NRS451V Approaches in Leadership and Management Paper
NRS451V Approaches in Leadership and Management Paper
In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
- Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
- Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
- Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
- Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
- Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
- Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the for assistance.
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.1: Exemplify professionalism in diverse health care settings.
1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.
3.4: Demonstrate professional standards of practice.
Rubric
Attempt Start Date: 28-Oct-2019 at 12:00:00 AM
Due Date: 03-Nov-2019 at 11:59:59 PM
Maximum Points: 150.0
NRS451V Approaches in Leadership and Management Paper
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WK 1 DQ 1 Due 10/23 Describe the difference in roles between leadership and management. Explain how the goals of management and leadership overlap and provide one example. As a nurse leader, describe how you can facilitate change by taking advantage of this overlap. I currently work at a 42 bed Long term acute care hospital (LTACH) where our patients are becoming sicker and sicker due to always changing regulations to be accepted to an LTACH. I have slowly worked my way up and in the last few years have seen the impact leadership and management can have on an organization as a whole. I believe leaders can be seen in bedside nurses, charge nurses, and nurse managers. We all can lead when we use our voices. This journey to get my BSN, has taught me to always encourage and grow those around me. Nothing is accomplished by complaining. Use your voice and let your leaders know your concerns, but also be willing to give some solutions. Nursing itself has become one of the most demanding work environments. Leaders have to deal with such concerns as health and safety of patients and staff, job-related injuries, stress and nurse burnout, as well as physical threats and verbal abuse to their staff. “The primary goal of nurse managers is to enable the creation of nursing departments that are well structured, ensure that the organizational context supports the work of nurses, and provide skilled coaching to assist nurses in maximizing their performance processes as a means of harvesting the collective synergies of the nursing staff” (Henriksen, 2016). They are responsible for establishing rapport among staff, diagnosing problems, and instituting change. Leaders such as nurse managers are more hands on and can bridge the gap between bedside care and management. Management is more upper level and are less hands on. They focus more on policy setting, and overseeing policies and quality measures. NRS451V Approaches in Leadership and Management Paper
“They are charged with fulfilling the organization’s mission, vision and strategic long-range plans” (Williamson, 2017). I feel the overlap is that we all have the same goal, to provide a safe work environment that provides quality nursing care. We can take advantage of this by using our voices bringing concerns to our nurse leaders and managers. Anytime a nurse speaks up and is advocating for patient safety and quality of care, they are demonstrating leadership skills. References Henriksen, J. P. (2016, January). An alternative approach to nurse manager leadership. Retrieved from Nursing Management: https://journals.lww.com/nursingmanagement/Fulltext/2016/01000/An_alternative_approach_ to_nurse_manager.13.aspx Williamson, E. M. (2017, May 23). Nurse manager vs. nurse leader: What’s the difference? Retrieved from Nurse.com: https://www.nurse.com/blog/2017/05/23/nurse-manager-vs-nurse-leaderwhats-the-difference/ WK 1 DQ 2 Due 10/25 Compare two leadership theories. Provide an overview of each and discuss the strengths and weakness in relation to nursing practice. A leadership style can have great impact on a health care organization. According to Whitney (2018), Leaders can significantly influence staff productivity, morale, and turnover rates, which can also indirectly influence patient care. I have worked at my current place of employment for 10 years and have worked under the two styles I will discuss. So, I have seen the impacts both can have. First, we will discuss Laissez-Faire, or the hands-off approach. This style in my opinion is not good in most settings. Policies tend to be made as reactive instead of proactive. Then such policies are implemented without any feedback, and have little to no supervision for follow through. In our facility this cause the bar of acceptable behavior and practice to lower significantly. The staff was frustrated, management was at a loss on what to do. Our turnover rate was 44% and staff engagement was nonexistent. We then were led by a leader who fit more of the Participative style. She had her work cut out for her, but she engaged the staff and encouraged them to use their voice to make a difference. She implemented policies and used a team approach. NRS451V Approaches in Leadership and Management Paper
The staff felt more valued and as if they were part of the team. She formed committees and made sure there was follow through. She micro managed where it was necessary. It was interesting the staff who where already doing what they needed to were not bothered by this, but the staff who were not had issues. References Whitney, S. (2018). Theories and Concepts in Leadership and Management. Retrieved from Nursing Leadership & Management:: https://lc.gcumedia.com/nrs451vn/nursing-leadership-andmanagement-leading-and-serving/v1.1/#/chapter/1 WK 1 DQ 3 Due 10/27 Review your state’s mandated reporter statute. Provide details about this in your post. If faced with a mandated reporter issue, what are the steps in reporting the issue? Create a mandated reporter scenario and post it. Respond to one of your peer’s scenarios using the guidelines for submission/reporting in your state. Be sure to include a reference to your state’s website related to mandated reporting. Per the Texas Department of Family and Protective Services (DFPS) website, Texas law says anyone who thinks a child, or person 65 years or older, or an adult with disabilities is being abused, neglected, or exploited must report it to DFPS. This applies to all individuals and it not limited to health care workers. According to the DFPS here are some examples of things that must be reported” • Child abuse and neglect. • Abuse, neglect, self-neglect, and exploitation of the elderly or adults with disabilities living at home. • Abuse of children in child-care facilities or treatment centers. • Abuse of adults and children who live in state facilities or are being helped by programs for people with mental illness or intellectual disabilities. These are run by the Texas Department of State Health Services (DSHS) or Texas Department of Aging and Disability Services (DADS). This is confidential and any person who reports is immune from civil or criminal liability. You an call 1800-252-5400 or online at Texas abuse hotline at https://www.txabusehotline.org/Login/Default.aspx. NRS451V Approaches in Leadership and Management Paper
I have seen cases where an elderly person is being cared for at home by family and are brought it dirty, unkempt with multiple wounds. Elder care of a bed bound patient is difficult and many times families do not have the resources. I have seen cases where the family seemed to really be trying and cases where it seemed the families where in it for financial reasons, but that was not for me to decide. The next step is to contact case management who will then file a formal complaint on the behalf of our facility. References Report Abuse, Neglect, or Exploitation. (n.d.). Retrieved from Texas Department of Family and Protective Services: https://www.dfps.state.tx.us/contact_us/report_abuse.asp Study materials WK 2 Read Chapter 3 in Nursing Leadership and Management: Leading and Serving. URL: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/nursing-leadership-andmanagement_leading-and-serving_1e.php Read “Leadership, Leadership Styles, and Servant Leadership,” by Gandolfi and Stone, from Journal of Management Research (2018). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=132968632&sit e=eds-live&scope=site Read “Integrating Servant Leadership Into Managerial Strategy to Build Group Social Capital: The Mediating Role of Group Citizenship Behavior,” by Linuesa-Langreo, Palomino, and Elche-Hortelano, from Journal of Business Ethics (2017). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=132789053&sit e=eds-live&scope=site Read “How Servant Leadership Influences Organizational Citizenship Behavior: The Roles of LMX, Empowerment, and Proactive Personality,” by Newman, Schwarz, Cooper, and Sendjaya, from Business Source Database (2017). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=125205769&sit e=eds-live&scope=site Read “How to Write an Executive Summary,” by Berry, located on the Bplans website. URL: https://articles.bplans.com/writing-an-executive-summary/ …
NRS451V Approaches in Leadership and Management Paper
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