Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay

NURS 6050: Policy and Advocacy for Population Health

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WEEK 2

Research Priority for Transforming Nursing Leadership

Nurses are the front line person in caring for others and saving lives. One of the reasons I became a nurse. Most times it’s up to the nurse to respond accordingly within the scope of practice. For this reason, the research priority I chose is identifying the influence of nursing on important health care decisions at all levels. Although the doctor makes the decision on care, we as nurses are involved in the decision making. We help decided what is best for our patients. Nurses should be able to influence healthcare decisions through one and one with the patient, through collaborative efforts with doctors and others in the healthcare team, through political knowledge and effective communication. Not all nurses begin their career with thoughts of becoming a leader, but all nurses must be leaders (Institute of Medicine, 2011). As a prospective nurse leader, influencing healthcare decisions at all levels is a critical role in delivering high-quality care. Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

Research is essential to guide improvement. One of the benefits of exploring the importance of nursing on healthcare decisions is the delivery of high-quality care. Nurses apply their skills, knowledge, and experience to apply adequate care to manypatients. When care fall shorts, nurses are the ones who holds much of the responsibility. Continuous research on the importance of nursing on healthcare decisions can help nurses provide the right care and ensure patients will benefit from improved, safe and quality care. One of the challenges for furtherresearch is that this particular research priority is defined too broadly. This result in researchers trying to decide what is more important.

Overview of Articles

The research article I decided to usetosupport that further research needs to be doneon the influence of nursing on important health care decisions is by Kilpatrick (2013). The articles speak on communication by acute care nurse practitioners (ACNP) and decision-making in healthcare teams. An ACNP is a nurse that provides advance nursing to care for patients in acute settings. Theycan provide patient care using an expanded scope of medical practice. However, their practice is affected by the delegation of patient care and prescribing authority (Kilpatrick, 2013). Kilpatrick (2013) found that the communication and decision-making that occur during routine care activities such as patient care rounds and interprofessional team rounds have been found to improve the quality care.

Like many areas of nursing,some policies and guidelines prevent nurses from performing as adequately as intended. The lack of clear guidelines or policies by the medical, nursing, and pharmacy licensing boards to clarify the transfer of prescriptive authority for ACNPs is a barrier affecting decision making in healthcare (Kilpatrick, 2013). The article goes on to say “the patterns of communication of the ACNPs and the team is affected by the ACNPs’ need to validate their decisions with the physicians” (Kilpatrick, 2013). Kilpatrick (2013) later concluded thatthe transfer of prescriptive authority to ACNPs affected communication and decision-making and changed the way routine activities were conducted.Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

As leaders of nursing, nurses should not only be involved in the decision-making of healthcare when it comes to patients, but also the decision making of health care on an organizational level. From the bedside to the boardroom, nurses ought tobe responsibly involved in the decision making. The second research article I chose is by Rose and Nies (2016). We are responsible for implementing change. Therefore nurses should be involved in the decision-making. It is essential to include a variety of healthcare professionals in the governance process (Rose &Nies, 2016). The nursing profession creates leaders every day and as stated by Rose and Nies (2016) “ …those polled acknowledged that increased levels of education and training could prepare nurses for leadership…”.

Further Research

Decision making in an integral part of nursing practice. Nursesare often enabled from leading the change to decision making. Although nurses represent the largest component of the healthcare workforce, historically they’re overlooked as decision makers (Rose &Nies, 2016). That is one of the reasons further research is neededon the influence of nursing on important healthcare decisions at all levels. Another reason is that there aren’t enough research or evidence that support the impact nurses have on healthcare decision. That is why opinion leaders from public and private organizations, along with leaders from academic institutions, view nurses as bedside clinicians, not as leaders and healthcare decision makers (Rose &Nies, 2016). Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

Week 2 discussion

Identification of the characteristics of mentors have been (or could be) most successful in recruiting and training diverse nurses and nurse faculty.

Good nursing teachers are an understated need in order to have qualified and motivated nursing staff. They must possess many firm characteristics and possess the rare qualities of insight, foresight and now sight to enhance recruiting, training and retention. Mentors need to possess the ability to empower, compliment and discipline a new trainee without causing breaking his or hers spirit and demotivating their mentor experience. Breaking the enthusiastic spirit will have negative results on the new nurse and his/her training.

Leadership differences can be studied for Gandhi to Hitler, yet studies suggest people are apt to respond better to a person with ideal characteristics rather than the actual position of the person (Force, 2005, p. 339). Above all, nurse mentors must possess the ability to lead. Leadership character exemplifies a host of many other features including integrity, honesty, bearing, dependability, resolve, tact, loyalty, discipline, commitment, initiative, experience and a positive attitude. Not all of these character traits are necessary for a leader as the possession of several other key attributes can makeup for the lack of not having another. There is one sole characteristic that all good leaders must possess, experience. There is no absolute substitute for experience. All of the didactic training in the world cannot possibly prepare you for even one day as a floor nurse. Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.

Hospitals who have the greatest retention of nurses and nursing staff all possess similar characteristics. They all have nursing staff, “who felt they were rewarded and appreciated for their contributions to the organization. They were also more satisfied with their job, respond less to burnout and had higher educational preparation” (Force, 2005, p.337-338). Showing the nursing staff appreciation for the efforts is a leading factor in moral and well-being of the facility and can lead to better patient outcomes. Giving conditional rewards, even as simple as recognition, has an exceptional effect on nursing staff. The study by Force (2005) states:

Powerful leaders empower their staff nurses to exert greater effort toward achieving organizational goals and values. Leaders who seek out and value contributions from staff through shared decision making model have higher retention rates (pg. 338).

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In conclusion, a nurse recruiter/mentor must wear many hats. The mentor should be able to empower the trainee to be the best, or better, than his or her abilities. Direct recognition can motivate the enthusiasm and curious spirit of the new nurse to achieve a greater outcome. Discipline must be incorporated in the training with an empathetic tone in order to set the expected tone of his or hers unit. Empathetic discipline can ensure the new nurse is well versed and knows what is required and expected out of them. The trainee must know he or she can practice without fear of making mistakes, but it is imperative they know certain errors can have catastrophic effects. Discussion Week 2 NURS 6050: Policy and Advocacy for Population Health Essay.