A Holistic Perspective Of The Role And Their Impact On Patient Outcomes

As a manager for a large department her job duties are quite extensive. She manages over forty employees. She reinforces compliance of staff with hospital policies, gives informal/formal feedback regarding performance throughout the year, promotes staff development, and uses effective listening, writing, and verbal skills. She promotes satisfaction targets related to patients, employees, and physicians, actively participates in, and leads interdisciplinary teams. Alicia also assist the director in maintain departmental budget, monitors supply utilization and maintains budgeted targets, and responsible for an efficient and accurate payroll.

She continued working for this hospital even when she began college. She went to South Plains College and completed most of her prerequisites for RN. Vicky did not complete the prerequisites because she got married and moved to California; she took off school for a year. During her college year off, she worked as a cashier at a military training facility.

For this assignment I was able to interview Regina Bowman RN, BSN. Her current position is that of the Director of Medical Surgical Nursing. Her position places her over top of seven nursing units between two facilities. Regina graduated from the Mercer Medical School of Nursing in 1979 with her diploma in nursing. The Mercer medical school of nursing is still in operation although it has been renamed the Capital Health School of Nursing. Her return to school started after graduation. She enrolled at Mercer County Community College to obtain her Associates. Secondly she attended La Salle University and received her Bachelor’s in Nursing in 2003. Lastly she is currently enrolled at the Thomas Edison State University, and has a

This particular nurse practitioner (NP), Diana Hayes, seems like somebody who has done this job for decades; in reality she obtained her acute care NP (ACNP) degree in 2014, less than 2 years ago and got her advanced practice license in Tennessee the same year. Her current role working as an intensivist NP in the trauma unit at Vanderbilt Medical Center is part of a recently launched program that brought NPs into the care of the sickest patients in the hospital.

J.W. first began her nursing career after she graduated from Truman State University with a BSN. She then went back to school at Webster University and graduated with a master’s degree in both health services management and nursing. After working in clinical positions for many years, she decided to return to school one last time to obtain her EED in higher education leadership from Lindenwood University. After her graduation from Truman and Webster, she began working on a medical surgical floor and mostly conducted surgeries on hips and shoulders. She did that for about nine months, but decided to switch since her work was very physically demanding. She stated, “Then I went to a different town and I worked in ICU where I was a head nurse in the step down unit and dialysis unit for a while” (Personal communication, 10/19/2017). She then

“Nursing is informed caring for the well-being of others” (Swanson, 1993, p. 352). Kristen Swanson’s relationship-based caring theory encompasses maintaining belief, knowing, being with, doing for, and enabling. Nursing is a profession with vast opportunities for growth and development. Each nurse has his or her individual passions; mine reside within obstetrics, women’s health, and nursing leadership. Nurse leaders play an integral role in the success of healthcare organizations. Nurse leaders shape the roles of nurses within their organizations. Nurse leaders seek methods to improve patient care. They also use innovation to gain efficiencies in care delivery and decrease healthcare cost. Many nurse leaders have an ultimate goal to aspire to be a chief nursing officer in a healthcare

Prior to her current role, she worked as an Assistant Director of Nursing for over 5 years at Sun Air Convalescent Hospital and a Sub-Acute coordinator for 1 year. She has been working now at Berkley Valley Convalescent Hospital as Director of Nursing for over 20

Slide 1: The expectations of nurses today are higher than ever with goals such as achieving top percentiles in nursing and patient satisfaction, to being among the top leaders in quality outcomes, and to build productive work relationships and environments. Nursing leaders serve as the primary link between staff, physicians, and the community. They are expected to be innovative, highly skilled, possess a certain degree of nursing knowledge, and produce qualified individuals to care for the growing population. According to Lorber, Treven, and Mumel (2016) “nursing leadership is pivotal because nurses represent the most extensive discipline in health care”. Because of this growing need for diversity in leadership and my background in the military, I decided to focus on the MSN Executive Track at Chamberlain College of Nursing.

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

I graduated from Florida Atlantic University in May 2017, successful passed the necessary national certification and obtained my Advanced Registered Nurse Practitioner license from the state of Florida. My education has provided me with the skills and knowledge to assess, diagnose and treat patients in a dedicated, compassionate and caring manner. My background includes providing care in an acute care setting as a registered nurse and interning within the Martin Health Care System as a family nurse practitioner student. During my internship, I practiced teamwork, clinical excellence, and became proficient in

The roles and functions of the CM include identifying the specific needs of the patient and connecting then with cost effective and appropriate services. According to the Case Management Society of America (CMSA), “The basic concept of case management involves the timely coordination of quality services to address a client’s specific needs in a cost-effective manner in order to promote positive outcomes” (2010, p. 8). The CM must assess the patient, educate the patient and family, plan and facilitate care and payment with client and payer, and empower, encourage, assist and promote self-advocacy of the patient.

Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. It “comes with the territory” so to speak. If there were no issues to solve or hurdles to overcome the necessity of designating a leader would not seem quite as important. Nurse leaders can tackle issues that occur in their work environment using nursing theory to guide them. Nursing theory provides a framework that nurse leaders can use to implement interventions or changes to positively impact the staff they lead. This framework of the theory will set the standards for achieving the desired outcomes and is based on knowledge that is gleaned from practice and/or research.

Leadership traits associated with nurse executives are honesty, credibility, supportiveness, visibility, and flexibility. Nurse executives analyze nursing functions and empower nurses through participatory decision making, shared governance, and employee involvement. Nurse executives share the vision and goals of the hospital and promote application of a nursing theory into the nursing care delivery system. They anticipate the future of health care and nursing and serve as monitor, role model, and preceptor to lower level management (Upeniecks, 2003). Nurse executives in the Magnet program are required to have advance practice degrees with certification in their specialty (ANCC). Understanding evidence-based management and enabling the use of evidence-based knowledge provides the nurse executive with the tools to improve patient outcomes. The transformational leader will remove barriers to improvement and encourage outcome based thinking. While nurse leaders are charged with questioning the status quo, nurse managers in the transformational approach to leadership are charged with maintaining the status quo.

Nursing leadership is also one of the very important messages of the 2010 IOM report on nursing. The IOM calls to expand opportunities for nurses to lead. It advises that nurses need to be prepared and enabled as leaders in order to advance healthcare. One of the recommendations states that “expand opportunities for nurses to lead and diffuse collaborative improvement efforts” (IOM Report, 2010). In that regards, a research article (Sherman, 2011) points out that charge nurses on frontline of acute care setting are the

Nurses demonstrate the core values of professionally caring for others in two different prospects. Huber (2014), notes that “nurses have two basic roles: care providers and care coordinators” (p. 3). Most significantly nurses are valued in the setting of patient care, while the coordinator role revolves around management and organizing care, using thinking skills to coordinate complex activities. Nursing is multifaceted, although direct quality patient care is of significance, a positive leader or manager is also essential to support the recent changes to healthcare requirements. Having the right blend of qualities is vital to becoming a