Nursing Organizational Structure Paper

This author spoke with several nurses to discuss Summa’s shared governance. There were two that had two opposing views of it. One nurse, who was younger, felt that the shared governance was just for show to achieve Magnet status. The cons she found was that the recommendations that staff nurses made were just ignored. Another problem she found was that the work that was put into it was not being reimbursed financially. Problem with shared governance is that it is believed to exist where there is empowerment, but it is has more to do with traditional board governance with some staff input. The result is that it is not founded in the actions of the staff nurse, but the actions of administration (Joseph & Bogue, 2016). The other nurse, who was older, was very excited to discuss shared governance. Her department was the first at Summa to initiate shared governance. Some of the pros were nurses had a voice and a path to follow to institute change. She explained how she

The textbook, Concepts for Nursing Practice, defines leadership as, “an interactive process that provides needed guidance and direction.” (Giddens, J., 2013, p.375). Leaders can be informal, a coworker that everyone looks up to, or formal, a manager that has authority that has been given to them (Giddens, J., 2013, p.375). In the case of the nurse manager I have been shadowing, she is a formal leader. The hospital has appointed her as the Surgical Services Nurse Manager to lead the Surgical Services departments and act as their spokesperson when addressing upper management. Her position within the heath care team is as a liaison between upper management and lower tier health care leaders. The Surgical Services

Organizational culture includes an organization’s values, language, traditions, customs and specific issues that are so foundational that they cannot or will not be changed. UMC’s organizational culture is immediately experienced when entering the facility. The internal stakeholders display pride in their work, display the values of integrity, excellence, compassion and collaboration. This was demonstrated by welcoming visitors to the hospital, being greeted with smiles, volunteering to assist anyone and working together as a team to ensure patient and visitor well-being. During meetings,

The Salary of an RN is about $36.94 per hour, but the work schedule of a nurse is crazy. Nurses never really get a break especially floor nurses. I have talked to quite a few nurses and they have said that since you don’t truly get a break you tend to gain weight do to constantly eating/snacking. The education needed to be a Registered Nurse would be a Bachelor Degree which is a four year process. To be a Registered Nurse or RN you will need no training. On the job you will administer basic health care which is a temporary health coverage program for low-income, uninsured United States citizens or permanent legal residents of Contra Costa County. As an RN you will being giving patients intravenous medications. An intravenous

Advocating for patients is a key part of nursing. Working in the emergency department, I meet people from all different walks of life, who are sometimes not able to fend or stand up for themselves. As a nurse, it is my job to advocate for them and make sure that they receive the care that they need. . Recently I had a patient who was in pain and was shy to ask for pain management. I advocated for this patient by going to the doctor and requesting pain management for this patient. By recognizing the signs of pain in my patient and having a good form of communication with the doctor, I was able to provide my patient with quick and appropriate care.

Each organization must have a structure of the authority defined and distributed to help in the organization of the tasks and functions with the aim of achieving the objectives of the organization. An organization structure offers details of the formal structure of the authority in the organization. It is essential to study the organization structure of the organization in order to understand the functioning of the organization. This paper examines the organization structure of the nursing department in Kingston Centre hospital. The paper will look at the nursing and the nursing service management department in the hospital (Burke, 2013). The hospital is selected because I have been able to interact with the facility many times. I have been able to work in this department hence I understand the organization structure and the services offered in the department.

Nursing Delegation: A Professional Challenge George S. Diaz Chamberlain College of Nursing NR-103: Transition to the Nursing Profession September 20th 2017 Nursing Delegation: A Professional Challenge The purpose of this paper is to prove delegating effectively will provide positive patient outcome, but if done ineffectively can lead to errors resulting in patient harm or death. Nursing delegation brings upon a shared responsibility to the tasks at hand to those who can do the appropriate work.

Was the patient’s best interest at heart? Or was the physician trying to avoid a negative outcome? This is where collaboration among healthcare teams is vital to patient care and upholding patient wishes. Ultimately it is a nurse’s responsibility to advocate for the patient not only in respecting their wishes but communicating all available knowledge so that all parties involved can make and educated decision.

The healthcare industry has intensely advanced throughout the world, in turn changing the principles that incorporate the practice and culture of nursing practice. Altering the model of care to a patient-centered mode signifies an organizational culture shift and requires the participation of executives at the senior level (Cliff, 2012). To practice this care to provide the best care possible, it goes beyond the nurse to all healthcare professionals and senior leadership. The days of patients and nurses following a physician’s order without favor to care has now loaned themselves to more of an interdisciplinary approach to practice. Though, it is encouraged that the patient makes decisions for themselves, after receiving the proper education and information on their condition. Part of the patient-centered care is to be the patients’ advocate, by letting them know you are there for them when they are unable to speak and advocate for themselves and what is in their best interest. That goes in hand with educating them on “self-management of care, health literacy, patient, and family education through nurse-patient communication and interaction (Finkelman & Kenner, 2016, p. 271).”

Leadership is a skill some are born with the other can learn. There are many styles of leadership. This paper will focus on three main styles of leadership including autocratic, democratic and laissez-faire. Transformational leadership is a type a leadership that is very difficult to teach and we will explore the great effects of this type of leadership. Wells and Wells (2010) explain several aspects of leadership that leaders should portray, no matter what style they use. These including :articulating a vision, explaining what is expected of himself or herself as leader as well as what is expected of staff members, providing guidance and mentoring, developing staff members by coaching them one on one, understanding the importance of teamwork,

Nowadays, LVN and LPN are communicative more leadership roles, mostly in the skilled nursing facility. The leadership is based on general research of academic and practitioner on leader ship. Susan de wit (2014) said that there are many identified styles of leadership and laissez-faire is a style in which the leader provide little or none direction or supervisor, and prefer to take a hand off approach. That leadership style is not effective in day-to-day management of patient care. The autocratic leadership style is demonstrated when the leader makes all the decision without considering input form staff. That leadership style goal is accomplishment of task efficiently without regard to people. The democratic leadership style is who encourages

As defined in the book, culture is the specific collection of values and norms that are shared by people and/or groups in an organization. This collection of norms and values control the way in which the different components of the organization interact with each other. The culture of an organization is an amalgamation of the values and beliefs of the people in the organization. Westchester Assisted Living Facility is one of those very organizations that thrives on its strong adherence to culture. Westchester’s culture can be felt in the implicit rules and expectation of behavior that is shared among the members and the staff.

In the increasingly complex, ever changing environment of today’s healthcare, effective leaders are essential to help drive positive change resulting in increased access to care with positive outcomes for as many as possible. In its 2010 report, The Future of Nursing: Leading Change, Advancing Health, the Institute of Medicine (IOM) recognized that nurses are well positioned to play a key role in the transformation of our healthcare system in the United States (U.S.) (Institute of Medicine [IOM], 2010). In The Essentials of Doctoral Education for Advanced Nursing Practice, the American Association of Colleges of Nursing (AACN) specifically identifies organizational and systems leadership as a core competency for advanced

The nurse manager I selected to interview is a Baccalaureate degree nurse and has attended several in-house training sessions related to her position within the hospital. She attended Lenoir Rhyne University to obtain her BSN and has been employed with the institution for 13 years and has been in nursing for nearly 20 years. She is currently certified as a Certified Emergency Nurse (CEN) and is also a Sexual Assault Nurse Examiner. The Hospital that she is employed with is a private hospital she manages a 15 bed emergency department and 6 bed express care facility, which also holds several involuntary commitments for several hours at a time waiting on placement.

Organisation culture at Quinlan’s Organisation culture can be defined as the set of key values, beliefs, understandings and