Empower Your Nursing Leadership

Author : Brandy Covington
Publisher : Brandy Covington
Page : 118 pages
File Size : 40,9 Mb
Release : 2023-12-25
Category : Medical
ISBN : 9798893422610

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Empower Your Nursing Leadership by Brandy Covington Pdf

Embark on a transformative journey in the world of nursing leadership with "Empower Your Nursing Leadership." This comprehensive guide is your compass for navigating the dynamic landscape of healthcare, providing invaluable insights for career advancement and fostering positive work environments. Unlock the secrets to mastering leadership skills that propel you toward unstoppable success. From leading with compassion to crafting transformative leadership, this book is your go-to resource for elevating your impact in the nursing profession. Step beyond the bedside and discover the keys to crafting leadership excellence for nurses, breaking free from common obstacles that hinder leadership potential. Lead Questions: Ever find yourself longing for more influence and impact in your nursing role? Curious about the secrets that successful nurse leaders use to navigate challenges? Wondering how to turn your daily struggles into stepping stones for leadership? Feel like your leadership potential is untapped and waiting to be unleashed? Ready to break free from the common obstacles holding back nurse leaders? Lead Myths: Myth: Leadership in nursing is reserved for those in administrative roles. Myth: Only natural-born leaders can excel in the nursing profession. Myth: Balancing empathy and authority is an impossible feat in nursing leadership. Myth: Leadership skills are innate and can't be developed through training. Myth: Nurses don't have the time to invest in leadership development. Bullet Points: Develop unparalleled communication skills for effective team collaboration. Master the art of strategic decision-making in high-pressure situations. Cultivate a leadership mindset to inspire confidence and trust among your colleagues. Learn to navigate organizational dynamics and advocate for positive change. Uncover the secrets of influential nurse leaders who have paved the way. Harness emotional intelligence to enhance patient care and team dynamics. Overcome common leadership challenges with proven, real-world strategies. Build resilience to thrive in the fast-paced world of nursing leadership. Elevate your career by honing negotiation and conflict resolution skills. Develop a personalized leadership style that aligns with your values. Objections: "I'm too busy with patient care to focus on leadership development." "Leadership is for managers, not bedside nurses like me." "I don't have the natural charisma needed for leadership." "It's too late for me to start developing leadership skills." "I've tried leadership training before, and it didn't make a difference." Transform your nursing career from ordinary to extraordinary by unlocking the leadership potential within you. Empower yourself with the skills, strategies, and confidence needed to lead with impact, elevate patient care, and shape the future of nursing. Are you ready to embrace your role as a Nurse Leader and revolutionize your professional journey?

Author : Brandy Covington
Publisher : Unknown
Page : 0 pages
File Size : 45,8 Mb
Release : 2023-12-25
Category : Medical
ISBN : 9798869099730

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Empower Your Nursing Leadership by Brandy Covington Pdf

"Ignite Your Nursing Journey: Mastering Leadership Skills for Unstoppable Success!" "Leading with Compassion: A Nurse's Guide to Transformative Leadership" "Elevate Your Impact: Unleashing the Power of Leadership in Nursing" "Beyond the Bedside: Crafting Leadership Excellence for Nurses" "Nurse Leaders Unleashed: Pioneering a Path to Professional Mastery" Lead Questions: "Ever find yourself longing for more influence and impact in your nursing role?" "Curious about the secrets that successful nurse leaders use to navigate challenges?" "Wondering how to turn your daily struggles into stepping stones for leadership?" "Feel like your leadership potential is untapped and waiting to be unleashed?" "Ready to break free from the common obstacles holding back nurse leaders?" Lead Myths: "Myth: Leadership in nursing is reserved for those in administrative roles." "Myth: Only natural-born leaders can excel in the nursing profession." "Myth: Balancing empathy and authority is an impossible feat in nursing leadership." "Myth: Leadership skills are innate and can't be developed through training." "Myth: Nurses don't have the time to invest in leadership development." Bullets: Develop unparalleled communication skills for effective team collaboration. Master the art of strategic decision-making in high-pressure situations. Cultivate a leadership mindset to inspire confidence and trust among your colleagues. Learn to navigate organizational dynamics and advocate for positive change. Uncover the secrets of influential nurse leaders who have paved the way. Harness emotional intelligence to enhance patient care and team dynamics. Overcome common leadership challenges with proven, real-world strategies. Build resilience to thrive in the fast-paced world of nursing leadership. Elevate your career by honing negotiation and conflict resolution skills. Develop a personalized leadership style that aligns with your values. Objections: "I'm too busy with patient care to focus on leadership development." "Leadership is for managers, not bedside nurses like me." "I don't have the natural charisma needed for leadership." "It's too late for me to start developing leadership skills." "I've tried leadership training before, and it didn't make a difference." Close: "Transform your nursing career from ordinary to extraordinary by unlocking the leadership potential within you. Empower yourself with the skills, strategies, and confidence needed to lead with impact, elevate patient care, and shape the future of nursing. Are you ready to embrace your role as a Nurse Leader and revolutionize your professional journey?" Read less

Author : Laurie N. Gottlieb, PhD, RN
Publisher : Springer Publishing Company
Page : 448 pages
File Size : 49,8 Mb
Release : 2012-08-22
Category : Medical
ISBN : 9780826195876

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Strengths-Based Nursing Care by Laurie N. Gottlieb, PhD, RN Pdf

This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.

Author : Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Publisher : National Academies Press
Page : 700 pages
File Size : 54,7 Mb
Release : 2011-02-08
Category : Medical
ISBN : 9780309208956

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The Future of Nursing by Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine Pdf

The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Author : Angela Barron McBride, PhD, RN, FAAN
Publisher : Springer Publishing Company
Page : 280 pages
File Size : 55,6 Mb
Release : 2010-09-27
Category : Medical
ISBN : 0826107087

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The Growth and Development of Nurse Leaders by Angela Barron McBride, PhD, RN, FAAN Pdf

p>Angela Barron McBride has a long and renowned history in nursing leadership and education. This book, which focuses on developing nurse leaders, carries on in the tradition of her previous successes, including The Growth and Development of Mothers, recognized as one of the best books of 1973 by both The New York Times and the American Journal of Nursing. From then to now, she has exerted leadership from many positions, which the American Academy of Nursing has celebrated by awarding her the status of "Living Legend." This book draws on her extensive leadership experience as an internationally recognized nurse scholar and pragmatist to help all nurses develop their leadership abilities. The book's three sections address the major views of leadership that have occupied center stage in recent decades: leadership as personal, leadership as achieving organizational goals, and leadership as transformational. It references both literature and personal experiences that bring timely issues to focus, from career stages and mentoring needs, to developmental tasks by career trajectory, and more. Angela Barron McBride brings a practicality and insightfulness to the subject that will empower you when considering your leadership development, no matter your specialty or career stage.

Author : Thomas L. Christenbery, PhD, RN, CNE
Publisher : Springer Publishing Company
Page : 392 pages
File Size : 45,8 Mb
Release : 2017-12-28
Category : Medical
ISBN : 9780826127594

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Evidence-Based Practice in Nursing by Thomas L. Christenbery, PhD, RN, CNE Pdf

A fundamental, reader-friendly guide to evidence-based practice (EBP) for BSN, MSN, and DNP nursing students, Evidence-Based Practice in Nursing explains the conceptual underpinnings of EBP and demonstrates how nurses can put EBP concepts into practice. Replete with critical knowledge, skills, tools, and scholarly development to enable nurses to fully and confidently deliver the highest-quality EBP care, this book eschews a one-size-fits-all approach unique systematic guidelines for understanding and applying EBP. Building blocks of information grow progressively more complex to apply to any point along nursing’s academic trajectory. Thoughtfully organized to fit a variety of EBP-related course objectives, Evidence Based Practice in Nursing easily adapts for standalone EBP courses at any level as well as advanced practice specialty courses that integrate EBP content. This book addresses the needs of all nursing instructors, including those who teach at multiple levels simultaneously. Key content discusses requisite conceptual knowledge of EBP for building clinical decision-making skills; conceptualizing, implementing, and evaluating EBP projects; conducting translational research and quality improvement for implementation and evaluation of EBP; developing leadership and structural empowerment strategies; and analyzing how students at each degree/level work with EBP independently, inter-professionally, and intraprofessionally. Chapters align with AACN essentials. Key Features: Follows a methodical systematic trajectory building from simple to complex concepts Includes abundant examples demonstrating both negative and positive EBP applications Enables instructors to adopt one textbook for BSN, MSN, and DNP students Includes practical design templates for developing EBP information plans with critical guideposts Provides a quality improvement toolkit, key words and concepts, illustrative tables, and figures

Author : Kenneth Ray White
Publisher : ACHE Management
Page : 0 pages
File Size : 48,8 Mb
Release : 2017
Category : Medical
ISBN : 1567938868

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Boost Your Nursing Leadership Career by Kenneth Ray White Pdf

Includes exercises for self-exploration and resources for further learning, this practical guide introduces nurses to what it takes to be a leader and how to develop a successful and rewarding career. --

Author : Patricia Kelly
Publisher : Cengage Learning Canada Inc
Page : 128 pages
File Size : 45,7 Mb
Release : 2015-05-11
Category : Medical
ISBN : 9780176729004

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Nursing Leadership and Management by Patricia Kelly Pdf

Nursing Leadership and Management, Third Canadian Edition, is designed to help students and beginning nurses develop the knowledge and skills to lead and manage nursing care delivery in the 21st century. The nursing shortage and fiscal realities are pressuring health care organizations to require nurses to do more with less and to adapt quickly to change. Recommendations for the health care profession highlight the need for nurses to be educated in a broader way, including education in the areas of interprofessional teamwork, integration, population-based health care, evidence-based practice, informatics, ethics, quality improvement, culture, spirituality, and change, to name just a few. This text addresses many of these topics, along with others, to prepare the beginning nurse leader and manager to successfully function in the modern health care system.

Author : Diane Whitehead,Patricia Welch Dittman,Denise McNulty
Publisher : F.A. Davis
Page : 292 pages
File Size : 49,9 Mb
Release : 2017-01-25
Category : Medical
ISBN : 9780803642256

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Leadership and the Advanced Practice Nurse by Diane Whitehead,Patricia Welch Dittman,Denise McNulty Pdf

Envision a better future… Be prepared to lead the way to better outcomes…for your patients, your team, your institution, and yourself. You’ll not only learn about leadership, but also how to use your skills to manage staff, implement policy changes, and to develop systems that deliver cost effective, quality-controlled care. The coverage encompasses the competencies required by the American Association of Colleges of Nursing in conjunction with major specialty nursing organizations. You’ll begin with the theories, models, and frameworks that provide the window through which to view leadership in the context of the regulations and standards that guide the delivery of care. Then, you’ll explore the importance of creating a culture that ensures safe, quality care, and learn how to plan and evaluate programs to affect change.

Author : Brandy Covington
Publisher : Brandy Covington
Page : 1 pages
File Size : 43,7 Mb
Release : 2023-12-30
Category : Medical
ISBN : 9798873049172

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Empower Your Nursing Leadership by Brandy Covington Pdf

Embark on a transformative journey in the world of nursing leadership with "Empower Your Nursing Leadership." This comprehensive guide is your compass for navigating the dynamic landscape of healthcare, providing invaluable insights for career advancement and fostering positive work environments. Unlock the secrets to mastering leadership skills that propel you toward unstoppable success. From leading with compassion to crafting transformative leadership, this book is your go-to resource for elevating your impact in the nursing profession. Step beyond the bedside and discover the keys to crafting leadership excellence for nurses, breaking free from common obstacles that hinder leadership potential. Lead Questions: Ever find yourself longing for more influence and impact in your nursing role? Curious about the secrets that successful nurse leaders use to navigate challenges? Wondering how to turn your daily struggles into stepping stones for leadership? Feel like your leadership potential is untapped and waiting to be unleashed? Ready to break free from the common obstacles holding back nurse leaders? Lead Myths: Myth: Leadership in nursing is reserved for those in administrative roles. Myth: Only natural-born leaders can excel in the nursing profession. Myth: Balancing empathy and authority is an impossible feat in nursing leadership. Myth: Leadership skills are innate and can't be developed through training. Myth: Nurses don't have the time to invest in leadership development. Bullet Points: Develop unparalleled communication skills for effective team collaboration. Master the art of strategic decision-making in high-pressure situations. Cultivate a leadership mindset to inspire confidence and trust among your colleagues. Learn to navigate organizational dynamics and advocate for positive change. Uncover the secrets of influential nurse leaders who have paved the way. Harness emotional intelligence to enhance patient care and team dynamics. Overcome common leadership challenges with proven, real-world strategies. Build resilience to thrive in the fast-paced world of nursing leadership. Elevate your career by honing negotiation and conflict resolution skills. Develop a personalized leadership style that aligns with your values. Objections: "I'm too busy with patient care to focus on leadership development." "Leadership is for managers, not bedside nurses like me." "I don't have the natural charisma needed for leadership." "It's too late for me to start developing leadership skills." "I've tried leadership training before, and it didn't make a difference." Transform your nursing career from ordinary to extraordinary by unlocking the leadership potential within you. Empower yourself with the skills, strategies, and confidence needed to lead with impact, elevate patient care, and shape the future of nursing. Are you ready to embrace your role as a Nurse Leader and revolutionize your professional journey?

Author : Harriet R. Feldman, PhD, RN, FAAN,Martha J. Greenberg, PhD, RN,Marilyn Jaffe-Ruiz, EdD, RN,Margaret L. McClure, RN, EdD, FAAN,Angela Barron McBride, PhD, RN, FAAN,Thomas D. Smith, MS, RN, DNP,G. Rumay Alexander, EdD, RN
Publisher : Springer Publishing Company
Page : 580 pages
File Size : 49,6 Mb
Release : 2011-12-19
Category : Medical
ISBN : 9780826121776

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Nursing Leadership by Harriet R. Feldman, PhD, RN, FAAN,Martha J. Greenberg, PhD, RN,Marilyn Jaffe-Ruiz, EdD, RN,Margaret L. McClure, RN, EdD, FAAN,Angela Barron McBride, PhD, RN, FAAN,Thomas D. Smith, MS, RN, DNP,G. Rumay Alexander, EdD, RN Pdf

A single comprehensive reference for nursing leaders, leadership organizations, nursing clinicians, and educators, Nursing Leadership is the only compendium of nursing terminology in existence. Written by eminent nursing professionals, it provides descriptions of prominent individuals in nursing, information regarding nine leadership-related topics, and current trends in nurse leadership. This second edition has been expanded to encompass 80 new entries and revisions or updates to all original entries. It provides an extensive overview of current leadership issues including theories, characteristics, and skills required of nurse leaders in today's complex health care system. Highly respected contributors include Claire Fagan, Beverly Malone (NLN CEO), Polly Bednash (AACN CEO), Patricia Benner, and many others. For ease of use this new edition contains both alphabetic and thematic indexes, extensive cross-referencing, and print and web references for each entry. The new edition features: Thematic list of entries in addition to alphabetic index An extensive overview on salient nursing leadership issues, themes, characteristics, and current and future developments A "legacies" section on nursing luminaries throughout history Over 80 new entries and updates and revisions of original entries Extensive cross-referencing and print and web resources for each entry

Author : Kenneth Ray White,Dorrie K. Fontaine
Publisher : Unknown
Page : 128 pages
File Size : 45,9 Mb
Release : 2017
Category : Leadership
ISBN : 1567938892

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Boost Your Nursing Leadership Career by Kenneth Ray White,Dorrie K. Fontaine Pdf

Author : Mohammed Saad Waslallah Almutari,Waslallah Saad Waslallah Almutairi
Publisher : Mohammed Saad Waslallah Almutari
Page : 221 pages
File Size : 47,8 Mb
Release : 2023-10-07
Category : Medical
ISBN : 9786030484980

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Nursing Leadership and Management: Theory, Practice, and Future Impact on Healthcare by Mohammed Saad Waslallah Almutari,Waslallah Saad Waslallah Almutairi Pdf

"Leadership in Nursing: A Comprehensive Guide for Professional Development" is meticulously organized to provide a thorough exploration of effective leadership within the nursing profession. The book systematically covers a range of essential topics for nursing professionals, beginning with an introduction that sets the stage for the reader. The early chapters delve into foundational concepts such as effective leadership, follower dynamics, and the role of a manager in nursing. Ethics and principles are thoroughly examined, establishing a robust framework for ethical decision-making in the complex healthcare landscape. The exploration then extends to various leadership theories and styles, offering insights into their applicability in nursing contexts. As readers progress through the book, attention is given to practical aspects of nursing leadership, including working within healthcare organizations, collaborating within multidisciplinary teams, and intricacies of nursing management. Specialized chapters address critical aspects like delegation and prioritization of client care, conflict resolution, and navigating individual growth within the profession. The book's scope broadens to cover topics crucial for a nurse's career journey, such as exploring career options, fostering positive workplace atmospheres, and addressing professional conduct issues. The essence of nurse leadership in health development is intricately woven into the narrative, emphasizing the vital role nurses play in shaping the future of healthcare. Chapters dedicated to leadership skills, interdisciplinary collaboration, and leading change highlight the dynamic nature of nursing leadership. The book takes a global perspective, addressing issues related to global health leadership and development, emphasizing the importance of innovation, entrepreneurship, advocacy, and policy influence in nursing. Towards the end, the book provides practical guidance on sustaining nurse leadership for ongoing development. It touches on data-driven decision-making, resilience in crisis leadership, and the imperative of promoting diversity, equity, and inclusion in healthcare settings. Practical considerations like personnel requirements, scheduling guidelines, and quality control for patient safety are addressed, providing valuable insights for nursing leaders. Concluding with a visionary outlook, the book emphasizes the role of nursing leaders in shaping a better future. Extensive references and a comprehensive index make this book a valuable resource for nursing professionals seeking continuous development in healthcare leadership. "Leadership in Nursing" stands as an indispensable guide, combining theoretical insights with practical wisdom to empower nursing professionals on their leadership journey. Key takeaways from the guide include: Fundamentals of Leadership: Grasp the essence of effective leadership, explore manager roles, and delve into ethical considerations in healthcare. Leadership Theories and Styles: Understand various leadership approaches and identify the most suitable style for different situations. Organizational Dynamics: Navigate the complexities of working within an organization, collaborate effectively with peers, and manage multidisciplinary teams. Nursing Management: Master the art of organizing, staffing, scheduling, directing, and delegating tasks within the nursing domain. Client Care: Prioritize and delegate client care effectively, while confidently addressing challenges and conflicts that may arise. Personal and Professional Development: Foster a positive work environment, cultivate your leadership skills, explore career options, and navigate professional conduct issues. Leadership in Healthcare: Discover the significance of nurse leadership in health development, explore interdisciplinary collaboration, and champion change for health transformation. Innovation and Advocacy: Embrace innovation and entrepreneurship in nursing, influence policy, and lead interprofessional teams to achieve optimal health outcomes. Global and Ongoing Development: Engage in global health leadership, promote diversity, equity, and inclusion in healthcare, and ensure sustainable leadership through ongoing development. Data-Driven Decisions and Crisis Management: Leverage data analytics for informed decision-making and develop resilience to effectively lead through challenging situations. Beyond the chapters, the book delves deeper into crucial aspects like personnel and scheduling guidelines, establishing a culture of patient safety, and paving the way for a better future in healthcare. This comprehensive guide serves as an invaluable resource for nurses at all stages of their careers, empowering them to become transformative leaders in the healthcare landscape.

Author : Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN
Publisher : Springer Publishing Company
Page : 302 pages
File Size : 40,8 Mb
Release : 2013-04-26
Category : Medical
ISBN : 9780826108678

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Nursing Leadership from the Outside In by Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN Pdf

Awarded second place in the 2013 AJN Book of the Year Awards in the History and Pubic Policy category. With the goal of advancing quality health care, this innovative text moves beyond the often insular world of nurse leadership values to offer the perspectives of leaders in other health care disciplines that interface with nurses. These professionals describe and analyze their interactions with nurse leaders regarding their role in quality health care delivery, patient safety, health care reform, and partnering outside the profession, along with suggested improvements. The book will enable nurse leaders to clarify strengths and opportunities for growth and to develop strategies for effective collaborations that are necessary for advancing and transforming our health care system. Each chapter is written by an accomplished health care leader outside the nursing profession, and follows a consistent format that includes definitions of leadership, best and worst professional experience with nurse leaders (in terms of strategic vision, risk-taking, creativity, interpersonal and communication effectiveness, inspiring change and self-knowledge), lessons learned, and implications for leaders within and outside nursing. Key Features: Offers unique views of nursing leadership from healthcare professionals in other arenas Discusses strengths and weaknesses of nurse leaders and leadership values for inter-professional collaboration Reflects the Robert Wood Johnson Executive Nurse fellowship values for excellence Promotes inter-professional strategies to advance health care reform on a national level Designed for use in graduate nursing leadership courses including DNP

Author : Dr. Harriet Forman, RN, EdD
Publisher : Springer Publishing Company
Page : 312 pages
File Size : 45,9 Mb
Release : 2010-09-08
Category : Medical
ISBN : 0826105599

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Nursing Leadership for Patient-Centered Care by Dr. Harriet Forman, RN, EdD Pdf

"This book should be read by every nurse manager. Nursing students and faculty will benefit from reading it as well."--Nursing Education Perspectives "Dr. Forman's book is revolutionary and courageous in that it brings to light negative issues that exist in nursing management and patient careÖ.Her use of plain, day-to-day language and methods will ultimately bring reform to health care at the bedside." —Deborah M. Tascone, MS, RN Regional Executive Director North Shore Long Island Jewish Health System "The vignettes provide great examples that could lead to rich classroom or workshop discussions. Perfect for leadership/management courses and in health care organizations..." Diana Mason, PhD, C, FAAN, RN Editor Emeritus, American Journal of Nursing Professor of Nursing, Rudin Chair, Hunter-Bellevue College of Nursing Too often, both nurses and patients witness major breakdowns in the health care system-ineffective communication, unrealistic nurse-patient ratios, tension among staff, abuse of authority, and most importantly, managers drawn away from patients due to administrative duties. This inspiring guide presents engaging, real-life stories of nurses, managers, and leaders who have experienced failures of the system firsthand, and have been motivated to critically examine, address, and resolve them. This collection of narratives includes practical methods, models, and strategies that nurses can apply to enhance and expand their own practices. Readers will gain a wealth of insight on how to overcome narrow-mindedness and egocentrism, to improve their management, leadership, communication, and organizational skills, and ultimately to bring real reform to health care practices and patient care. Key features: Presents stories of actual management issues and how nurse leaders/managers, nursing staff, and patients have handled them Identifies harmful trends in the health care system that can be analyzed and remedied Encourages nurse managers to shift the prevailing "system-centered" orientation to one that is "patient-centered" Provides a phenomenologically based leadership/management model for resolving nursing issues institutionally and individually Includes methods for addressing cultural and religious barriers among staff An engaging, enjoyable read, this book will empower readers to learn from these narratives and to dramatically transform the health care system at large.