Nurse Leader Essay

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Topic Outline
Introduction
The nurse leader’s role in the cultivation of a culture of safety is of great importance, not just for the patients but for the whole health team. One small error or oversight on the nurse’s behalf can gravely impact a patient’s life. Not only is a culture of safety important for the patient’s sake but for other stake holders as well in that lack of safety can be costly. This Essay will discuss several theoretical principles from IHI, the impact of a culture of safety on nursing, and how a safe culture affects patient outcomes. The nurse leader’s role in the cultivation of safety cannot be underestimated due to the fact that patients’ lives are at stake.
A. Level 1 Heading - Theoretical Principles and Knowledge from IHI module
• Much can be learned by the nurse leader from the IHI Framework for Safe, Reliable, and Effective care. This framework discusses how it is the leaders’ responsibility to help influence the health care team in developing a culture of safety. The framework is composed of different pieces including psychological safety, accountability, teamwork, communication, negotiation, continuous learning, improvement, measurement, reliability, transparency and leadership. These different pieces when implemented as a whole are essential to a culture of safety.
• The framework describes leaders as
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Improper staffing can lead to stress, pressure, and room for error. It is important for the nurse leader to help uphold a culture in which the organization properly staffs nurses. According to (the blue book) it has been reported that having a higher nurse to patient ratio can improved patient outcomes such as fewer pressure sores and lower mortality rates (pg. 25). Nurses should be aware that they are allowed to refuse unsafe assignments. In refusing unsafe assignments nurse are upholding a culture of safety as well as advocating for themselves and the

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