The problem of nursing shortage and turnover has enormous relevance to health care providing institutions and their clients because it is associated with lowering the quality of health care. This work discusses various approaches of nursing leaders and managers directed in addressing this issue in practice. It also contains the discussion of leadership approach that is more close to me. The final section of the work introduced sources of financing of proposed strategies. The major purpose of the work is depict different approaches to nursing management and nursing leadership, which can be applied for addressing nursing shortage and nurse turnover.
Nursing shortage and turnover are significant issues for health care providing organizations and their clients. Causes of these issues have multifaceted character. They are the following: raise of the demand because of the growth of the population; finding other career options; reduction of spending on nurses as the response for cost pressure; low wages; workload and unfavorable work environment. Described issues have profound implications to the quality of care, like increase of workload, lowering of quality of patient care, increase of stress and decrease of emotional intelligence and increasing the cost of health care providing
Comparison and Contrasting the Approach of Nursing Leaders and Nursing Managers to Address the Issue
Nursing shortage and turnover may be the number of approaches employed by nursing managers and nursing leaders. The first one are concerned with control, organization and planning. For addressing nursing shortage and turnover, nursing managers should provide appropriate relocation coverage for the professionals who want to relocate and assure necessary support of the nursing staff of older ages. For example, they can provide flexible schedules and sabbaticals. This approach will enable physical and psychological recovery, and provide the opportunity to reduce excessive overload and stresses.
Nursing managers get the staff involved in decision-making process. Nurses should take part in development and amendment of major policies, programs, and regulations. The y will consider that the organization values their opinion. This approach results in higher job satisfaction, improvement of morale and communication with peers and clients, increase the productivity and reduction of turnover. In addition, managers should learn about other aspects of work, which bring satisfaction to the whole staff and separate employees. This approach will create positive attitudes and decrease burnout.
The research evidence, that health care providing institutions with strong participatory management, adequate staffing enhanced communication have more responsible and professional employees. Thus, nurse managers should emphasize on effective administration structure. Nursing managers should be accountable for all management aspects of their units. This approach will promote positive attitude of the staff towards managers and organizations, reduce work stress, enhance commitment, and create positive working environment and desire to stay.
Nursing leaders assure a positive environment in the unit, providing effective, efficient, and safe working practice, and employees respect towards the organization. They communicate vision, inspire and empower the followers to render professional service and realize necessary changes in the organizations. They should value the staff for its contribution, and consider it at the major asset of the organization. Nursing leaders should incorporate and develop strategies, which foster culture inside the organization.
Moreover, nurse leaders should provide appropriate communication and autonomy to nurses. The leaders may empower nurses through mentorship, collaboration, and orientation. The followers will feel support and direction. This approach will entail lowering of staff turnover
Nurse leadership may join their actions with nurse managers for contributing shortage and turnover. The first one may apply transformational leadership style through encouragement the personnel to future personal and professional growth. At the same time, nursing managers may introduce intensive trainings programs for realization of these intend. These training programs can be provided to the existing nurses and to the learners. This approach enables to retain nurses who are searching for transfer opportunity, improve the professionalism of the staff and the quality of provided care.
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The Approach Suitable to Personal Leadership Style
The approach that fits to personal leadership style is the transformational leadership. It is focused on the encouragement of high level performance of nurses in health care providing organization. To my mind, this approach is the most effective for meeting nursing shortage and turnover. It assures proper interaction and communication between co-workers, leaders, managers and followers. Thus, the organization obtains precise understanding of employees needs and desires. This approach also requires the involvement of the staff into the decision-making process. Health care providing institution may benefit from the unique solutions proposed by its staff. Moreover, the organization will be able to cover nurses demands and increase their satisfaction. Employees will be treated with respect and ethics. Consequently, nurses will feel themselves valued and will strive to bring more benefit to the organization. Transformational leadership also encourages personal and professional development of the employees. This will improve employees professionalism and the quality of rendered health care services, and retain those employees who are searching for transfer. Transformational leadership also enables to identify conflicts and prevent them.
Possible Funding Source
There is a great variety of funding sources for addressing nursing shortage and turnover. Federal and state funding can support nursing programs and help in employment of foreign nurses. For example, the special project under the name Choose Nursing!. This is federal, state, and privately funded initiative that is aims to recruit Boston public high school sophomores into a comprehensive 2 year hospital program for improvement their interest in nursing profession and prepare them to take part in nursing programs.
There a numerous federal and state grants for the students who want to become nurses. They are financed by the U.S. Health Resources and Services Administration. The examples of state-funded grants are scholarships for disadvantaged individuals, nursing loan repayment, military funding, funding for minorities (Indian and Hispanic students). financial support provided by individual educational institutions (like, Washington State University). The students may also obtain financial support through professional organizations. The examples of such organizations are Gerontological Society of America and American Association of Critical Care Nurses. These organizations also support programs which enable to build effective leadership skills, improve the communication within the organization, and promote personal and professional development.
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To summarize, the above pages describe various approaches to nursing management and nursing leadership, which can be applied for addressing nursing shortage and nurse turnover. For mitigation of chosen issues, nursing managers should provide appropriate relocation coverage, involve the staff into the decision-making process, establish appropriate trainings, and assure strong participatory management, Nurse leaders should create positive environment and promote appropriate culture, support and direct the followers and encourage their personal and professional development. Transformational leadership is the approach that fits to the personal leadership style in the greatest extent. All the proposed strategies can be supported by federal, state, and private funding. The examples of funding initiative are recruitment of learners of appropriate institutions, providing various grands to people who want to study nursing professions, support of formation of leadership skills, enhancing communication in health care providing institutions, and promotion of professional development.