Nurse Executive Roles and Impact to Nursing
The health system has experienced rapid changes and multifaceted shift in patient care and leadership– business concepts, administrative roles, and patient care continuum. As a result, changes have greatly influenced the role assumed by nursing leaders in the past 10 years. Subsequently, nurse leaders redefined their roles in the nursing field and executive arena, moving away from traditional nursing roles in the organizational chart to equal roles in the Chief suites (C-suites). Therefore, as nurse leaders move from clinical units to the boardrooms, their imprints leave a mark to all nurses reporting to them. In 2010, the Institute of Medicine (IOM) report, “The Future of Nursing,” discusses vital concepts on nursing leaderships. As based from the same report, three fundamental concepts of how the roles of Chief Nurse Officers impact nurses can be identified - Executive Role Definitions, Expertise and Knowledge Transformation, and Leadership Representation and Networking.
Executive Role Definitions
Chief nurse officers (CNOs) are expected to embody the executive tasks and functions referent to their positions; “walk the talk”. Performing in the executive role, CNOs need to “move up in the reporting structure of their organizations to increase their ability to contribute to key decisions” (IOM, 2010). This essentially defines the roles, tasks, and level of accountability the position entails. At West Palm Beach Veterans
This paper aims to address and discuss about the leadership and management of the nurse leader interviewed. This experience was a great opportunity to witness first hand how a nurse leader cultivate and manage their staffs in real life setting. Moreover, it provides a great access to gain insight and knowledge about nurse leaders’ vital responsibilities and role diversities in the organizations they work with. Nurse leaders pay more specific and close attention in handling the staffs and most importantly, patient care.
You make great points analyzing the evolution of Clinical Nurse Leader (CNL). It was interesting to learn that the CNL was the first new role in nursing since the nurse practitioner was introduced over many years ago. “The CNL evolved after the AACN convened a task force to identify ways to improve quality of patient care and determine how to prepare nurses with the skills and competencies needed to thrive in the current and future healthcare system” (Stavrianopoulos, 2012). In the health care organizations, CNLs play a significant role and are responsible for patient outcomes by applying evidence-based practices. They design, implement, and evaluate patient care by coordinating, delegating, and supervising the care provided by the healthcare
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
As a healthcare organization, there is a heavy focus on Learning within the Patient Care Services division. Nurse Managers in excellent HCOs lead teams accountable for operating scorecards. They work directly with physician leaders of the service lines, identifying OFIs, participating in PITs, and negotiating improvement goals. They are also supported by a strong nursing organization led by a chief nursing officer (CNO) or nurse executive with an organization to ensure credentialing, manage nurse training and development, recruit and retain a competent and proficient nursing workforce, implement nursing practice standards and functional protocols, and maintain consistent performance of nursing activities. The CNO is a member of senior management and acts as the principal strategic and operational executive to ensure uniform achievement of good nursing practice.
“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
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.
The national nursing shortage is predicted to continue to rise to levels that have not been seen since the 1960’s (Fasoli, 2010). Managers must create an environment that is conducive to employees. The leader needs to promote organizational commitment and retain employees by promoting a positive culture on the unit. Nurses want an environment where they can provide high-quality care to patients and leaders must help facilitate and maintain this environment. Employees also want to feel like their opinions matter to the manager, and they have a say in the future of the unit. Employees do not want to feel like they are not important, or their voices are not being heard.
In the healthcare field, nursing leaders and managers face consistent issues in their respective practices that force them to alter the way they work and the way they think. In taking on a role as a leader within the field, nursing leaders and managers also take on the role of ensuring that work within an organization runs smoothly regardless of new issues that may arise in the healthcare arena. For instance, in today's healthcare environment, the issues of nurse shortage and nurse turnover have the capacity to alter the healthcare field and many of its respective branches and organizations should these problems not be managed properly by the leaders in the field. In viewing the issue at hand and in discovering how nursing leaders and managers are expected to act, and do act, in order to approach this issues, along with pinpointing the best approach possible to aid this issue, one can better understand which leadership styles are necessary for leaders to function.
The focus is the on the changing role of the nurse and why this has happened You have to chose an example from your own practice to describe and explain its relevance to practice boundaries between doctor and nurses , EXAMPLE BLOOD TAKING, SET IV BRANULLA You need to utilise relevant theories and concepts from the module, reference your work and include Malaysia code of conduct.You have to summarise the main issues and consider implications that the changing role has for your role, the profession and also impact on patients. The essay is not about the boundary violation between the nurse and client Evidence Based Practice Ethical theories Boundary roles in the UK- you can use UK examples but MUST apply to Malaysia. Set the scene, role and practice area, define any key terms such as boundary Identify an example from practice- justifying clearly it's relevance to boundaries and professional roles and describe the example. Apply the concepts and theories relevant that you have been introduced to within the module- you need to explain what they are and how they can be applied , i.e connate theory, Implications
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
One of the highlights in our lesson this week (Chamberlain College of Nursing, 2016) states that “Nurse executives are a key player in the value added to an organization as they demonstrate competencies related to every aspect of the services provided to patients.” Our Chief Nurse Officer (CNO) exemplifies great leadership attributes, and has a high professional level with how she communicates with her staff, patients, and consumers throughout the nursing division.
The concept Leadership is increasingly under analysis as it is a characteristic of the acute care work environment that affects both nurse and patient outcomes. Nursing leadership can have strong implications for how nurses manage their roles as patient care givers in the acute care setting. Nurses have identified that there are certain styles of leadership that interfere with their ability to provide quality patient care (Cook & Leathard, 2004). Working as a nurse leader requires complex skills and competencies that could affect not only staff, but also patients. Leadership module is a part of my Advanced Healthcare Practice (clinical) MSc Nursing program.
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.
Leadership may mean different things to different people, the consensus opinion of experts in this field is that leadership is using power to direct and influence activities of people to achieve set goals or targets. Nursing leadership is all about every nurse providing, facilitating and promoting the best healthcare services to client and to the public. Leadership is a shared responsibility. (CNO 2012). The nursing profession need leaders that can build the capacity of nurses through mentoring, coaching, supporting, developing the expertise and management skills of nurses to make a difference to the quality of patient care at all levels of the profession ( McIntyre & McDonald, 2014 ). At the core of every leadership either political or managerial is power and how the leader uses it. While it is practically impossible to lead without power, how the nurse leader uses this power not only determine the leadership style but also the results or outcomes of what is achieved through the process.
John F. Kennedy once stated, “Leadership and learning are indispensable to each other” (The Quotations Page, 1994-2012). Having said this, partnership is the key to convey cohesive leadership promoting growth from each professional’s knowledge allowing new provisions to evolve. In order for this remodeling process to offer an improved end point in the health care system, it is necessary for nurses to rise to the magnitude that is awaiting them. The nursing profession is the largest division of health care personnel, contributing to more than 3 million members (National Research Council, 2011, p. 23). The nursing provisions, recommended by the Committee, are within reach if nurses fulfill their potential as primary providers, which requires a continuation of