Effective Approaches in Leadership and Management

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Running head: LEADERSHIP AND MANAGEMENT

Effective Approaches in Leadership and Management

Amber Norris

Grand Canyon University:

NRS-451

April 28, 2013

Effective Approaches in Leadership and Management

Nurses are crucial in providing quality care in the health care industry. It is imperative to maintain the proper staffing ratio to ensure that nurses can maintain high quality care for their patients. Studies have shown that the increasing workload of nurses can be linked to increased patient deaths, medical errors, hospital-acquired infections, longer hospital stays, and many other complications. (National Nurses United n.d. ) Leaders and managers play a vital role in developing staffing and scheduling for their units. This paper will explore nurse staffing ratios, the approaches to this issue from the management and leadership styles and the author’s personal philosophy regarding the role of a leader and manager.

“Safe Staffing Saves Lives”

-American Nurses Association (ANA)

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 applicants who are able or willing to fill them.

Hospitals have both leaders and managers to ensure that their facility runs properly and efficiently. Both managers and leaders help implement strategies and policies regarding staffing. They present these plans to administrators for approval. During this time, administrators are able to review these plans according to a variety of factors that include; patient acuity/volume, nursing skill mix and experience, and regulatory standards. (Rich, V. 2009) According to Carter (2004), leaders and managers are under extreme pressure to be able to balance improving the quality of care while keeping costs down, handle staffing yet control labor expenses and do this while maintaining high quality care. This can be a difficult task for those who are in management and leadership roles.

“Effective leadership is putting first things first. Effective management is discipline, carrying it out” —Stephen Covey

In order, for an organization to be successful they must have leaders and managers who are skilled and competent. There are many who may view leaders and managers as one in the same. However, there are managers who are not leaders and leaders who are not managers. Managers are in roles of authority that was given to them. They have expectations and responsibilities that require them to carry out specific duties and roles. They often coordinate both financial and personnel resources, enforce rules and policies, and meet the goals and objectives of the organization. They are responsible in rewarding and disciplining employees. (Anderson 2012) A leader however, does not necessarily have an assigned role of authority. They may have acquired authority or power informally from others around them. Leaders can have a vision and are able to help guide people to that vision. Leaders focus on, “empowering others, as well as motivating, inspiring, and influencing...
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