Effective Approaches in Leadership and Management


In this assignment, you will be writing a 1,000 word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:
1.    Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
2.    Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
3.    Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
4.    Use at least two references other than your text and those provided in the course.


Continuous Quality Improvement and Patient Satisfaction

The Nursing practice requires many qualities. It requires specialised skills, knowledge and independent decision-making skills. It also requires effective leadership and management to provide continuous quality improvement and patient satisfaction. Quality improvement will bring significant effect in health care system. Implementation of better patient care policies will cause a complete health care reform in coming years.  Many projects are going on different countries to achieve higher aims of quality improvement. We need to address several aspects of health care. (Yoder-Wise, 2014).  There is a requirement of reduction of hospital acquired illness and proper patient engagement is a very necessary part of care. 
The management should plan better patient engagement and transform health through technology. In this way, health care will be more efficient , effective and patient centred. Continuous quality improvement is required for better patient satisfaction. Patient information should be quickly accessible between the facility.

Comparative Analysis

There is a requirement of efficient tools for better patient satisfaction. The efficient use of technology is required to access patient information. There can be a special button offering them for proper engagement  and also enable them to download personal care information. The patient can be given authorised access depending on the patient condition and age. This patient engagement technology allows the patient to explore many care option for himself. Also, this allows the patient to connect with more people with the similar condition. These approaches have been already followed by GetWelNetwork to promote inpatient centred tools and resources. The work is at a very primary stage and the main motive is to improve patient education and health care team which will increase the satisfaction among the patients and caretakers. (Laschinger et al, 2014) Also, there is a requirement of adapting mobile integration of mobile technologies which can be accessed for better patient care.
Nurses require IT tools that support patient care . These tools include documentation system which will support nursing workflow, also clinical decision support and data which can monitor improvements. These new and advanced approaches need to be adapted and implemented by the institute leaders. Nurses need to adapt the constantly changing work environment for the better treatment of the patient.

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The Theory of Magnet Status

The nurse has to set higher standards and gain Magnet Status. Magnet status as defined by Miriam Hospital is a designation given to the hospitals for the creation of Magnet Cultures. This not only supports nursing practice but also supports decision-making at the bedside , involving the nurses to determine nursing work environment hence providing better care and satisfaction to the patient. The concept of magnet status came existence in 1980. This was to motivate the nursing staff. Studies have shown that Magnet hospitals have excellent patient satisfaction scores, safe patient environment, very few repeat admissions and patient overall have a better outcome (MacPhee et al, 2012) It is important that the nursing leadership and management should work together to achieve these defined goals. It is necessary to recognise, organise and accomplish the assigned task and also ensure staff participation needed to achieve nursing excellence. The role of the management is to identify and utilise resources required to achieve better patient satisfaction. 

Role of Leader and Manager

A leader has to plan, organise and implement various strategies at an organisation level to meet the excellent quality standard for the patient. It is necessary for a leader to overview that the policies and procedures are implemented correctly. The nurse managers need to survey patients periodically. The survey will allow us to work on the weak areas that need to be improved for better patient satisfaction. There are many actions that a Hospital can take from its side like by reducing waste, ensuring Medicare reimbursement     through patient satisfaction, different approaches to nursing practices like bedside reporting. There can be patient education and update the white board. 
There should be proper patient communication. By effective communication, a comfort level with the patient is developed by which patient conveys his pain, fear , shares anxiety. Listening is a very important mode of communication. It requires nursing skills and attention. By this nurses can access the situation and problems of the patient. By being a good listener nurses can provide care at all levels of recovery. Conversations should be held in appropriate condition. Each patient has its own way to discuss the problem. After the nurse has listened to all the problems she can talk to the patient.
A better patient care is achieved by mutual trust and striving toward cohesion and tolerance while managing various conflicts .In management, the goals are established by other people . It is the duty of the leaders to keep the team motivated to achieve goals. Leaders have to develop new and fresh approaches to achieve goals. Leaders should be ready to take various challenges and also accept the ideas from others that they may be holding back. Managers work to accomplish certain tasks. It is important to ensure that they get the job done without putting much at risk. Magnet culture helps shared decision making. (Giltinane, 2013).  In order to succeed in a patient care facility, we need to prove mastery in many zones which include high-quality nursing management and environment that is built with strong principals.

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Personal and Professional Philosophy

Key to providing better quality patient care is strong interdisciplinary relationships, in this, all the departments of the institute have to work together this not only includes nurses but also the physicians, pharmacists and therapists. It requires participation and mutual respect among all the departments. There is shared responsibility towards the patient. During a patient's hospital stays he/ she comes across all the departments directly or indirectly. Lack of support from any of the department can lead to patient dissatisfaction. It is important to maintain a good professional relationship between the management and the subordinate. 
Employees at all level must feel that the ideas matter and are of importance, they will definitely go an extra mile to achieve  have the ability to fulfil commitment. True success comes from true dedication. Achieving excellence in patient care takes a lot of dedication and constant hard work. It is important to have an understanding and working together as a team. All the members of the institute have something to contribute. This contribution can make an institution best in patient care.


  • Yoder-Wise, P. S. (2014). Leading and managing in nursing. Elsevier Health Sciences

  • Laschinger, H. K. S., Wong, C. A., Cummings, G. G., & Grau, A. L. (2014). Resonant leadership and workplace empowerment: The value of positive organizational cultures in reducing workplace incivility. Nursing economics, 32(1), 5.

  • MacPhee, M., Skelton?Green, J., Bouthillette, F., & Suryaprakash, N. (2012). An empowerment framework for nursing leadership development: supporting evidence. Journal of Advanced Nursing, 68(1), 159-169.

  • Giltinane, C. L. (2013). Leadership styles and theories. Nursing Standard, 27(41), 35-39.  

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