NRS-451 Assignment: Effective Approaches in Leadership and Management

Effective Approaches in Leadership and Management

Healthcare settings face various issues in clinical practices. Most of them compromise the quality of care, patient safety, and overall patient outcomes. This paper will focus on nurse staffing ratios in the selected healthcare setting, including its impact on the quality of care and patient safety. Additionally, the paper will discuss how the professional standards of practice can be applied to addressing nurse staffing. It will also include different roles and approaches of nursing leaders and nursing managers applicable to addressing the issue. The paper will also cover additional aspects required by the nursing leaders and managers to address the issue. Finally, the most appropriate leadership style for addressing the situation will be discussed.

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Nurse Staffing Ratios and its impact on the Quality of Care and Patient Safety in the Setting where it Occurs

The selected issue, in this case, is nurse staffing ratios in a healthcare organization. Nurse-to-patient ratios can be defined as the total number of patients that one nurse cares for at a particular time. Nurses play a significant role during care delivery. They support multiple healthcare team members, including physicians, lab technicians, and pharmacists, by performing various duties (Livanos, 2018). First, nurses monitor patients for clinical deterioration, thus promoting patient safety. Also, they detect incidents of near misses and errors that might compromise the quality of care and patient safety. Additionally, nurses provide holistic care through caring to the patients and their families. Therefore, inappropriate nurse staffing through lowering nurse staffing or improper skill mix impacts the quality of care adversely, which, in turn, compromises patient safety.

The Application of Professional Standards of Practice to Rectify Issue

The issue of nurse staffing ratios can be addressed through professional standards of practice. The American Nurses’ Association (ANA) developed the professional nursing practice standards to guide the nurses in their clinical practices (Charlotte, 2017). These standards define the competent level of care in every stage of the process of nursing. The professional standards aim to direct and maintain a clinically competent nursing practice that is safe for the patients. The achievable and desired level of performance is stated in professional guidelines (Charlotte, 2017). That nurse’s actual performance is measured against the set standards. Therefore, nurse staffing ratios can be rectified by assigning every nurse an appropriate number of patients to handle competently.

Differing Roles and Approaches of Nursing Leaders and Nursing Managers

Nursing leaders and nursing managers have a critical role to play in addressing the issue of nursing staffing. Nursing leaders will rectify the issue by using their leadership skills to advocate for the patient’s rights in the selected healthcare setting. Their desire to provide quality care and promote patient safety will trigger the nursing leaders to advocate for appropriate nurse staffing, thus addressing the issue. Additionally, nursing leaders embrace evidence-based practices to implement change in health care settings (Whitney, 2018). Thus, these leaders will support change in the current nursing ratios to improve patient safety quality and enhance patient safety. Additionally, the nursing leaders will address the issue through influential leadership in which they will have powerful influence on the nurses.

On the other hand, nursing managers will rectify nurse staffing through one of their primary functions, staffing. These leaders will hire and retain quality and an appropriate number of nurses through staffing. In turn, these nurses will attend to an appropriate number of patients, thus addressing nursing staffing in the setting. Additionally, nursing leaders can address the issue through their decision-making role (Whitney, 2018). These managers can recommend organizational systems and processes that support appropriate nurse staffing. Additionally, the managers will address the issue using situational leadership theory. The leadership style to be utilized by the nurse managers, in this case, should fit the current situation. Therefore, the theory will enable the manager to solve nurse staffing ratios in the setting.

Ensuring Professionalism Through Diverse Health Care Settings

Nursing managers and leaders would require to initiate some additional aspects to enhance professionalism throughout diverse health care settings while solving the issue of nurse staffing ratios. First, nursing leaders need to initiate accountability. This quality will make them own up their mistakes if something goes wrong in the setting. This aspect will help address nurse staffing ratios since managers and leaders will own up to the mistakes associated with inappropriate staffing, such as low quality of care and compromised patient safety. Furthermore, nursing leaders and managers will institute aspect consideration while solving the current issue. The aspect will make them contemplate the patients’ challenges due to the issue of nurse staffing ratios, thus addressing the matter on time.

More so, they will initiate the aspect of commitment. Being committed to providing quality care and promoting patient safety will trigger them to address nurse staffing ratios. Besides, the aspect of competence will be initiated while solving the current issue. Nursing leaders and managers will strive to provide care that meets the quality set by the professional standards of practice. Therefore, they will address the issue to enable the nurses to provide competent level care.

Leadership Style to Address Issue

The issue of nurse staffing ratios can be addressed through a situational leadership style. This leadership style is adaptive. Leaders utilize this style to direct their followers towards addressing a particular situation in the organization (Shonhiwa, 2016). Additionally, leaders recommend organizational processes and systems that support the current issue. In this case, the leaders will recommend the management of the selected setting to hire more nurses and improve their nurse practitioners’ skill mix to address the issue of nurse staffing ratios. This leadership style could be successful in the selected setting since it is highly flexible and embraces any recommended changes to improve the quality of care and patient safety.

Nurse staffing ratios are the major issue discussed in this paper. Inappropriate nurse staffing issue implies that a nurse practitioner provide care to more patients than what is recommended by the professional standards of nursing, thus compromises the quality of care and patient safety. Therefore, professional standards of practice can be applied to addressing the issue of nurse staffing. Additionally, the issue can be addressed through different roles and approaches of nursing leaders and nursing managers. Finally, the situational leadership style can be used to address nurse staffing ratios in the setting.

References

Charlotte, D. (2017). The importance of professional standards. Nursing, 12 (5), 4.

doi: 10.1097/01.NME.0000452691.04516.96.

Livanos, N. (2018). A broadening coalition: Patient safety enters the Nurse-to-Patient ratio debate. Journal of Nursing Regulation, 9(1), 68-70.

Shonhiwa, C. (2016). An examination of the situational leadership approach: Strengths and weaknesses. Cross-Currents: An International Peer-Reviewed Journal on Humanities & Social Sciences, 2(2), 35-40.

Whitney, S. (2018). Roles and Responsibilities in Leadership and Management. In Grand

Canyon University (Eds.), Nursing Leadership and Management: Leading and

Serving. https://lc.gcumedia.com/nrs451vn/nursing-leadership-andmanagement-leading-and-serving/v1.1/#/chapter/2

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Course Code	Class Code
NRS-451VN	NRS-451VN-O502

Criteria	Percentage
Content	80.0%
Selected Issue, Setting, and Impact on Patient Safety	15.0%

Professional Standards of Practice to Rectify Issue or Maintain Professional Conduct (D3.4)	15.0%

Differing Roles and Approaches of Nursing Leaders and Nursing Managers (C1.3)	15.0%

Ensuring Professionalism Through Diverse Health Care Settings (C1.1)	20.0%

Leadership Style to Address Issue	15.0%


Organization, Effectiveness, and Format	20.0%
Thesis Development and Purpose	5.0%

Argument Logic and Construction	5.0%

Mechanics of Writing (includes spelling, punctuation, grammar, language use)	5.0%

Paper Format (use of appropriate style for the major and assignment)	2.0%

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)	3.0%

Total Weightage	100%

Assignment Title

Benchmark – Effective Approaches in Leadership and Manage

Unsatisfactory (0.00%)

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.

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

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

Discussion on what additional aspects mangers 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.

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

Paper lacks any discernible overall purpose or organizing claim.

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

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

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

Sources are not documented.

Total Points

150.0

Less Than Satisfactory (75.00%)

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.

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.

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 manger or nursing leader roles is not

A partial summary on what additional aspects mangers 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.

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.

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

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

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.

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

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

Satisfactory (79.00%)

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.

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.

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 manger or nursing

A general discussion on what additional aspects mangers 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

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.

Thesis is apparent and appropriate to purpose.

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.

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.

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

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

Good (89.00%)

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.

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.

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 manger or nursing leader

A discussion on what additional aspects mangers 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

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.

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

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

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.

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

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




Excellent (100.00%)	Comments

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

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

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

A detailed discussion on what additional aspects mangers 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

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.



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

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

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

All format elements are correct.

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




Points Earned

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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: Please use nurse staffing ratios.
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

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NRS-451 Assignment: Effective Approaches in Leadership and Management