The Chief Of The Nursing Supervisor Department

Nurse Manager Alicia Hubbard, RN, MSN, NE-BC, is the Nurse Manager at Texas Health Plano, Neurology/Telemetry unit. She started her nursing career in 2003 as a LPN. She achieved her BSN and MSN from Arkansas State University. She holds a nurse executive certification (NE-BC), which is designed for current BSN or higher degree, currently holds a mid-level or higher for at least 2 years in the last 5 years (ANCC: American Nurses Credentialing Center, n.d.). She has applied to the DNP program at University of Houston to further her education. Alicia has been has a manager for total of 11 years at several different hospitals with the last three and a half at Texas Health Plano.

My second clinical day took place on September 24th, 2015 at Saint Barnabas Hospital in Livingston, New Jersey. My preceptor Maria Brilhante, MSN, RN, allowed me to observe the morning huddle that took place with all the nurse managers that are in the hospital. The purpose of this huddle was to keep the director of nursing informed about the census on each unit. I found this processed to be very uniformed and professional because the DON was engaged. The day went on with me attending meetings on how managers could implement plans to contain cost for the hospital. Maria did her daily rounds on her patients and her nursing staff. She has a folder that contains papers on how each nurse is progressing from the time they get off orientation. Her motto to the nurses is, “You are good at what you do, so when I coach don’t take offense. I am only trying to get you to be great”. This boost their confidence which I thought to be important.

This paper discusses the leadership style of the Chief Nursing Officer (CNO) at HealthSouth Rehabilitation in Toms River, New Jersey. HealthSouth is the nation’s largest inpatient rehabilitation, there are HealthSouth’s in 28 states and one in Puerto Rico. There are inpatient, outpatient, and home health services. The mission statement of HealthSouth involves an advanced degree of rehabilitative care to clients recovering from cerebrovascular accidents, cardiac and pulmonary disorders, spine, and brain injuries and orthopedic disorders (Kosevich, Leinfelder, Sandin, Swift, Taber, Weber, & Finkelstein 2014).

I recently accepted the Neuroscience ICU (NSICU) Nurse Manager position at the Medical University of South Carolina. The principals of transformational leadership and nursing distinction radiate throughout the facility, extending the brand of excellence towards nursing. Onboarding as a new leader requires agility and flexibility. I was able to capture the union of course content and application of my leadership practice.

This Nursing leadership interview was conducted with Gessy Targete-Johnson, who is currently the Director of Nursing Family Birthplace at Memorial Miramar Hospital. I decided to conduct my interview on her, due to the fact that this is a career goal I wish to accomplish. She has been in the Nursing Field for over 25 years. Gessy decided to enter the nursing field because, she has compassion for others and she wanted to make a difference in lives. She started out as a Labor & Delivery Nurse in 1991, she later went on to pursue her Bachelor’s Degree in Nursing, followed by her Master’s Degree immediately after. Gessy thrives on being productive, and she quickly learned the meaning of the word perseverance. In 2001, she was promoted to Nurse Manager in Labor & Delivery, and worked in that position for 8 years. While maintaining an active role in this area, she also went back to school for her ARNP license. In 2009, she became the Director of Nursing Family Birthplace at Memorial Miramar Hospital.

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.

Two strategies that enable a nurse on an interdisciplinary team to exert leadership without occupying a formal leadership position are to be a role model and to be an advocate/problem solver. The nurse can be a role model for the interdisciplinary team by showing respect for other team members, having effective communication skills and to accept others input in a fair and unbiased fashion. Often there can be tension among team members and a nurse can lead the team away from negative comments by redirecting the conversation to stay on task at hand. The nurse can explain that every person of the interdisciplinary team

As a nursing house supervisor, my administrative duties require me to be able to navigate certain computer and software components. If I were the representative for my department I would describe the technology requirements that are needed to accomplish daily activities. Each day spreadsheets is prepared for staffing and organizational census. I have access to scheduling software that allows me to me facilitate staff each day. As health care has gone towards electronic health records, I have the ability to access the hospital databases to review patient records and physician orders. And of course word processing is used to send and create emails as well as additional job duty requirements.

This Nursing leadership interview was conducted with Gessy Targete-Johnson, who is currently the Director of Nursing Family Birthplace at Memorial Miramar Hospital. I decided to conduct my interview with her, due to the fact that this is a career goal I wish to accomplish. She has been in the Nursing Field for over 25 years. Gessy decided to enter the nursing field because, she has compassion for others and she wanted to make a difference in lives. She started out as a Labor & Delivery Nurse in 1991, she later went on to pursue her Bachelor’s Degree in Nursing, followed by her Master’s Degree immediately after. Gessy thrives on being productive, and she quickly learned the meaning of the word perseverance. In 2001, she was promoted

This past week I have witness my nursing supervisor, dismiss and important request from a floor charge nurse in the facili¬¬ty I happen to work at. We have a very high turnover of staff in the facility, especially when it comes to CNAs. On my scenario there was a novice CNA that was working on the unit that I am going to call Sunny Day Unit, which is a long-term dementia unit. Normally there is an assigned CNA that stays on the floor to monitor 2 high fall risk patients and feed 4 residents that require extensive assistance with their meals. There was a seasoned CNA and the novice CNA working on the evening shift on that unit. The supervisor decided that she wanted the novice CNA to stay on the unit to learn the dinner routine of the floor. The seasoned CNA and the floor charge nurses spoke their concerns about leaving someone with no experience of the floor structure and the risk of a potential fall happening. The charge nurses then express her feelings on wanting the seasoned CNA to stay on the unit instead. The supervisor brushed it off the nurses concern, and was firm about her decision on keeping the novice CNA on the unit. The supervisor stated that the novice CNA needed to learn the floor, and that the HR personal had stated the same

There are many skills, traits, and behaviors one must possess in order to be an effective leader. The American Organization of Nurse Executives (AONE) has compiled a list of competencies and skills that nurse leaders should be proficient in. The five competency domains identified by AONE (2011) are “communication and relationship building, knowledge of health care environment, leadership skills, professionalism, and business skills” (p. 3). The competency domain I believe is essential for one to possess in order to be an effective executive nurse leader is communication and relationship building. The competencies AONE (2011) listed under the domain communication and relationship building are “effective communication, relationship management, influence of behavior, ability to work with diversity, shared decision-making, community involvement, medical staff relationship, and academic relationships” (p.3). I will discuss how Tom (nurse manager of a psychiatric unit) did not meet these specific characteristics under that domain.

As the chief compliance officer, I would first have a meeting with the Emergency Room Director/Lead ER Nurse to discuss this problem. This department has the first interaction with these patients and later works with the physicians to give care. I will go over the cases and set up a meeting with the staff to go over what constitutes a patient to be classified as inpatient. I would then proceed to meeting with the Chief of Medical Staff to discuss the cases so the chief can talk to those physicians and see what their judgement was on this case. I would then go to the Billing department to go over to notify them of this mistake, where they can discuss it with the CFO.

and wherever needed” (IOM, 2010). The IOM report acknowledges the fact that more nurses are

In this study, we treat identity in line with the processual perspective and view it as dynamically constructed in interaction with external and internal forces, as well as it integrates the past, present and future. As we aim to understand the subjective and interpersonal experience of the professional-managerial hybrid role we need to establish understanding about the nurse manager's identity as this construct guides one's emotions, thoughts and behaviours and can tell us something about how they experience their hybrid role.

An interview was conducted with the Chief Nursing Officer (CNO) at an acute care facility. This discussion revolved around the following: her style of management, style of communication, decision-making skills, technical skills and delegating skills. Before sharing specific responses to each of these, the CNO wanted to clarify that because she was new to the organization and following someone who had been in this position for over 20 years, during the first year and transition phase, there were certain situations in which she was consciously adjusting her leadership style to fit the culture of the organization. She strongly felt over time the staff would adjust and become more familiar with her natural style of leadership and