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Leadership and Management in Nursing: Continuous Quality Improvement and Patient Satisfaction

Question

please see the attached file for guidelines & instructions for the assignment & rubric for the assignment. 
This assignment will go through Turnitin to check for plagiarism in my school & I would like it to be a new paper. 
I would also like to know what topic the writer will choose for the paper before starting the paper.

Week 2 Guideline

Effective Approaches in Leadership and Management (Benchmark Assessment)

View Rubric

Due Date: May 15, 2016 23:59:59       Max Points: 150

Details:

In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation.
  2. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
  3. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style.
  4. Use at least two references other than your text and those provided in the course.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Below is the Text Book for Reference, if needed:

Diane L. Huber, (2014). Leadership and Nursing Care management (5th ed.). Maryland Heights, MO: Saunders Elsevier.

Rubric

Top of Form Effective Approaches in Leadership and Management (Benchmark Assessment)    1
Unsatisfactory
0.00%
2
Less than Satisfactory
71.00%
3
Satisfactory
79.00%
4
Good
89.00%
5
Excellent
100.00%
80.0 %Content   40.0 %Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue are not provided. The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue are provided; however, the relevant information is missing, such as not providing support for your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings, or not providing at least two references beyond your text. The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue is provided and meets the basic criteria for the assignment as indicated by the assignment instructions. The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meets all criteria for the assignment and is provided in detail. The comparison and contrast of how you would expect nursing leaders and managers to approach your selected issue meet all criteria for the assignment is provided in detail. Higher-level thinking is demonstrated by incorporating prior learning or reflective thought. 40.0 %Identify the approach that best fits your personal and professional philosophy of nursing and explains why the approach is suited to your personal leadership style. The identification of the approach that best fits your personal and professional philosophy of nursing is not provided. The identification of the approach that best fits your personal and professional philosophy of nursing is provided; however, the relevant information is missing, such as an explanation to why the approach is suited to your personal leadership style. The identification of the approach that best fits your personal and professional philosophy of nursing is provided and meets the basic criteria for the assignment. The identification of the approach that best fits your personal and professional philosophy of nursing, along with an explanation of why the approach is suited to your personal leadership style, is provided in detail. The identification of the approach that best fits your personal and professional philosophy of nursing meets all criteria for the assignment and is provided in detail. Higher-level thinking is demonstrated by incorporating prior learning or reflective thought. 15.0 %Organization and Effectiveness   5.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. The thesis and/or main claim are insufficiently developed and/or vague; the purpose is not clear. The thesis and/or main claim are apparent and appropriate to the purpose. The thesis and/or main claim are clear and forecast the development of the pap. It is descriptive and reflective of the arguments and appropriate to the purpose. The thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. A thesis statement makes the purpose of the paper clear. 15.0 %Organization and Effectiveness   5.0 %Paragraph Development and Transitions Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. The organization is disjointed. Some paragraphs and transitions may lack a logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident. Paragraphs are generally competent, but ideas may show some inconsistency in the organization and/or in their relationships with each other. A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to the purpose. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. The paragraph structure is seamless. 15.0 %Organization and Effectiveness   5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register); sentence structure, and/or word choice are present. Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. The prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. The writer is clearly in command of standard, written, academic English. 5.0 %Format   2.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. The template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. The template is used, and formatting is correct, although some minor errors may be present. The template is fully used; There are virtually no errors in formatting style. All format elements are correct. 3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment) No reference page is included. No citations are used. The reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. The reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct. In-text citations and a reference page are complete. The documentation of cited sources is free of error. 100 %Total Weightage       Bottom of Form
 

Answer

Leadership and Management in Nursing: Continuous Quality Improvement and Patient Satisfaction

Quality improvement and patient satisfaction are two critical issues in the nursing field that are intertwined in the sense that the latter depends on the former to a great extent. The issue still baffles many and conflicts with various ideologies that have been put forward since different views tend to emerge regarding what defines and constitutes a quality improvement in healthcare provision. For instance, Iftikhar & Allah (2011) define patient satisfaction as the extent of coherence and correspondence between patients’ anticipation of perfect healthcare and the perception of actual care received. As such, patient satisfaction is measured on the basis of several factors that constitute a solid basis for determining the quality improvement of healthcare (Iftikhar & Allah, 2011; Shou-Hisa, Ming & Tung-uang, 2005). The patient evaluation provides bounds of judgment and is equally an effective tool for providing perspectives for quality improvement, the establishment of a sound framework of practical strategies for effective management as well as the monitoring the performance of staff

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In the nursing field, both nurse leaders and managers tend to operate at the same level in terms of the skills possessed when it comes to addressing care quality (Huber, 2014). Both possess a high degree of proficiency in communication, coping and critical thinking skills, all which are imperative to the achievement of quality improvement and consequently, patient satisfaction. Citing the example of nurses, it is quite evident that they are charged with the role of coming up with the most viable strategies for communicating to patients to facilitate the medical process. It can be argued that in the absence of such skills especially in communication, the quality of healthcare being provided can be heavily compromised. Similarly, nurse managers can employ critical thinking skills to devise ways and strategies that will ultimately contribute to the overall welfare of patients. For instance, they can come up with a routine plan for consistently assigning nurses to patients for effective monitoring.

Nevertheless, there is a remarkable difference between nurses and managers in terms of the mode of operation. Firstly, nurse leaders’ approach to this issue is more proactive and involving. In line with their roles, these leaders indulge in duties such as making routine rounds at specific time intervals and educating patients. Additionally, it is the norm for nurse leaders to involve team members in matters of decision-making in an attempt to achieve a common objective. All these efforts are aimed at achieving patient satisfaction in the long run. All in all, this approach strongly justified through the ideals of servant leadership style. This is primarily due to the fact that nurse leaders actively involve team players in quite a number of matters in addition to motivating and inspiring them to work harmoniously. In turn, this optimizes performances at work, thereby contributing to the satisfaction of patients’ needs.

Moreover, the leadership approach is strongly backed by the transformational leadership theory that places emphasis on the relationship between leaders and followers. It advocates that motivating and inspiring workers to achieve the goal of patient satisfaction is vital to the achievement of quality healthcare improvement. This approach has been hailed as the most appropriate one when it comes to nurturing nursing leadership. As such, it is quite advantageous when used in achieving patient satisfaction since the nurse leader is able to mobilize his/her team to work together to provide quality healthcare in addition to ensuring the overall progression of the healthcare institution.

On the other hand, managers tend to approach this issue in a more domineering way than leaders. It can be argued that the former are more concerned with getting things done promptly without allowing room for even the slightest errors and mishaps. This can be supported by that fact that most nurse managers are charged with the role of presiding over all procedures and ensuring that everything is in order. They are always under constant pressure to ensure that all goals are met without jeopardizing work ethics and principles.

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As such, many nurse managers tend to adopt the authoritarian leadership style which has its fair share of merits and demerits in almost equal measure. One of its demerits is that it ignores the involvement of other staff, hence it has been deemed discriminatory. However, it is a powerful tool when it comes to making tough decisions that offer no prospect of time in situations that are urgent as is the case in most medical situations. In line with this, the pressure exerted on the subordinate staff is essential for the efficient delivery of services to patients in the long run since all mistakes made are subject to dire consequences (Burns, 1978). Furthermore, this approach is best suited in areas where efforts need to be made to ensure that there is no deterioration of the present quality levels. Thus, the benefits of the authoritarian approach as used by nurse managers outweigh the demerits, making it more suited to the pursuit of continuous quality improvement and patient satisfaction than the one adopted by nurse leaders particularly servant and transformation leadership styles.

I hold a high regard for the authoritarian approach as adopted by nurse managers in my professional philosophy of nursing because of the way it instills discipline while fostering conforming to work ethics and principles in the pursuit of the predetermined goals of continuous quality improvement and patient satisfaction. In addition, decisions that need to be made in a timely manner are effected immediately, thereby allowing healthcare workers to learn, develop and apply their skills in diverse situations. Moreover, this approach leaves no room mistakes. Managers who adopt it consistently calls upon every practitioner to be extremely cautious when undertaking his/her duties and this is what contributes to the establishment a coherent health delivery system that is founded on the ideals of continuous quality improvement.

References

Burns, J. (1978). Leadership. New York, NY: Harper & Row.

Huber, D. (2014). Leadership and nursing care management, fifth edition. Maryland Heights, MO: Saunders Elsevier.

Iftikhar, A. & Allah, N. (2011). Predictors of patient satisfaction. Gomal Journal of Medical Sciences, 9(2), 183-188.

Shou-Hisa, C., Ming, C. & Tung-uang, C. (2003). Patient satisfaction with and recommendation of a hospital: Effects of interpersonal and technical aspects of hospital care. International Journal for Quality in Healthcare, 15(4), 345-355.

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