This paper compares the United States Army's espoused cultural values, as an organization, with its enacted cultural values. First, describing the Army culture. Next addressed is how the Army builds its culture through communications. Finally, this paper examines how the Army had institutionalized organizational conflict. First, look at the organization's culture.…
Sullivan, E. J., & Decker, P. J. (2009). Initiating and Implementing Change. In Effective Leadership and MAnagement in Nursing (p. 70). Upper Saddle River, New Jersey:…
Grant, L. A. (2008). Culture Change in a For-Profit-Nursing Home Chain: An Evaluation. The Commonwealth Fund, 85. Retrieved from http://www.commonwealthfund.org/Publications/Fund-Reports/2008/Feb/Culture-Change-in-a-For-Profit-Nursing-Home-Chain--An-Evaluation.aspx…
One of the policy issues that IOM recommends in nursing is the need for strong leadership that would be a driving force in transforming the healthcare system (Mason et al., 2013). There is a need for the nursing profession to produce some strong leaders at every level in the system that would direct junior staffs in handling things dealing with policy, organizations, politics and nursing practice. As required by the transformation and implementation provisions, the reforms in the health system demand that nurses must assume leadership capacities together with high-level corporative skills at any given time while on duty. Therefore, this paper is a presentation of different current debates on various perspectives of the need for…
Geffken-Eddy, D. (2011, October 11). Implementing a just culture on advance for nurses. Retrieved October 5, 2013, from http://nursing.advanceweb.com/Features/Articles/Implementing-a-Just-Culture.aspx…
The culture of an organization can be defined by the ‘way they do things’, this means the way they make decisions, operate and how they choose and achieve their objectives. As culture is a set of values and practices, changing it may be difficult and a long process, especially if the change is organized by a new chief executive.…
Why begin a paper concerning nursing leadership with a presidential quote rather than one from Florence Nightingale? Because working as a nurse today requires the skill and diplomacy of running a country! Bedside clinical nurse responsibilities are chaotic, complicated and dynamic. The bedside nurse is expected to display expert clinical and technological skills with a convivial attitude. The leader of a group with these high expectations and demands must be prepared for the challenge. Three of the skills necessary to be a success in this challenge are expertise, flexibility, authenticity, and self-awareness.…
The United States as well as many countries around the world are experiencing a nursing shortage that is expected to worsen significantly. It is estimated that by the year 2020, if current trends in nurse employment persist, that only 65% of the nurses needed to care for patients will be available to do so; this is equivalent to a 36% deficit or 1,016,900 nurses (Huber, 2010, p. 576). This shortage will have disastrous effects on the ability to care for the health of the nation as well as severely impede the nation’s ability to respond efficiently in the event of a mass casualty event (The Truth About Nursing, 2012, ¶ 4). Nursing managers and leaders have a greater responsibility than ever to recruit and retain nursing staff to be able to meet the current and increasing nursing demands. This paper will discuss the nursing shortage, reasons why the shortage is occurring, why nurses are choosing to leave the profession or have become disenchanted with the field of nursing as well as the role that management and leadership plays in the recruitment and retention of nursing staff.…
As the new CEO, you have learned that the hospital's employee turnover rate exceeds 20%, and there are over 100 nursing vacancies. You have also learned the following facts that may be impacting these workforce shortages:…
Compelling evidence suggests that regions of the United States face a nursing and physician shortage that our legislators, health officials, and medical professionals must address. To ensure that quality medical care is not harshly impacted, the hospitals and public health leadership, in general, will need to tackle the nursing shortage with solid long-term solutions.…
Six months after the merger of Mercy Medical Hospitals and the Promedica Health Systems, the new administration initiated a significant reduction in workforce. The decision was made to redesign patient care delivery. The administration’s first job redesign recommendation was that of a universal worker. The universal worker would deliver many support services. Although this is not a fail proof system, the administration wanted other options to be considered as well.…
Nursing shortage is also evident by the reduction in the availability of new nurses, inadequate staffing to meet the high demanding in patients’ needs, to mention but a few. Healthcare organizations need regular, dependable, highly efficient and fully involved staff to provide excellent patient care at all levels. Therefore nursing leaders and managers are highly depended upon in changing this current trend of shortage and turnover of nurses affecting the healthcare profession (Hunt, 2009).…
In the Fiscal Year (FY) 2010-2014 VA Strategic Plan, then VA Secretary Eric Shinseki identified three principles to guide the agency into the 21st Century; 1) to be people centric, 2) results driven, and 3) forward looking. Subsequently, the FY 2014-2020 Strategic Plan built on these guiding principles and further defined VA’s mission. Since that time, the agency has undergone significant transformation in these areas. Building on these guiding principles, in July 2015, Secretary Robert McDonald introduced the MyVA Integrated Plan (MIP). The MIP focuses on giving Veterans greater control over provided services, modernizing VA by focusing on the organizational culture, processes and capabilities with the intent of providing “a…
healthcare. Others stated that only time can really tell whether these investments and changes will pay off and help the health care system in the United States. If registered nurses are supported with knowledgeable and strong clinical leadership, if they partake in creating an reachable visualization of the time ahead, and if they agree to accept possibilities and transformation that will increase the value and effectiveness of health delivery, at that point the nursing career is expected to be headed for success instead of struggle in the course of the health reform that are expected to be ahead. Increasing and advancing the training and ground work of nursing leaders, and for the most part what is needed is managers within each departments which will be progressively more essential for nursing to grow in the time to come. It gives nurses more resources in order to allow them to grow within…
“Theory-based nursing practice has demonstrated a capacity to structure professional care, unify and simplify communication, save time, clarify decision-making, and reduce nurse staff turnover saving thousands of dollars” (Alligood, 2011, p. 982). Although theory is present in my workplace, it is rarely discussed. This is a shame because it is apparent that theory is essential to the nursing profession and should be at the forefront. Nursing theory helps define and verify the existence of unique nursing knowledge (Seiloff & Raph, 2011). At the organizational level, theory can deliver a clear vision and provide unity among the ranks. Rapid turnover and failed nursing retention has been a problem in the past year at my facility. I feel that if leadership adopted a theory that promoted relationship-building and engaged staff in utilizing it in practice, it could positively impact the nursing environment in which we work. Orlando’s deliberative nursing process is a grand theory that can easily be adopted at leadership and practice level. I think it is important to utilize a grand theory when implementing at an organizational scale due to its abstractness and applicability to numerous situations. This theory is relationship-oriented and lends itself to transformational leadership. Literature supports transformational leadership as a means to improve nursing retention. Orlando’s theory and transformational leadership will be highlighted as a strategy to improve nurse retention.…