nurse residency program will optimize organizational success.
The second key message focused on the recommendation that registered nurses receive greater levels of training and education. This message emphasized the need for nurses to enter the work force with a baccalaureate degree, or obtain it shortly afterwards. It also stressed the need more graduate nurses, specifically “nurse faculty and researchers at the doctoral level” (IOM, 2011, p. 164). Innovative solutions were devised to speak to nursing school capacity and curriculum in order to attain the IOM recommended goal of 80 percent of nurses holding a BSN by the year 2020.
One of the few careers left in the United States that is said to be everlasting, seems to be getting a taste of reality. What once was a thriving career has steadily begun to struggle with a call to arms. Hospitals around the world are finding that the need for nurses is increasing as new nurse graduates are decreasing. Nursing schools are unable to produce enough new graduates to meet the need. Which causes a need for adequate instructors with the knowledge necessary to educate nursing students. Even with the rate of nurses graduating each year with Bachelors and Associates, why are we in such a drastic need for nurses? Has the population and illness increased so fast that our current nurses are not able to keep pace? Many researchers have attempted to figure out what may be causing this need. This need for nurses is vital to patient care and outcome, but we still lack consensus. The question that has been asked since the 1980s with no resolution.
A vision of amplified foundations such as “the Raise Your Voice Campaign”, AARP , RWJF, Macy’s, and Gordon & Betty Moore Foundation have contributed towards the educational research programs by amplifying the nurses role as the educators leaders and co-existence roots of the Health Care System. (Buerhaus, 2008). An additional partner initiator was the Johnson & Johnson Campaign for Nursing's Future (J&J Campaign) that “ focused on promoting the nursing profession, averting future projected shortages of RNs, raising funds for educating students and supporting faculty, and raising public awareness of the value and importance of nurses”(Buerhaus, 2008).
The nursing profession that has a workforce of over three million registered nurses is the backbone of the United States of America’s healthcare system that efficiently responds to the nations’ health needs. However, the nursing fraternity faces a number of challenges that make it strenuous for it to meet the present and future needs of the health care sector. Shortage in the number of nurses, a fewer number of experienced nurses in terms of advancing education as well as technological change pose a great danger for the future of nursing and the healthcare sector as a whole. Thus, these challenges have to be solved so as to ensure a reliable, stable and competent nursing workforce functioning at all levels of health