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“You are a nurse manager in a busy emergency department. You have been working in this department for almost 10 years now and have been in your leadership role for the previous five years. Recently, the hospital you work for has undergone major policy changes in regards to RN staffing. Due to these policy changes, your unit is experiencing a high turnover of experienced nurses, which has resulted in a high number of new to service and new graduate nurses. You are currently fully staffed yet the experienced nurses left in the department have shared with you that they are feeling burnout from the constant flow of new nurses needing preceptors. You have also noticed that unit morale overall is down, there are increased call-offs from staff and there has been increased incivility in the workplace. You are concerned that if things don’t improve on the unit, that more staff will leave.”Â
Use this story to answer the following questions. Include and site 2 sources, that are from within the previous 5 years to support your answers.
 1. Discuss how a nurse manager or leader can impact the culture of a struggling unit when changes made at the organization level may be causing distress and unrest among staff.Â
2. In your role as a nurse manager for this unit, what is the first thing you would do to address the current issues the unit is facing? Support this intervention with evidence from the literature. (For example, if you were first going to address the burnout of preceptors, you would include an article about best practices to support preceptors)Â
3. What possible effects can an unit’s culture (and the issues it is facing) have on patient care delivery? Support this with evidence from the literatureÂ
4. If you were a staff nurse on this unit, how can you use your leadership skills to impact patient care and the culture of the unit?Â
5. Identify two “pearls of wisdom” that are applicable to the story above.
SCIENCE
HEALTH SCIENCE
NURSING
NUR 445
