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Leadership is a function of all parts of all lives and an important component of human existence. Leadership must foster an environment that is open to advice, and input, provides an environment that fosters buy- in from others who are lead and those who are impacted. Effective nursing leadership has courage, integrity, initiative and the ability to handle stress (Meliniotis, 2015). Successful nursing leadership is committed to excellence, measures the importance of things, builds a culture around service, creates and develops leaders, focuses on employee satisfaction, builds on accountability, aligns behaviors with goals and communicates at all levels (Guyton, 2012). Nurses today are looking for leadership where leaders and followers …show more content…
One of the key parts of a transformational leader is changing the way things are done by encouraging creativity and open-mindedness (Scheiltz, n.d.). Individualized consideration promotes open communication, feedback and recognition (Scheiltz, n.d.). The transformational leader has inspirational motivation includes clear communication and motivates the team to have the same passion. Idealized influence the leader leads by example (Scheiltz, …show more content…
Studies have found that each additional patient assigned to a nurse, the patient has seven percent increase in the likelihood of dying within thirty days of admission, and a seven percent increase of failure to rescue (Nurses to patient ratios, n.d.). Research has found after the implementation of minimum nurse-patient ratio found less nurse burnout, higher job satisfaction, and better ability to care for patients (Impact of Mandatory Nursing Staffing levels on Patient Outcomes, n.d.). State laws and the scope of nursing practice should be considered with staffing (Mensik, 2014).
The Ohio Department of Health has mandated staffing levels and facility policy for patients. Staff ratios help to maintain safety, consistency, raises productivity, employee safety, and satisfaction. Appropriate staffing decreases employee stress (Nurse to patient ratios,
V ́ericourt, F., & Jennings, O. B. (n.d.). Nurse-to-patient ratios in hospital staffing: a queuing perspective. Retrieved from https://faculty.fuqua.duke.edu/~fdv1/bio/ratios3.pdf
Needleman, J., Buerhaus, P., PKankratz, V. S., Leibson, C. L., Stevens, S. R., & Harris, M. (2011). Nurse Staffing and Inpateint Hospital Mortality. The New England Journal of Medicine , 364, 1037-1045.
(Become a Nurse Leader. n.d.). A nurse leader is someone who leads by example and helps their team meet goals by empowerment and healthy work environments. Continuing my education and working on my Bachelor of Science degree will help me attain my goal later in life, of being a nurse leader. Being a nurse leader involves lifelong learning and advancement. I believe treating others how you want to be treated is a good way to be successful in leadership. Everyone makes mistakes and it is how we learn from them that makes us a better person. I will be a nurse leader that is honest and encouraging. I will use personal experiences to relate to my team. I will adopt characteristics from various leadership styles to form my own. If the situation calls for a more autocratic role such as during an emergency or code, that is the style I will use. If the democratic or transformational approach is more appropriate, then that is the style I will lean towards.
The administrators must reduce the ratio of nurse to patient because the current nurses' workload can lead to nurses' burnout, patient dissatisfaction, and negative patient outcomes.
This article is a comprehensive look at staffing on hospital units. It used a survey to look at characteristics of how the units were staffed – not just ratio, but the experience and education level of the nurses. It evaluated several different categories of hospital facilities – public versus private, academic medical centers versus HMO-affiliated medical centers, and city versus rural. It is a good source because it shows what some of the staffing levels were before the status quo of the ratio legislation passed in California. It’s main limitation as a source is that it doesn’t supply any information about patient outcomes.
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.
The purpose of this paper is to address the issue of nursing staffing ratios in the healthcare industry. This has always been a primary issue, and it continues to grow as the population rate increases throughout the years. According to Shakelle (2013), in an early study of 232,432 surgical discharges from several Pennsylvania hospitals, 4,535 patients (2%) died within 30 days of hospitalization. Shakelle (2014) also noted that during the study, there was a difference between 4:1 and 8:1 patient to nurse ratios which translates to approximately 1000 deaths for a group of that size. This issue can be significantly affected in a positive manner by increasing the nurse to patient ratio, which would result in more nurses to spread the work load of the nurses more evenly to provide better coverage and in turn result in better care of patients and a decrease in the mortality rates.
Leadership is a very important concept in the area of nursing. Successful leaders can't achieve goals without inspired and motivated followers. Most people have observed nurses who've been placed in leadership positions but failed to capture the hearts and souls of those they lead (Feltner, Mitchell, Norris & Wolfle, 2008). In essence these types of leaders are very ineffective in what they do. In order to be a successful leader, one must possess certain characteristics that not only define who they are but inspire those who they lead. In order to explore these characteristics an in depth exploration will be done on a nurse leader who exhibits many good nursing leadership qualities.
Intuitively, one would expect that relatively high nurse staffing ratios are associated with improved patient outcomes. If this intuition is correct, these patient benefits should be a key consideration in the determination of nurse staffing levels. There has been a growing need for higher ratios of nurses to patients in the hospital due to the rising acuity of patients. The safety and quality of patient care is directly related to the size and experience of the nursing workforce (Cho, Ketefian, Barkausks & Smith, 2015). Decisions about nurse staffing should be guided by clear empirical evidence on this matter, and indeed a number of recent studies have examined this issue (Cho et al., 2016).
Factors such as, heavy workloads, stress, job dissatisfaction, frequent medical errors, and intention of leaving the job are all common for nurses to experience, especially during the nursing shortage crisis. Not only do the nurses suffer during a shortage, but the patients ' health outcomes suffer even more. For instance, there are higher rates of infectious diseases and adverse patient outcomes, such as urinary tract infections (UTIs), upper gastrointestinal bleeding, shock, pneumonia, prolonged hospital stays, failure to rescue, and mortality. As a result, this leads to higher re-admission rates for patients. Furthermore, high patient-to-nurse ratios cause heavy workloads due to an inadequate supply of nurses, an increased demand for nurses, a reduction in staffing and an increase in overtime, and a shortened length of stay for patients. Without the heavy workloads that nurses have to endure on a daily basis, there would more time for nurses to communicate more effectively with physicians, insurance companies, and patients and their families. Those heavy workloads are the result of hospitals reducing the nursing staff and implementing mandatory overtime policies just to meet unexpectedly high demands. Unfortunately, the nursing shortage has affected nurses ' mental and physical health. For example, the most common health concerns for nurses include cardiovascular health, occupational injuries and illnesses, and emotional and physical exhaustion. Therefore, safe-staffing ratios/levels have to become the main
As reported by Bowron (2010), hospitals will benefit from reducing patient-nurse ratio by saving money. Bowron point out that an adequate staffing ratio could lower hospitals’ costs significantly in the following ways:
Nurse staffing ratio's in healthcare is an ongoing issue throughout the country. With healthcare being run like a business, the bottom line is sometimes thought to be more important than the safety of the patients. One will see through this paper by reviewing patient outcomes and mortality, nurse staffing ratios can affect the quality and safety of patient care.
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.
Lisa explains to me that, “Patient to nurse ratio is a very real concern”. This is leading to a major problem with the nurses’ ability to provide quality care. This understaffing is becoming increasingly problematic. Experts have stated that there is evidence that indicates a direct relationship with overall safety, patient satisfaction, and cost. When nurse to patient ratios are handled correctly it can improve health outcomes, assure quality care, remove costly mistakes, and save lives (Waters). Even being so overwhelmed and outnumbered, nurses still seem to provide the best care possible, through unreserved determination and
Leadership and management skills have been and will continue to be two important traits a nurse possessed and demonstrated in her practice. Some terms associated with leadership have been achieving, striving, inspiring, and risking. These terms defined leadership as a process of standing up, taking charge, and achieving a common goal amongst peers to be successful. A person who pertained these characteristics has been known to be a leader. In a group setting a leader acted as a peacemaker, goal setter, information gatherer, and risk taker. A leader never acted for her personal benefits, but acted only for better success as a team. Leaders evaluated situations, mentored peers,