Next-Generation Nurse Leaders Emerge from Innovative Online Programs

Portrait of a confident female doctor in scrubs, smiling and giving a thumbs up. The image captures the positive, professional healthcare environment in a hospital setting.Written by Esme Wang.

Thanks to new technological advancements, evolving care models, and the intrusion of artificial intelligence in the healthcare industry, it has become more important than ever for nurses to hone their skills, expand their knowledge, and come up as real leaders in the field.

Various innovative online programs have now emerged to help those professionals develop the leadership skills needed to deal with the challenges of modern healthcare systems. These programs use a combination of cutting-edge curriculum and real-world training to prepare the next generation of nurse leaders to drive positive change in today’s challenging healthcare environment.

 

The Growing Importance of Nurse Leadership

Nurse leaders are vital for establishing patient-centered care cultures in healthcare organizations. The knowledge they bring to the facility helps improve the safety and quality of healthcare services, which also plays a role in driving innovation in clinical practices.

 

Nurse leaders also serve as a connection between bedside nursing and administrative decisions, ultimately ensuring the focus remains on meeting the highest patient care standards. They are in a position to achieve all that because they have clinical expertise, interpersonal skills, and strategic vision, which puts them in a position to mentor nursing teams, advocate for patients, and introduce/implement best practices.

 

The Importance of Degree and Non-Degree Innovative Online Programs

Innovative online programs, both degree and non-degree options, have really made it possible to prepare the next generation of nurse leaders in the best way possible. The most impressive thing about these innovative programs is that they are highly flexible and allow nurses to pursue advanced education while fulfilling their current job responsibilities.

The introduction of a cutting-edge curriculum is another benefit of going for innovative online programs. They focus on the latest developments in healthcare, including quality improvement, information technology and evidence-based practice. If you are already a registered nurse (RN), you can find many full-length programs and certifications to expand your knowledge and move up to leadership roles in various healthcare settings. Here are some of the best options to consider:

 

Doctor of Nursing Practice (DNP) Programs

It wouldn’t be wrong to suggest that DNP programs represent the pinnacle of nursing education that prepares nursing professionals, especially advanced practice registered nurses (APRNs) to take leadership roles in various healthcare settings. These programs equip these professionals with the skills and knowledge required to improve health policy, patient care, and health systems as a whole.

The availability of online DNP programs has made it much easier for busy nurses to improve their knowledge and expand their career prospects. It is worth mentioning that most DNP programs are at least a couple of years long and require full-time study beyond a master’s degree, but it changes if you opt for accelerated BSN-to-DNP tracks. Mostly, your coursework covers various areas, such as quality improvement, evidence-based practice, informatics, health policy, and organizational leadership. The DNP project is also part of these programs and involves applying the knowledge in real-life situations.

Going for a DNP program is a great option for nurses interested in moving to leadership positions. Depending on the institute and curriculum, the program prepares nurses with the knowledge and skills needed for high-level decision-making in various settings. They learn how to translate research into real-life situations to drive improvements.

The programs also teach them how to decipher healthcare policy and get ready for executive roles like Chief Nursing Officer. With these credentials under your belt, you may be allowed to lead interdisciplinary teams where you can influence organizational strategy and take patient safety initiatives.

When selecting an online DNP program, it’s vital to consider exactly what’s included and how comprehensive the curriculum is. For instance, the best programs will have flexible, asynchronous coursework so you can complete most things on your own schedule. Similarly, it is a good idea to pick a program where you are allowed short on-campus residences, as it facilitates networking and hands-on learning.

Similarly, the use of virtual simulation is something that makes online courses a lot more interactive and easier for students to practice skills remotely. Getting one-on-one guidance and opportunities to work with other students are other important factors to consider. Many new degree programs offer all these features, like Wilkes University, where you can find a 100% online DNP program with 12-week courses and ample student support. It offers three start dates a year and stands as an affordable path to completing your DNP degree.

Once you complete your degree, you can join various healthcare settings to perform influential leadership roles, including health system executive, chief nursing officer, clinical director, health policy advisor, quality improvement director, nurse entrepreneur and so on. No matter the role you choose, you will have the knowledge to drive improvements in patient outcomes and care delivery.

 

Health Care Manager Certification

When it comes to non-degree options, RNs can choose from various programs designed to help them excel in management roles. Healthcare Manager Certification by the AIHCP is one interesting option because it prepares RNs with advanced leadership and management skills. It is among the most popular certification programs considering it focuses on front-line managers as well as department directors.

Quite like many other certification programs, it requires at least 220 contact hours with a focus on essential topics, such as leadership, healthcare administration, quality management, and human resources. Considering the curriculum, it is safe to say that the program is not directly aimed at executive-level positions but is more geared towards professionals interested in improving their competitiveness in management roles.

However, the good thing is that the program offers access to various resources, including e-newsletters, professional publications and thought-leadership articles. This ongoing access to information helps certified managers update their knowledge keeping industry trends in mind.

To be eligible for the certification, you must be a licensed social worker or a registered nurse or have a bachelor’s degree in a health-related field. It also requires you to have no less than five years of work experience in any healthcare setting with a focus on management duties. Also, bear in mind that the certification is good for four years, after which you will have to go through a recertification process, which requires 50 hours of continuing education.

The interesting thing is that once you complete the certification, you gain a competitive edge in the healthcare job market because of your advanced management skills. The certification also serves as a stepping stone to various top-level executive roles, such as Chief Nursing Officer or other C-suite positions in the healthcare industry.  The job outlook for those completing the HCM-C certification is quite positive as a whole, with a 28% growth projected until 2031.

 

Nursing Management Certification

While a Health Care Manager Certification focuses on overall healthcare management and administration, a Nursing Management Certification is focused only on nursing leadership and management skills. A healthcare manager learns more about topics like human resources, healthcare finance, and operations, whereas a nursing management program includes clinical leadership and nursing administration.

The Nursing Management Certification by the AIHCP is an interesting choice because it is primarily designed for RNs looking to improve their skills in nursing management. The program requires 270 contact hours of continuing education and is focused on maintaining high educational standards while providing mechanisms for peer advisory oversight to ensure its relevance.

To qualify, you need to be a registered nurse in the U.S or come with an equivalent international license. Once completed, you will receive your certification that is valid for four years after which you will have to apply for recertification that involves 50 hours of continuing education.

As a nursing manager, you will be responsible for facilitating communication between nursing staff and top-level management in a healthcare setting to ensure proper transmission and implementation of policies, directives, and feedback. Staff nurses will also look up to you for any support they might need related to patient care and assistance to patients’ family members during visits.

Nursing managers are required to help nurses handle electronic health records more effectively. Their role is especially appreciated in settings where the organizations haven’t already embraced e-health records, as a nurse manager can guide them and explain how to file and access them as a patient or a physician.

Your duties become more complicated when you complete your certification and start working as a nursing manager. However, iit also offers many opportunities to excel in your career and find more job opportunities with higher earning potential.

 

Endnote

Considering how quickly the healthcare industry is evolving due to a huge shift in care models and patients’ expectations, it’s vital to have a new generation of leaders to drive innovation in the healthcare field. Various innovative online programs, both degree and non-degree options, are available and help healthcare professionals to expand their knowledge without compromising their existing jobs.

Whether you should opt for a full-length degree or go with a certification depends on your future goals and time constraints. Remember, degree programs are longer, but are going to offer new opportunities and better salaries. Take your time, consider your unique circumstances, and then enroll online to learn new skills to lead the ever-changing healthcare industry.

 

Author Bio:

Esme Wang is a copywriter and content strategist. She helps businesses stop playing around with content marketing and start seeing the tangible ROI. She loves writing as much as she loves the cake.

 

Please also review AIHCP’s Health Care Manager Certification programs and see if it meets your academic and professional goals.  These programs are online and independent study and open to qualified professionals seeking a four year certification

Top Strategies for Healthcare Resource Management Success

Healthcare resource management stands at the forefront of modern healthcare systems, shaping the quality and efficiency of patient care. This critical domain encompasses the strategic allocation and utilization of physical, financial, and human resources within healthcare organizations. Healthcare managers and executives face the ongoing challenge of optimizing these resources to enhance patient outcomes while navigating the complexities of an ever-evolving healthcare landscape.

Healthcare managers play a key role in human resource management as well as healthcare resource management

The effective management of healthcare resources has a significant impact on healthcare delivery processes and overall organizational performance. From streamlining operations to improving patient satisfaction, healthcare resource management plays a vital role in achieving both short-term goals and long-term sustainability. This article explores top strategies for success in healthcare resource management, covering key areas such as data-driven decision making, human capital management, and quality improvement through efficient resource utilization. By implementing these strategies, healthcare project managers and leaders can drive positive change and secure a competitive edge in the dynamic field of healthcare management.

AIHCP offers a program in healthcare management.  Please review and see if it meets your professional goals.

The Evolving Landscape of Healthcare Resource Management

Current Trends and Challenges

The healthcare landscape has undergone significant changes in recent years, presenting new challenges and opportunities for resource management and healthcare managers. Healthcare reform and policy play a crucial role in shaping the strategies used by healthcare providers and organizations. These reforms aim to increase access, improve quality, and reduce costs within the healthcare system. Healthcare managers and policymakers must understand these changes to develop and implement effective strategies that enhance patient outcomes.

One of the primary challenges in healthcare resource management is navigating complex regulations and limited resources while striving to improve patient outcomes and maintain financial sustainability. Healthcare organizations often face resistance to change from providers, lack of resources to implement new policies, and difficulties in adopting and maintaining new technologies. To overcome these obstacles, organizations are increasingly engaging stakeholders in the change process, leveraging technology and data to support new practices, and partnering with other healthcare entities to share resources and expertise.

Impact of Healthcare Reforms

Healthcare reforms have a significant impact on resource management strategies. They provide the framework within which healthcare organizations must operate and can influence the development and implementation of various initiatives. For instance, changes in insurance policies, reimbursement rates, and regulations can affect the financial sustainability of healthcare organizations and their ability to implement certain strategies.

The Affordable Care Act (ACA) has been instrumental in creating new models of care, such as Accountable Care Organizations (ACOs) and value-based care models. These approaches aim to improve quality and reduce costs through collaboration among healthcare providers. Additionally, the Health Information Technology for Economic and Clinical Health (HITECH) Act has incentivized the adoption of Electronic Health Records (EHRs), fundamentally changing how healthcare organizations manage patient information and streamline operations.

Technological Advancements

Technology has become a driving force in healthcare resource management, opening new possibilities for improving patient safety and operational efficiency. The implementation of Clinical Decision Support (CDS) tools has been a prominent focus in recent research. These tools provide clinicians and patients with relevant data, filtered and delivered through various formats, to enhance care delivery.

Artificial Intelligence (AI) and machine learning are emerging as powerful tools in healthcare resource management. These technologies use algorithms to analyze large amounts of historical and real-time data, predicting outcomes and recommending treatment options. However, the implementation of AI in healthcare has been slow due to challenges such as variable system quality and algorithm drift over time.

The Internet of Things (IoT) and telemedicine are also transforming healthcare delivery. IoT-powered virtual hospitals and advanced telemedicine platforms enable remote patient monitoring and create new channels for healthcare professionals to communicate and deliver care. This shift towards virtual care has the potential to reduce costs and improve access to healthcare services, particularly for patients in remote areas.

As healthcare continues to evolve, resource management strategies must adapt to these changing trends, reforms, and technological advancements. By embracing innovation and addressing challenges head-on, healthcare organizations can improve patient care, optimize resource utilization, and ensure long-term sustainability in an increasingly complex healthcare landscape.

Building a Robust Resource Management Framework

Building a strong framework is key in better management

Organizational Structure and Governance

The organizational structure of healthcare institutions plays a crucial role in resource management success. Throughout history, various organizational modalities have been introduced worldwide, leading to extensive changes in healthcare systems. The World Bank identifies four types of hospitals based on their organizational structure: budgetary hospitals, autonomous hospitals, corporate hospitals, and private hospitals. Each type has varying degrees of independence from government control and market connection.

Healthcare managers and policymakers must carefully consider the most appropriate organizational structure for their institutions. This decision-making process can be approached from a multicriteria decision-making (MCDM) perspective, as numerous factors influence the selection of an organizational modality. By adopting a comprehensive MCDM methodology, healthcare leaders can make evidence-based decisions to enhance organizational efficiency and effectiveness.

A well-designed organizational chart serves as a visual representation of the healthcare system’s structure, showcasing roles, responsibilities, and relationships within the organization. This clarity aids in streamlining communication, enhancing patient care, and minimizing administrative delays. For instance, in a large hospital, an organizational chart could highlight the chain of command from the Chief Executive Officer (CEO) to various healthcare managers of different departments to as well individual nurses and support staff.

Policy Development and Implementation

To build a robust resource management framework, healthcare organizations must focus on effective policy development and implementation. Enactment alone does not guarantee a policy’s success; additional steps are necessary to increase the likelihood of achieving intended outcomes. These steps include educating affected individuals and organizations, modifying pre-existing administrative operations and systems, and monitoring and enforcing the policy as needed.

Successful policy implementation involves a wide range of stakeholders, depending on the level of enactment and the type of policy. These stakeholders can help identify and coordinate resources, provide support for large-scale changes to existing processes, and plan for policy, programmatic, and fiscal sustainability.

To ensure effective implementation, healthcare organizations should:

  1. Clearly define policy goals
  2. Identify necessary resources, including funding, staffing, and infrastructure
  3. Assign roles and responsibilities to individuals and organizations involved in implementation
  4. Establish processes for collaboration and conflict resolution
  5. Monitor implementation to identify and address potential barriers

Cross-functional Collaboration

Cross-functional collaboration is essential for building a robust resource management framework in healthcare. Project management training has emerged as a powerful tool to foster collaboration among healthcare departments, facilitate interdisciplinary communication, and ultimately improve patient care.

Cross-functional teams bring together individuals with diverse backgrounds, roles, and expertise to work towards common goals. This diversity ensures a well-rounded approach that considers medical, technological, operational, and patient-centric aspects of healthcare projects. By leveraging varied perspectives, these teams can tackle complex healthcare challenges from different angles, leading to comprehensive and effective solutions.

To promote effective cross-functional collaboration, healthcare organizations should:

  1. Establish open lines of communication
  2. Align team members around a shared vision and project objectives
  3. Create an environment that respects and values each team member’s expertise
  4. Facilitate opportunities for team members to understand each other’s roles and responsibilities
  5. Address conflicts constructively
  6. Leverage digital tools for seamless collaboration

By implementing these strategies, healthcare organizations can build a robust resource management framework that optimizes organizational structure, ensures effective policy implementation, and promotes cross-functional collaboration. This approach will ultimately lead to improved patient outcomes, enhanced operational efficiency, and long-term sustainability in the dynamic healthcare landscape.

Data-Driven Decision Making in Resource Allocation

Data Collection and Analysis

Healthcare organizations are increasingly relying on data-driven approaches to optimize resource allocation. The collection and analysis of healthcare data play a crucial role in this process. Healthcare entities collect data from various sources, including health surveys, administrative enrollment and billing records, and medical records. These data sources provide valuable insights into patient demographics, health status, and resource utilization patterns.

However, the healthcare system faces challenges in collecting and sharing data effectively. Data often do not flow cohesively or in a standardized way among different entities. To address this issue, organizations need to improve their data collection methods and facilitate better integration and sharing of data within and across healthcare entities.

Predictive Analytics for Resource Planning

Predictive analytics has emerged as a powerful tool for resource planning in healthcare. By utilizing predictive models and data-driven insights, healthcare organizations and healthcare managers can detect potential problems before they arise, anticipate future needs of their patients, and identify trends in population health more quickly and accurately than ever before.

Some key applications of predictive analytics in healthcare resource management include:

  1. Predicting patient outcomes and allocating resources accordingly
  2. Personalizing treatments based on an individual’s medical history or genetic profile
  3. Improving operational efficiency by predicting resource requirements
  4. Reducing hospital readmissions through early interventions

Predictive modeling can help providers react quickly to changes in a patient’s vitals and identify upcoming deterioration of symptoms before they become apparent. This proactive approach enables healthcare organizations to allocate resources more effectively and improve patient care.

Real-time Monitoring and Reporting

Real-time monitoring and reporting systems have become essential for effective resource management in healthcare and healthcare managers. These systems enable healthcare providers to access, analyze, and process patient data to provide data-based quality care, accurate diagnosis, and personalized treatments.

Edge and cloud technologies have emerged as valuable tools for analyzing data sources in different healthcare systems. Mobile cloud computing is often used for physical surveillance devices with multiple access rights. However, challenges remain in terms of latency and accuracy when transferring large health datasets across the system.

To enhance real-time monitoring and reporting, healthcare organizations are implementing various strategies:

  1. Utilizing Internet of Things (IoT) technology combined with wearable devices to analyze human health parameters
  2. Developing end-to-end communication interfaces between medical practitioners and patients
  3. Implementing machine learning classifiers to perform binary classification (normal/abnormal) from patients’ physiological parameters
  4. Creating web interfaces that allow medical practitioners to view and diagnose patients’ physiological parameters instantly

These real-time monitoring and reporting systems aim to reduce paperwork, unnecessary follow-up hospital visits, and provide healthcare services to patients with limited access to medical visits. By leveraging these technologies, healthcare organizations can make more informed decisions about resource allocation and improve overall patient care.

Optimizing Physical Resources and Infrastructure

Human Capital Management in Healthcare

Financial Sustainability and Resource Management

Financial sustainability and effective resource management are crucial for healthcare organizations to thrive in an increasingly complex and challenging environment. As healthcare costs continue to rise and reimbursement models evolve, healthcare managers must implement strategies to contain costs, enhance revenue, and manage financial risks. This section explores key approaches to achieving financial sustainability in healthcare settings.

Healthcare managers play a key role in balancing and managing costs. Please also review AIHCP’s Health Care Management Certification

Cost Containment Strategies

Cost containment in healthcare involves finding ways to reduce spending without compromising the quality of patient care. Effective cost containment strategies can lead to better access to preventative care and other health services for patients, as well as improved financial health for healthcare organizations.

One approach to cost containment is optimizing staffing levels. While it may seem counterintuitive, adequate staffing is essential for maintaining quality care and positive patient outcomes. Studies have shown that understaffing can result in significant revenue losses, with an average of $90,000 lost per day for a 300-500 bed hospital. Moreover, understaffing has been linked to increased medical errors and decreased patient safety.

Another effective strategy is expanding access to virtual healthcare. Telemedicine services are generally less expensive than in-person visits and can help reduce the burden on emergency rooms. By offering 24/7 telehealth options, healthcare organizations can lower costs while still providing accessible care to patients.

Implementing educational programs for consumers can also contribute to cost containment. Many patients may not be aware of the appropriate healthcare options for their needs, leading to unnecessary and costly emergency room visits. By educating patients about when to seek care from urgent care centers, telehealth services, or primary care providers, healthcare organizations can reduce overall healthcare expenditures.

Revenue Enhancement Techniques

Revenue enhancement in healthcare involves a complex combination of processes, including setting clear payment expectations for patients, accurate coding of procedures, account follow-up, and payment posting. Streamlining these processes is essential to prevent denied claims and uncollected patient payments.

To optimize revenue cycles, healthcare organizations can consider the following techniques:

  1. Implementing card-on-file payment systems: This approach has been shown to be the most preferred collection method for patients and can significantly improve point-of-service collections while reducing unpaid bills.
  2. Offering transparent pricing and billing: Providing cost estimates to patients before services or treatments are rendered can help minimize unpaid claims and avoid surprise bills.
  3. Merging front-end and back-end revenue cycle management: By breaking down the divide between patient-facing registration processes and back-end claim management, organizations can create a more streamlined and efficient revenue cycle.
  4. Automating prior authorization and eligibility processes: This can help reduce delays in care and improve overall efficiency in the revenue cycle.
  5. Developing and tracking key performance indicators (KPIs): Organizations should focus on metrics such as net days in accounts receivable, cash collection as a percentage of net patient services revenue, claim denial rate, and cost to collect.

Financial Risk Management

Financial risk management in healthcare involves identifying potential adverse financial events and taking actions to prevent or minimize their impact. As the healthcare environment becomes increasingly complex, systematic risk assessment and mitigation strategies are essential.

Healthcare organizations face various types of financial risks, including:

  1. Utilization risks: Associated with fluctuations in demand for services.
  2. Severity risks: Related to higher-than-expected costs due to increased illness severity.
  3. Input risks: Linked to changes in input costs, such as labor and supplies.
  4. Financial risks: Present in financial transactions, such as interest rate fluctuations affecting bond issuances.

To manage these risks effectively, healthcare organizations can employ several strategies:

  1. Maintaining adequate reserves: This includes required reserves mandated by state authorities, prudent business reserves, and incurred but not reported (IBNR) reserves.
  2. Utilizing reinsurance or medical stop-loss insurance: This can provide protection against losses arising from individual patients (specific stop-loss coverage) or aggregate losses on the entire covered population (aggregate stop-loss coverage).
  3. Implementing portfolio immunization strategies: For organizations maintaining large securities portfolios, matching the duration of investments with the expected holding period can help mitigate interest rate risk.
  4. Conducting regular risk assessments: Systematically identifying, evaluating, and prioritizing potential risks can help organizations develop targeted mitigation strategies.

By implementing these financial sustainability and resource management strategies, healthcare organizations can better navigate the complex healthcare landscape, ensure long-term viability, and continue to provide high-quality care to their patients.

Quality Improvement Through Effective Resource Utilization

Healthcare managers play a key role in quality improvement

Future-Proofing Healthcare Resource Management

The healthcare landscape is constantly evolving, presenting new challenges and opportunities for resource management. To ensure the sustainability and effectiveness of healthcare systems, it is crucial to adopt forward-thinking strategies that address emerging trends and potential disruptions. This section explores key approaches to future-proofing healthcare resource management, focusing on preparing for emergencies and crises, adapting to changing demographics, and embracing innovative care models.

Preparing for Emergencies and Crises

Healthcare systems play a critical role in mitigating the impact of emergencies and crises, from natural disasters to pandemics. To enhance their resilience and ability to respond effectively, healthcare organizations must prioritize emergency preparedness and integrate it into their overall resource management strategies.

One essential aspect of emergency preparedness is the development of comprehensive contingency plans. These plans should outline the capacity, skills, staffing, equipment, management, supplies, and protocols needed for various emergency scenarios. By anticipating potential challenges and preparing in advance, healthcare systems can respond more efficiently and effectively when crises occur.

To strengthen emergency response capabilities, healthcare facilities should:

  1. Establish robust communication channels and data-driven approaches for coordinated service delivery
  2. Develop mobile clinic capabilities to meet surge demand through regionally coordinated responses
  3. Ensure the resilience of critical infrastructure and services, such as power supplies, water, sanitation, and medical gas systems
  4. Create backup strategies for different resources and recovery systems

Collaboration with external partners is crucial for effective emergency response. Healthcare organizations should form alliances and interact with regional emergency management agencies, healthcare departments, and other healthcare facilities. This promotes the exchange of resources, mutual aid, and coordinated response actions.

Furthermore, healthcare systems must be closely integrated with a country’s overall emergency management and disaster response systems. This integration should involve clearly defined roles and mandates for crisis response, including coordination with military, civil protection, and community groups.

Adapting to Changing Demographics

The aging population poses significant challenges to healthcare systems, requiring careful consideration and proactive measures. Statistics indicate that the number of Americans aged 65 and older is projected to nearly double from 52 million in 2018 to 95 million by 2060. This rapid increase in the elderly population has profound implications for healthcare systems, necessitating proactive measures to ensure quality care, accessibility, and affordability.

To address the unique needs of an aging population, healthcare providers must:

  1. Create an adequately prepared workforce trained in geriatrics and gerontology
  2. Develop person-centered care approaches that promote healthy aging and effectively manage chronic conditions
  3. Implement supportive programs like the Medicaid Nursing Home Program
  4. Protect resident rights and ensure quality care in long-term care facilities

The nursing shortage in the United States further compounds the challenge of providing appropriate care for senior citizens who require nursing home services. Addressing staffing shortages is crucial to meet the rising demand for nursing home care. More than half of all nursing homes in the US are experiencing financial challenges due to escalating healthcare costs, inadequate Medicaid reimbursements, and declining occupancy rates. These financial struggles put additional strain on nursing homes’ ability to provide quality care.

Recognizing the challenges associated with nursing home care, there is an increasing emphasis on exploring in-home alternatives. By offering a range of care options, healthcare systems can better adapt to the increased demand for elderly care while providing more personalized and cost-effective solutions.

Embracing Innovative Care Models

To address the growing challenges globally, health services and governments are experimenting with more cost-effective care alternatives often delivered outside hospital walls. These innovative models take a novel approach to provide high-quality and safe care in and out of hospital settings.

Value-Based Healthcare (VBHC) is one such model that many healthcare systems are adopting. This approach aims to move away from fee-for-service models and shift towards value-based models that deliver meaningful outcomes for patients while reducing unnecessary costs and waste within the system.

Collaborative Care and Advanced Primary Care models are innovative approaches to healthcare delivery that aim to improve patient outcomes, enhance care coordination, and optimize resource utilization. The Advanced Primary Care model, also known as the Patient-Centered Medical Home (PCMH) model, focuses on transforming primary care practices into patient-centered, comprehensive, and coordinated care centers. This model emphasizes preventive care, care coordination, patient engagement, and enhanced access to care.

Digital services have the potential to support more personalized care, integrated with existing models and delivered remotely. E-health, telehealth, and virtual care models have gained significant traction, especially in light of the COVID-19 pandemic. These technologies allow patients to remain socially distant while still receiving necessary care, reducing the risk of virus spread among patients and healthcare providers.

Advanced technologies such as robotics, artificial intelligence (AI), and big data analytics may provide more seamless and efficient care. These technologies can support decision-making, streamline processes, and enhance the overall quality of care delivery.

To future-proof healthcare resource management, organizations should:

  1. Invest in digital infrastructure to support telehealth and remote care delivery
  2. Implement data analytics and AI solutions to optimize resource allocation and improve decision-making
  3. Foster a culture of innovation and continuous improvement
  4. Engage in consumer co-design to ensure that new care models meet the needs and preferences of patients
  5. Develop flexible and adaptable care delivery systems that can respond to changing healthcare demands

By embracing these innovative care models and technologies, healthcare systems can enhance their ability to provide high-quality, cost-effective care while adapting to the evolving healthcare landscape.

Conclusion

The strategies outlined in this article offer a comprehensive approach to healthcare resource management. By embracing data-driven decision-making, optimizing physical and human resources, and ensuring financial sustainability, healthcare organizations can boost their effectiveness and resilience. These approaches, combined with a focus on quality improvement and innovative care models, lay the groundwork to tackle the complex challenges in today’s healthcare landscape.

Please also review AIHCP’s Health Care Management Certification Program

Looking ahead, healthcare leaders must stay alert and adaptable to future-proof their resource management strategies. This means getting ready for emergencies, adjusting to changing demographics, and exploring new care models. By putting these strategies into action, healthcare organizations can improve patient outcomes, enhance operational efficiency, and secure long-term success in an ever-changing healthcare environment.

Healthcare managers can play a key role in resource management in healthcare facilities.  Please review AIHCP’s Health Care Management Certification and see if it meets your academic and professional goals.  The program is online and independent study with mentorship as needed.

FAQs

1. What are the top five approaches to managing personal health effectively?
To effectively manage your health, consider these five essential strategies: maintain a balanced diet, engage in regular physical activity, focus on mental health, ensure adequate sleep, and attend regular health check-ups. These steps will help you take control of your health and enhance your life quality.

2. What does strategic management involve in the healthcare sector?
Strategic management in healthcare involves outlining your organization’s future, setting objectives to achieve that vision, and identifying key initiatives necessary to reach these goals. It also requires maintaining a focus on these strategies over a three to five-year span.

3. What are the keys to achieving success in healthcare management?
Success in healthcare management hinges on strong interpersonal skills. Effective healthcare managers communicate frequently and transparently, offer encouragement to motivate their teams, and adapt their communication to the audience—using medical terminology with healthcare professionals and simpler language with patients and their families.

4. What entails resource management within the healthcare industry?
Resource management in healthcare refers to the evidence-based allocation of various resources such as human capital, finances, supplies, and data. This process ensures that the organization remains operationally and financially stable while providing high-quality care to patients.

Additional Resources

“Transforming healthcare through better resource management”. (2020). hfma.  Please access here

Bhati, D.., et. al. (2023). “Improving Patient Outcomes Through Effective Hospital Administration: A Comprehensive Review”. Cureus. 2023 Oct; 15(10): e47731. Published online 2023 Oct 26. doi: 10.7759/cureus.47731. National Library of Medicine.  Access here

“5 Best Practices for Resource Management in Healthcare” (2019).  BFW. Access here

“Maximizing Efficiency in Healthcare: The Role of Resource Management”. (2023). Access here

Kabene, S. , et al. (2006). “The importance of human resources management in health care: a global context”. Hum Resour Health. 2006; 4: 20. Published online 2006 Jul 27. doi: 10.1186/1478-4491-4-20.  Access here

“Why Is Project Resource Management Important in Healthcare?”. (2022). Prosphire.  Access here

“Transforming healthcare through better resource management” (2023). HFMA.  Access here

 

 

Organizational Behavior in Healthcare: Best Practices and Strategies

Organizational behavior in healthcare plays a crucial role in shaping the success and effectiveness of medical institutions. The complex interplay of human interactions, leadership dynamics, and workplace culture has a significant impact on patient outcomes and the quality of care delivered. Healthcare managers and professionals must navigate a unique set of challenges within the healthcare industry, balancing the needs of patients, staff, and organizational goals.

To improve healthcare management and enhance the performance of the healthcare workforce, it is essential to understand the key aspects of organizational behavior. This article explores best practices and strategies in leadership, communication, employee motivation, and organizational culture within healthcare settings. By examining these critical areas, healthcare professionals can gain valuable insights to optimize their work environments, boost team productivity, and ultimately provide better care to patients.

Understanding organizational behavior is critical to healthcare management

Please also review AIHCP’s Healthcare Manager Certification Program.  The program is online and independent study and open to healthcare professionals seeking to further their professional career in management.

Understanding Organizational Behavior in Healthcare

Definition and Importance

Organizational behavior in healthcare is an applied behavioral science that combines psychological, sociological, and anthropological concepts to understand what motivates productivity and job satisfaction in healthcare settings. It plays a crucial role in hospital administration and medical care, significantly influencing patient outcomes, staff satisfaction, and cost savings. The success of any healthcare organization depends heavily on how their staff behaves, especially in a field where the stakes are so high.

Key Components

Organizational behavior in healthcare explores several key components:

  1. Individual behavior and attitudes
  2. Group dynamics and team interactions
  3. Leadership and management styles
  4. Organizational culture and structure
  5. Decision-making processes
  6. Communication patterns

By examining these components, healthcare leaders can develop strategies that foster productive teamwork, enhance organizational performance, and improve patient care. This approach helps to ensure patient safety, promote patient-centered care, encourage ethical behavior among healthcare professionals, and drive quality improvements.

Challenges in Healthcare Settings

Healthcare organizations face numerous challenges related to organizational behavior:

  1. Hierarchical structures: Healthcare settings often adhere to hierarchical structures, which can contribute to communication lapses. Professionals may be reluctant to report errors or incidents to superiors due to concerns about career advancement.
  2. Diverse workforce: The healthcare industry draws from an exceptionally diverse pool of professionals. This diversity increases the need for leaders with sound organizational behavior knowledge to manage varied personalities and backgrounds effectively.
  3. Resistance to change: Implementing evidence-based practices can be challenging due to entrenched practices and resistance to new approaches. Collecting evidence for clinical recommendations is an arduous task that can take up to 17 years.
  4. Patient safety concerns: Common safety challenges, including surgical errors, preventable infections, and medication use liabilities, exact enormous human and financial costs. Addressing these issues requires managers fluent in organizational behavior management practices.
  5. Meeting rising patient expectations: Modern patients are increasingly attentive to patient safety practices, requiring healthcare organizations to adapt and improve continuously.

To address these challenges, healthcare organizations need to be flexible and meet diversity challenges through inclusivity. Implementing positive reinforcement and organizational behavior management techniques can encourage open communication among practitioners and managers. The ultimate goal is to create an environment that supports effective and safe patient care while meeting the evolving expectations of patients and healthcare professionals alike.

Leadership and Management in Healthcare Organizations

Effective leadership and management play a crucial role in shaping the success and performance of healthcare organizations. From providers on the front lines to office staff and administrators, healthcare professionals face rewarding but challenging work. To navigate the complex healthcare landscape, leaders must adopt appropriate leadership styles, implement effective decision-making processes, and manage change effectively. Healthcare managers need to employ leadership skills for the ultimate success of their department.

Healthcare managers need to have leadership abilities. Please also review AIHCP’s Healthcare Management Certification

Effective Leadership Styles

Healthcare leaders have several leadership styles at their disposal, each with its own strengths and applications. Some of the most common leadership styles in healthcare include:

  1. Transformational: This style focuses on shared values and ideas, forging relationships, and inspiring confidence and respect among staff members. Transformational leaders often have a strong vision and lead by example.
  2. Transactional: Characterized by an exchange between leaders and staff members, transactional leadership involves clear structure, direction, and organization of workload and staff.
  3. Servant: Servant leaders prioritize serving others, encouraging creativity, promoting learning, and fostering a sense of community and team growth.
  4. Democratic: This style encourages employee participation in decision-making, promotes open communication, and empowers staff to take charge and be accountable for their work.
  5. Situational: Situational leaders adapt their management style based on the needs of specific situations, combining elements from various leadership models.

Research has shown that effective leadership styles, particularly transformational leadership, have significant positive associations with high levels of patient satisfaction and reduction of adverse effects. Furthermore, empowering leadership has an indirect impact on reducing mortality rates by inspiring, retaining, and supporting experienced staff.

Decision-Making Processes

Decision-making in healthcare management has a profound impact on the quality, efficiency, and sustainability of healthcare systems. Effective decision-making processes involve:

  1. Collaboration: Healthcare leaders must foster collaboration among diverse stakeholders to design strategies that optimize healthcare delivery and elevate user experiences.
  2. Data-driven insights: Utilizing data analytics tools and input from data analysts to inform decision-making is crucial.
  3. Innovation focus: Decision-makers should continuously explore groundbreaking technologies and trends to enhance diagnoses, treatment methods, and care coordination.
  4. Resource allocation: Optimizing the allocation of personnel, equipment, and funding is a key aspect of healthcare management decisions.
  5. Risk assessment: Implementing strategies to ensure patient safety and mitigate risks is an essential part of the decision-making process.

Healthcare managers must also consider various types of decisions, including procurement and vendor selection, technology adoption, partnerships and collaborations, financial planning, and regulatory compliance.

Change Management

Change management is a critical aspect of healthcare leadership, especially given the rapid pace of changes in the industry. Effective change management strategies include:

  1. Integrating change discussions into existing meetings to make it a natural part of leaders’ work.
  2. Focusing on the employee experience to build desire for important changes and address retention issues.
  3. Engaging employees in shaping the direction of changes that impact their daily work.
  4. Taking an enterprise focus to understand how various changes intersect and impact the organization as a whole.
  5. Leveraging key influencers as change champions to help busy managers fulfill their roles during change.
  6. Building change capabilities throughout the organization through an effective enterprise change management (ECM) strategy.

By implementing these strategies, healthcare leaders can navigate the complexities of the industry, improve patient outcomes, and drive operational efficiency. Embracing change management principles helps organizations prepare for the future and overcome current and future challenges in healthcare.

Communication and Teamwork

A healthcare manager is a good communicator.  Please review AIHCP’s Healthcare Management Program

Effective communication and teamwork are essential components of organizational behavior in healthcare settings. These elements play a crucial role in enhancing patient outcomes, improving workplace environments, and fostering a culture of collaboration among healthcare professionals.  Healthcare managers  and those in nursing management need to be effective communicators.

Interprofessional Collaboration

Interprofessional collaboration in healthcare involves a team-based approach to patient care, resulting in improved outcomes and a better work environment. As healthcare delivery becomes increasingly complex, coordination among nurses, physicians, pharmacists, social workers, and other healthcare disciplines has become imperative for enhancing workplace environments, health systems, and patient care.

The benefits of interprofessional collaboration include:

  1. Comprehensive and well-coordinated care
  2. More accurate diagnoses and treatment plans
  3. Prevention of adverse events
  4. Promotion of a culture of safety within healthcare organizations

To facilitate effective interprofessional collaboration, healthcare organizations should consider implementing clinical communication technology. This technology maintains constant connectivity among care team members, enabling them to reach out to physicians, share critical laboratory results, and communicate efficiently through secure messaging, voice, or video.

Conflict Resolution

Conflicts are inevitable in the stressful environment of healthcare. Tension and stress can result from miscommunication, differing opinions, and varying priorities. To maintain a harmonious work environment and provide quality patient care, healthcare managers and nursing managers must develop effective conflict resolution skills.

Some common sources of conflict in healthcare settings include:

  1. Staff conflicts regarding workload distribution and shift preferences
  2. Interdisciplinary disagreements about treatment plans and responsibilities
  3. Ethical disputes on topics such as end-of-life care and patient autonomy
  4. Communication breakdowns resulting in misunderstandings

To address conflicts effectively, healthcare professionals should:

  1. Foster open communication
  2. Mediate and negotiate
  3. Identify underlying issues
  4. Encourage empathy
  5. Seek compromise
  6. Provide guidance and coaching
  7. Encourage professional behavior
  8. Follow established policies and procedures
  9. Document issues and provide follow-up

Building Trust

Trust is a fundamental aspect of effective teamwork in healthcare settings. Building trust among healthcare professionals has a significant impact on patient outcomes and the overall quality of care provided. To foster trust within healthcare teams, several strategies can be implemented by healthcare managers:

  1. Open communication: Keeping communication channels open allows team members to understand each other’s roles and responsibilities better.
  2. Consistent collaboration: Working together regularly helps build confidence within the team and facilitates the development of trust over time.
  3. Interprofessional education: Exposing healthcare professionals to other disciplines early in their education can positively influence their perception of teamwork and foster future collaborative practice.
  4. Cultural competence: Developing empathy and cultural awareness among healthcare providers has become increasingly important, especially for patients from diverse backgrounds.
  5. Shared experiences: Having mutual patients and working together over time helps build trust among healthcare professionals.
  6. Demonstrating reliability: Following through on commitments and being timely in responses and actions contributes to building trust among team members.

By focusing on these aspects of communication and teamwork, healthcare organizations can create a more collaborative and effective work environment, ultimately leading to improved patient care and outcomes.

Employee Motivation and Engagement

Healthcare managers motivate their team and promote cooperation and teamwork

Motivation plays a crucial role in shaping employee behavior and performance within healthcare organizations. It can be defined as the influence or drive that causes an individual to achieve a certain goal. Understanding and addressing employee motivation has a significant impact on job satisfaction, productivity, and ultimately, the quality of patient care.  Healthcare managers need to be able to motivate employees to reach their ultimate potential.

Theories of Motivation

Several theories have been developed to explain employee motivation in organizational behavior. These can be broadly categorized into content and process theories.

Content theories focus on the assumption that individuals are motivated by their desire to satisfy underlying needs. Some prominent content theories include:

  1. Maslow’s Hierarchy of Needs: This theory proposes five categories of needs, ranging from physiological needs to self-actualization. In healthcare, professionals may be motivated to perform their jobs effectively and provide safe, high-quality patient care to satisfy their esteem needs.
  2. Herzberg’s Two-Factor Theory: Also known as the motivator-hygiene theory, it identifies five motivating features of work (achievement, recognition, the job itself, responsibility, and advancement) and five demotivating factors (institutional politics, management approach, supervision pay, poor work relationships, and poor working conditions).
  3. McClelland’s Needs Theory: This theory identifies three types of motivational needs: achievement, power, and affiliation. Many healthcare professionals are categorized as achievement-motivated, driven by intrinsic factors such as a strong sense of calling and the desire to do their best.

Process theories, on the other hand, focus on how motivation occurs. These include:

  1. Expectancy Theory: This suggests that an individual’s motivation level varies based on their desire for a specific outcome and their perception of how their performance will achieve this outcome.
  2. Equity Theory: This assumes that individuals are motivated to perform based on their perception of their inputs (contributions) and outputs (recognition).
  3. Satisfaction-Performance Theory: This theory proposes that an individual’s performance leads to satisfaction, driven by both intrinsic and extrinsic motivators.

Job Satisfaction

Job satisfaction is defined as a pleasurable or positive emotional state resulting from the appraisal of one’s job or job experiences. It has a significant impact on healthcare organizations, affecting quality, productivity, effectiveness, and healthcare costs. Satisfied employees are considered key assets, especially in non-profit public organizations like hospitals.

Research has shown a positive correlation between job satisfaction and the quality of care provided. Conversely, low job satisfaction can lead to negative behaviors, including absenteeism, high stress levels, turnover, exhaustion, and increased medical errors.

To enhance job satisfaction, healthcare managers should:

  1. Seek employee opinions and include them in decision-making processes
  2. Provide adequate resources and updated equipment
  3. Foster open communication and support among staff and supervisors
  4. Offer opportunities for professional growth and advancement

Work-Life Balance

Maintaining a healthy work-life balance has become increasingly important for healthcare employees. Medical professionals often face long hours, high stress levels, and demanding workloads, which can negatively impact both their personal and professional lives.

To promote work-life balance, healthcare organizations and healthcare managers can:

  1. Offer flexible work schedules, including remote documenting or telehealth options where possible
  2. Provide on-site childcare facilities
  3. Implement comprehensive paid leave policies, differentiating between sick leave, vacation days, and parental leave
  4. Offer employee wellness programs, such as stress management classes or fitness programs

By addressing these aspects of employee motivation and engagement, healthcare organizations can create an environment that promotes job satisfaction, reduces burnout, and ultimately leads to improved patient care and outcomes.

Organizational Culture in Healthcare

Please also review AIHCP’s Healthcare Management Program

Organizational culture in healthcare is a multidimensional concept that encompasses shared values, beliefs, and norms influencing how employees think, feel, and behave in the workplace. It represents a system of shared meaning that distinguishes one organization from another, shaping the way members perceive themselves and their work. Healthcare organizational culture comprises both tangible and intangible aspects, including superficial patterns of behavior, observable symbols, and ceremonies, as well as deeper-seated values, assumptions, and beliefs.

Types of Organizational Cultures

Healthcare organizations often exhibit a dynamic cultural mosaic made up of multiple, complex, and overlapping subcultures. These subcultures are most notably delineated along professional lines, with significant differences between groups such as doctors and managers. For instance:

  1. Doctors may focus on patients as individuals and view evidence through a positivist natural sciences lens.
  2. Managers may be more concerned with patients as groups and value a social science-based experiential perspective.

These cultural divergences have important implications for collaborative work, especially for individuals in hybrid roles who may either retain a cultural allegiance to their base group or seek to adopt the cultural orientations of their new role.

Organizational cultures can be categorized as strong or weak:

  • A strong culture exists when every member of the organization agrees and follows the agreed pattern of behavior that has proven beneficial to the whole organization.
  • A weak healthcare organizational culture refers to values and beliefs not strongly and widely shared within the organization.

Impact on Patient Care

The organizational culture has a significant impact on the quality of patient care and overall organizational performance. Research indicates that there is no single “best” culture that always leads to success across all performance domains. Instead, the aspects of performance valued in a given culture are enhanced in organizations with strong congruence with that culture.

Key impacts of organizational culture on patient care include:

  1. Continuous evidence that patients’ needs are met in a person-centered way
  2. Staff empowerment and commitment
  3. Achievement of standards, goals, and objectives
  4. Development, use, and sharing of knowledge and evidence

A strong culture has a powerful influence on improving employee contributions, enhancing self-confidence and commitment, reducing job stress, and improving ethical behavior. This, in turn, leads to better patient outcomes and overall quality of care.

Strategies for Cultural Change

To implement effective cultural change in healthcare organizations, leaders and healthcare managers should consider the following strategies:

  1. Conduct a thorough cultural audit: Before implementing change, it is crucial to understand the existing culture through effective diagnosis. This involves acquiring an appreciation of the currently prevailing culture using both quantitative and qualitative assessment tools.
  2. Foster teamwork: Encourage a culture of teamwork among hospital staff with shared beliefs of collaboration and cooperation. This affects levels of engagement and participation in collective decision-making during change initiatives.
  3. Promote open communication: Ensure that staff across departments feel valued, included, and informed by management about changes occurring in the workplace.
  4. Address potential barriers: Be mindful of possible barriers that may block or attenuate purposeful change, such as lack of ownership or resistance from disaffected individuals or professional groups.
  5. Develop enabling factors: Focus on individual factors like transformational leadership, skilled facilitation, and role clarification, as well as organizational factors such as flattened and transparent management, an enabling approach to leadership and decision-making, organizational readiness, and human resource management support.
  6. Balance continuity and change: Consider whether first-order change (doing what you do better) or second-order change (complete overhaul) is more appropriate for the organization’s current situation.

By implementing these strategies, healthcare organizations can work towards creating a supportive organizational culture that prioritizes safety, teamwork, and employee involvement in decision-making, ultimately leading to improved patient care and organizational performance.

Performance Management and Quality Improvement

Quality improvement is a constant drive in healthcare.

Performance management and quality improvement are essential components of organizational behavior in healthcare settings. These processes help healthcare organizations enhance patient care, streamline operations, and achieve their strategic objectives. By implementing effective performance management systems and continuous improvement initiatives, healthcare providers can optimize their services and deliver better outcomes for patients.  Healthcare managers can help employees maximize performance.

Setting Goals and Objectives

Goal setting plays a crucial role in performance management within healthcare organizations. It ensures that all employees understand their roles, expectations, and how they contribute to the organization’s success. Healthcare organizations often use frameworks such as Objectives and Key Results (OKRs) to define clear objectives and measurable outcomes.

When setting goals, healthcare organizations should consider the following:

  1. Align goals with organizational objectives
  2. Ensure goals are specific, measurable, achievable, relevant, and time-bound (SMART)
  3. Involve employees in the goal-setting process
  4. Establish a smaller set of priorities to focus efforts and deliver breakthrough change

Examples of healthcare OKRs include:

  1. Enhancing patient experience
  2. Ensuring clinical excellence and quality care
  3. Improving operational efficiency and resource optimization
  4. Contributing to community health through outreach programs
  5. Enhancing staff well-being and professional development

Measuring Performance

Performance measurement has an impact on improving healthcare quality, efficiency, and outcomes. Healthcare organizations use various metrics to evaluate their performance and identify areas for improvement. Some essential healthcare performance measures include:

  1. Length of stay
  2. Readmission rates
  3. Patient satisfaction (HCAHPS scores)
  4. Mortality rates
  5. Bed utilization rate
  6. Hospital incidents
  7. Average cost per discharge
  8. Operating margin

These measures help healthcare institutions analyze data, identify gaps in care, recognize above-standard performance, and monitor changes in quality of care over time. Performance measurement initiatives typically involve the active participation of physicians and hospital staff to ensure the measures are meaningful and the data is accurate.

Continuous Improvement Initiatives

Continuous improvement is a systematic, sustainable approach to enhancing the quality of care and outcomes for patients. It involves ongoing efforts to identify and reduce waste, increase efficiency, and improve patient satisfaction. Healthcare organizations implement various continuous improvement strategies, including:

  1. Lean methodology: Focuses on identifying and reducing areas of waste across all levels of the organization
  2. Plan-Do-Check-Act (PDCA) cycle: A step-by-step process for testing and refining changes
  3. Institute for Healthcare Improvement (IHI) model: Designed to address issues that can be solved quickly and immediately

To successfully implement continuous improvement initiatives, healthcare organizations should:

  1. Secure leadership buy-in and support
  2. Foster a culture of self-analysis and learning
  3. Empower frontline staff to identify and solve problems
  4. Provide ongoing training and coaching
  5. Celebrate early successes to build momentum
  6. Focus on patient-centered improvements
  7. Leverage technology to support improvement efforts

By integrating performance management and quality improvement initiatives, healthcare organizations can create a culture of excellence, enhance patient care, and achieve their strategic objectives. These efforts contribute to better health outcomes, reduced costs, and increased satisfaction for both patients and healthcare professionals.

Patient-Centered Care and Organizational Behavior

Patient-centered care has an impact on organizational behavior in healthcare settings, focusing on ensuring patient safety, promoting ethical behavior among healthcare professionals, and implementing changes to increase patient satisfaction and drive quality improvements. This approach recognizes the inseparable integration of worker safety and patient safety, emphasizing the need for a strong culture of safety within healthcare organizations.

Patient Satisfaction

Patient satisfaction has a significant influence on clinical outcomes and healthcare performance. Studies have shown a positive relationship between organizational culture and customer satisfaction. For instance, Greenslade and Jimmieson found that organizational climate for service predicted performance, which, in turn, predicted patient satisfaction. Additionally, Tzeng et al. described the strength of organizational culture as the extent to which staff view the organization as having clear communication of directions and values, which was positively correlated with job satisfaction and patient satisfaction.

Empowering leadership has a substantial impact on patient satisfaction, with 17 out of 19 patient satisfaction items showing correlation coefficients of medium effect size or larger. Employee engagement and psychological safety/trust also demonstrated strong correlations with patient satisfaction measures. These findings highlight the importance of organizational factors in shaping patient experiences and outcomes.

Patient Safety

Patient safety has become a national priority since the publication of the Institute of Medicine’s seminal report, “To Err is Human: Building a Safer Health Care System.” The report emphasized the pivotal role of system failures and the benefits of a strong safety culture in preventing medical errors. It also highlighted the interconnectedness of patient and worker safety, noting that hazards to healthcare workers due to lapses in infection control, fatigue, or faulty equipment may result in injury or illness not only to workers but also to patients.

Several studies have found organizational factors to be the most significant predictor of safe work behaviors. Compliance with standard precautions increased when workers felt that their institution had a strong commitment to safety and when institutions targeted interventions at improving organizational support for employee health and safety. The Centers for Disease Control and Prevention’s Healthcare Infection Control Practices Advisory Committee has noted that organizational characteristics, including safety culture, influence healthcare personnel adherence to recommended infection control practices.

Patient Engagement

Patient engagement has become increasingly important in healthcare, driven by increased consumerism and the COVID-19 pandemic. Providers must remain educated and focused on patient engagement preferences, including increased transparency during care, the use of technology, and post-discharge communication. Patient-centered practices have resulted in improved outcomes as they evolve to meet consumer expectations.

Research has shown that patients with lower engagement levels, as measured by the Patient Activation Measure (PAM), are more likely to experience major medication errors, emergency department visits, and unplanned readmissions. Furthermore, patients with the lowest engagement rates showed total costs of care that were 8% higher in the first year and 21% higher in the next year compared to patients with high engagement scores.

To enhance patient engagement, healthcare organizations can implement several strategies:

  1. Involve patients in care decisions to promote more realistic expectations and greater adherence to treatment plans.
  2. Implement early follow-up programs post-discharge to reduce readmission rates.
  3. Utilize technology, such as patient engagement mobile and web-based apps, to keep patients and families informed about progress and recovery milestones.
  4. Develop aftercare programs to support patients post-discharge, including regular check-ins and access to healthcare professionals.

By focusing on patient-centered care and incorporating these strategies into organizational behavior, healthcare institutions can improve patient outcomes, enhance satisfaction with the care experience, reduce costs, and even benefit the clinician experience.

Conclusion

If a healthcare professional, please review AIHCP’s Healthcare Management Certification

Organizational behavior in healthcare has a profound impact on patient outcomes, employee satisfaction, and overall institutional performance. By focusing on effective leadership, fostering open communication, and promoting a culture of continuous improvement, healthcare organizations can create an environment that supports high-quality care delivery. These efforts contribute to enhanced patient safety, increased job satisfaction among healthcare professionals, and improved operational efficiency.

To wrap up, the key to success in healthcare management lies in understanding and applying the principles of organizational behavior. This means prioritizing patient-centered care, encouraging teamwork, and adapting to the ever-changing healthcare landscape. By doing so, healthcare institutions can not only meet the rising expectations of patients but also create a workplace that attracts and retains top talent, ultimately leading to better health outcomes for communities they serve.

Please also review AIHCP’s Healthcare Manager Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification.

FAQs

1. How is organizational behavior relevant to healthcare facilities?
Organizational behavior management plays a critical role in healthcare by promoting patient safety, adopting patient-centered care approaches, ensuring ethical conduct among healthcare staff, and implementing changes that enhance patient satisfaction and drive quality improvements.

2. What practices enhance accountability in healthcare organizations?
To improve accountability in healthcare, organizations can follow these steps:

  • Step 1: Set clear expectations and standards.
  • Step 2: Foster a culture of transparency and accountability.
  • Step 3: Offer comprehensive educational programs.
  • Step 4: Use technology to enhance accountability measures.
  • Step 5: Create effective feedback mechanisms.

3. What are the four main components of organizational behavior?
The primary areas of organizational behavior include people, structure, technology, and the external environment. Understanding the interactions between these elements can lead to organizational improvements.

4. What does OBM entail in the context of Applied Behavior Analysis (ABA)?
In Applied Behavior Analysis (ABA), Organizational Behavior Management (OBM) involves the application of ABA principles to organizational settings. This approach focuses on analyzing and modifying the work environment to boost employee performance, business outcomes, and employee engagement.

Additional References

Gepke, V. et, al. (2022). “Health care professionals’ motivation, their behaviors, and the quality of hospital care: A mixed-methods systematic review”. Health Care Manage Rev. 2022 Apr-Jun; 47(2): 155–167. National Library of Medicine.  Access here

Nembhard, I. (2020). “Moving organizational theory in health care forward: A discussion with suggestions for critical advancements”. Health Care Management Review 45(1):p E1-E12, 1/3 2020. | DOI: 10.1097/HMR.0000000000000271. Healthcare Management Review.  Access here

Cunningham, T. (2008). “Organizational Behavior Management in Health Care: Applications for Large-Scale Improvements in Patient Safety”. National Library of Medicine.  Access here

Talal ALFadhalah  and Hossam Elamir. (2021). “Organizational Culture, Quality of Care and Leadership Style in Government General Hospitals in Kuwait: A Multimethod Study”. J Healthc Leadersh. 2021; 13: 243–254. Published online 2021 Oct 15. doi: 10.2147/JHL.S333933.  National Library of Medicine.  Access here

 

How Nursing Ethics Shape Patient Care and Outcomes

At the heart of patient care lies a deep-seated framework of nursing ethics, a cornerstone that defines and distinguishes the nursing profession. Nursing ethics, rooted in the principle of non-maleficence and a rich tapestry of values in nursing, guide nurses in making decisions that not only uphold the dignity and respect of those they serve but also enhance patient care outcomes.  Nursing ethics are the values and principles governing nursing practice, conduct, and relationships between the nurse and patient, patient’s family, other healthcare professionals, and the public. Regardless of practice setting or specialty, nurses face ethical challenges every day. Make sure you are familiar with the ethical principles below. These foundational principles play a critical role in every aspect of nursing practice, underlining the importance of ethics in nursing. As healthcare becomes increasingly complex, the ethical dimensions of nursing practice assume even greater significance, necessitating a thorough exploration of how nursing ethics impact patient care and outcomes.

Ethics in healthcare are critical for patient rights and advocacy. Please also review AIHCP’s Ethical Consultant Program and see if it matches your academic and professional goals.

 

This article delves deeply into the intricacies of nursing ethics, starting with a definition and introduction to its foundational principles, including the nursing code of ethics and the professional values in nursing. It explores the historical perspective of nursing ethics, outlines key ethical principles, and discusses the American Nurses Association’s Code of Ethics in detail. Further, it examines common ethical dilemmas faced by nurses, supplemented with case studies and real-world examples that bring to light the practical implications of ethics in various nursing specialties. Additionally, the role of education and training in reinforcing the importance of nursing professional ethics is scrutinized. By providing a comprehensive overview, this article aims to illuminate the pivotal role of nursing ethics in shaping patient care and outcomes, highlighting the unique values and beliefs that form the nucleus of the nursing profession.

Please also at the conclusion, review AIHCP’s numerous certifications for nurses and other healthcare professionals seeking advancement and career opportunities in healthcare and nursing management, healthcare ethics, and legal nurse consulting.  The programs are online and independent study and offer four year certifications to qualifying healthcare professionals.

Key Takeaways

  • Nursing ethics provide a framework that helps nurses navigate complex and sensitive situations, ensuring patient care prioritizes dignity, respect, and compassion.
  • Ethical principles in nursing include autonomy, beneficence, nonmaleficence, and justice, guiding nurses to make fair and effective decisions.
  • Advocacy is a core aspect of nursing ethics, involving patient advocacy, family advocacy, and advocacy within healthcare teams.
  • Confidentiality and privacy are critical components of nursing ethics, with legal implications for breaches and the need for cultural sensitivity.
  • The evolution of the nursing code of ethics reflects technological advances, societal changes, and the expansion of nursing practice.

Definition and Introduction to Nursing Ethics

Nursing ethics, originating from the Greek word “ethos” meaning character, encompasses the moral principles that govern the behaviors and decisions of nurses in their professional roles. These ethical values are universal rules of conduct that provide a practical framework for identifying what kinds of actions, intentions, and motives are valued within the healthcare setting. Ethics in nursing are crucial as they guide healthcare professionals in recognizing dilemmas, making sound judgments, and ensuring decisions align with both their values and the legal standards that govern their practice.   Nursing ethics are the values and principles governing nursing practice, conduct, and relationships between the nurse and patient, patient’s family, other healthcare professionals, and the public. Nurses make ethical decisions daily. In fact, nurses often walk a line between advocating for patients while also adhering to ethical nursing principles.

The foundation of modern nursing ethics can be traced back to the late 19th century, focusing initially on virtues such as physician loyalty, high moral character, and obedience. Since then, the nursing profession has evolved significantly. Nurses have transitioned from mere assistants to key members of the healthcare team, taking on roles as patient advocates. This shift necessitated the development of a formal Code of Ethics, which was first established in the 1950s by the American Nurses Association (ANA). This code guides nurses in their daily practice, setting primary goals and values for the profession.

The ANA first developed the Nursing Code of Ethics in 1950 to provide nurses with a moral compass to use as they worked with patients each day. As the field of healthcare evolved, new technology was developed and social justice issues came to light over the course of the next several decades, the Nursing Code of Ethics continued to evolve with the times. Today, this code is rooted in the ethical principles in nursing while still providing context relevant in today’s global, multicultural society.  The ANA’s Code of Ethics serves as a succinct statement of the ethical obligations and duties of every individual entering the nursing profession. It provides a non-negotiable ethical standard and expresses nursing’s commitment to society. The Code has undergone revisions to reflect advances in technology, societal changes, and the expansion of nursing practice into areas such as advanced practice roles, research, education, health policy, and administration. These revisions ensure that the Code remains relevant and continues to guide nurses in maintaining healthy work environments and upholding the integrity of their profession.

In daily practice, nurses routinely encounter situations with ethical implications, such as dealing with life-threatening conditions or respecting the individual wishes and preferences of patients. The ethical principles that nurses adhere to—such as Autonomy, Beneficence, Justice, and Nonmaleficence—are instrumental in guiding their decisions and actions. These principles ensure that nurses provide high-quality care while considering the best interests of their patients, thereby upholding the profession’s reputation for high honesty and ethics.

Moreover, the nursing code of ethics emphasizes the importance of cultural awareness and competency. As nurses increasingly care for patients from diverse backgrounds, it is imperative that they make culturally appropriate ethical decisions. This involves understanding how social and cultural differences influence patients’ healthcare-related beliefs, attitudes, and actions. By fostering open communication, normalizing cultural differences, and examining their own biases, nurses can better meet the unique needs of each patient, thus enhancing the overall quality of care and patient outcomes.

Historical Perspective of Nursing Ethics

The evolution of nursing ethics has been closely tied to the historical development of the nursing profession itself. Initially centered on virtues such as loyalty to physicians and high moral character, the ethical framework of nursing began to take a formal shape during significant historical periods, notably during the American Civil War. During this era, nursing began to professionalize, and early nurse pioneers established training protocols and ethical codes that emphasized morality and character. Nurses treated soldiers from both sides of the conflict, striving to improve the health of all patients, reflecting the core ethical principle of impartiality in care.

The need for a structured ethical framework became more pronounced nearly a century later, following the biomedical atrocities committed during World War II and the subsequent revelations of patient harm in experiments, such as those conducted at Tuskegee. This period saw the emergence of biomedical ethics, which focused on ethical issues related to biomedical research and medical practice. The Nuremberg Code, developed in response to these atrocities, outlined major biomedical ethical principles, including respect for autonomy, beneficence, nonmaleficence, and justice, principles that continue to be foundational in both medical and nursing ethics today.

Distinct from biomedical ethics, nursing ethics is primarily relational, focusing on the development of relationships between nurses and their patients, other health professionals, themselves, the nursing profession, and society. This relational aspect underscores the importance of developing a healing relationship to treat the patient holistically, not just the disease—an approach as fundamental today as it was 150 years ago.

Historically, nurses operated without a formalized code of ethics, often using Gretter’s Nightingale Pledge, akin to the Hippocratic Oath in medicine, to guide their practice. The formalization of nursing ethics began in the mid-1800s, culminating in the adoption of the first formal Code of Ethics by the American Nurses Association (ANA) in 1950. This code was a pivotal development in nursing ethics, providing a succinct statement of the ethical obligations and duties of every nurse, and establishing a non-negotiable ethical standard.

The evolution of the ANA’s Code of Ethics reflects broader societal changes and advances in healthcare. Notable revisions occurred in 1960 and 1968, with the latter revision introducing significant changes such as the reduction of provisions from 17 to 10, the addition of brief interpretations to aid application, and a fundamental shift in language to emphasize the dignity and privacy of individuals, unrestricted by considerations of nationality, race, creed, color, or status.

These historical developments in nursing ethics not only shaped the professional practice of nurses but also reinforced the profession’s commitment to providing compassionate, respectful, and ethical care to all patients, thereby upholding the integrity and trust placed in the nursing profession.  The Code of Ethics for Nurses with Interpretive Statements, or “The Code”, is a vital tool for nurses now and in the future. While the foundational values of nursing do not change, The Code is regularly updated to reflect changes in health care structure, financing, and delivery. It supports nurses in providing consistently respectful, humane, and dignified care.

Key Ethical Principles in Nursing

Autonomy

Autonomy in nursing is fundamentally about respecting the patient’s right to self-determination. This principle is crucial, as it involves providing patients with enough information to make informed decisions according to their own beliefs and values. Autonomy extends to respecting the scope of practice defined by state and organizational rules, ensuring that care is patient-centered and not dictated solely by medical or nursing protocols. Examples of autonomy in practice include the administration of as-needed medications and assigning duties based on a nurse’s competence level. It also involves respecting a patient’s decision to refuse treatments, even if these treatments might benefit them, thereby prioritizing the patient’s personal values and choices over clinical recommendations.

Beneficence

Beneficence involves actions that promote the welfare and well-being of patients. Nurses practicing beneficence are committed to doing good and ensuring that the patient’s best interests are always considered, which may sometimes require setting aside personal opinions. This principle is reflected in actions such as providing comfort to those in distress, assisting with daily tasks a patient cannot perform alone, and administering treatments effectively and timely. Beneficence is not just about treatment but also about fostering a caring environment that supports the patient’s overall health and recovery.

Justice

The principle of justice in nursing ensures fair and equitable treatment of all patients, regardless of their background or circumstances. It requires impartiality in patient care, which means decisions should not be influenced by factors such as age, ethnicity, economic status, or religion. Justice involves treating all patients with equal care and respect, ensuring that resources are distributed fairly, and advocating for vulnerable populations who might not have adequate access to healthcare services. Examples include fair allocation of nursing resources and unbiased care delivery, which are essential for maintaining trust and integrity in the nursing profession.

Nonmaleficence

Nonmaleficence, a core principle of nursing ethics, dictates that nurses should do no harm. This involves taking proactive steps to ensure patient safety and prevent harm, whether through direct care or systemic practices. It requires careful consideration of treatment interventions, where the potential benefits must outweigh the risks. Nonmaleficence is about protecting patients from unnecessary suffering and ensuring high-quality care that does not compromise patient well-being. Examples include withholding a medication that could cause adverse reactions and implementing safety measures to prevent patient injuries.

These ethical principles are interrelated and guide nurses in providing compassionate, fair, and effective care, ensuring that patient welfare is maintained at the highest standards across all aspects of nursing practice.

The American Nurses Association’s Code of Ethics

The American Nurses Association’s Code of Ethics, known as “The Code,” is a crucial framework that guides the professional conduct of nurses across the United States. It outlines the ethical commitments and responsibilities expected of every nurse, ensuring that they adhere to the highest standards of patient care and professional integrity.

The ANA ensures that there are official standards all nurses must adhere to. Please also review AIHCP’s Ethical Consultant Program

Provisions Overview

“The Code” comprises nine provisions, each accompanied by interpretive statements that provide further clarity and guidance. These provisions encapsulate the fundamental values and commitments of nurses, setting the profession’s non-negotiable ethical standard. The first three provisions focus on the fundamental values and commitments of the nurse, emphasizing respect, dignity, and compassion in patient care. Provisions four through six delineate the boundaries of duty and loyalty, which include authority, accountability, and responsibility in nursing practice. The final provisions, seven through nine, extend the duties of nurses beyond individual patient encounters, addressing the broader roles of nurses in research, policy development, and health diplomacy.

Importance of the Code

“The Code” serves as a vital tool for nurses, providing a succinct statement of the ethical values, obligations, and duties inherent in the nursing profession. It is regularly updated to reflect changes in healthcare delivery, technology, and societal needs, ensuring its relevance and applicability in modern healthcare settings. In 2015, recognizing the critical role of ethical practice in patient safety and quality of care, the ANA designated it the “Year of Ethics,” which included the release of a revised code.

This ongoing development process allows “The Code” to respond effectively to the contemporary challenges nurses face, including those posed by the failings in U.S. healthcare and negative social determinants of health. It empowers nurses to make ethical decisions confidently, enhancing their ability to provide safe, quality care across diverse patient populations and complex clinical situations.

Furthermore, “The Code” acts as a social contract between nurses and the public, illustrating the profession’s commitment to uphold ethical standards and advocate for patient rights and well-being. It underscores the importance of mutual support among nurses, enabling them to meet their professional and ethical obligations.

Through its comprehensive and evolving nature, “The Code” not only guides nurses in their everyday practice but also reflects the proud ethical heritage of the nursing profession, ensuring its integrity and the trust placed in it by society.

Common Ethical Dilemmas Faced by Nurses

Nurses frequently encounter ethical dilemmas that challenge their professional and personal values. These dilemmas often arise from conflicts between a nurse’s duties and their ethical obligations, as outlined in the nursing code of ethics. Understanding these common ethical dilemmas can help nurses navigate these challenging situations effectively.

Autonomy vs. Beneficence

One significant ethical dilemma occurs when a patient’s autonomy, the right to make decisions about their own health, conflicts with the principle of beneficence, which is the duty of healthcare providers to do good and act in the patient’s best interest. For instance, a patient with stage IV cancer may refuse pain medication to remain alert, despite the family’s wishes and the nurse’s knowledge that the medication would alleviate suffering. Respecting the patient’s decision, while difficult, aligns with respecting their autonomy.

Informed Consent and Patient Information

Nurses often face dilemmas surrounding informed consent, where they must ensure that patients or their surrogates are fully aware of the risks and benefits of treatments. This becomes particularly complex when patients receive a dire prognosis or when families request withholding information about a patient’s condition. Nurses must balance the ethical need for honesty with sensitivity to the patient’s emotional and physical well-being.

End-of-Life Decisions

End-of-life care presents dilemmas such as whether to continue life-sustaining treatments or adhere to do-not-resuscitate (DNR) orders. Nurses must navigate these decisions, respecting the patient’s wishes and the ethical principle of nonmaleficence, which obliges them to do no harm.

Personal Beliefs vs. Professional Responsibilities

Nurses may also encounter situations where their personal beliefs conflict with professional responsibilities. This includes scenarios involving abortion, where legal and medical requirements might conflict with a nurse’s personal beliefs. The challenge lies in providing unbiased, respectful care regardless of personal views.

Resource Allocation

Resource allocation becomes a dilemma in situations of scarcity, where nurses must decide how to distribute limited medical supplies or attention among patients. This challenges the ethical principle of justice, which calls for fair and equitable treatment of all patients.

Confidentiality and Privacy

Confidentiality issues arise when the need to protect a patient’s private information conflicts with other ethical or legal obligations, such as reporting communicable diseases or potential harm to others. Nurses must carefully consider the implications of maintaining or breaching confidentiality in each situation.

Professional Boundaries

Maintaining professional boundaries is crucial yet challenging, especially in long-term care settings or small communities where nurses may have dual relationships with patients. Nurses must remain professional without compromising the compassionate care that is fundamental to nursing.

These dilemmas underscore the importance of ethical awareness and decision-making in nursing. By adhering to the nursing code of ethics and seeking guidance from ethics committees or senior healthcare professionals, nurses can navigate these complex situations while upholding the integrity and ethical standards of their profession.

 

The Role of Advocacy in Nursing

Patient Advocacy

Nurses play a key role in advocacy for their patients. Please also review AIHCP’s various healthcare and nursing certifications

Patient advocacy in nursing goes beyond medical care alone and encompasses a broader range of responsibilities. Nurses help patients navigate the healthcare system and communicate with members of their care team, including when patients cannot speak for themselves. This also involves preserving dignity and ensuring equitable care. Nurses must also advocate for themselves to prioritize a safe work environment.

Advocacy for Families

Nurses play a crucial role in advocating for the families of patients. This includes providing emotional support, ensuring that families are well-informed about the patient’s condition and treatment options, and helping them make informed decisions. Nurses must balance the needs and wishes of the family with the best interests of the patient.

Advocacy within Healthcare Teams

Advocacy within healthcare teams is essential for fostering a collaborative and supportive environment. Nurses should work collaboratively with other healthcare professionals within their patients’ care teams to ensure that each member’s voice is heard and respected. This includes advocating for necessary resources, fair treatment, and the implementation of best practices to improve patient outcomes.

Advocacy in nursing is not limited to patient care; it extends to families and the healthcare team, ensuring a holistic approach to healthcare delivery.

Ethical Decision-Making in Nursing Practice

Balancing Patient Wishes and Protocols

Nurses often face the challenge of balancing patient wishes with established protocols. This balance is crucial to ensure both patient autonomy and adherence to medical guidelines. Factors influencing this balance include the patient’s medical needs, the time available for decision-making, and the nurse’s experience level.

Ethical Dilemmas in Acute Care

In acute care settings, nurses frequently encounter ethical dilemmas that require immediate action. These dilemmas can range from life-or-death decisions to more nuanced issues involving patient consent and confidentiality. Understanding ethics and the consequences of their actions can help a nurse make the best decision when it isn’t always apparent.

Collaborative Ethical Decision-Making

Collaborative ethical decision-making involves the input of various healthcare professionals to arrive at the best possible outcome for the patient. This approach not only unifies nursing practices but also ensures that decisions are beneficial to the patient, nursing student, employee, or organization. A health care organization’s support of ethical principles unifies its nursing practices and settings.

In moments of crisis, the ability to make quick, ethical decisions is paramount for nurses. This highlights the importance of ethical decision-making in nursing.

Confidentiality and Privacy in Nursing

Maintaining Patient Confidentiality

Confidentiality is the right for personal details and health care information to be protected and private unless permission is given to share. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a federal law that includes standards to protect sensitive patient health information. Nurses’ obligation to protect patients’ right to privacy is paramount in maintaining trust and promoting effective care.

Legal Implications of Privacy Breaches

Breaches in patient confidentiality can have serious legal consequences. Healthcare professionals must be aware of the legal standards and regulations, such as HIPAA, that govern patient information. Violations can result in penalties, including fines and loss of licensure. It is crucial for nurses to understand their duty of confidentiality to avoid legal repercussions.

Cultural Sensitivity in Confidentiality

Nurses often find themselves navigating the preferences of their patients while also navigating cultural differences. Cultural sensitivity in maintaining confidentiality involves understanding and respecting diverse cultural perspectives on privacy. This ensures that all patients feel respected and secure in their interactions with healthcare providers.

In nursing, maintaining confidentiality is not just a legal obligation but a fundamental ethical duty that supports patient trust and care quality.

Ethics in Interprofessional Collaboration

Building trust among healthcare professionals is essential for effective interprofessional collaboration. Trust fosters open communication and mutual respect, which are critical for addressing complex ethical issues. An interprofessional team, which can be comprised of doctors, nurses, pharmacists, social workers, etc., often relies on this trust to navigate ethical dilemmas and make decisions that prioritize patient welfare.

Effective communication strategies are vital in ensuring that all team members are on the same page regarding patient care. This involves not only clear and concise verbal communication but also the ethical use of electronic health records and other digital tools. Ethical communication helps in maintaining transparency and accountability within the team.

Conflicts are inevitable in any team setting, but they can be particularly challenging in healthcare due to the high stakes involved. Ethical conflict resolution strategies are necessary to address disagreements while maintaining professional integrity and patient safety. These strategies often include mediation, reflective practice, and support from ethical committees.

Ethical challenges can range from respecting patient autonomy while ensuring safety to managing conflicts between patient needs and resource limitations. Preparing for these challenges involves continuous education, reflective practice, and support from ethical committees and experienced colleagues.

The Impact of Technology on Nursing Ethics

Ethical Use of Electronic Health Records

The integration of electronic health records (EHRs) into healthcare systems has revolutionized patient care. However, it also presents ethical challenges. Ensuring the accuracy and security of patient data is paramount. Nurses must be vigilant in maintaining the integrity of these records to prevent data breaches and ensure patient confidentiality.

Telehealth and Patient Privacy

Telehealth has expanded access to care, especially in remote areas. Yet, it raises concerns about patient privacy. Nurses must navigate the complexities of digital communication to protect sensitive information. This includes using secure platforms and educating patients about privacy risks.

Navigating Social Media as a Nurse

Social media offers opportunities for professional networking and patient education. However, nurses must be cautious about sharing patient information online. Adhering to professional guidelines and maintaining boundaries is essential to uphold the trust in the nursing profession.

The use of digital technology might lead to a decrease in nurses’ moral agency and competence to shape patient-centred care. Digital technologies seem to become integral in modern healthcare, but they must be used responsibly to uphold ethical standards.

Cultural Competence and Ethical Nursing Care

Cultural competence in nursing is essential for providing effective and respectful care to patients from diverse backgrounds. Culturally competent care consists of four components: awareness of one’s cultural worldview, attitudes toward cultural differences, knowledge of different cultural practices, and cross-cultural skills. Nurses must be adept at navigating these components to ensure ethical and compassionate care.

In a multicultural healthcare setting, understanding and respecting cultural differences is not just beneficial but necessary for ethical nursing practice.

Ethical Challenges in Specialized Nursing Fields

Nursing in specialized fields often presents unique ethical challenges that require careful consideration and reflective practice. These challenges can range from respecting patient autonomy while ensuring safety to managing conflicts between patient needs and resource limitations. Preparing for these challenges involves continuous education, reflective practice, and support from ethical committees and experienced colleagues.

Case Studies and Real-World Examples

Case Scenario: Mrs. Khan’s Terminal Cancer Diagnosis

A 75-year-old patient, Mrs. Khan, is admitted to the hospital with terminal cancer. She is in severe pain and has difficulty breathing. Her family requests that the healthcare team withhold the truth about her diagnosis and prognosis, believing that knowing the truth would cause her unnecessary distress. The nurse, who has developed a close relationship with Mrs. Khan, faces an ethical dilemma between respecting the family’s wishes and being honest with the patient about her condition. The nurse believes that Mrs. Khan has the right to know the truth to make informed decisions about her care, yet wants to respect the family’s cultural beliefs and wishes.

Ethical Dilemma: Right to Die

A significant ethical dilemma arises concerning a patient’s right to die. The situation involves a 93-year-old patient with a Do Not Resuscitate (DNR) order, who experiences complications leading to a decision on whether to intubate. Despite the DNR, temporary intubation is considered to manage her high ammonia levels, a treatment not immediately available due to hospital formulary restrictions. The patient, being conscious at times, gives verbal consent for short-term intubation. This case highlights the complexities surrounding end-of-life care decisions, the interpretation of DNR orders, and the necessity for timely access to treatment options.

Case Study: Nurse P and Mr. S’s Living Will

Nurse P faces an ethical challenge when a patient, Mr. S, is admitted to the coronary care unit after a cardiac event in the recovery room. Known to have a living will against extraordinary support measures, Mr. S is found to be in a critical condition requiring aggressive treatment. The attending physicians and Nurse P must decide on the course of action while considering Mr. S’s previously expressed wishes, the unlocated living will, and the ethical implications of potentially withdrawing treatment.

Case Study 1: An Intoxicated Patient’s Autonomy

Patient J, after sustaining injuries in a fight and under the influence of alcohol, decides to leave the emergency department despite medical advice. The healthcare team faces the dilemma of respecting the patient’s autonomy while also considering the safety of others if he drives in his intoxicated state. This scenario explores the balance between patient rights and broader community safety, highlighting the ethical principle of autonomy versus the potential harm his actions might cause to others.

Case Study 2: Suspected Child Abuse

A nurse on a pediatric unit suspects child abuse when discrepancies arise between a child’s behavior at the hospital and the mother’s reports. The ethical considerations involve deciding whether to report suspected abuse based on observations and the father’s concerns, despite a lack of concrete evidence. This case study underscores the ethical challenges in pediatric nursing, particularly in assessing family dynamics and the responsibility to protect vulnerable patients.

These real-world examples and case studies illustrate the profound impact of ethical decision-making in nursing. Nurses often navigate complex situations where they must balance their professional responsibilities, ethical principles, and the diverse needs of patients and their families. These scenarios demonstrate the critical role of ethics in nursing practice, guiding nurses through the moral complexities of modern healthcare.

Ethics in Various Nursing Specialties

There are numerous fields within nursing with different applications and specific ethical concerns.

Ethical challenges are inherent in nursing across various specialties, each presenting unique dilemmas that require nurses to balance professional obligations with personal values. This section explores how ethical principles are applied in different nursing specialties, emphasizing the importance of the nursing code of ethics and the role of nurses in advocating for patient rights and care.

Critical Care Nursing

In critical care settings, nurses face acute ethical challenges due to the intensity and complexity of care. The principles of non-maleficence and beneficence are particularly significant, as decisions often involve life-sustaining treatments and end-of-life care. Critical care nurses must navigate these decisions while respecting patient autonomy and ensuring that actions taken are in the best interest of the patient. The development of ethics curricula tailored for critical care settings is crucial for preparing nurses to handle these challenges effectively.

Pediatric Nursing

Pediatric nurses work with a vulnerable population, which raises specific ethical concerns related to consent and advocacy. The principle of justice must be carefully considered, as pediatric nurses often advocate for the best interests of their patients when parents or guardians are making health decisions. Ethical dilemmas in pediatric nursing may include issues surrounding parental rights, child welfare, and the complexities of informed consent in younger patients.

Geriatric Nursing

Nurses in geriatric care deal with ethical issues surrounding consent, end-of-life care, and autonomy in an aging population. Ethical challenges often arise from the diminished capacity of elderly patients to make informed decisions about their own care. Geriatric nurses must balance respect for autonomy with the need for beneficence and non-maleficence, ensuring that elderly patients receive compassionate and appropriate care without compromising their dignity or integrity.

Psychiatric Nursing

Psychiatric nursing presents unique challenges related to patient autonomy, confidentiality, and the ethical use of treatment interventions such as restraints and involuntary treatment. Nurses in psychiatric settings must be vigilant about respecting the rights and dignity of patients who may be unable to make decisions for themselves, advocating for their health and safety while also considering the ethical implications of their care decisions.

Oncology Nursing

Oncology nurses confront ethical dilemmas related to patient autonomy, informed consent, and truth-telling in the context of life-threatening illnesses. The balance between providing hope and presenting realistic outcomes is delicate, requiring nurses to navigate complex emotional and ethical landscapes. Oncology nurses play a critical role in ensuring that patients understand their diagnosis and treatment options, facilitating informed decision-making that respects patient values and preferences.

Nursing Research

Nurses involved in research face ethical considerations related to informed consent, patient safety, and the integrity of research practices. Upholding ethical standards in nursing research not only protects participants but also ensures the validity and credibility of the research outcomes. Nurses must advocate for ethical practices in research settings, ensuring that studies are conducted responsibly and with respect for all participants.

In each of these specialties, nurses must adhere to the nursing code of ethics, which provides a framework for addressing ethical dilemmas and supports nurses in their commitment to provide ethical, high-quality care. By understanding and applying ethical principles across various specialties, nurses enhance their ability to advocate for their patients and maintain the integrity of the nursing profession.

The Role of Education and Training in Nursing Ethics

Nurse training in ethics through such organizations as AIHCP can help equip nurses with a better understanding of their ethical duties to patients and the administration

Education and training in nursing ethics play a pivotal role in equipping nurses with the necessary skills to handle ethical dilemmas effectively. As the nursing profession continues to evolve, the complexity of ethical decisions that nurses must make also increases. Therefore, a robust ethical education is essential for preparing nurses to navigate these challenges competently.

Understanding and Applying the ANA Code of Ethics

Courses focused on the American Nurses Association (ANA) Code of Ethics are fundamental in nursing education. These courses aim to familiarize nurses with the code, helping them understand and apply its principles in their daily practice. Through expert-led discussions and assessments of ethical dilemma scenarios, nurses gain a deeper appreciation of how the ANA Code of Ethics guides their professional decisions.  Courses designed by the American Institute of Health Care Professionals offers courses in nursing ethics for healthcare professionals.

Enhancing Critical Thinking and Ethical Decision-Making

Critical thinking is crucial in managing ethical situations that arise in nursing care. Training programs that enhance nurses’ critical thinking skills are invaluable, as they provide strategies for ethical decision-making. Such programs include micro-courses that define and explore ethics in nursing practice, helping nurses identify and adhere to ethical behaviors and principles. By completing these courses, nurses are better equipped to implement ethical decisions in their daily interactions with patients.

Addressing the Gaps in Ethics Education

Despite the recognized importance of ethics education, gaps remain in both content and delivery. Many nurses graduate without a sufficient understanding of ethics, which can lead to challenges in their professional practice. Innovative teaching methods, such as case-centered approaches, have been introduced to bridge these gaps. These methods involve practical exercises that encourage nurses to apply ethical theories to real-world scenarios, thereby enhancing their ethical sensitivity and awareness.

The Four Topics Method in Ethics Education

One effective educational approach is the “Four Topics Method,” which structures the identification of clinical ethics problems across four broad areas: medical indications, patient preferences, quality of life, and contextual features. This method assists nurses in systematically analyzing ethical issues and making informed decisions. It has been shown to improve nursing students’ ability to handle ethical dilemmas effectively, particularly when combined with case studies that reflect the complexities of clinical practice.

Incorporating Ethics into Nursing Curriculum

Incorporating ethics into the nursing curriculum is essential for preparing future nurses to handle complex ethical dilemmas. Regular ethics training can provide new insights into the ethical challenges that nurses face and how to navigate them. This foundational knowledge ensures that patient care prioritizes dignity, respect, and compassion.

Continuing Education in Nursing Ethics

Continuing education in nursing ethics is crucial for maintaining high standards of professional practice. Nurses must stay up-to-date with advances in ethical practices to fulfill their ethical obligations to patients. This ongoing education helps maintain trust in the nursing profession and supports the development of future nursing leaders.  AIHCP offers numerous courses and programs which include continuing education for healthcare professionals.

Ethical Leadership Development

Ethical leadership development is vital for fostering a culture of integrity within healthcare organizations. By focusing on ethical leadership, nurses can ensure that patient welfare is always at the forefront of care decisions and actions. This approach not only supports nursing colleagues but also contributes to the overall integrity of the healthcare organization.

Ethics training plays a pivotal role in professional development for nurses. While the Nursing Code of Ethics serves as an excellent guideline, regular ethics training can provide you with new insight into ethical dilemmas that nurses are facing and how to navigate them.

Continuous Professional Development and Interdisciplinary Learning

Ongoing education and interdisciplinary learning are also critical components of nursing ethics education. Collaborative efforts between nurses and other healthcare professionals can foster a shared understanding of ethical principles and enhance the overall quality of patient care. By participating in interdisciplinary ethics education, nurses can develop a comprehensive ethical perspective that is crucial for effective teamwork and patient advocacy.

In summary, the role of education and training in nursing ethics is indispensable in preparing nurses to face the ethical challenges of modern healthcare. Through structured educational programs, practical training, and interdisciplinary collaboration, nurses can strengthen their ethical competence and ensure high standards of patient care.

Conclusion

Throughout this article, we have explored the multifaceted role of nursing ethics in patient care and outcomes, highlighting the profound impact ethical principles and the American Nurses Association’s Code of Ethics have on the nursing profession. From the bedside to the boardroom, nurses navigate complex ethical dilemmas, ensuring that patient care is not only effective but delivered with compassion, respect, and integrity. The discussions underscored the significance of education and continuous professional development in equipping nurses with the analytical skills and ethical understanding necessary to face the challenges of modern healthcare.

Please also review AIHCP’s certifications for nurses and healthcare professionals in healthcare management, ethical consulting, case management, nurse patient education and legal nurse consulting

Nursing ethics form the bedrock of nursing practice, guiding nurses through the complex and often sensitive situations they encounter daily. These ethical principles ensure that patient care is delivered with dignity, respect, and compassion, fostering trust in the nurse-patient relationship. By adhering to a strong ethical framework, nurses not only advocate for their patients but also uphold the integrity of the healthcare system.  As we reflect on the themes presented, it becomes evident that the ethical foundations of nursing are indispensable to the profession’s commitment to patient welfare and societal well-being.  Nurses, by adhering to these ethical principles and guidelines, affirm their role as advocates for patient rights, contributors to the healthcare system, and stewards of change. Emphasizing the importance of ongoing education in ethics reinforces the capacity of nurses to make informed, ethical decisions that resonate with the core values As the field of nursing continues to evolve with technological advances and societal changes, the importance of nursing ethics remains steadfast, ensuring that patient welfare is always prioritized. Ultimately, a robust understanding and application of nursing ethics contribute to higher patient satisfaction and the overall effectiveness of healthcare delivery.

AIHCP offer numerous programs for healthcare professionals.  Those in Healthcare Management, Legal Nursing, or other administrative positions can utilize a certification in Healthcare Ethics.  Healthcare Ethical Consultants can help guide facilities in better decision making for patient care and standards.  AIHCP also offers programs in Healthcare Management, Nurse Patient Education and Legal Nurse Consulting.  The programs are online and independent study and open to qualified professionals seeking a four year certification.

 

FAQs

1. How do ethical considerations influence patient care? Ethical considerations are fundamental in guiding the actions and decisions of healthcare professionals. They ensure that patients are treated with dignity and respect, and that the decisions made in healthcare settings are fair and just, thereby significantly impacting the quality of patient care. Nursing ethics are the values and principles governing nursing practice, conduct, and relationships between the nurse and patient, patient’s family, other healthcare professionals, and the public. Regardless of practice setting or specialty, nurses face ethical challenges every day.

2. What role do nurses play in patient care outcomes? Nurses are pivotal in ensuring positive patient outcomes. Their ability to provide empathetic care and meet both the physical and emotional needs of patients plays a crucial role in how patients perceive their treatment and care.  Advocacy is a core component of nursing ethics. Nurses advocate for their patients, families, and within healthcare teams to ensure that patient care is ethical and that patients’ rights and preferences are respected.  Nurses handle ethical dilemmas by relying on the nursing code of ethics, collaborating with the healthcare team, and considering the patient’s wishes and best interests. Ethical decision-making often involves balancing various ethical principles and seeking guidance when needed.

3. Why is adhering to ethics crucial in nursing? Ethics in nursing are vital because they ensure that the focus remains on providing the best possible care for the patient, even if it means facing adverse consequences like employer or peer backlash. Nurses frequently encounter challenging situations where ethical decisions can significantly impact patient lives. Practical examples of ethical principles in nursing include maintaining patient confidentiality, obtaining informed consent, providing equitable care, and respecting cultural differences. These principles are applied daily in various nursing scenarios.

4. How do ethics shape the nursing scope of practice? Ethics are integral to the nursing profession, forming the foundation of a nurse’s scope of practice. The ethical code provides a framework that guides nurses in their decision-making processes, professional behaviors, and overall care of patients, ensuring that their practice aligns with moral principles.  The four principles of nursing ethics are autonomy and respect for patients, beneficence and nonmaleficence, justice in healthcare, and advocacy. These principles guide nurses in making ethical decisions daily.  Ethics in nursing is necessary because it provides a framework that helps nurses navigate complex and sensitive situations. It ensures patient care prioritizes dignity, respect, and compassion, fostering trust in the nurse-patient relationship.

 

Additional Resources

Faubion, D. (2024). “7 Main Ethical Principles in Nursing + Why They’re Important”. NursingProcess.org.  Access here

“Ethics and Human Rights”. ANA. Access here

Werezak, L. (2023). “10 Examples of Ethical Dilemmas in Nursing”. Nurse.org.  Access here

Wati, N. et al. (2023). “Strategies and challenges in addressing ethical issues in the hospital context: A phenomenological study of nurse team leaders”. Belitung Nurs J. 2023; 9(2): 139–144. National Library of Medicine. Access here

“Nursing Ethics”. Wikipedia.  Access here

How Nursing Management Can Help Lower Serious Safety Events

By James M Katz, BA

The Role of the Chief Nurse in Ensuring Employee and Patient Safety:

As the chief nurse, it is your responsibility to ensure that serious safety events are prevented and reduced in your facility. In order to do this, you must be aware of the potential risks and hazards that exist in your facility. You must also have a system in place to identify these risks and hazards. Once you have identified the risks and hazards, you must implement strategies to mitigate them. Some strategies you may consider include:

-Educating staff on proper safety procedures: What instructions are you providing to your staff in regards to their safety?

-Conducting regular safety audits: How are you testing your staff safety readiness?

-Implementing security measures: Are you giving your staff the proper tools and policies to protect themselves as well as the patients?

-Creating a culture of safety in your facility: Are you cultivating a positive and safe working environment?

By taking these steps, you can help reduce the occurrence of serious safety events in your facility.

This article helps illustrate key points in employee and patient safety and how Nurse Management can implement strategies to proactively prevent common safety issues. Issues like; patient falls, common medication errors, lowering the chance of hospital acquired infections, and having resolutions in place to combat them. This article will not only help you identify potential safety hazards but also perhaps help you come up with policy solutions to prevent them from happening in the first place!

Lanie Ward: The most common patient safety issues that I see through my eyes as a CNO are [these] three: medication errors, hospital-acquired infections, and patient falls. There’s no question that med errors happen with the greatest frequency. Many of them cause no harm to the patient, but some do cause severe harm and even result in patient death. That’s why it’s so important that we carefully evaluate all med errors, even if there was no harm.”

Chief Nurse: How to Reduce Serious Safety Events. By Carol Davis. Healthleaders.com. October 17, 2022
Access Article Here 

A sign that says Safety First

Commentary

The Importance of Communication and Collaboration Among Staff:

It is essential for staff members to be able to communicate and collaborate effectively with one another. Good communication ensures that everyone is on the same page and can work together efficiently to achieve common goals. It also allows for the sharing of ideas and knowledge, which can lead to better decision making and improved outcomes.

Furthermore, collaboration among staff members helps to build team morale and cohesion. When staff members are able to work together towards a common goal, it builds trust and respect for one another. This, in turn, leads to a more positive work environment where employees are more engaged and productive.

Good communication and collaboration are essential for any organization or business that wants to be successful. By fostering a culture of open communication and teamwork, businesses can create an environment where employees can thrive and reach their full potential.

Strategies for Reducing Falls and Other Common Safety Events:

Falls are one of the most common safety events in healthcare. They can lead to serious injury, and even death. However, there are strategies that healthcare managers can use to reduce the incidence of falls.

One strategy is to identify patients who are at risk for falling. This includes patients who are elderly, have a history of falling, or have certain medical conditions that make them more likely to fall. Once at-risk patients have been identified, steps can be taken to make sure they are being closely monitored.

Another strategy is to create a “fall prevention team”. This team should consist of nurses, doctors, and any other staff members who regularly interact with patients. The team should meet on a regular basis to discuss fall prevention strategies and share any new information about at-risk patients.

The Benefits of Using Data to Identify Trends and Target Interventions:

Nursing data is a powerful tool that can be used to identify trends and target healthcare interventions. By analyzing nursing data, healthcare professionals can develop more effective management strategies that improve patient outcomes and reduce costs.

Nursing data can be used to track changes in patients’ health over time, identify potential risk factors for certain conditions, and evaluate the effectiveness of various treatments. By understanding these trends, healthcare providers can tailor their interventions to more effectively address the needs of their patients.

In addition, nursing data can help assess the impact of external factors on patients’ health. For example, by tracking emergency department visits, hospitalizations, and readmissions, nurses can identify patterns that may be indicative of problems with access to care or poor quality of care. By using this information to target specific interventions, nurses can help improve the overall quality of healthcare delivery.

Conclusion: the Chief Nurse’s Role in Improving Patient Safety:

In conclusion, the chief nurse’s role in improving patient safety is essential. The chief nurse is responsible for ensuring that nurses are competent and safe, and for setting the tone for a culture of safety in the organization. The chief nurse can make a difference in patient safety by promoting a culture of safety, by leading by example, and by advocating for patients’ rights.

If you are a chief nurse or part of the nursing management staff and would like to further your knowledge and become a certified Nurse Management professional then perhaps you would like to visit our Nurse Management Certification Program? You can access our program and the required online courses here – Nurse Management CE Courses 

Additional Resources:

Control of hospital acquired infections and antimicrobial resistance in Europe: the way to go. Friedrich, A.W.  Wien Med Wochenschr 169 (Suppl 1), 25–30 (2019).
Access Here

Reducing hospital-acquired infections and improving the rational use of antibiotics in a developing country: an effectiveness study. Murni IK, Duke T, Kinney S, et al. Archives of Disease in Childhood 2015;100:454-459.
Access Here 

Can Rounding Reduce Patient Falls in Acute Care? An Integrative Literature Review Hicks, Darlene. Medsurg Nursing; Pitman Vol. 24, Iss. 1,  (Jan/Feb 2015): 51-55.
Access Here

Patient safety culture as perceived by operating room professionals: a mixed-methods study. Aouicha, W., Tlili, M.A., Sahli, J. et al. BMC Health Serv Res 22, 799 (2022).
Access Here 

 

 

Satisfaction among the Elderly with Telehealth during the Covid-19 Pandemic

By James M. Katz, BA

Telehealth is a rapidly growing field in the healthcare industry that uses technology to deliver care and services remotely. Telehealth can be used for a variety of purposes, including appointments, consultations, prescriptions, and follow-ups.

While telehealth has many benefits, including increased access to care, improved quality of care, and lower costs, there are some challenges that need to be addressed. These challenges include provider training and reimbursement, as well as ensuring patient privacy and security.

Telehealth Concept Picture
Is Telehealth growing?

The article below discusses how health care professionals turned to telehealth as a way to deliver their services to patients during the Covid-19 pandemic. The patients in the study were mostly elderly and from various cultural and ethnic backgrounds. Most scored their satisfaction 6 out of 7. Some of the patients did not find telehealth enjoyable and preferred inpatient treatment. The following article goes into further detail.

“Amid the implementation of restrictions on in-person care during the COVID-19 pandemic, many patients and providers turned to telehealth. Telehealth helped maintain care access during this time, especially for seniors, but researchers from Beth Israel Deaconess Medical Center wanted to determine patient satisfaction levels among the geriatric population that used virtual care.

For the study, they sent a patient satisfaction questionnaire to 278 patients over 65, 208 of whom completed the survey. The study period ranged from April 2020 to June 2021.”

Older Adults Satisfied with Telehealth During COVID-19 Pandemic, Mark Melchionna, mHealth Intelligence. October 10, 2022
Access Article here 

Commentary:

Satisfaction of Telehealth:

Patients who used telehealth were more likely to report satisfaction with their care, including feeling more connected to their doctor and having better communication with their provider. They were also more likely to say they felt involved in their own care and that their care was coordinated.

Patients who used telehealth were also more likely to report better health outcomes, including fewer emergency room visits and hospitalizations, and better management of chronic conditions.

Benefits of Telehealth:

In recent years, telehealth has become an increasingly popular option for older adults. Telehealth allows patients to consult with their doctors remotely, using a computer, tablet, or smartphone. This can be especially beneficial for older adults who may have difficulty travelling to see their doctor in person.

There are a number of reasons why telehealth may be a good option for older adults. First, it can help them save time and money on travel costs. Second, it can provide them with more flexibility in terms of when and where they can consult with their doctor. And third, it can give them peace of mind knowing that they can still receive high-quality care even if they are not able to physically visit their doctor’s office.

In the past, patients had to physically go to a doctor’s office or hospital for medical care. This is no longer the case with the advent of telehealth, which allows patients to receive care remotely using technology. There are many benefits of telehealth, including increased access to care, improved outcomes, and lower costs.

Disadvantages of Telehealth:

Although telehealth has the potential to improve access to care, there are a few potential disadvantages of using telehealth services, especially when compared to in-person visits with healthcare providers. One such disadvantage is that patients may not be able to get the same level of care through a virtual visit as they would if they were meeting with their provider face-to-face.

Another potential downside to telehealth is that it can be difficult to build rapport and trust with your provider when you’re not meeting in person. This can be especially true if you’re using video conferencing for your visits, as it can be harder to read body language and cues when you’re not in the same room as the other person.

Finally, there’s always the possibility that technology will fail during a telehealth visit, which could lead to disruptions in care or even put patient safety at risk.

Is Telehealth for you?

When it comes to your health, you want the best care possible. You want to be able to see a doctor when you need to and get the treatments you need to feel better. But what if you can’t always get to the doctor’s office? What if you don’t have transportation or you live in a rural area? Telehealth might be the solution for you.

There are many benefits of telehealth. It increases access to care, especially for those who live in rural areas or who have transportation issues.

In conclusion, telehealth is a growing field that is changing how healthcare is delivered. It has the potential to improve access to care, reduce costs, and improve outcomes. However, there are challenges that need to be addressed, such as reimbursement, workforce issues, and technology infrastructure. With the right policies and investments in place, telehealth can help transform the healthcare system and improve the health of Americans.

Health Care Management:

Are you a health care professional who is interested in becoming certified as a Health Care Manager? If so, please review the Health Care Manager and Nurse Management Certification programs offered by the American Institute of Health Care Professionals, Inc. The program is based on open enrollment and is self-paced, meaning you are free to start whenever you are ready and you can move through it at your own speed. All of the exams are 100% online. The CE courses have board approvals as well. To begin, you may preview our program by Clicking Here.

Additional Resources:

Patient and family engagement: a survey of US hospital practices. Jeph Herrin, Et.Al. PMC PubMed Central Epub  June 16, 2015.
Access Here

VA/Pitt Study Shows Telehealth Effective, Preferred for Veterans’ Wheelchair Design and Fit. Sheila Tunney. University of Pittsburgh School of Health and Rehabilitation Services, December 2020.
Access Here 

Strategies for Evaluating Telehealth. Dr. John Chuo Et.Al. American Academy of Pediatrics Volume 146 Issue 5. November 1, 2020
Access here 

Patient and clinician experiences with telehealth for patient follow-up care. Karen Dolenan Et.Al. The American Journal of Managed Care, 01  25(1):40-44 PMID: 30667610 January 2019.
Access here

 

 

Nursing Management and Nurse Shortages

With the recent pandemic and other stresses, numerous nurses may be looking to exit the field.  Nurse shortages are not something new and continues to be an issue.  The industry is in demand but needs to find ways beyond salary to attract more individuals to the field itself.  It is essential to better manage nurses and departments to ensure nursing satisfaction is met and nurses reap the rewards of a fulfilling career.  Flexibility and options are key.

The article, “Two-Thirds of Nurses Poised to Quit in Coming Years: 8 Steps Healthcare Employers Can Take to Address Potential Mass Exodus” by A. Kevin Troutman looks closer at the dilemmas facing the nursing industry.  In the article, Fisher poses the question how can nursing management and healthcare facilities attract more nurses but also keep the current staff satisfied.  He lists 8 steps healthcare employers can utilize in meeting these demands.  He states,

“The below list of eight suggestions is by no means an exhaustive list of things healthcare employers can do to deal with the challenges of the current nursing shortage. It does, however, illustrate that even in the face of dire predictions for the future, you can take steps to better protect your organization, your patients, and – most importantly – your employees.”

Two-Thirds of Nurses Poised to Quit in Coming Years: 8 Steps Healthcare Employers Can Take to Address Potential Mass Exodus.  A. Kevin Troutman. Fisher Phillips. JDSUPRA.  Oct 10, 2022. Access article here

Nursing shortages remain an issue in the healthcare industry. Nursing Management can play a key role

Commentary

With nurses playing such a key role in healthcare, it is important to address nursing shortages and why.  Finding solutions to find more nurses and retain existing staff is critical to the healthcare industry, especially after the recent pandemic issues.

The demand for nurses is determined by a number of factors, including the number of patients needing care, the severity of their conditions, and the availability of other health care professionals. The American Nurses Association estimates that there are currently more than 1.2 million nurses working in the United States, and that this number will need to increase to 2.4 million by 2030 to meet the demands of the growing population.  There is a current demand for nurses in the healthcare industry. This is due to the aging population and the need for more preventative care. The demand for nurses is expected to continue to grow in the coming years.

There are a number of reasons for the high demand for nurses. The first is the aging population. As people live longer, they require more medical care. This includes both acute care and chronic care. The second reason is the increase in chronic diseases. These conditions require ongoing management and often result in multiple hospitalizations. The third reason is the increasing complexity of care. With advances in medical technology, patients require more sophisticated and expensive treatments. This requires a higher level of nursing care.

However, within this demand is a fear of many existing nurses seeking to quit their positions.  The high turnover rate among nurses is a major problem for healthcare facilities. There are many reasons why nurses quit, but the most common ones are poor working conditions, low pay, and burnout. Healthcare facilities need to do more to retain their nurses by improving working conditions and offering competitive pay.

The pandemic has also played a key role on stress on nurses and why many may be looking for less stressful jobs.  The COVID-19 pandemic has taken a toll on healthcare workers, particularly nurses, who are on the frontlines of the fight against the virus. The stress of working long hours in high-pressure situations can lead to burnout, anxiety, and depression. In order to support nurses during this difficult time, it is important to provide them with adequate resources and opportunities for self-care. Additionally, creating a supportive work environment where nurses feel valued and respected is essential.

Nursing Management can better retain nurses and attract other potential nurses

There are a few key ways in which nursing management can keep employees. First, it is important to establish clear expectations and goals for employees. Additionally, regular communication and feedback are crucial in order to ensure that employees are on track and meeting expectations. Additionally, providing opportunities for professional development and growth can help retain employees. Finally, creating a positive work environment and culture is also important in keeping employees engaged and motivated.

In addition to keeping employees, nursing management needs to find ways to attract new nurses to help with the work.

There are a few things that nursing management can do in order to attract new employees. One is to offer competitive salaries and benefits. Another is to create a positive work environment where nurses feel supported and valued. Additionally, nursing management can provide opportunities for professional development and career advancement. By doing these things, nursing management can make the profession more attractive to potential employees.

Conclusion

In conclusion, the nursing shortage is a problem that needs to be addressed. There are many ways to address the nursing shortage, but one of the most important is to keep nurses in the profession. To do this, we need to support nurses in their career development and provide them with opportunities to grow and advance in their careers. We also need to create a work environment that is conducive to retention and recruitment of nurses.

Please also review AIHCP’s Nursing Management Certification Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified nurses and professionals who are seeking a four year certification.   By completing the required courses, nurses can diversify their career and seek higher positions in the healthcare profession within the field of nursing management.

Additional Resources

“Global nursing shortages – action for change” Vari M Drennan and Fiona Ross. British Medical Bulletin. 2019.  Access here

“Innovative Information Technology Solutions: Addressing Current and Emerging Nurse Shortages and Staffing Challenges Worldwide”. Lloyd, Jenna; Ferguson, Stephanie L  Nursing Economics. Vol. 35, Iss. 4. July/August 2017.  Access here

“Why Is There a Nursing Shortage?”. Kristen Hamlin. Nurse Journal. August 29th, 2022.  Access here

“Understanding the American Nursing Shortage”. S. Behring. Healthline. August 11th, 2021.  Access here

Revamping The Old: Cleaning And Sanitation In “The New Normal” Of Healthcare

hospital bed

Written By Lucy Peters

Nearly 600 healthcare workers in the US have died from COVID-19, according to Lost on The Frontline. The study, conducted by the Guardian and Kaiser Health News, includes doctors, nurses, paramedics and other essential hospital staff like cleaning crews, administrators and special care caregivers. The pandemic has certainly made an impact on travel and how people live their daily lives. Another thing it will have a lasting impact upon is the concept of cleanliness in healthcare.

Hospital Cleaning Staff Gear

It is generally thought that Personal Protective Equipment (PPE) is necessary to keep doctors, nurses and paramedics safe from COVID-19. However, it is now clear that it is no longer sufficient to keep a hospital in working order. Hospital cleaners who enter the premises must also have additional gear like an FFP2 mask, gloves, gown, face shields, and secure working boots, according to a study published by the Turkish Journal of Medical Sciences.

As cleaning crews often pass through different rooms and halls of hospitals, they must be duly protected from the transmission to enable them to keep rooms and areas sanitized. Beyond safety gear, their cleaning tools must have validated removal ratings that are certified from third-party laboratories. This is to ensure that their cleaning tools are actually doing their job rather than unknowingly spreading the virus around the hospital.

The Necessity Of Professional Sanitation Services

While hospitals do have their own sanitation staff, they may not be enough to ensure complete disinfection of surfaces, walls, hallways and bedding. There may simply be too much to do for regular cleaning crews to take on the load. As such, the presence and necessity of professional cleaning crews will increase in the immediate future. Professional crews possess heavy-duty cleaning equipment like steam machines that are 99.99% effective in removing germs and bacteria over a wide array of surfaces. The study, conducted by Michael Cazaban and others, established that a steam vapor system significantly eradicates S. capitis and other organisms from sensitive hospital areas.

Additional Cleanliness Protocols For Healthcare Workers

Gone are the days when healthcare professionals could simply perform hand-washing, take off any infectious gloves, and head on home. Now, it is advisable that healthcare professionals take spare clothing to wear separately and keep any work clothes and shoes in a separate plastic container, according to the Minnesota Department of Health. They found that excessive use of harder chemicals to wash clothes or bedding is unnecessary. Regular detergent is fine – as long as the laundry is done immediately prior to coming into any contact with any family members. The habit of wiping down surfaces of any vehicles used to go home with sanitation wipes must also be normalized.

This pandemic is effectively ushering new health protocols and stringent cleanliness requirements that will remain in place for the foreseeable future. While they may seem excessive, they are critical to maintaining the integrity and safety of healthcare workers everywhere. After all, it is they that are in the front lines fighting a virus that continues to threaten the human population.

 

 

Please also review AIHCP’s Nursing Management Program and see if it matches your academic and professional goals.  The program in online and independent study and open to qualified professionals.

 

AIHCP’s New Healthcare Management and Nursing Management Programs

The American Institute of Health Care Professionals has and continues to offer the most affordable, dependable and quality certifications in the healthcare field.  It has for twenty years offered Healthcare Case Management and Legal Nurse Consulting certifications for healthcare professionals and nurses.  It has since added a variety of programs, including Forensic Nursing, Holistic and Integrative Specialist and Nurse Educator Programs.  It now is offering a new and exciting program for nurses seeking to rise up the corporate ladder in leadership and management positions.

Learn how to enhance your resume and become a leader and manager within your nursing fields. Please review our Nursing Management Program

 

AIHCP is offering two new certification programs, Healthcare Management and Nursing Management.  Both aim to help nurses find the education and knowledge necessary to learn the key components of organizational leadership and healthcare departmental management.  The program offers 6 key courses for Healthcare Management and additional course for Nursing Management.  The courses focus on key concepts of healthcare management and nursing management, as well as leadership, organizational behavior, human resource, delivery models, budgeting concepts and insurance and reimbursement procedure.

With management and leadership positions so competitive it is key to have every advantage necessary to climb the corporate ladder.   Experience and good work history are the first ingredient with knowledge and education as the next critical ingredient.  Nurses who possess leadership qualities, can utilize their experience and education to boost their resume and present to management their qualification as a perfect candidate for manager positions within the healthcare system.   Certifications boost this credibility.

Certifications orbit the primary education, licence and experience of a nurse.   They enhance the resume and present additional education beyond the undergraduate and graduate degree.  AIHCP’s continuing education and certification model present an excellent tool to make a qualified nurse stand out among his or her peers.   The Healthcare Management and Nursing Management Certifications prepare and help the candidate to become viable options at the leadership level.

Again, the programs at AIHCP are online, self paced and independent study.  They allow the busy schedule of a licensed professional to not become interrupted by scheduled classes and exam times.  Instead, the programs at AIHCP allow the student to pick the time to read and take the exam.  Furthermore, all courses are mentored and the student has unlimited mentorship as needed from qualified instructors.

In addition to the certification, nurses have an opportunity, while working towards certification, to earn continuing education hours towards a renewal of nursing licenses.  All courses have the State Board of California Nursing approvals which have reciprocity in many states.   For those not seeking continuing education, the courses nonetheless, give the candidate the necessary skills and education to handle any manager position with confidence.

Make the transfer to leadership through AIHCP’s Healthcare Management and Nursing Management Programs and see if they meet your academic and professional goals

 

The Healthcare Management and Nursing Management certifications are four-year certifications.  Upon expiration, the certified member needs to demonstrate 500 hours of clinical, academic or professional work within the field of management and also present 50 hours of continuing education.  Renewal pushes certification to another four-year limit until re-certification again is required.

Nurses who become certified as a Healthcare Manager or Nurse Manager can have the confidence of possessing not only the skills and knowledge necessary to succeed, but also the comfort of possessing a high quality certification that will enhance their resume and status within the healthcare community and facility.  If you would like to learn more about the Healthcare Management Program and Nursing Management Program then please review them and see if they match your academic and professional goals.   With this certification, qualified applicants could be operating at a leadership and management level very soon and fulfilling their leadership aspirations.

 

Nursing Management Certification Program Article on Authentic Leadership

In Nursing Management, leadership is a quality that cannot be taught but one that is inherent with the individual.  Qualities that encourage excellence in others through dedication, trust and example help a unit or department excel.  Nurse Managers have the knowledge of their station but also must be able to make a cohesive unit work.  This in turn benefits the department and the patients that are served within the department.

Learn more about becoming a nurse manager. Please also review our Nurse Management Certification Program

 

Authentic leadership within the relation between a nurse manager and other staff is key.  The article, “Be you! Authentic leadership” by Rosanne Raso delves deeper into the importance of leadership, especially authentic leadership and how it plays out within the particular department.  She states,

“One of the relational leadership styles, authentic leadership is rooted in positive psychology—the scientific study of the strengths that enable individuals and communities to thrive. The values of honesty, trust, and integrity are the underpinnings of authentic leadership. The importance of these values is as old as Greek philosophy and as relevant today as it was centuries ago”

To read the entire article, please click here

Please also review our new Nurse Management Certification Program.  The program is designed for nurses looking to enter into various management fields.  The program is online and independent study and offers a four year certification.  Please review to see if it meets your academic and professional goals.