Exam 13: The Future: Transformation of Nursing Practice Through Leadership

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The program recognizes hospitals that provide quality nursing care or excellence in nursing care. What distinguishes a hospital that is awarded Magnet status in nursing? Management is different-focusing more on participative management, with staff having input into decisions and managers listening to staff-and typically uses a decentralized structure. The difference is seen from the nurse executive throughout all levels of nursing management, and the overall organization leadership supports nursing. Effective leadership is present. Staff members feel that nursing leaders in the organization understand their needs and provide resources and support for the work that staff do daily. Nurse managers and their roles are also critical to the success of these hospitals. Typically, the hospitals have more baccalaureate nurses, and nurses are very active in committees, projects, and so on. Clearly, staffing is of critical concern, and these hospitals use innovative ways to address recruitment and retention and to provide appropriate levels of staffing per shift. Education is valued in staff, and there are opportunities for quality staff development and encouragement of staff who want to pursue additional academic degrees. Promotion can occur through the management track, the most common method, but it also should occur through the clinical track. Magnet hospitals offer both opportunities. They demonstrate higher levels of quality of care, autonomy, primary nursing, mentoring, professional recognition, and respect, and enable staff to practice nursing as it should be practiced.

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Leaders in nursing are found everywhere-in practice, administration, education, and policy-making areas such as the government. Leadership characteristics and skills are required to ensure that patients get the care they need. They are important in ensuring that the nursing profession is an active player in the healthcare delivery system and in the development and implementation of healthcare policy.

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Some healthcare systems' websites do not include nursing. This may indicate the lack of respect or credence given to nursing as a contributor to patient care. If the view of nursing is not completely positive or does not reflect a professional image, this again may be an indication of the value of nursing within the organization. If, on the other hand, nursing is highly visible and the image is positive, nursing more than likely is highly valued in the institution.