Effective Approaches in Leadership and Management.

Effective Approaches in Leadership and Management.


You also have a Benchmark paper to submit by or before Sunday. Please do not write in the 1st person for APA papers. When you describe the differences between a leader and manager\’s approach, keep in mind leaders are visionary and managers are more task oriented. How would the leader approach your situation versus how a manager may approach the same issue?Effective Approaches in Leadership and Management.


Provide enough depth for each Rubric section as that is how I must grade the papers. Below is a copy of the GCU instructions, but make sure to follow the rubric.Effective Approaches in Leadership and Management.

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
  2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
  4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.Effective Approaches in Leadership and Management.
  5. Discuss what additional aspects mangers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
  6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.Effective Approaches in Leadership and Management.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.Effective Approaches in Leadership and Management.

Nurses are the backbone of the healthcare system and thus they form a great part of support staff when it comes to the patient’s primary care. Nursing is both dynamic and also a challenging profession. It demands engagement, especially with inspirational role models and leaders (Pandey, Davis, et al., 2016). Nevertheless, in a healthcare setting where proper measures and policies have not been put in place, undesirable leaving of nurses from their work stations can be witnessed. This situation is commonly referred to as nurse turnover. nurse turnover not only carries along with it the institutional costs of hiring new nurses, but as well, it jeopardizes the day-to-day operations of the involved healthcare facility and at the same time denying the much needed continued and quality care services to the patients.Effective Approaches in Leadership and Management.

Finding and retaining the best nurse workforce is of great importance as this reduces the cost of hiring in terms of time and process expenses and as well fostering an uninterrupted environment that is best for offering the best quality primary care service (Doyle & Turkie, 2006).  Although nurse turnover has been a major challenge in the healthcare system, some policies and measures can be put in place to ensure that this undesirable trend is minimized and the health institutions’ operations are not affected in a great way(Sinclair, 2013). This paper will focus on nurse turnover, its impact on the quality of care and patient, and the differing roles of nursing leaders and nursing managers on this issue as well as the best initiatives to minimize the nurse turnover.Effective Approaches in Leadership and Management.

Nurse Turnover and Its Impacts on Quality of Care and Patient Safety

Nurse turnover has a great negative impact on the quality of care and patient safety. As nurses leave their place of work, they overstretch those that are left leading to overworking,which can turn into the patient neglect or reduced quality of care that may be unsafe to the concerned patients. Nurse on-the-job stress is common where the patient-nurse ratio is low, a situation that is mostly associated with high nurse turnover. On the other hand, healthcare facilities follow a certain guideline and work policies which may be unique to each facility. As such, newly hired nurses need to familiarize themselves with these guidelines and work policieswhich may take some time. During such a time, the newly hired nurses may not be in a position to execute their duties accordingly, a situation which may lead to a negative impact on the quality of care and patient safety within the concerned health facility(Doyle & Turkie, 2006).Effective Approaches in Leadership and Management.

Furthermore, nurses usually work as a team and thus their morale is highly dependent on team performance. When nurse’s turnover occurs, it disrupts the team performance consequently reducing the nurses working morale. This can negatively affect the quality of care disseminated by the affected nurses jeopardizing patient safety. What’s more, it is always advisable to retain an experienced workforce to ensure high-quality service delivery and professionalism within the institutional operations. In such a case, when the most experienced nurses leave their place of work, it sometimes poses a challenge to replace them with equally capable nurses with the same experience and familiarity with the facility situations (Sinclair, 2013). This may delay hiring, add up to the costs of training and as well, deny the patients the much-needed care thus posing an unsafe environment for the patients within the health facility. With all these aspects in mind, nursing turnover can be termed to be a hindering factor when it comes to the quality of care and patient safety within a given facility (Martin, 2004).Effective Approaches in Leadership and Management.

Demonstration of Professional Standards of Practice to Minimize Nurse Turnover or Maintain Professional Conduct

Nurses are guided by their professional code of conduct which guides them during their duty’s execution. This is also backed up by the established institutional work policies and guidelines. Likewise, institutions are also guided by professional standards of practice which they are obligated to observe, especially when it comes to their employees. In this case, both nurses and institutions have a role to play when it comes to minimizing nurse turnover or maintaining professional conduct (Sinclair, 2013). In this regard, the health institutions must observe standards of hiring personnel such as qualifications, experience, and institutional need basis. The institution should also comply with ILO guidelines such as freedom of unionship for the nurses.Effective Approaches in Leadership and Management.

Moreover, the institutions must foster a good working relationship with their nurses and as well, provide favorable working conditions(Doyle & Turkie, 2006). On the other hand, nurses must act as per their code of conduct and demonstrate professionalism in their work and communication. There is expected that in such times as leaving the work, proper channels of communication and termination of contract policies should be followed accordingly to ensure a smooth transition that does not greatly affect the operations. Therefore, both the institution and the nurses involved are bestowed to demonstrate professional standards of practice to minimize nurse turnover or maintain professional conduct (Martin, 2004).Effective Approaches in Leadership and Management.

The Differing Roles of Nursing Leaders and Nursing Managers on Nurse Turnover

Nursing leaders and managers hold different vital roles, especially when it comes to nurse turnover. First, it is crucial to understand that nursing leaders are taking different roles from those of the nursing managers. For nursing leaders, their main focus is on setting and upholding standards through a long-term plan that fulfills the organization’s mission and vision (Haque et al., 2019). On the other hand, nursing managers oversee day-to-day operations through the devolved units and departments (Thompson, 2006). As such, when it comes to the roles obligated to them in dealing with issues of nurse turnover,  the nursing leader is tasked with setting up policies that guide employment relationship, ensure that a common working standard is in place, perform team coordination and delegation and as well, influence staff and set positive examples (Haque et al., 2019). For the nurse manager, one must ensure there are equal career opportunities for the staff, overseeing staff assignments, performing patient care planning to ensure smooth execution of duties, and enhancing career growth and opportunities. All these roles by both the nurse leaders and managers are crucial in the nurse working relationship and environment and greatly determine the rate of nurse turnover within a health facility (Sinclair, 2013).Effective Approaches in Leadership and Management.

Additional Aspects Managers and Leaders Would Need to Initiate in Order to Ensure Professionalism Throughout Diverse Health Care Settings

Nursing managers and leaders form a crucial part when it comes to the general operations and conducts of nurses within a specific institution. They both act as the driving force for the nurses and thus they must keep the operation engine running at all times. To ensure that this is achieved, managers and leaders must come up with additional aspects that will ensure professionalism throughout diverse health care settings. For leaders, drafting of implementable policies and guidelines is crucial as these steers the institution into a known direction for achieving the set goals. As such, the leader must involve the manager who will ensure that the existing policies are familiarized with the nursing staff and they are clear and understandable (Haque et al., 2019).Effective Approaches in Leadership and Management.

Furthermore, initiating programs such as educational seminars and benchmarking tours will expose the nurses to the changing global standards of conduct and operations that will enhance their professionalism and eventually realize improvement inpatient care service delivery, as well as patient safety (Thompson, 2006).  Moreover, the communication gap may lead to conflict, non-operational, or duplication of duties. To avoid this, the nurse leader and the manager must work together to ensure that they come up with a proper hierarchy of communication which will ensure a free flow of information for actions to be taken in time. As conflict reduces, morale increases, and thus the sense of recognition leading to progress and minimization of undesirable events such as nurse turnover (Martin, 2004).Effective Approaches in Leadership and Management.

A Leadership Style That Would Best Address the Nurse Turnover

There exist different leadership styles that are uniquely applied to different leadership situations. For the nursing leadership style that can best deal with nurse turnover, coaching leadership style is the best style to apply. This is for the fact that a leader who applies such style always sees potential in people and talents to be developed (Sinclair, 2013). In doing so, they direct people into the right way of doing things and exercise the freedom to create responsibilities and accountability which makes people feel part of the organization (Haque et al., 2019). This creates career growth and opportunities unleashing capabilities by individuals thus reducing the turnover that greatly emanates from hindrance for career growth and lack of sense of belonging (Martin, 2004).Effective Approaches in Leadership and Management.


In a recap, nurse turnover is a vital issue when it comes to healthcare management. For this fact, nursing leaders, as well as nursing managers, must always work together and fulfill their different roles that touch on the working experiences of the nurses. The nurse turnover does not only make institutions incur unimaginable costs, but as well, it negatively affects in a great way the quality of care and patient safety in the setting in which it occurs. Although nurse turnover challenge remains a hinderance to the overall management of the healthcare sector, proper policing and observation of professional standards may greatly reduce the effects of this menace.Effective Approaches in Leadership and Management.