Advancing nursing leadership: developing and equipping nurse leaders is vital if quality health services and good patient health outcomes are to be achieved and maintained.International research shows a positive correlation Noun 1. positive correlation - a correlation in which large values of one variable are associated with large values of the other and small with small; the correlation coefficient is between 0 and +1 direct correlation between the advanced nursing role and quality patient health outcomes. (1,2) However, achieving this is an on-going challenge for nurse leaders faced with limited resources in a tight economy and a rapidly changing health care environment. Significant forces currently affecting health care delivery include changing health policy and legislation, an ageing population, medical technology advances, hospitals absorbing more costs, workforce supply issues, and public expectations and demands for technological interventions. (3) In this complex environment, one identified means of preserving quality patient health outcomes is leadership development for nurses. As early as 1998, the Report of the Ministerial Taskforce on Nursing advocated the introduction of nursing leadership and management studies within nursing education programmes. (4) Supporting business skill development in nursing leaders was seen as a vital step "to more fully utilise the skills and competencies of nurses throughout the health and disability services sector". Leadership development was being promoted to encourage nurses to "take a fuller role in strategic decision-making". (4) The importance of effective nursing and midwifery midwifery (mĭd`wī'fərē), art of assisting at childbirth. The term midwife for centuries referred to a woman who was an overseer during the process of delivery. In ancient Greece and Rome, these women had some formal training. leadership has more recently been stressed in the World Health Organisation (WHO) publication Strategic Directions for Strengthening Nursing and Midwifery Services. (5) This publication was produced in response to the 2001 World Health Assembly resolution 54.12. This resolution recognised that the global shortage occurring in nursing is of major concern, and that it is vital to effectively harness the significant contribution nurses make to health care systems, if quality patient outcomes are to be maintained into the future. In forming this strategy, WHO and its nursing and midwifery partners identified five key result areas (KRA Kra , Isthmus of A strip of land, about 64 km (40 mi) wide at its narrowest point, linking the Malay Peninsula with the Asian mainland. ). Two of the five pertain per·tain intr.v. per·tained, per·tain·ing, per·tains 1. To have reference; relate: evidence that pertains to the accident. 2. specifically to nursing leadership: KRA3: Practice and health system improvement Nursing and midwifery expertise is fully integrated into decision-making processes Presented below is a list of topics on decision-making and decision-making processes: | width="" align="left" valign="top" |
| width="" align="left" valign="top" | KRA5: Stewardship and governance Stewardship and governance of nursing and midwifery services involve the government, civil society and the professions to ensure the quality of care. (5) In addition, workforce development in nursing leadership has been recognised as a critical, resource in preserving quality health services health services Managed care The benefits covered under a health contract in Australia. The 2002 Senate report The Patient Profession: Time for Action. Report on the Inquiry into Nursing acknowledged that nurses today "are highly skilled, highly educated and articulate". (6) It recognised that one significant limitation preventing nurse leaders making a fuller contribution within current health service structures was that they are given "an onerous task to perform without being equipped with the skills necessary to lead and manage teams of professionals". In light of this evidence, two key recommendations were made regarding nursing workforce development. Recommendation 57: that the Commonwealth and States encourage providers of health care services to support nursing leadership by integrating nurses into the organisational hierarchy through their appointment to and meaningful participation in management; and by promoting nurse involvement in decision-making relating to relating to relate prep → concernant relating to relate prep → bezüglich +gen, mit Bezug auf +acc nursing practice and clinical patient care. Recommendation 58: that the Commonwealth and States ensure that nursing leaders are provided with the necessary in-service training and development to support them in their constantly evolving roles. Furthermore, the International Council of Nurses' policy statement Promoting the Value and Cost-Effectiveness of Nursing stresses the importance of nursing workforce development: "Nursing education, especially management and leadership development programmes, must help nurses become skilled and articulate in demonstrating the value and cost effectiveness of nursing to the health services. Nurses, especially nurse leaders, must have a good understanding of the purpose and nature of health care reform, and the contribution nursing can make at all levels of health care delivery, and in planning, management and policy development for health care services. Where health care reform is in its planning stages, nurse leaders must play a leadership role in policy development related to the appropriateness, nature and purpose of health reform." (7) As illustrated, a number of key international. reports and publications indicate that workforce development in nursing leadership is vital to preserving healthy communities in the future. In New Zealand New Zealand (zē`lənd), island country (2005 est. pop. 4,035,000), 104,454 sq mi (270,534 sq km), in the S Pacific Ocean, over 1,000 mi (1,600 km) SE of Australia. The capital is Wellington; the largest city and leading port is Auckland. , nurses are negotiating daily the challenge to provide best practice patient health care on limited resources, within a rapidly changing environment. Leadership development is clearly one way of supporting nurses to make effective contributions within health service structures, and equipping them with the knowledge, skills and attributes necessary to lead health care teams into the future. References (1) Aiken, L.H., Clarke, S.P. et al. (2002) Hospital nurse staffing and patient mortality, nurse burnout Burnout Depletion of a tax shelter's benefits. In the context of mortgage backed securities it refers to the percentage of the pool that has prepaid their mortgage. and job dissatisfaction. JAMA JAMA abbr. Journal of the American Medical Association ; 288: 16, 1987-1993. (2) Needleman, J., Buerhaus, P, et al. (2002) Nurse-staffing levels and the quality of care in hospitals. N Engl J Med; 346: 22, 1715-1722. (3) US Department of Health and Human Services Noun 1. Department of Health and Human Services - the United States federal department that administers all federal programs dealing with health and welfare; created in 1979 Health and Human Services, HHS . (2002) Projected Supply, Demand and Shortages of Registered Nurses. 2000-2020. Rockville, Maryland Rockville is the county seat of Montgomery County, Maryland, United States. According to the 2006 census update, the city had a total population of 59,114, making it the second largest city in Maryland. : National Center for Health Workforce Analysis. (4) Ministry of Health New Zealand. (1998) Report of the Ministerial Taskforce on Nursing: Releasing the Potential of Nursing. Wellington, New Zealand. (5) World Health Organisation. (2002) Strategic Directions for Strengthening Nursing and Midwifery Services. WHO: Geneva Geneva, canton and city, Switzerland Geneva (jənē`və), Fr. Genève, canton (1990 pop. 373,019), 109 sq mi (282 sq km), SW Switzerland, surrounding the southwest tip of the Lake of Geneva. . (6) Senate Community Affairs Committee. (2002) The Patient Profession: Time for Action. Report an the Inquiry into Nursing. Canberra: Australian Senate The Senate is the upper of the two houses of the Parliament of Australia. The lower house is known as the House of Representatives. Origins and role The Commonwealth of Australia Constitution Act of 1900 established the Senate as part of the new system of dominion . (7) International Council of Nurses. (2004) Health care systems position statement: Promoting the value and cost-effectiveness of nursing. Retrieved October 10, 2005, from http://www.icn.ch/psvalue.htm. Sarah Brophy, RN, BA, MBA MBA abbr. Master of Business Administration Noun 1. MBA - a master's degree in business Master in Business, Master in Business Administration , is a clinical nurse educator A nurse educator is a nurse who teaches and prepares licensed practical nurses (LPN) and registered nurses (RN) for entry into practice positions. Nurse Educators also teach in graduate programs at Master’s and doctoral level which prepare advanced practice nurses, nurse in the department of nursing, Christchurch Hospital. |
|
||||||||||||||||||
Printer friendly
Cite/link
Email
Feedback
Reader Opinion