Peer responses apa format and make sure at least two resources for each peer and respond with good length paragraphs
Leadership Theories in Practice
In today’s healthcare settings, nurse leaders must transform healthcare systems and improve quality of life. One of the key insights I gained from the scholarly resources selected is that nurses must be flexible in their leadership styles and adjust them to suit the different situations they face daily. Leaders should express hopefulness about the future, help followers realize their potential, and empower people to implement changes (Suratno, 2018). This insight aligns with the emotional intelligence characteristic, allowing leaders to deal with daily challenges in healthcare organizations (Broome & Marshall, 2021). The other insight gained from the resources is that the important goal of nurse leaders is to promote employee engagement and maintain a productive workforce. These effectively mitigate employee burnout (Wei et al., 2020). This supports theory Z that a leader fosters employee well-being to promote high morale, satisfaction, and production (Broome & Marshall, 2021).
I have seen these behaviors and skills used in practice in the psychiatric unit where there was a shortage of nurses. The nurses complained of lack of effective communication and insensitivity to their individual needs. Which left the nurses feeling frustrated and unmotivated to pick up extra shifts. When my nurse manager set up monthly meetings to listen to staff members and address their needs, the nurses began to demonstrate increased engagement. Furthermore, the nurses complaints decreased and they became more committed to pick up extra shifts.
In this situation, the nurse manager demonstrated authentic leadership skills emphasizing relationships between leaders and followers (Broome & Marshall, 2021). These skills were significantly effective because after the nurse manager established a good relationship with nurses, the complaining and uncommitted behaviors among nurses were reduced.
Nurse supervisors wear many hats daily. Their most important jobs include staying within budget and staffing. Being able to supply the hospital staff with the supplies needed to do their job is a skill they acquire from working closely with the charge nurses and the materials management coordinator. For example, supervisors to make the correct decisions they meet with other staff. Group decision and generated ideas by managerial staff, and non-managerial staff at all-staff meeting (Duggan, Aisaka, Tabak, et al, 2015) help to maintain a budget.
Keeping the hospital staffed adequately and staying within budget is another task that takes preparation. Using a grid to know how many nurses will be need for the day is very useful. It maybe more beneficial for supervisors to allow nursing staff to make their own schedule. Allowing nurses to do this helps nurses feel like they have better control of their time and are able to give better patient care (Leadership styles in nursing management … – wiley online library, n.d.).
Having an open line of communication in a workplace is what helps it run smoothly and effectively. When the nurse supervisor met with the house supervisor and materials management supervisor, she was able to see what supplies were needed as per the charge nurse and the materials management coordinator followed thru by letting them know what could be ordered and when supplies would arrive. By allowing the nursing staff to make their schedule the nurse manager empowers them and frees up time for herself. Every nurse leader has a specific leadership style “that impact on nurses’ satisfaction, turnover, and the quality of patient care they deliver” (The impact of Nurse Managers’ leadership styles on Ward Staff, n.d.).
This week we were asked to choose a healthcare issue topic of interest in order to formulate our PICOT question to lead us throughout the course. The healthcare issue that I have chosen as my topic for this course is increasing the accessibility to mental health services in the United States through telehealth.
In Case Management Monthly’s 2021 journal entry, it is learned that adults and children have accessed mental health services has declined by over 30% since the COVID-19 pandemic began in 2020 (p. 1). Because of this, mental health illness, crises and rates of suicide as well as substance use, abuse and overdoses are at an all-time high. One way to help this issue that I have found in my research is through the increased access of telehealth. Telehealth allows for bridging the gaps between not having access to mental health services due to location, specifically rural areas, staffing and patients not being able to make in person appointments due to the pandemic, their own mental illness, and scheduling (Talarico, 2021, para. 2-3).
In my research, there were a few barriers that prevented me from finding articles that will best support my PICOT question. My first search involved me typing in “mental health accessibility” into the CINAHL database. When I did this, I was given a multitude of articles, however, they were incredibly broad and not exactly what I was looking for. The results that I got from this search included very specified results including mental health access in third world countries as well as mental health access specifically for the homeless population. I realized that these results were not really on the topic that I was looking for. Utilizing the Walden University Library n.d., I was able to find the importance of the use of ‘and’ searches (para.1). I then typed into the search bars ‘mental health’ AND ‘access to care’ AND ‘telehealth’ AND ‘United States.” With this, I was lead to a smaller group of about 30 articles to browse through that were incredibly specified to my topic of choice. I found that the best method to to increase the rigor and effectiveness of a database on my PICOT question is to use ‘and’, ‘or’ and ‘not’ searches to be able to narrow your search to finding articles that only support my question and my topic of choice (Walden, n.d., para.1).
The clinical issue is retained foreign objects after surgery and the impact on patients, providers, and hospitals. Retained objects can be sponges, needles, instruments, guidewires, small broken fragments from instruments, and blades (Weprin et al., 2021). The effect on patients include increase hospital stay, infection, bowel obstruction, re-operation, and death (Steelman et al., 2018). Hospitals have to incur charges because this is a preventable event not covered by insurance. Providers also experience second victim syndrome which is a feeling of guilt and responsibility for the harm caused to the patient (Weprin et al., 2021). There are various methods used to account for instruments and sponges such as manual counting with sponge counters, RF wanding, and x-ray.
For the search of the articles on the topic, databases such as CINAHL & MEDLINE Combined Search, Google Scholar, and PubMed were utilized. The term retained foreign objects in surgery was inputted on the search bar which provided numerous articles. Then full text, peer reviewed, and within the last five years narrowed down the reviews to about twenty articles. Adding and, or, and not to the search helped to find articles specifically on the topic of interest (Walden University Library, n.d.). Boolean operators and filters was useful in reducing the search results. Surgery or operating room was included in the search bar so that articles that used one term or the other can be shown.
The PICOT question is: In surgical patients the use of x-ray or radiofrequency identification device (RFID) effectively prevents unintentionally retained foreign objects. The population is surgical patients and the comparative intervention is RF wanding as opposed to x-ray. Looking for Level 1 evidence and searching for clinical trial as a filter on the databases will help to find useful articles pertaining to the topic.