Development of Management Programme for Nurses

Development of Management Programme for Nurses An advancement from a clinical role to a leadership role is one of the most challenging transformations for professional nurses in their career development. Nurses must be prepared as leaders who are competent, flexible, and able to energize others to adapt to change (Grohar-Murray Langan, 2011). Effective nurse leaders must communicate with their staff, manage stress, make decisions and handle power wisely. Additionally, managers must acquire and cultivate skills such as financial and change management, cultural literacy and personnel development and evaluation. The new nurse managers should acquire the qualities of management and leadership and need good mentors and orientation program in the transition. The purpose of this paper is to present a proposal for the development of a new manager orientation program. Effective nurse managers are crucial in achieving the hospital’s patient care mission and its financial viability (Cathcart, 2010). New nurse managers should be aware of problems that affect todays health care. Since the nursing job is getting more and more stressful and the health care is getting more expensive day by day, the nurse manager orientation program should include the ways to do good budgeting and safe staffing and retention of staff which helps in delivering safe and effective patient care. Nurse manager has great responsibility in maintaining a safe and quality patient care in the unit. Formal orientation programs are essential in retaining and motivating employees, lowering turnover, increasing productivity, improving employee morale, facilitating learning, and reducing the anxiety of new employees (Ragsdale, 2005). New nurse managers should be given enough time to know about the facility and the staff of the hired unit. New nurse managers should be aware of the expectations of them in the department and organizational level. Topic Rationale for Inclusion Objectives Possible Resources Necessary time and good orientation program A nurse manager should be given time to know the staff and the unit she/he is going to work with. Necessary time for orientation help the nurse manager to know the problems on the unit and the expectation of the staff about the new nurse manager. A well-designed orientation program can reduce turnover, shorten the period of adjustment, and lay the groundwork for a long successful career (Ragsdale, 2005). After getting enough time for orientation, a nurse manager will be able to plan herself for the job. The new nurse manager should use her mentor, all the staff and auxiliary staff in the unit as resources. Effective communication Effective communication is necessary to clear the ideas and gain confidence with the staff members. Communication has been identified as an essential component of team functioning within the nursing and inter-professional teams (Kilpatrick, 2013). After the nurse manager practice to do clear communication, they will be able to share the ideas and commands appropriately. A nurse manager should observe the mentor and can read books and discussions and should adapt his/her own way for effective and clear communication. Conflict resolution Conflict resolution skills are very important for the nurse manager to run the unit smoothly and improve the quality and increased productivity in a team which helps to bring better patient outcomes. The nurse executive must train or select nurse managers with effective conflict resolution skills (Baker, 1995). The focus of the nurse manager must shift from managing the behaviors used by staff to resolve the conflict (Baker, 1995). After learning the conflict resolution skills, the nurse manager will be able to recognize the issues and behaviors that causing the conflicts and analyze and solve the problems with the unit. A nurse manager should look into the mentor and others and also brainstorm possible resolutions to gather ideas to solve the conflict. Decision making Decision making is a difficult process sometimes for the nurse managers because they have to make fast decisions in times of evacuations, disasters and all affects the patient and their families and the staff. The degree of stress depends on their management and organizational factors, their work experience etc.. Throughout each 24-hour day, nurse managers make countless rapid fire decisions that impact patient, staff and organizational outcomes (Shirey, 2013). After getting enough time of orientation, nurse manager will able to know about the organization, unit and the staff which helps in better decision making. Nurse manager should learn from the mentor and also he/she should ask the staff with one on one or group meetings and get the opinions and ideas of different staff before the decision making. Motivation of staff Nurse managers can motivate the staff by creating a healthy work environment, participating the staff in the decision making process and complimenting the staff for their achievements. A transformational leadership approach can help nurse managers to increase or maintain a motivating work environment (Curtis, 2011). Motivating the staff is very much necessary for staff retention for this stressful and hectic job. Most nurse managers use a transformational leadership style which can increase motivation, enabling participation in decision- making, creating a healthy work environment, increasing worker empowerment, and offering a better quality of work-life balance (Curtis, 2011). After learning the necessary skills for motivating, the staff the nurse manager is able to create a healthy working environment which helps to increase the staff satisfaction and improve better patient outcomes. The nurse manager can learn from the mentor and from other excellent approachable senior leaders. Good budgeting Nurse manager has responsibility in maintaining the budget allowed for the unit. Nurse manager has to notify the staff of the budget allowed for the year and expenses of the unit and to decrease the unnecessary wastage of supplies. Nurse manager has to maintain the schedule in a way to decrease the unnecessary overtime on the unit and maintain the vacation time without affecting the staff and the patient care. Nurse leaders must make it their responsibility to provide nurses with increased exposure to quality, safety, and financial data, thereby allowing nurses to translate data while achieving and sustaining successful outcomes (Talley, 2013). After learning the budget allowed for the unit, the nurse manager is able to notify the staff about the patient safety priorities, quality outcomes, and financial accountability of each staff. The nurse manager should ask the mentor and other approachable nurse leaders of the organization and she can read materials on the financial management in the nursing field as resources. Safe staffing and staff retention Nursing job is a demanding at the same time a stressful job. Nurse manager should provide safe staffing and has to motivate and encourage the staff for better patient outcomes. Increase turnover of nurses will result in the economic burden, negative patient outcomes and decreased continuity of care. Increase turnover results in increased stress on the existing staff to cover the vacant shifts and also to orient new staff to the unit. So the nurse manager has to ask frequently to the staff for the feedbacks about the management and also for any problems with the unit. Improved retention will lead to savings of the organization, which may be allocated to activities such as training and mentorship to assist nurse leaders in developing these critical leadership skills (Duffield, 2011). Nurse manager has to appreciate the staff for their help on the unit and better patient outcomes and their achievements for certifications or attaining a degree. After learning how to do safe staffing and staff retention nurse manager is better able to increase patient outcomes and to save money on a tight budget. Nurse manager should ask the mentor and also should use her existing skills and experience to do safe staffing. Nurse manager should always ask feedbacks from the unit and can use all the employees in the unit as resources to solve the problem with the unit. Good nurse managers always try to make a positive and healthy working environment. The positive working environment will increase the job satisfaction. The skillful nurse manager always listens to the problems and feedbacks of the staff in the unit. This helps the nurse manager to find out the problems in the unit and manage the unit well with co-operation from all the staff in the unit. By managing the unit well, the nurse manager is able to do safe staffing, improve the retention and better budgeting, which all leads to better staff and patient satisfaction and better patient outcomes. References Baker, K. (1995). Improving staff nurse conflict resolution skills. Nursing Economic$, 13(5), 295. Cathcart, E., Greenspan, M., Quin, M. (2010). The making of a nurse manager: the role of experiential learning in leadership development. Journal Of Nursing Management, 18(4), 440-447. doi:10.1111/j.1365-2834.2010.01082.x Curtis, E., OÂÂ ¿Connell, R. (2011). Essential leadership skills for motivating and developing staff. Nursing Management UK, 18(5), 32-35. Duffield, C., Roche, M., Blay, N., Stasa, H. (2011). Nursing unit managers, staff retention and the work environment. Journal Of Clinical Nursing, 20(1/2), 23-33. doi:10.1111/j.1365-2702.2010.03478.x Grohar-Murray, M. E., Langan, J. (2011). Leadership and management in nursing (4th ed). Upper Saddle River, NJ: Pearson Health Science. Kilpatrick, K. (2013). Understanding acute care nurse practitioner communication and decision-making in healthcare teams. Journal Of Clinical Nursing, 22(1/2), 168-179. doi:10.1111/j.1365-2702.2012.04119.x Ragsdale, M., Mueller, J. (2005). Plan, do, study, act model to improve an orientation program. Journal Of Nursing Care Quality, 20(3), 268-272. Shirey, M. R., Ebright, P. R., McDANIEL, A. M. (2013). Nurse manager cognitive decision-making amidst stress and work complexity. Journal Of Nursing Management, 21(1), 17-30. doi:10.1111/j.1365-2834.2012.01380.x Talley, L. B., Thorgrimson, D. H., Robinson, N. C. (2013). Financial Literacy as an Essential Element in Nursing Management Practice. Nursing Economic$, 31(2), 77-82.

Demetrius in Shakespeare’s A Midsummer Nights Dream Essay -- Midsumme

The Importance of Demetrius  in Shakespeare’s A Midsummer Night's Dream The character, Demetrius, in Shakespeare’s A Midsummer Night's Dream, is very difficult to identify except by his relation to the one he loves, or, more particularly, to the one who loves him. Helena's ridiculous chasing after him and his irritation with her are the primary marks of his character. While in this state, he even begins to threaten Helena with bodily harm, coming off as not quite the gracious courtly lover he truly means to be. It's simple to discover his unchivalrous character by how easily his eye was distracted from Helena by Hermia in the beginning. He could be a gentle, loving man if he truly desired, but he takes satisfaction being put in his place by others. In the end, still under the spell of fairy magic and therefore not seeing with true eyes, he seems a bit imbecilic laughing at the acted "lovers" in the play. He doesn't realize it, but he is in a play of his own. Likewise, as with the other characters, what happens to him is far more interesting than t he sort of character he is.   Shakespeare portrays the character, Demetrius, throughout the play as lacking self-confidence, rude, violent, lacking individuality and unromantic. Since Demetrius only has two lines throughout the entire first act, it shows that he can't stand up for himself, likewise, this lack of speech displays his lack of self-confidence and image: â€Å"Relent, sweet Hermia, and, Lysander, yield Thy crazed title to my certain right† (Demetrius, 1.1.93-94). Demetrius believes that since he has Egeus' approval, that Hermia should relinquish to him and states that Lysander is going against his privilege.   Demetrius takes advantage of his stature by claiming Hermia as a r... ...nsformation are all experienced by Demetrius to a great extent, especially with his lovers and enemies. His vile, yet sensitive personality really kept the reader examining what he could change into next, which seems as if they were more than just a single character. Demetrius, as a character, is essential to the play, for a backbone and plot. 1.  Ã‚  Ã‚  Ã‚  Ã‚   When quoting, you need to use quotation marks around the quotes unless you are separating the quote from you text by indenting each line.   Also, the final punctuation should come not inside the quotation marks but after the parentheses.   If you are using other sources it is very important that you put in parentheses the name of the author and the page number on which the quote can be found.   Also, if you are using other sources you should really, truly use a works cited so that others can find that same source.   

Benedict XVI

A great leader does not impose perfection at all times. Leaders also have their shortcomings to their people but on top of that, they continue to pursue their passion which Is to serve those people who believed in them. However, not all leaders are measured through their greatness. Some will be remembered because of their humility. Don't you think It's great If someone will humbly give up power knowing they can not anymore serve their people better? One can not be truly great If he does not know how to humble down himself before God. Sounds familiar?It Is our former pope, Joseph Radiating popularly known as Pope Benedict XVI. He might not be as popular as Pope John Paul II was or our present Pope Francis but he contributed great things not Just to Catholic church but to our faith as Catholics. Pope Benedict Wig's papacy testifies to a churchman of scholarship and pastoral sensitivity. He has a reputation as a theological conservative, taking uncompromising positions on homosexuality, women priests and contraception's. He espouses Christian compassion- speaking out for human rights, protection of the environment ND the fight against poverty and injustice.The central theme of his papacy has been his defense of fundamental Christian values in the eave of what he sees as moral. He always believed that the strengths of the church came from an absolute truth that does not bend with the winds. â€Å"If John Paul II had not been Pope, he would have been a movie star; if Benedict had not been Pope, he would have been a university professor†, wrote US Vatican expert John L. Allen. Benedict was described by those who know him as ladybird, with a mild and humble manner, but a strong moral core.Pope Benedict went through a to of controversies during his reign resulting in decline in numbers of priests being recruited and millions of Catholics went against the church. Public relations for him was not a big factor. It was one of his weaknesses. He has never publicly gi ven his own version of events. Even though a lot of people was disappointed for him being so traditional, he remained with the truth. He was not open to Casting modernization and intransigent on priestly celibacy and contraception's. He tried his best to obtain a church which is one with other religions but he was misunderstood.His speeches turned to be an offense to all Muslims and Protestants. As a result, he received a lot of criticisms e. G. That his resignation was due to his conversion to Islam. It turned out to be a disgrace for the Catholic church. Despite all of that, his supporters believed that was exactly why he was the man to lead the church through such challenging times. Pope Benedict XVI was a mild and humble pope. As a religious leader, faith Is what you bring to people. Our Lord Jesus became the symbol of faith through Pope Benedict. The teachings Jesus made remained during his papacy.He Just wants us to stick to these teachings because these traditional teachings are what truly mold our faith. Benedict XVI By tyrosine's which is to serve those people who believed in them. Remembered because of their humility. Don't you think it's great if someone will can not be truly great if he does not know how to humble down himself before God. Sounds familiar? It is our former pope, Joseph Radiating popularly known as Pope Benedict WI. He might not be as popular as Pope John Paul II was or our present Pope Benedict XVI was a mild and humble pope. As a religious leader, faith is what

Italian Wars essays

Italian Wars essays During the period 13th and 16th century Europe was in a state of great ebullition and new classification. Wars, revolutions, politico-economical transition, social convulsions and illnesses overwhelmed fatally the stability of Europe. During the period of two centuries (14th and 15th century) the countries that were constituting Europe were trying to solve the various problems by using political regimes and a lot of times using radical methods. Italy had a lead role during that period (Renaissance) but also before that and especially the city-states that constitute the country. Many innovations, new ideas and methods that were used in all areas like economy, trading, politics, society and religion came from Italy the period of Renaissance influencing all Europe. This period also influenced arts, literature and culture. The areas that were influenced, progress and developed in Italy were the society of city-states, the political classifications and conflictions, the finance and also the arts and culture. During this period the society has begun to urbanize. In social area the bourgeoisie of the Holy Roman years was never forgotten. Trade and small industry were fully developed. In the South the agriculture was in decline. On the other hand in Central and North Italy navigation was developed. There was a complicate and confused social system. There wasnt a clear social hierarchy between the rich and poor. Every one had to recruit in the Territorial Army and they were fighting side by side. The participation in public life was an integral part of their lives. A simple example of what was happening in Florence the public businesses was operated from the citizens. In Venice the trade aristocracy was in charge. The political matters were an issue of personal high gear of the citizens. This progress brought competition among the cities and the once that had powerful politico-economy were occupying the smaller ones. Th...

Atherosclerosis, Coronary Artery Disease and Endothelium essays

Atherosclerosis, Coronary Artery Disease and Endothelium essays One of the foremost leaders of mortality in the US is coronary artery disease (CAD). This disease strikes many older men and women, as a result from the infamous factors of high cholesterol, high blood pressure, and diabetes mellitus, not to mention others. Thanks to research over the last decade, there is more understanding of the role endothelium plays in the coronary system. Instead of having non-active, diffusional barrier-like qualities, as was once thought, the endothelium serves many critically important functions. At the blood vessel walls, the endothelium synthesizes and releases active substances such as nitric oxide and bradykinin, two potent regulators of vessel function. It is found that the physiologic changes in the endothelium affect the mechanisms responsible for atherosclerosis, and progressively in coronary artery disease. The changes that generate these conditions are known as endothelial dysfunction. As we will see, even the smallest factors can play a wi despread role in atherogenesis, or the making of degenerative plaques of cholesterol in the inner layer of an artery. Atherosclerosis, a condition increasing with age, is marked by the deposition of lipids into already-present plaques, causing elevated plaques. The inner layer, or endothelium, is the primary site of development of atherosclerosis. The endothelium is a highly dynamic, multifunctional organ whose central role is to respond to changes in stress and blood flow (Jairath, 1999). The endothelium is the largest organ in the body; its total mass is equal to about five human hearts, and surface area about the size of a tennis court. The vascular tone of the blood vessel is maintained by endothelium-released vasoconstrictors and vasodilators. Vasoconstrictors include endothelin, angiotensin II, thromboxane A2, arachidonic acid, prostaglandin H2, thrombin, and nicotine. Vasodilators include nitric oxide, prostacyclin, bradykinin, endoth...

Consumer Protection Essay Example | Topics and Well Written Essays - 1500 words

Consumer Protection - Essay Example In order to deal with obstacles in contracts, the government must interfere with free contracts in a negative manner that to the majority of citizens it would seem positive. According to Green, the government had assumed unlimited powers of intervention (Gerven, Stuyck and Wouters 2001). According to Green’s statement, not citizen should be forced to enter in to a contract that is against his free will. Green emphasizes on the need of the government to intervene since it would be able to prevent tragedies from happening. According to Green, the government should promote and safeguard social, economic and political environments so that individuals can act freely according to their will (Howells 2010). However, the government should not excessively intervene in the consumer contracts since it may curtail the ability of individuals to act according to the conscience thus slowing down economic growth and development. The government is supposed to intervene in matters that endanger the consumer rights and liberties (Jones and Hutter 2011). According to Green, the State has the final decision in deciding how the industries should be regulated in order to safeguard the rights of the consumers (Howells and Weatherill 2005). ... The government also protects the consumers through regulations on information dissemination that aim at remedying the high market transactions costs and market distortions (Hancher 1990). The government also protects the rights of consumers on the standards of services offered by service providers like the medical services, insurance services and banking services. The government has a duty to protect the welfare of consumers in contracts, consumers rights are protected during bankruptcy proceedings (Gunning, Holm and Kenway 2009). There are numerous laws that protect consumer interests in the UK. For instance, the competition Act 1998 prohibits businesses from engaging in anti-competitive agreements during the course of their business operations (Goldring 1998). Some of the anti-competitive practices that have been outlawed are price fixing, agreements to reduce the volume of production, carve up markets and customer discrimination by charging different prices when difference of supp ly does not exist. The Act prohibits the businesses from use of dominant market power, like 40 percent market share to impose unfair trading practices to the consumers or to decline supplying to the existing customers without any justifiable reasons. Penalties for anti-competitive practices range from 10 percent of the company turnover to disqualification of the business directors (Turner and Martin 2005). In the UK, numerous Acts of Parliament have outlined the responsibilities of sellers to buyers. All the transactions between the buyer and seller are governed by a contract. According to the Sale of Goods Act of 1979, the goods sold must adhere to the description provided to the buyer.

Reflections on my Drug Administration OSCE Essay

Reflections on my Drug Administration OSCE - Essay Example Drug administration is one of the major roles of nurses. However, as I found out in the objective structured clinical examination (OSCE) given to us, it entails much more than simply giving a patient a pill. It is an aggregate of all the principles and skills we learn as nursing students, and the application of theories into practice. In drug administration, we have to remember and practice patient safety, provide holistic and individualized patient care, have a solid foundation on knowledge about drugs and medication safety, and perform administration checks and documentation at all times. Much about the role of nurses in hospital can be learned from something as seemingly simple as a drug administration OSCE. Patient safety practices Patient safety is a crucial part of patient care. At all times, all health professionals should keep the safety of the patient in mind. Patient safety practices for drug administration begin at the first contact, from patient identification, patient ed ucation and information, patient contact, performance of procedures, to leaving the patient comfortable. One of the important principles in patient safety is infection control. Nosocomial or hospital-acquired infections are the most common complications affecting hospitalized patients today, and one of the major sources of infection is cross-infection by health care workers (Burke, 2003). Meaning, most patient obtain infection from the hands of those that are treating and caring for them. Most incidents that lead to infection can be prevented and one of the simplest ways to prevent this is by hand-washing. In the Guideline for Hand Hygiene in Health-Care Settings released by the Centres for Disease Control and Prevention (Boyce and Pittet, 2002), it is recommended that hand washing and hand antisepsis be done if hands are visibly dirty or contaminated. It should also be done before having direct contact with patients, before donning sterile gloves, after contact with a patientâ€⠄¢s skin, after contact with body fluids or excretion and wound dressings, and before eating or after using the restroom. In all aspects of contact with the patient, hand hygiene must be done. The guideline further recommends that health care personnel should not wear artificial fingernails, should keep nail tips short, and should remove gloves after caring for a patient. Thus, before drug administration, and even before handling drugs and preparing them, hand washing must always be done. It should also be done after patient contact, and in between interaction with different patients. Verifying patient identity is another important aspect of patient safety, and not being able to do this could lead to adverse results. Omitting verbal verification of patients’ identity prior to administering medications may lead to a potential adverse event 20% of the time in worst case scenarios (Lisby, Nielsen, and Mainz, 2005). Even with the use of medication administration technologies such as bar code verification, effectiveness in preventing errors is largely dependent on how practitioners use the technology to verify patient identity and drug identity (Englebright and Franklin, 2005). Remediable causes of having the wrong patient include absent or misused protocols for patient identification and informed consent, faulty exchange of information among caregivers, and poorly functioning teams (Chassin and Becher, 2002). During my OSCE, I failed to check the identity of the patient with my mentor. I understand that failing to properly verify my patient’s identity could lead to adverse consequences, and will make sure to keep it in mind in future patient interactions. Doing a brief clinical history can also contribute to patient safety. It allows nurses and other medical personnel to be aware of the patient’s condition, comorbidities, present symptoms and level of comfort. Particularly relevant in drug administration is asking the patient about other drugs being taken and for any personal history or family history of