Part 1
To improve the staff morale on the surgical unit and effectively work with the nurse manager it is important to develop and implement a leadership model of shared governance. This approach will enable the nurse assistant to collaborate with the nurse manager and increase staff morale by providing motivating factors. In addition to this, shared governance between the nurse manager and the nurse assistance will ensure that the nurse manager is not solely responsible for all the decision making process in the surgical unit. The nurse assistant can collaborate with the nurse manager and work as leaders to create an environment for change by encouraging professional relationships with and among the groups. According to Roussel et al (2018), leaders can introduce change in the work environment by sharing responsibilities, promoting mutual trust and confidence and emphasizing interdependence. Therefore, through these changes the nurse manager and nurse assistant can enhance the employees’ morale – since they will feel included in the daily functioning of the unit.
Part 2
Question 1
Nurse leaders are responsible for the strategic and high-level operational functioning of a facility. Their main role is to focus on developing the long-term vision of an organization by ensuring that there is regulatory compliance, controlling quality measures and implementing policies. On the other hand, nurse managers are the main change agents in an organization; thus, they are responsible for leading change. The managers supervise and coordinate the different nursing units, divisions and services within an organization.
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Question 2
Some of the challenges that a nurse manager encounters include; meeting productivity measures, managing the staff and their performance, leading change and managing clinically experienced nurses that have interpersonal issues. According to Kotter (1995), communication is a vital tool for overcoming the leadership challenges encountered. Therefore, new nurse managers must implement communication strategies that enable them to communicate their vision and expectations to their staff. Additionally, the staff can rely on effective communication to convey their concerns. Secondly, the nurse manager must foster trust and confidence among the staff as a way of increasing productivity through effective performance. When the staff members are confident in their roles and trust their leaders they are more committed to their responsibilities. Thirdly, the nurse manager must implement a shared decision-making process to address the interpersonal issues among the nurses; this can be achieved when employees have the opportunity to discuss their views and the managers address any problems that are noted.
References
Kotter, J. P. (1995) Leading Change: Why Transformation Efforts Fail. Harvard Business Review , 73, 59-67.
Roussel, L., Thomas, P. & Harris, J. (2018). Management And Leadership For Nurse Administrators . Jones and Bartlett.