Effective Approaches in Leadership and Management.

APA 7 FORMATTING 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: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation. Effective Approaches in Leadership and

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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. Effective Approaches in Leadership and Management.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. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Plagarism Review Program. Effective Approaches in Leadership and Management.Refer to the LopesWrite Technical Support articles for assistance. This benchmark assignment assesses the following programmatic competencies: RN to BSN 1.1: Exemplify professionalism in diverse health care settings. 1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care. 3.4: Demonstrate professional standards of practice.

Effective Approaches in Leadership and Management

Introduction

Nursing leaders and managers are legally and morally obligated to ensure patient safety and high quality of care and to endeavor to improve care. These leaders and managers are in a leading position to mandate policy,   procedures, systems, and organizational climate. The paper analyzes differing leadership and management approaches to ensuring the provision of quality care and safety of patients when floating nurses.Effective Approaches in Leadership and Management.

Floating and how it impacts quality of care and patient safety in the setting in which it occurs

Floating is reassigning staff from their home unit or permanently reassigned unit to another unit based on patient acuities and census.  It is a strategy utilized in addressing alterations in nurse staffing caused by unplanned staffing fluctuations, high patient census or acuity, and unexpected staff call outs. Health care organizations float nurses from their home units to other units to avoid using agency nurses or nurses who are paid overtime. However, floating nurses to units that they are not familiar with can put patients at risk. O’Connor and Dugan (2017) indicate that for nurses, floating to a unit where the needs of patients are diverse from those the nurse usually encounters can elicit anxiety, stress, frustration, and dissatisfaction with work, which can subsequently affect patient safety and quality of care.  Lafontant et al. (2019) indicate that nurses who are assigned in units that are diverse from their own units are afraid of making decisions in unfamiliar care environments that might expose patients to possible harm. Medical errors occur more when nurses are floated to unfamiliar units. Effective Approaches in Leadership and Management.

Working with a patient population that one is not familiar with can eventually threaten the safety of patients.  Recurrent floating can result in staff dissatisfaction and compromise the safety of patients since an employee who is not satisfied might not deliver quality care (O’Connor & Dugan, 2017).  Lafontant et al. (2019) emphasize that floating affects nurses both psychologically and professionally.  Nurses attain expertise and self-confidence in one area. Nurses that float face unfamiliarity with disease processes and the form of patients in the receiving unit. Experienced nurses become nervous and need help from colleagues. The majority of this nervousness is associated with the fear of committing an error, causing harm to patients.Effective Approaches in Leadership and Management.

How professional standards of practice should be demonstrated in floating to maintain professional conduct

Health care organizations can demonstrate professional standards of practice to maintain professional conduct by floating nurses to units that are similar to their own units or cross-training them to equip them with the skills and knowledge to work in different units. According to O’Connor and Dugan (2017), the position statement of the Joint Commission on floating is that when a health care workers are required to work in a unit that is not his/ her home unit, that unit should be the same as her/his own unit and the nurse have competencies to work in the specific unit. The Commission also requires organizations to float staff to units of equivalent acuities and clinical diagnoses. In addition to the Joint Commission guidelines on floating, the Registered Nurse Safe Staffing Act of 2015  mandates healthcare institutions to take the responsibility of ensuring that nurses are not required to provide care in units for which they are not sufficiently trained, educated, and experienced.   Also, the position statement by the American Nurses Association is that registered nurses are professionally permitted to object, accept, or, reject patient tasks that expose themselves or patients to the threat of harm.Effective Approaches in Leadership and Management.

The differing roles of nursing leaders and nursing managers in floating

Although nurses might have negative perceptions about floating but it is usually a necessity. Nursing managers and leaders can take numerous interventions to ensure o best possible outcomes when they use floating.  A nurse leader in a nursing unit must set the tone floating and have a resource plan in place when nurses are required to pull to units that are not familiar with.  According to O’Connor and Dugan (2017), the nurse in charge of a unit should provide orientation to the float nurse, partner the nurse with a nurse who has experience working in the unit and offer written and verbal information on the clinical practices, procedures, and policies of the unit.Effective Approaches in Leadership and Management.

A nurse leader can also prepare a tip sheet to guide float nurses.  The tip sheet should contain unit-specific information such as shift routines, where equipment is located, and contact numbers of the healthcare team, safety procedures, specific unit documentation, and protocols specific to the unit.  This information can help float nurses feel less anxious and feel more confident, and also make them have a feeling of belonging to the healthcare system.Effective Approaches in Leadership and Management.

Nurse managers should use interventions such as crafting a floating policy. The policy can include a list tasks of that the float nurse is expected to perform and the nurses who should and should not be floated. The level of experiences of nurses being required or asked to float must be put into consideration. Newly graduated nurses should not be required to float since exposes patients to higher risk.  New nurses might already have feelings of anxiety since they are still getting acquainted with organizational protocols and policies (O’Connor & Dugan, 2017).Effective Approaches in Leadership and Management.

Manager visibility is vital for float nurses.  A unit manager should do everyday rounding with the nursing staff offers a substantial level of support.  According to Straw( 2018), when a  manager performs daily rounding with float nurses and asks them what they need, these nurses experience lower levels of anxiety and makes them feeling of belonging and steadiness in a work environment that is not consistent.  Daily rounding is the most significant intervention to engage float nurses and make them feel more satisfied with their jobs.Effective Approaches in Leadership and Management.

Additional aspects that mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing floating

To ensure that nurses embrace floating and feel less anxious, nurse managers should involve bedside nurses in developing or evaluating a floating policy that is friendly to nurses. Managers should also consider standardizing the workflow process in identical units since it will direct charge nurses on the process that they need to follow when nurses move to other units. Additionally, nurse managers should make patients’ supplies and medications accessible by float nurses in all units to prevent delays in the provision of patient care. Lastly, because nurses may not be familiar with the work environment, managers should limit floating nurses to environments identical to the skill and experience of nurses wherever possible.Effective Approaches in Leadership and Management.

Nurse leaders should ensure that nurses who are pulling to other units are oriented to the routine and physical layout of the unit. Also, leaders should be actively involved in ensuring the patient assignment of float nurses is properly assigned by acuity. In addition, leaders should introduce new nurses to the notion of floating and floating requirements and policies of the health care institution.Effective Approaches in Leadership and Management.

A leadership style that would best address floating

Transformational leadership would be the best leadership style to address floating. Nurses view floating negatively and have feelings of anxiety or frustration, which can lead to poor care.  When this happens, a transformational leader might encourage staff to utilize intellectual stimulation by making them part of the decision-making process, which enables them to think rationally and enhance the growth of abilities, attitudes, and knowledge. Effective Approaches in Leadership and Management.Asif et al. (2019) indicate that transformational leaders create stimulated situations for nurses by offering the needed information, resources, and help at the workplace. Additionally, transformational leadership is associated with employees’ job satisfaction, work commitment, institutional performance, and the readiness of followers to extra efforts to achieve the assigned goals.   Through developing progressive relationships, transformational leaders make employees have confidence in them and forecast their requirements by structurally empowering them in terms of resources, professional support, and information, which eventually results in improved quality of care and work satisfaction.Effective Approaches in Leadership and Management.

Conclusion

Floating is a strategy utilized in addressing alterations in nurse staffing. Nurses often view floating negatively, it is usually a necessity. Nursing managers and leaders need to put strategies to ensure patient safety in place.  By improving floating procedures, entailing who is selected to float and their level of skills, the orientation of float nurses, and daily rounding with float nurses can ensure the safety of patients and make nurses more satisfied with their job.Effective Approaches in Leadership and Management.