Leadership And Management Of Magnet Hospitals

Apart from relationship management, leadership, professionalism, human-resource management, and business expertise are few other key competencies that are required for a leader aspiring to advance in the field of healthcare. (Karen Gordon-Sosby, personal communication, September 17, 2015)

The next question posed to Rene inquired about essential characteristics of a leader. After giving the question some thought she responded by saying that a leader must be able to remain objective and prioritize. “Prioritizing in my job is essential,” Rene stated, “with so many issues to deal with some nights it can be difficult to determine which to tackle first. However, remaining calm and objective in your decision making can help a leader prioritize properly, which can improve patient outcomes.” Additionally, Rene emphasized that the best leaders lead by example. By displaying desired attitudes and behaviors, a nursing leader may inspire their staff to act in a similar manner. Another area Rene stressed when posed this question was a leader’s ability to support learning. She went on to state that “it is necessary to focus on learning, not chastising. Placing the blame on someone rather than stepping back and looking at the details of a problem, deters the team from achieving the overall goal. Incident reports remain vital to the process of learning.” Rene continued to emphasis that by filling out incident reports individuals can analyze a situation or process and determine where the flaws or errors remain present. Without incident reports and learning from mistakes, growth remains difficult. Diana S. Contino (2011), author of “Leadership Competencies: Knowledge, Skills, and Aptitudes Nurses Need to Lead Organizations Effectively,” believes that organizational and

Once these qualities are achieved that organization’s outcomes are superior. The intended audience is for nurse managers and those in leadership positions to help them identify their particular skill set and enhance their management qualities for most effective outcomes. This article is relevant because it allows for accurate public perceptions of people’s skill sets as leaders in nursing. The strength of the article is the clear and concise language used as well as the incorporation of figure 1 chart. The chart allows the reader to differentiate between the styles of leading and it’s effect on organizational outcomes.

There are many skills, traits, and behaviors one must possess in order to be an effective leader. The American Organization of Nurse Executives (AONE) has compiled a list of competencies and skills that nurse leaders should be proficient in. The five competency domains identified by AONE (2011) are “communication and relationship building, knowledge of health care environment, leadership skills, professionalism, and business skills” (p. 3). The competency domain I believe is essential for one to possess in order to be an effective executive nurse leader is communication and relationship building. The competencies AONE (2011) listed under the domain communication and relationship building are “effective communication, relationship management, influence of behavior, ability to work with diversity, shared decision-making, community involvement, medical staff relationship, and academic relationships” (p.3). I will discuss how Tom (nurse manager of a psychiatric unit) did not meet these specific characteristics under that domain.

Not all nurses go into the profession with leadership ideas. The nursing profession must produce leaders throughout the health care system. Leaders must function as workers, and administrators with leadership qualities, while still meeting their budgets and running effective units with high functioning and happy staff members. They need to trouble shoot necessary and work with the medical faculty while pleasing their staff and the administers.

The nursing staff plays a crucial role in the individual and their family’s overall hospital experience. Nurses are the primary source of support and care during some of the most vulnerable period in a person’s life. At Magnet hospitals, nurses are attentive, experienced and spend more time at the bedside providing compassionate care at Magnet designated hospitals all over the country (Drenkard, 2010).

In the early 1980s it came to light that while the supply of nurses had reached a record high, only 80% of hospitals nationwide had adequate nurse staffing levels (American Nurse Credentialing Center, 2011, p. 8). To address this issue a taskforce was formed within the American Academy of Nursing (AAN). Through an initial study of 165 hospitals, the AAN determined the characteristics of healthcare organizations that were magnetically attracting and retaining nurses as employees (American Nurse Credentialing Center, p. 9). In this study the AAN found “Forces of Magnetism” that contributed to the high level of job satisfaction amongst nurses, superior quality of care, low job turnover, and high level of nurse involvement in leadership, decision-making, and research. In the early 1990s, catapulted by the findings of this initial study, the American Nurses Credentialing Center (ANCC) developed the Magnet Recognition Program. The intention of the ANCC’s Magnet Recognition Program was threefold: To reward hospitals that demonstrated “excellence in the delivery of nursing services to patients;” to encourage quality in the nursing work environment to support practicing professional nurses; and to guide navigation for the dissemination of evidenced-based clinical nursing practice (American Nurse Credentialing Center, 2011, p. 14).

An effective leader can create a working environment that satisfactorily supports the staff members so he or she can productively perform in his or hers’ assignments. The top three characteristics of an effective leader are the ability to communicate well, fairness to everyone on the team and are knowledgeable in his or hers’ field of practice. An effective leader must be able to communicate well with others to maintain and promote open communication among the team. When leaders deal with employee conflict, an effective leader is fair. These leaders motivate their nursing staff to work toward a greater good in creating a positive change (Dunham & Klafehn, 1990). An effective leader should be knowledgeable about his or her leadership role as well as those he or she is supervising.

The American Nurses Credentialing Center (ACNN) sponsors the Magnet Recognition Program, which focuses on the development of nursing practices and evaluates the environment where nursing is practiced. This program is well recognized by organizations throughout the country, as the Magnet Journey and is considered to be one of the highest achievements that organizations can obtain (Broom, & Tilbury, 2007). Organizations that strive to achieve the Magnet designation, acknowledge the link between a healthy work environment and the development of an organization of nursing excellence. Hospitals utilizing the Magnet concept demonstrate the following characteristics; (a) authentic leadership, (b) skilled communication, (c) effective decision making, (d) quality patient care processes, (e) collaboration and teamwork among all healthcare workers, (f) professional growth and accountability, (g) clinically competent staff and (h) adequate staffing levels (Shirey, 2006). All the above components

The role of a nurse leader is invaluable to the performance and ultimate success of an entire nursing team whose goal is to provide excellent patient care. There are a few key characteristics that define a nursing leader. The first characteristic is one who communicates effectively and is accountable on all levels, from the patient and their family to the interdisciplinary members and senior staff. Effective communication and accountability are characteristics of an individual who

Leadership does not always come with a title or prestige. Every nurse has within themselves qualities that make them a great leader. Leadership by definition, “is a combination of intrinsic personality traits, learned leadership skills, and characteristics of the situation (Cherry& Jacob (2013 p. 335). A leader is one who has the capacity and skills to direct or encourage others in efforts to achieve an outcome. I recently completed a self-assessment on my perceived leadership abilities. The survey was called the Nurse Manager Skills Inventory (Nurse Manager Leadership Partnership, 2008). It consists of four content areas of which I will address and identify my strengths and weaknesses.

Leadership traits associated with nurse executives are honesty, credibility, supportiveness, visibility, and flexibility. Nurse executives analyze nursing functions and empower nurses through participatory decision making, shared governance, and employee involvement. Nurse executives share the vision and goals of the hospital and promote application of a nursing theory into the nursing care delivery system. They anticipate the future of health care and nursing and serve as monitor, role model, and preceptor to lower level management (Upeniecks, 2003). Nurse executives in the Magnet program are required to have advance practice degrees with certification in their specialty (ANCC). Understanding evidence-based management and enabling the use of evidence-based knowledge provides the nurse executive with the tools to improve patient outcomes. The transformational leader will remove barriers to improvement and encourage outcome based thinking. While nurse leaders are charged with questioning the status quo, nurse managers in the transformational approach to leadership are charged with maintaining the status quo.

The four major components of nursing leadership are decision-making ability, influencing and directing others, facilitating process and relationship building (Paul, Day, & Williams, 2016).Very closely associated with leadership is the concept of management and though many people use the two terms interchangeably, it’s very important to know that leading is one of the key functions of management; the others are planning, organizing and controlling activities to pursue

In nursing, we grow every day; learning to be a strong professional takes many skills. Some people are born with, and some acquired through practice and research. It is important in being a good democratic leader to establish rules effectively with peers and subordinates. Leadership involves action, creativity, motivation, and visioning. It is viewing the possibilities and motivating others to make things happen (Kearney-Nunnery, 2016). Evidence based practice is a must to have a successful and a safe practice in your work environment, whether it is a hospital or nursing home. Leadership and evidence based practice are two parts of the coin that are very important in being a nurse leader. Leadership is a critical part of the organization to apply evidence based practice. This paper identifies and defines these important nursing traits and discusses the traits that are significant to being proficient in these skills.

According to Hersey and Blanchard (1998), there are three areas required for effective leadership. Technical skills, which includes clinical expertise and knowledge as it pertains to nursing. Secondly, human skills, which is the ability and judgment to work with people in leadership roles. And lastly, conceptual skills which is the ability to understand the complexities of overall organization and figure out how and where one’s own strengths of management fits into the overall organization (Cherry, Jacob 2011). Leadership is unique compared to any other role because of its responsibility for people. Good leaders are followed merely because they have gained people’s trust and respect.