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Example research essay topic: Health Care Professionals University Of Pennsylvania - 1,705 words

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Bachelor in Nursing Sciences During the past few years, nursing leadership skills have changed dramatically. Covering the schedule and ensuring orientation for new employees are not adequate skills for nursing leaders to measure up in today's health care industry. Today's nursing leaders are faced with such problems as justifying staff member and equipment expenditures, predicting staffing levels and hours per patient day, calculating the number of full-time equivalents (FTEs) needed, and predicting cost savings. Complex business skills now are essential to nursing. Arnold, the person interviewed, has held nursing leadership positions at the University of Pennsylvania Health System in Philadelphia and holds a Ph. D.

from the University of Pennsylvania. Arnold received her Bachelor of Science degree in nursing from Pennsylvania State University and her Master of Science degree in nursing and her Ph. D. from the University of Pennsylvania. She has held key leadership positions with expert societies and institutions and has published widely in the field.

In the new position, Arnold will guide initiatives to develop the performance and leadership of nursing at Tenet's hospitals. The nursing initiatives are intended not just to assist the company's hospitals attract, develop and keep the best nurses, but also to raise the quality of nursing care at Tenet hospitals, expand new approaches to nursing care delivery. (Scott, 2003). She said that first of all, it takes time to develop a comfortable leadership style that suits the needs of all situations and no one can expect the whole thing to fall into place from the start. There must be no illusion like many new managers think that they will be 'super manager'.

The one who is lastingly patient and kind, yet absolutely decisive and clear thinking, has the basis to be a leader. "I believe there is only one suitable strategy for health care providers, and that is a persistent emphasis on quality, " Arnold said. "It means that everything we do, every choice that we make or plan we launch, must be in the character of advancing our dedication to quality. Being known as a quality leader in every one of our markets will be our competitive advantage and is how we construct value and attain sustainable development over the long term period. She continues: One of the most problematic areas I encountered in the health care business is staffing. The staffing process has many facets, including formatting the number of staff members needed, find qualified employees. A step-by-step approach helps construct a staffing plan that includes all the variables needed to guarantee sufficient staffing coverage and efficient patient care. Arnold noted the importance of education in management and specially marketing in the modern field of medicine.

Marketing has become a primary liability for many nursing leaders. The goals of marketing are to increase volume, maximize customer satisfaction, and improve the quality of life for community members by making them aware of the services the facility provides. The marketing plan starts with an evaluation followed by plan development, implementation, and control. The assessment phase begins with knowing which products the department offers. Make a list of which procedures and services are available. Next, perform a complete assessment of the community the organization serves, etc.

Whether asking for extra employees, resources, or operational supplies or outlining a marketing strategy, information given to the organization's managerial staff should be brief and to the point. Real leader has to be aware about all things appearing at the field and has to be able to make appropriate actions, based on the knowledge and experience. There are few professions that have undergone the dramatic changes in role function, competency, and accountability that nurses and nurse managers have experienced. Clinical competency is not the only tool needed in an era when economics dominates the health care arena. Nursing leaders need to have the knowledge and foresight to ask the questions that will lead to the right answers and give nursing the influence to plan for the future while also protecting patient care.

Nursing carried this history, with its undercurrents of both humane service and formal hierarchy, into the NHS in 1948. In its early years, nursing had first a religious and then a military provenance. Structural professionalism has contributed to the change of style in nurse leadership, reducing its traditionally autocratic characteristics while simultaneously increasing the rational and bureaucratic elements in the repertoire of current nurse leaders. Patient-centered care was introduced in the US in early 1990 and established in the UK around 2000. It is a philosophy that recognizes the interdependence of every department in achieving a quality product. (Bessie, 2002). In order to have increased effectiveness, preparation in leadership is an essential part of the healthcare professional's preparation for practice.

The proper use of leadership concepts and skills allows greater understanding and control of events in work situations. However, the call for leadership in the NHS has reintroduced the matron figure. These leaders will be given authority to resolve clinical issues, such as discharge delays, and environmental problems, such as poor cleanliness. They will be in control of the necessary resources to sort out the fundamentals of care, backed up by appropriate administrative support. One goal of an organization is for its leaders to adopt a style of leadership that promotes high levels of work performance in a wide variety of circumstances, as efficiently as possible and with the least disruption. Since working together is essential for group effectiveness, positive past experience with the group encourages further challenge to the group (Scott, 2003).

Also, confidence depends upon how much trust has been developed over time with group members. The task, or problem, confronting leaders determines whether they will be able to share decision-making with the group. Leaders with confidence in-group members will consider members' knowledge and competence to be adequate for the task at hand and will be more inclined to share decision-making responsibility with the group. The leader who is comfortable in the group and in the leadership role can take control when necessary and share decision-making responsibility whenever possible (Bessie, 2002). Nursing has appeared as a modern occupation with a strong stake in future health policy. In open opposition the less powerful position of nursing compared to, say, medicine is clearer than in the past.

Yet, ironically, it can be argued that nursing is professional at a rising rate with a strengthening base in universities, in specialist clinical practice and executive leadership positions. However, looking at various theories that have been developed, the literature shows that the developments in theory construction have been steady and that whenever a new theory has emerged preceding theories have been consulted and the most positive aspects have been adopted. There is therefore hope for the future of a more achieved style of nursing leadership. In the nowadays democratic, or participative or consultative, approach leaders are 'people orientated', focusing attention on the human aspects and building effective work groups.

Interaction between leader and staff is open, friendly and trusting (Blankenship, 1999). A survey from the Department of Health and Human Services provided some insights. The Emergency Medical Treatment and Active Labor Act: Survey of Hospital Emergency Departments (EDs) surveyed ED staff. "Key findings were that most staff members were recognizable with EMTALA requirements, but not all were aware of recent policy changes. " Staff needs a better understanding of definitions such as "emergency medical condition" and "medical screening examination. "The 250 -yard rule was rated by one medicinal office as their No. 1 issue for 2002, " reports Stephen Frew, JD, risk executive at Physicians Insurance Co. The rule is a current extension of EMTALA regulations to cover areas surrounding the hospital and offsite locations, according to Frew. "The rule says that the patient has accessible to the hospital if they come to the hospital looking for care, or fall victim to a medical event or accident on hospital-controlled property within a 250 -yard zone nearby the main buildings of the hospital, " he explains.

The hospital must be made responsive of the patient's incidence through one or more of its agents, staff, or medical staff members. (Blegen, 1998). End-of-life competencies developed by the American Association of Colleges of Nursing serve as the managing framework for this palliative care textbook. Spiritual, cultural, emotional, social, and physical aspects of care for the patient and family are supported by theory and concepts derived from nursing, law, ethics, and the sciences. Self-assessment exercises incorporated throughout the text help the reader to gain a greater self-awareness of individual knowledge, attitudes, and values related to providing end-of-life care. Content is normally well developed and incorporates seminal works, current research, pertinent references for further study, and some quick-reference tables. (Strasen, 1997). Compound ethical issues concerning principles and quality of life cause huge dilemmas in health care because they are abstract, emotional, and subject to personal values.

Though ethical and legal actions are not always well-matched, ethical decisions surely are important in a court setting depending on the caregiver's level of ability practiced within the limits of rationality. Ethics and morality are transposable terms, although morality refers to behavior that often is based in society background, and ethics is the system through which analysis is used to describe the favored action and thereby becomes an instrument. Often, there is not one acceptable solution to a dilemma but several unacceptable alternatives in the decision making process. The final decision maker must be the capable patient or his or her legal deputy.

Health care professionals must teach patients about the options and possible outcomes of their projected treatments. It is very important that health care professionals become well informed, convinced, and competent about the ethical process. Words: 1, 584. Bibliography: Bessie L.

Marquis and Carol J. Huston. Leadership Roles & Management Functions in Nursing Theory. New York: Cooper Square Publishers, Inc. , 2002.

Blankenship, M. Leadership: do it with style. Nursing Management, 20, 2, 81 - 82, 1999. Blegen, C J Goode, L Reed, "Nurse staffing and patient outcomes, " Nursing Research 47 no 1, 43 - 50, 1998.

Scott, J. Tenet Announces New Initiatives and Leadership to Enhance Clinical Quality and Nursing. Business Wire, July 23, 2003. Strasen, L. Key Business Skills for Nurse Managers. Philadelphia: J B Lippincott Co, 1997.


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Research essay sample on Health Care Professionals University Of Pennsylvania

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