Forest Hills Hospital, a member of the North Shore Long Island Jewish Health system is a small community hospital located in Queens, NY. This acute facility promotes a flat nursing organizational structure approach. The nurse organizational structure and the organizational processes highly affect the nurses’ working conditions and the provided quality of care (Maenhout, & Vanhoucke, 2013). This discussion will focus on how Forest Hills Hospital’s flat organizational structure positively impact nurse’s ability to lead, change practice, and improve the quality of patient care. Forest Hills hospital’s leadership is comprised of an Executive Director and an Assistant Executive Director who are both registered nurses (RN). Then, there are several departmental directors …show more content…
Three of these directors, all who are RN, oversee the intensive care unit and telemetry units, the medical-surgical units, and lastly the emergency department. In addition, there are several nursing supervisors, unit managers and assistant managers. Although on the surface it may appear as a top-down nursing organizational structure, this facility encourages a flat, decentralized decision making nursing structure. Nursing leadership is expected and encouraged. There is a Collaborative Care Council (CCC) team on each unit. The CCC is group of interdisciplinary members from each department of the hospital including but not limited to nursing staff, Medical attending, resident, social worker, case manager, a member from environmental and security staff, as well as admitting department. Each team is led by two RNs, a unit nurse manager and a Staff RN from the day and night team. To promote an atmosphere of equality, the two team leaders are called Co-leads rather than a team leader and a
The Clinical Staff Executive Committee provides clinical supervision and ensures the staff works hard to keep up the excellent reputation and provide patients superb quality of care. This is accomplished by supporting and encouraging staff to engage in continuing education and ongoing in - service programs. Continuum of care staff uses national therapy standards and guidelines to help the patient manage specific diseases.
Nurse mangers is the leader of a specific department or unit of a healthcare facility. The nurse manager is responsible for recruitment and retention of the nursing staff, collaborating with other health care providers on patient care, and assisting patients and their families when needed. The nurse manager works with administration communicating and interpreting the facility’s policies and procedures to the staff. Usually with other departments in the facility, the nurse managers develop quality improvement measures tracking the patient services and care. According to Espinoza et al (2009), the nurse manager plays a pivotal role in
This paper aims to address and discuss about the leadership and management of the nurse leader interviewed. This experience was a great opportunity to witness first hand how a nurse leader cultivate and manage their staffs in real life setting. Moreover, it provides a great access to gain insight and knowledge about nurse leaders’ vital responsibilities and role diversities in the organizations they work with. Nurse leaders pay more specific and close attention in handling the staffs and most importantly, patient care.
This paper discusses the leadership style of the Chief Nursing Officer (CNO) at HealthSouth Rehabilitation in Toms River, New Jersey. HealthSouth is the nation’s largest inpatient rehabilitation, there are HealthSouth’s in 28 states and one in Puerto Rico. There are inpatient, outpatient, and home health services. The mission statement of HealthSouth involves an advanced degree of rehabilitative care to clients recovering from cerebrovascular accidents, cardiac and pulmonary disorders, spine, and brain injuries and orthopedic disorders (Kosevich, Leinfelder, Sandin, Swift, Taber, Weber, & Finkelstein 2014).
In her charge nurse role, Ms. Cetiner evaluates the daily activities of the unit and delegates care appropriately while promoting autonomy of others. She has the skill to make independent and interdependent decisions regarding patient care, staffing and unit issues. She communicates and collaborates with the interdisciplinary care team for seamless, patient-driven
The Health Care System 's purpose is to meet the physical and mental health needs of the communities in which they serve, these systems operate using people working within heal care facilities as well as other health delivery resources. One group of individual that help with facility operations are nursing administrators. Nursing Administrators contribute in managing along with directing the nursing care delivery system. Their leadership style, characteristics, communication strategies, including the way that they negotiate as well as manage conflicts can determine the quality of the healthcare services treat the facility provide as well as help to develop a set of guidelines to standardize the type and quality of the nursing services. (Cipriano, 2011) Together the Nurse Mangers work toward the same goals along with guiding nurses in their practice and contribute to the facilities successes. (Frankel, 2011) The nursing leaders are advocates who directly affect the quality of the nursing care along with also having a positive impact on healthcare through leadership.
In retrospect, what I learned in collaborative healthcare will be a solid foundation on which I will build my nursing leadership. To render care to the sick irrespective of their values, preferences, age, socioeconomic status, culture respect and dignity, demonstrate that the nurse leader is exhibiting compassion, ethics and knowledge. These aquacades must be continuously incorporated and utilized with professional clinical judgement and evidenced-based knowledge to yield the best patient outcomes (Finkelman, 2012).
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also
Network leadership has been organized in such a way that it can account for quality and excellence in every area possible. The CEO of the network is also president of Danbury and New Milford Hospital, while the CSO maintains presidency of Norwalk Hospital. The COO is also a Chief Nursing Officer, while a separate executive holds the title of Chief Clinical Officer. A Chief Audit and Compliance Office helps ensure HIPPA compliance, as well as maintain the various accreditations the network holds. Like most organizations, it has a CFO, CIO and CDO as well as a Chief Human Resources Officer due to the immense size of the organizations staffing, especially with integration between the various hospitals. Three executive directors hold the final seats, Chief of Staff, WCMG (outpatient services) and Vice President, as well as Research and Innovation (“about WCHN” n.d.).
The third key message of IOM report says “Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the United States”. A well-built leadership is important to make the dream of a transformed health care system successful. Most of the nurses do not begin
Leadership and management are essential to any health care organization, balancing patient care, employees, physicians, and the organization. Nursing is founded on interpersonal relationships. As a people-oriented profession, nursing leadership styles are influenced by humanism. The mission, attitude, and behaviors of a health care organization begins with its leadership, which creates the direction and purpose of the organization. The purpose of this paper is to differentiate between leadership and management, describe views of leadership, and explain the
Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the
The current and growing shortage of nurses is posing a real threat to the ability of hospitals, long-term care facilities, and others to provide timely access to quality care. Nurse staffing shortages and nurse turn-over contributes to the growing reduction in the number of staffed patient beds available for services, increasing costs, and rising concerns about the quality of care. Health care organizations highly depend on nurse managers and leaders to reverse this trend. This paper discusses the reasons for nursing shortage and turn-over, different approaches to solve this issue, and my personal philosophy about this issue.
Nurse leaders are faced with issues or problems on a daily basis that are often expected and sometimes unexpected. It “comes with the territory” so to speak. If there were no issues to solve or hurdles to overcome the necessity of designating a leader would not seem quite as important. Nurse leaders can tackle issues that occur in their work environment using nursing theory to guide them. Nursing theory provides a framework that nurse leaders can use to implement interventions or changes to positively impact the staff they lead. This framework of the theory will set the standards for achieving the desired outcomes and is based on knowledge that is gleaned from practice and/or research.
An organizations existence is based on its mission statement. The mission statement of an organization identifies the people who it serves and states the standards of practice, ethics, and principles for which it believes in. An organization’s vision statement looks into the future and states goals the organization wishes to accomplish (Marquis & Huston, 2012). The mission and vision statement are important for driving the climate and culture of the organization.