Shared governance is an important nursing model structure which encompasses nurses’ commitment to improving quality patient care by implementing best practices and collaborating with management and administration on process improvements. The key component to a truly effective shared governance structure is engagement, which means to establish a meaningful connection. The Medical Center of Plano’s shared governance structure is an effective management process that enables nurses at all levels to be engaged in the decision making process, which in turn increases employee productivity, improves patient satisfaction and decreases unnecessary financial expenses. When nurses are engaged in the decision making process, they feel more empowered, accountable…
The QSEN initiative was first introduced during my basic nursing training as a means to summarize the quality and safety material presented throughout the program. It had not been fully integrated into the curriculum, due to its newness. However, after becoming more largely adopted among nursing schools, it became required knowledge for graduation. 2.…
I appreciated the clarity with which you approached this exploration of leadership roles for the DNP. Drawing from Chism, when you outline the steps to change and what the nurse can do and then acknowledge how political engagement is a natural fit for the DNP (p. 171). While it is easy to identify ways in which the DNP can lead through their work, I concur with your quote from the president of the ANA (2016) that the voice of nurses should be included at the decision making table. Moreover, I would take that a step further and suggest that nursing could be sitting at the head of the table. I addressed this in my original post when I identified the role of the Nurse Fellows Program through the Robert Wood Johnson Foundation Fellow.…
The ANA defines nursing delegation as “transferring the responsibility of performing a nursing activity to another person while retaining accountability for the outcome” (ANA & the National Council of State Boards of Nursing [NCSBN], 2006). Prior to delegating, the Certified School Nurse assesses the need of the student in order to determine the level of training and supervision required for the safe delegation of this specific student. Also the CSN needs to follow the 5 rights of delegation in order to provide for safe care, to guide their assessment, and to verify if the delegation is appropriate for the student and the situation. The five rights of delegation are: 1) the Right task; 2) the Right circumstances; 3) the Right person; 4) the Right directions and communication; 5) the Right supervision and evaluation. There are legal parameters for nursing delegation defined by the State Nurse Practice Acts, State Board of Nursing guidelines, and Nursing Administrative Regulations/Rules.…
One thing that I have learned is the importance of documentation and research to the future role of advance practice nurses. Advanced practice nurses, themselves, play a huge role in the outlook of this field. “We would all do well to remember this underlying philosophy of NP practice, then acquire and utilize skills that honor our nursing roots while providing the highest quality primary care”, Berg, Hicks and Roberts, 2017). Not only does quality of care impact the nurse practitioner (NP) profession, so does ethics and professionalism. Nurse practitioners have an obligation of acting as stewards in the NP role.…
Delegation is part of every nurse’s job, requires skillful judgment, and is a key component in accomplishing the work that needs to be done (Huber, 2014). In this discussion, I will review delegation issues, problems, and solutions based on the critical thinking exercise on page 158. Registered health care workers have a professional responsibility and accountability to put patients first and must use their best judgment when delegating (Bryant, 2015).When delegating and assigning care, key issues to be considered are the competence of the nursing team members, the amount of supervision that will be required, and the patient’s condition (Huber, 2014). Five factors to be assessed are the amount of innovation and problem solving required, unpredictability…
The design of the healthcare facility appeals to different donors and inspires existing donors to increase commitments. The donors are an individual or a group of people that has an interest in a particular project that simply has the financial means to support the project (Bulkeley, 2009). During the facility planning and development, the donors play a vital role. One of the roles of stakeholders is giving feedback or rather a suggestion of the likely progress of a subsequent project that has undertaken (Steurer et al., 2005). The donor feedback can influence the effectiveness of the project that being implemented as it point out the crucial elements that need addressing and implemented promptly.…
Shared Governance The increasingly dire scarcity of professional nurses is a threatening theme in healthcare. In retort to it, more and more establishments are turning to shared governance, a concept introduced into healthcare organizations in the 1970s (Section 1) as an evidence-based system to control the shortage’s harmful effects for example, adverse patient outcomes, high cost of agency staff, and nurses sign-on bonuses to mention a few. What is Shared Governance?…
Shared governance model is a shared decision-making model where board members, physicians, management, and nurses make their own decisions and determine whether they are appropriate or not (Marquis & Houston, 2015). This type of organization structure was developed in 1980 as an alternative to traditional authoritative structures (Marquis & Houston, 2015). This decentralized decision-making model is very innovative and it is most successful when responsibility and accountability are shared, since it gives nurses more control over the type of care they want to provide for their patients.…
Nurses are currently the largest group of providers in healthcare, yet do not get the autonomy they deserve when it comes to treating patients. The article “Nurse Practioners Fight for more Independence” by Laura Ungar from USA Today argues that nurse with a advance degree should have the right to lead in patient treatment, without having an agreement with a doctor. The Affordable Care Act brings more patients into the pool of people that need to be seen in primary care, and there simply aren 't enough doctors to go around. Nurses’ quest for autonomy, “is much less about turf wars than it is about patients that need to be seen” (Ungar 2). Autonomy in healthcare means the ability to make decisions unaided by others.…
Decision making The changing field of healthcare with technology and patient advocacy also bring forth the matter of good decision making. Studies have shown that innovative nurse leaders need to pose the ability to make good decisions quickly in order to keep pace with changes and for business to succeed. The article Make better decisions by Davenport( 2011) provides steps for leaders to follow to become better at decision making. Steps such as listing and prioritizing, assess, developing and implementing the decision made.…
The measure of standards is governed by an element of people’s point of view. (Lippincott et al, 2013) A nurse may consider a certain kind of service delivery as a perfect delivery. In contrast the patient may find the delivery rather below par and unacceptable In medical practice, a team of nurses associated with patient attendance should work together in setting standards of service delivery. One mode of eliminating individualistic standards among nurses is by creating a conceptual framework which governs the standards of service delivery. Quality service delivery statements and protocols can assist in alignment of standards.…
The intervention phase , which includes the collection of data(vital signs etc. ) necessary to continually assess,plan and evaluate care. It also mentions that registered nurse can only delegate an act that they own , a nursing act , one they would be responsible for ensuring is completed on a day to day or shift to shift basis. As stated in N6.03 (3) an RN shall delegate tasks commensurate with educational preparation and demonstrated abilities of the person supervised. If an RN knows or should have known that the person supervised is not prepared by education, training or experience to safely perform a delegated nursing act, the RN may not delegate the task.…
One way in which Nancy being the department nurse manager can help with the empowerment mission is through embracing shared governance model. There has always been a constructive connection between a nurse's insight of collective management and empowerment. Through this, nurses are given control over their practice. The model promotes the nurses independence over their work and ensures they participate in decision making in the department. It enables them to feel empowered and equal to other members of the faculty (Barden et.…
In nursing practice decision-making is pivotal to delivery of quality patient care. Nurses are trained to make critical decisions that can often save a life. The NMC Code 2015 emphasises on decision making skills when it states that” make sure that peoples physical, social and psychological needs are assessed and responded to. The people left in nurse’s care rely and trust that decisions made regarding their care are in their best interests. Nurses make decisions on a daily basis from the most basic actions to complex and often difficult decision.…