Preview

Effective Approaches in Leadership and Management

Good Essays
Open Document
Open Document
952 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Effective Approaches in Leadership and Management
Effective Approaches in Leadership and Management Michelle Gomez Grand Canyon University NRS – 451V October 27, 2013

The purpose of this paper is to discuss the nurse ratios and how management and leaders effectively incorporate theories, principles and leadership styles and qualities that are effective in providing quality leadership and management to staff. There are differences in leaders and managers, in the styles, goals and qualities that define leaders and managers. The effects of the nurse patient ratio can be seen as well as felt on multiple levels of the facility. As far as nurse managers, they are on the closest level besides bedside nurses to see the effects of ratios. Studies have shown that higher nurse patient ratios lead to higher adverse outcomes for patients, lower patient satisfaction as well as higher nurse turnover , which increases costs to the facility. The article in the Journal of Clinical Nursing (2011) investigates the relationships between nurse staffing, nursing activities and adverse patient outcomes in the acute care setting as reported by nurses in Finland and the Netherlands. The study was performed using a cross-sectional, descriptive questionnaire. The study discusses tasks performed by nurses, as well as tasks performed by LPN’s and other staff. The studies show that nurses with higher patient ratio’s have higher incidence of medication administration errors, patient falls as lower patient satisfaction. The nurse manager has direct impact on the development and implementation of tools such as the staffing matrix, acuities scores and what is the policy for staffing. The nurses

You May Also Find These Documents Helpful

  • Good Essays

    Nurse-to-Patient Ratios

    • 564 Words
    • 3 Pages

    In the article, Coffman, Seago, and Spetz (2002) questioned that mandating minimum nurse-to-patient ratios could eventually help to improve outcomes and conditions of both nurses and patients in acute care hospitals in California. They found that mandatory ratios could create opportunity costs that were not easily measured and that might outweigh their benefits. They also suggested that policymakers should consider other strategies or approaches to address nurse’ concerns on hospital staffing and enhance their job satisfaction and retention in hospital facilities.…

    • 564 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Research Database Form

    • 1129 Words
    • 5 Pages

    My topic is to determine if nursing staffing is linked to patient outcomes. Hospitals/facilities with low nursing staffing tend to have poorer patient outcomes such as pneumonia, shock, cardiac arrest, and urinary tract infections. Nurse staffing levels are an important issue for nurses as well as a important factor of the quality of nursing care and patient outcomes. I would like to research the effects of nurse to patient ratios on adverse events, morbdity, mortality, and hospital costs.…

    • 1129 Words
    • 5 Pages
    Good Essays
  • Better Essays

    Mod1assignment

    • 1253 Words
    • 4 Pages

    In hospitals with low nursing staff are having a greater incidence of poor patient outcome. Two Studies from the AHRQ suggest that there was a significant correlation between lower nurse staffing levels and higher rates of pneumonia. (Finkelman 2013) While working in a Long Term Acute Care (LTAC) Hospital we…

    • 1253 Words
    • 4 Pages
    Better Essays
  • Better Essays

    Obtaining magnet status is essential and highly recognized in the nursing practice today. Nurses play a vital role in patients’ and families’ overall experience and are the primary source of care and support during the most vulnerable times in an individuals’ life. At magnet hospitals, nurses are attentive and knowledgeable, spending more time at patients' bedsides providing compassionate and upmost quality of care. Managers are constantly striving to maintain quality service and patient care through the use of patient surveys in order to plan short and long term objectives in order to take appropriate actions. With the use of patient surveys, managers are able to inform their staff on areas for improvement or where to keep up the good work. Managers provide direction and motivation to their nursing unit in order to carry out desired actions and are focused on making sure that their staff are following the correct policies and procedures in order to maintain a safe workplace.…

    • 1395 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Adequate staffing will decrease the need for the nurses to spend longer time in the patient’s room and if there are any suspected patients that may cause harm, another nurse can accompany the primary nurse. Therefore, adequate staffing will ensure delivering the care for the patients in a faster way.…

    • 975 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Nurse staffing ratios is a growing concern that is seen by nurses everywhere, and studies have shown it is a problem. Hospitals that have insufficient staffing ratios have poorer patient outcomes, increased patients deaths, nurse burnout, higher turnovers, dissatisfaction among employees and their patients. (American Nurses Association 2013) This has led to new laws and regulations that require adequate staffing that is based on the acuity of the patients. Nurse staffing is measured two different ways; hours spent on each patient daily and how many patients per nurse. The hours spent on patient care covers registered nurses, licensed practicing nurses, and nurse aides. Increasing staffing ratios is not an easy task and according to the Agency for Healthcare Research and Quality (2004), can be due to a higher level of acuity patients being seen and a gap that is nationwide in the positions available and the number of qualified…

    • 1496 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    DEVELOPING A SHRED VISION

    • 723 Words
    • 3 Pages

    The impact that staff shortages can have is tremendous not only to the nursing staff, our patients, but also to our organization as a whole. Having a shortage of our nursing staff in our department can reduce the efficiency and effectiveness of care that we give to our patients due to the ratio of nurse to patient. This can include delay for any patient testing and or surgery, delay in a patient being discharged, which then promotes to bed shortages and patient complaints on the care they are receiving. In addition, it also hinders the early detection of patient complications, the safety of our patients and most importantly patient error due to lack of proper communication (American Association of Colleges of Nursing/Impact of the Nursing Shortage on Patient Care, n.d).…

    • 723 Words
    • 3 Pages
    Good Essays
  • Good Essays

    than others. A shortage in staff results in a heavy workload for nurses. Nurses become fatigued…

    • 822 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Currently there is no set approach used to determine how to decide nurse-to-patients ratios in health care. The two most common staffing methods used are staffing based on patient acuity and mandated nurse-to-patient ratios. The debate over how to best decide nurse-to-patient staffing ratios has been an ongoing issue. ANA President Barbara Blakeney(2012) stated “Inappropriate nurse staffing is the number one concern of nurses today. More than a decade of research has shown that RNs make the quality difference in patient care and that when RN care is insufficient, patient safety is compromised and the risk of death is increased” (p.1). Patient outcomes, nursing staff satisfaction, and cost are all things considered when evaluating the outcomes of the different staffing methods. There have been on going studies into the effects of both staffing methods on patient care. Research needs to continue to find a safe way to staff nursing facilities. Staffing by nurse-to-patient ratios or by patient…

    • 2216 Words
    • 9 Pages
    Powerful Essays
  • Better Essays

    Nurse Staffing Ratios

    • 1458 Words
    • 6 Pages

    Stanton, M. W. (2004). Hospital Nurse Staffing and Quality of Care. Agency for Healthcare and Research Quality, 1(14), pgs 1-9. Retrieved on September 13, 2012 from: http://www.ahrq.gov/research/nursestaffing/nursestaff.pdf…

    • 1458 Words
    • 6 Pages
    Better Essays
  • Good Essays

    There are studies shown that understaffing affects the patient-care, lower infection rates, lower hospital stays, and fewer in house deaths. In Pennsylvania, the nurse to patient ratios ranges anywhere from 4:1 to 8:1. In a study conducted by Annual’s Internal Medicine, have shown that out of 232,342 surgical discharges, 4,535 patients (2 percent) died within 30 days of hospitalization. Investigators estimate that due to high patient to nurse ratios, nearly 1,000 of those deaths could have been prevented by lowering the patient to nurse ratio. Providing a lower patient to nurse ratio could possibly provide a better quality of care and lower the mortality rate.…

    • 1187 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    There can be many consequences for patient care due to low level RN staffing. Nurses are unable to assess their patients often enough to evaluate their changing conditions. Because nurses are unable to assess their patient often enough this can lead to falls, infections. Also patients are sent home without the proper education on how to care for their condition at because the nurses are understaffed. Nurses become overworked resulting in poor communication, impatience and more importantly poor overall patient…

    • 81 Words
    • 1 Page
    Satisfactory Essays
  • Best Essays

    The Baby Boom Era Impact

    • 4478 Words
    • 18 Pages

    of nurses. Journal of Nursing Management, Vol. 16 Issue 8, p984-991, 8p, 2 Charts; DOI:…

    • 4478 Words
    • 18 Pages
    Best Essays
  • Good Essays

    Nurse Patient Ratio

    • 1020 Words
    • 5 Pages

    The article Nurse-Patient Staffing Ratios in the American Journal of Nursing reported a seven percent increase in mortality for each additional patient added to a hospital nurses workload (Wallis, 2013, p. 21). When caring for a larger number of patients you are more likely to miss important signs and symptoms. It’s difficult to be thorough because there is not enough time to properly assess each patient. When patients aren’t properly assessed it’s easy to fail to notice the early warning signs that a patient may be starting to go downhill. So, instead of noticing a slight change and reacting to it, the nurse caring for a large patient load may not realize there is problem until the patient has already coded or is about to code. Wallis found that “besides the occupational hazards caused by understaffing numerous studies show a correlation between inadequate nurse staffing and poor patient outcomes. High nurse to patient ratios are associated with an increase in medical errors, as well as patient infections, bedsores, pneumonia, MRSA, cardiac arrest, and accidental death” (Wallis, 2013, p. 21). As the charge nurse on my unit I was involved in codes that should have never taken place on the floor. The nurse’s lack of attention to the patient because of high nurse patient ratios resulted in the patient coding on the unit. It was hospital policy that each code that happened on the floor be thoroughly reviewed. In some cases it was determined that the patient should have been moved to Intermediate care or ICU as much as 24 hours earlier. A study published in the New England Journal of Medicine, “examined the relationship between mortality and day to day, shift to shift variations in unit level staffing. The study found that the risk of death increased two percent each time a patient was exposed to shifts with below target RN staffing (Dorning,…

    • 1020 Words
    • 5 Pages
    Good Essays
  • Best Essays

    Nurse Staffing

    • 1995 Words
    • 8 Pages

    Clarke, S. (2003). Patient safety series, part 2 of 2: Balancing staffing and safety. Nursing…

    • 1995 Words
    • 8 Pages
    Best Essays