Nursing Leadership and Management Term Paper

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Nursing, Leadership and Management Case Analysis

Source of motivation

The nursing career is a challenging one and needs a lot of motivation and determination in order for one to continue in the quest to offer the service to those who need it and stay motivated and even motivate others. There are varied sources of my motivation in the nursing field. The most important is the intrinsic motivation source. It is described as the willingness of a person to make some decision or take an action depending not on the material rewards but the possible satisfaction that they may derive from the experience or the action (Jeremy Wight, 2011). The decision to engage in the nursing management activity is motivated by the pleasure or the learning experience that is derived from engaging in the activity. It is indicated that intrinsically motivated people derive pleasure from completing a task, the job itself or recognition. They are the category of people who do not look for any kind of tangible rewards or incentives in order to motivate them but are motivated from within.

According to Maslow theory, which indicates that people are motivated in life to achieve the basic needs first after that is when they can move to the more complex needs. The concept is usually put in form of a pyramid with the basic needs being at the base and the more complex secondary needs being at the apex. Maslow emphasized that each individual seeks the self-actualization (Learning Theories, 2012). This is yet another source of my motivation as I wish to climb higher in the ladder of managerial positions and reach the peak in my professional career at a given time.

2. Managing difficult employee situation

There are various difficult employee situations that arise every time within the nursing field and being that it is the lives of people that are being dealt with, there is need to ensure all is done for the best interest of the patient.

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One common situation is has to do with creating a positive and performance oriented culture. Most nurses may experience burnout effects at work due to the demanding roles of nursing. This may cause misunderstanding hence attrition at work and indifference to the patients. This is a dangerous situation in nursing since empathy is the basis of nursing. This can be handled by creating an open communication channel between the nurses and the management, and in effect leading to a performance oriented culture. There is need also to create multi-disciplinary teams that will help out each other in times of difficulties.

3. Measuring performance improvement

One quality improvement initiative that has caught my attention is the quality improvement in the rural hospitals. The measure that was in determining the improvement in the rural hospitals is process improvement, implementation of the health IT procedures within the hospitals and safety culture change as indicated by Rural Health Research gateway, (2012). The initiative has been widely accredited to be successful in areas where it has been fully implemented. The success is owed to the fact that the concerned agencies first delved into the target areas and conducted thorough needs assessment and several interviews with the residents of the regions (Janet Pagan et.al, 2009). It was after finding the first hand information that they implemented the QI initiatives that were formatted for the region hence a big success.

4. Implementing safety standards

The safety of the patients as well of the staff at any health institution is of the highest consideration. One common incidence in the care for patients is the issue of polypharmacy, a situation where the patient uses more variety of drugs than he actually needs to use. One of the goals of the joint commission on national patient safety is to ensure that this is controlled. Here, the personnel is needed to find out what medications the patient is using. The commission therefore requires each hospital….....

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