NRS-451 Benchmark – Effective Approaches in Leadership and Management

NRS-451 Benchmark – Effective Approaches in Leadership and Management

 

Effective Approaches in Leadership and Management

Leadership is a broader concept compared with management in the light of nursing practice. In comparison, managers are also leaders, their management majors on realizing organizational goals. On the other hand, leadership occurs when an individual attempt to influence the behavior of an individual or group vertically or horizontally in the organization for whatever reason (Field & Brown, 2019). In nursing, there are issues of practice that require both the leader and the manager to effectively show leadership and management to realize the organization’s goal. While there are practice issues in nursing practice that impact the quality of care and patient safety, leaders and managers can use practical approaches to address them. The purpose of this paper is to describe the different methods of nursing leaders and managers to the issue of nurse turnover in practice.

Nurse Turnover

Nurse turnover is when a nurse decides to leave a healthcare institution for any given reason, and it may occur at any time. The turnover happens typically due to retirement, the nurse changing profession, or working at a different institution. Nurse turnover disrupts healthcare services, staffing processes, leadership, and managerial processes, health organization finances, and extrapolates costs. The hospital leaders and managers indicate that the nurse turnover cause increased cost, i.e., recruitment and training cost for newly hired nurses. Turnover leads to a shortage of nursing staff that adversely affects patient satisfaction and outcomes (Magbity et al., 2020).

How Nurse Turnover Affects Quality of Care and Patient Safety 

Nurse turnover in hospitals and health facilities lessens the effectiveness and productivity of delivering care and may also increase operating costs (Temkin-Greener et al., 2020). Further, when nurses are allocated to the same patients, they can form personal bonds, leading to better health outcomes. In the event of a turnover, the disconnect in patient-nurse unique bond leads to a decline in the patient’s health outcome. Patients in understaffed facilities face an increased rate of in-hospital mortality, a higher risk of infection, a rise in postoperative complications, and a more significant number of falls. Therefore, nurse turnover leads to interruptions, which increase patient safety errors (Temkin-Greener et al., 2020). Units without enough nurses on staff may require excessive overtime shifts or routine double shifts, which lead to burnouts of nurses leading to medical error occasioned by exhaustion of the personnel, hence increasing mortality rates.

ORDER A PLAGIARISM-FREE PAPER HERE

Rectifying Nurse Turnover through Professional Standards of Practice  

The professional standards of practice delineate a competent level of nursing care as shown by the critical thinking representation known as the nursing process. The nursing process includes the components of assessment, diagnosis, outcomes identification, planning, implementation, and evaluation (Cao et al., 2020).The nurse leader or manager needs to apply these standards to rectify the issue of nurse turnover by conducting timely assessments to determine factors that may lead to the challenge in the organization. Further, the managers need to plan for proper and adequate staffing and remuneration for the nurses to avoid and mitigate turnover (Cao et al., 2020). In addition, retaining employees offers advantages that are precisely the opposite of nurse turnover.

Differing Duties of Nursing Leaders and Nursing Managers on Nurse Turnover                Nursing managers are in charge of managing day-to-day duties in nursing departments and overseeing department staff. Leaders typically supervise nursing teams and ensure the overall success of the unit or hospital as a whole. For instance, budgeting is the responsibility of a nurse manager (Pishgooie et al., 2019). The role of a nurse leader is to motivate the nursing subordinates. Resolving conflicts is the responsibility of both the nurse leader and the nurse manager. In the light of the Environmental Theory of acting to utilize the patient’s environment to assist in patient recovery: the nurse leader and manager have the role to initiative and configure environmental settings appropriate for restoring patient’s health and the external factors. Nurse managers supervise nursing staff to adhere to best practices and procedures (Pishgooie et al., 2019). Duties include offering guidance to nurses during crises, addressing concerns about patient safety, and monitoring compliance with policies and regulationsApproaches to be Taken to Address Nurse Turnover 

The nurse leaders and nurse managers can use various approaches to address the issue. One of the approaches to be taken by nurse leaders is engaging more with the nursing staff to better understand their grievances and concerns, hence offering appropriate guidance and support while improving the situation (Joel, 2017). This makes the nurses feel taken care of hence lowering the desire to leave. Another approach to be applied by the nurse managers is to collaborate and work closely with the human resource department concerning specific nursing staff needs of every unit and help recruit the best nursing staff for the posts (Joel, 2017). This ensures that the nursing staff picked fit the roles and harmoniously work within the organization’s culture and skill fit.

Additional Aspects Managers and Leaders Need to Initiate to Ensure Professionalism

 

Professionalism in nursing means providing high-quality patient care while still upholding accountability, respect, and integrity. Professionalism is essential in nursing because it ensures that nurses achieve the highest standards of care for their patients; leaders can initiate a program for recognizing and encouraging the staff who perform exemplarily (Franjić, 2020). They can begin independent and innovative practices. Further, they can create positive inter-professional collaboration to acquire more skills. On the other hand, managers can initiate advocacy programs for patients and the staff to facilitate growth and create good working conditions for nurses, hence helping nurse retention.

Leadership Style that Best Address the Nurse Turnover 

Effective clinical management and leadership guarantee a high-quality health care system that coherently provides safe and efficient care in current clinical settings. Hence, it is obliging for healthcare givers and managers to identify the leadership styles and theories relevant to their nursing practice. Nursing is a people-centered profession, and therefore the issue of leadership is crucial for success (Huberts, 2018).Nurse managers’ leadership styles are an essential determinant of nurses’ job satisfaction and retention. The participative leadership style best addresses nurse turnover because the style is founded on democratic comprehension. In this leadership style, the leader co-operates with team members in their unit in the decision-making process (Magbity et al., 2020). Therefore, the unit members feel included, engaged, and motivated to contribute. The leader will typically have the last word in the decision-making process. Thus, the leadership style best fits nurse turnover mitigation since it upholds collaboration, inclusivity, and teamwork critical in nursing practice.

Conclusion

Issues of practice in nursing exist and require both the leader and the manager to effectively show leadership and management to realize the organization’s goal. The practice issues impact the quality of care and patient safety. Nurse turnover is when a nurse decides to leave a healthcare institution for any given reason, and it may occur at any time. It negatively impacts health service delivery and patient safety. However, nurse turnover can be revised and mitigated through the professional standards of practice that delineate a competent level of nursing care. In addition, the leaders and managers can professionally apply their roles tohelp in controlling and managing nurses’ turnover through leadership styles and theories relevant to their nursing practice.

ORDER A PLAGIARISM-FREE PAPER HERE

References

Cao, T., Huang, X., Wang, L., Li, B., Dong, X., Lu, H., … & Shang, S. (2020). Effects of organisational justice, work engagement and nurses’ perception of care quality on turnover intention among newly licensed registered nurses: a structural equation modeling approach. Journal of Clinical Nursing, 29(13-14), 2626-2637. https://doi.org/10.1111/jocn.15285

Field, R., & Brown, K. (2019). Effective leadership, management and supervision in health and social care. Sage.

Franjić, S. (2020). Professionalism in Nursing. Saudi J. Nurs. Health Care, 3, 241-245.

Doi: 10.36348/sjnhc2020.v03i09.001

Huberts, L. W. J. C. (2018). Integrity: What it is and Why it is Important. Public virtue, 20(sup1), S18-S32. https://doi.org/doi.org/10.1080/10999922.2018.1477404

Joel, L. A. (2017). Advanced practice nursing: Essentials for role development. FA Davis.

Magbity, J. B., Ofei, A. M. A., & Wilson, D. (2020). Leadership styles of nurse managers and turnover intention. Hospital Topics, 98(2), 45-50. https://doi.org/10.1080/00185868.2020.1750324

Pishgooie, A. H., Atashzadeh‐Shoorideh, F., Falcó‐Pegueroles, A., & Lotfi, Z. (2019). Correlation between nursing managers’ leadership styles and nurses’ job stress and anticipated turnover. Journal of Nursing Management, 27(3), 527-534.

Temkin-Greener, H., Cen, X., & Li, Y. (2020). Nursing home staff turnover and perceived patient safety culture: Results from a national survey. The Gerontologist, 60(7), 1303-1311 https://doi.org/10.1093/geront/gnaa015

Assessment Description
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 managers 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.

Rubric

Selected Issue, Setting, and Impact on Patient Safety assessment

Selected Issue, Setting, and Impact on Patient Safety

22.5 points

Criteria Description

Selected Issue, Setting, and Impact on Patient Safety

5. Excellent

22.5 points

A clear description of the issue is presented. How the issue impacts quality of care and patient safety is detailed and accurate.

4. Good

20.03 points

A description of the issue is presented. How the issue impacts quality of care and patient safety is presented. Some detail is needed for clarity or accuracy.

3. Satisfactory

17.78 points

A general description of the issue is presented. A summary of how it impacts quality of care and patient safety is presented; more information is needed. There are some inaccuracies.

2. Less Than Satisfactory

16.88 points

A partial summary of the issue is presented. How it impacts quality of care and patient safety is unclear. There are omissions of key information.

1. Unsatisfactory

0 points

The issue described does not meet the assignment criteria. The description of the issue and its impact to quality of care and patient safety is omitted.

Professional Standards of Practice to Rectify Issue or Maintain Professional Conduct (B) assessment

Professional Standards of Practice to Rectify Issue or Maintain Professional Conduct (B)

22.5 points

Criteria Description

Professional Standards of Practice to Rectify Issue or Maintain Professional Conduct (D3.4)

5. Excellent

22.5 points

A through discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. An understanding of the importance of professional standards of practice in resolving issues and maintaining professional conduct is demonstrated. Strong rationale supports discussion.

4. Good

20.03 points

A discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. Minor detail is needed for clarity or accuracy. Rationale provides adequate support.

3. Satisfactory

17.78 points

A general discussion of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. There are some gaps in the discussion; some information is needed. There are minor inaccuracies. Rationale is needed for support.

2. Less Than Satisfactory

16.88 points

A summary of how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is presented. The summary is incomplete. More information is needed. There are significant inaccuracies.

1. Unsatisfactory

0 points

How professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct is not discussed.

Differing Roles and Approaches of Nursing Leaders and Nursing Managers (B) assessment

Differing Roles and Approaches of Nursing Leaders and Nursing Managers (B)

22.5 points

Criteria Description

Differing Roles and Approaches of Nursing Leaders and Nursing Managers (C1.3)

5. Excellent

22.5 points

A detailed explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. A well-developed explanation of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Rationale using theories, principles, skills, and nursing manager or nursing leader roles is used. The explanation demonstrates insight into exercising the roles of professional nursing leadership and management in the promotion of patient safety and quality care.

4. Good

20.03 points

An explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. An explanation of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Rationale using theories, principles, skills, and nursing manager or nursing leader roles is used. Some detail is needed for accuracy or clarity. More rationale is needed in some areas. The explanation demonstrates a general understanding of the of nursing leadership and management roles in the promotion of patient safety and quality care.

3. Satisfactory

17.78 points

A general explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. A general summary of how the roles and approaches relate to the selected issue, and how they would promote patient safety and quality care, is provided. Some rationale using theories, principles, skills, and nursing manager or nursing leader roles is used.

2. Less Than Satisfactory

16.88 points

A partial explanation of the differing roles and approaches for nursing leaders and nursing managers is presented. It is unclear how the roles and approaches relate to the selected issue, or how they would promote patient safety and quality care. Rationale using theories, principles, skills, and nursing manager or nursing leader roles is not used.

1. Unsatisfactory

0 points

Explanation of the differing roles and approaches for nursing leaders and nursing managers is omitted.

Ensuring Professionalism Through Diverse Health Care Settings (B) assessment

Ensuring Professionalism Through Diverse Health Care Settings (B)

30 points

Criteria Description

Ensuring Professionalism Through Diverse Health Care Settings (C1.1)

5. Excellent

30 points

A detailed discussion on what additional aspects managers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. The aspects presented clearly continue to address the selected issue and relate to a diverse health care setting. The items proposed in the discussion support the exemplification of professionalism in diverse health care settings.

4. Good

26.7 points

A discussion on what additional aspects managers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. Overall, the aspects presented address the selected issue and relate to a diverse health care setting. The items proposed in the discussion generally support professionalism in diverse health care settings.

3. Satisfactory

23.7 points

A general discussion on what additional aspects managers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. It is unclear how some of the aspects continue to address the selected issue, or the aspects do not appear to relate to a diverse health care setting.

2. Less Than Satisfactory

22.5 points

A partial summary on what additional aspects managers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is presented. The summary contains significant omissions. There are inaccuracies.

1. Unsatisfactory

0 points

Discussion on what additional aspects managers and leaders would need to initiate to ensure professionalism throughout diverse health care settings while addressing the selected issue is omitted. The discussion fails to meet the assignment criteria.

Leadership Style to Address Issue assessment

Leadership Style to Address Issue

22.5 points

Criteria Description

Leadership Style to Address Issue

5. Excellent

22.5 points

The characteristics of the identified leadership style are clearly described. A detailed explanation of why this style could be successful in this setting is presented. Strong rationale is provided for support.

4. Good

20.03 points

The characteristics of the identified leadership style are described. An explanation of why this style could be successful in this setting is presented. Some rationale is needed for support.

3. Satisfactory

17.78 points

The characteristics of the identified leadership style are described. A general explanation of why this style could be successful in this setting is presented. There are some gaps in the explanation. More information or rationale is needed.

2. Less Than Satisfactory

16.88 points

A leadership style to address the chosen issue is partially summarized. The characteristics of the leadership style are vaguely presented. It is unclear why this style could be successful in this setting.

ORDER A PLAGIARISM-FREE PAPER HERE

1. Unsatisfactory

0 points

A leadership style to address the chosen issue is omitted. The proposed item is not a leadership style.

Thesis Development and Purpose assessment

Thesis Development and Purpose

7.5 points

Criteria Description

Thesis Development and Purpose

5. Excellent

7.5 points

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

4. Good

6.68 points

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. Satisfactory

5.93 points

Thesis is apparent and appropriate to purpose.

2. Less Than Satisfactory

5.63 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

collapse Argument Logic and Construction assessment

Argument Logic and Construction

7.5 points

Criteria Description

Argument Logic and Construction

5. Excellent

7.5 points

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. Good

6.68 points

Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

3. Satisfactory

5.93 points

Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

2. Less Than Satisfactory

5.63 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

1. Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

collapse Mechanics of Writing (includes spelling, punctuation, grammar, language use) assessment

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

7.5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. Excellent

7.5 points

Writer is clearly in command of standard, written, academic English.

4. Good

6.68 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

3. Satisfactory

5.93 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

2. Less Than Satisfactory

5.63 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

1. Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (use of appropriate style for the major and assignment) assessment

Paper Format (use of appropriate style for the major and assignment)

3 points

Criteria Description

Paper Format (use of appropriate style for the major and assignment)

5. Excellent

3 points

All format elements are correct.

4. Good

2.67 points

Appropriate template is fully used. There are virtually no errors in formatting style.

3. Satisfactory

2.37 points

Appropriate template is used. Formatting is correct, although some minor errors may be present.

2. Less Than Satisfactory

2.25 points

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

1. Unsatisfactory

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

Documentation of Sources assessment

Documentation of Sources

4.5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. Excellent

4.5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. Good

4.01 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. Satisfactory

3.56 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. Less Than Satisfactory

3.38 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. Unsatisfactory

0 points

Sources are not documented.