7101NRS - Leadership's Impact on Quality of Care: A Critical Essay

This essay provides a critical analysis of leadership in a healthcare setting, examining the factors that impact the delivery of safe, quality care and professional practices. It identifies issues such as workplace culture, employee retention, employee turnover, workforce shortages, and the quality of leadership and management. These issues are evaluated for their impact on consumers, patients, and stakeholders. Recommendations are provided to improve and support quality care and professional practices, including hiring employees with a culture fit, effective communication, adding perks, and improving skills and training. The essay concludes that implementing these strategies can help retain employees, improve the quality of care, and ensure the smooth running of healthcare services. Desklib offers a platform for students to access similar solved assignments and past papers.

Assessment Item 1 Written
project Critical analysis essay

Table of Contents
INTRODUCTION..........................................................................................................................3
Factors that impacting safe delivery, quality of care, workplace professional practices............3
Evaluation of identified issues which may impact the consumer, patients or stakeholders within
setting..........................................................................................................................................5
Recommendation.........................................................................................................................6
CONCLUSION..............................................................................................................................6
REFERENCES...............................................................................................................................8

INTRODUCTION
Nursing staff refers as front-line staff who debits responsibilities to provide primary
treatment to patients (Jeong & Kim, (2018)). They are also suppose to promote quality of care,
and individuals are able to attain treatment and services. Ethically, they are also responsible for
maintaining the medical history of individuals and provide follow ups as per needs of patients.
They are the one who assist doctors to perform diagnostic tests and surgeries(Jeong & Kim,
(2018)). According to studies, in nursing profession, the conflicts and complications which are
arise in workplace that can be professional, personal or ethical (Rasmussen, (2018)).
This essay highly focus on the considered case study in which these issues are
addressed as difficult culture in reputation of work unit. Different culture contributes in
impacting on workplace culture, quality of services and care and managing better staff
requirement. Moreover, it also underpins various important factors which are also impacting the
workplace, quality of care, safe professional practices along with factors which should be
prioritised. There are issues evaluated which impact consumers, patients and other stakeholders
in workplace of health settings. There is also discussion about the strategies which can be
implement to support the quality care or professional practices.
Factors that impacting safe delivery, quality of care, workplace professional practices
In healthcare setting, there are some of the factor which may impact the workplace,
quality of care and professional practices. Workplace culture is one of the factor, which can able
to impact the quality of services and management in workplace. Issues such as long working
hours, difficulties in attaining sick leaves and reducing cost of overtime staff. Due to having
difficult work culture there are different problems in the workplace which should be the
followed by the nursing staff and need to perform different task in difficult way. Also, it has
been observed that another major issue of workplace employees are not permanent. Lack of
permanent members can also contributes factors such as lack of motivation and encouragement
towards work (Jeong & Kim, (2018)). In this lead to complete the impact on delivering of
healthcare to the patient and lead to impact quality care and their working performance which
should be in the better way for delivery of healthcare services to the patients (Jeong & Kim,
(2018)).

As per the case study, employee retention is also the one of the main factor that can have
high impact on the delivery of healthcare services to the patient. Due to workforce and different
reasons there are various difficulties which has been faced by the nursing staff. This lead to
create the negative impact on the delivery of services and create impact on the workplace and
delivering quality of care and services which impact on the growth and development of the
nursing staff. These are some of the reason due to which it is hard to retain nursing staff at the
workplace and creates the crisis of nursing staff which impact the quality of care. This further
conclude job dissatisfaction, absenteeism and so on (Jeong & Kim, (2018)).
Another issue that can be considered as employee turnover. This is one of the major
reason which impact the workplace and delivering of healthcare services to the patient. This is
the one which directly impact the workplace and delivering better services to the patient (Jeong
& Kim, (2018)). Due to increased employees turnover, it needs time and cost for the proper
training of nursing staff for better delivering of healthcare services to the patient (Jeong & Kim,
(2018)). When nursing staff left the workplace it creates difficulties for the organization which
is highly difficult to maintain and fulfil the required number of nursing staff in the premises
(Ryan, (2017)).
Moreover, in healthcare sector, the issue of unavailability of required workforce is
global challenge. There is high demand to maintain the required designated employee at the
workplace in order to provide services in systematic manner (Ryan, (2017)). due to shortage of
workforce at the designated areas, it is difficulty for them to perform their job role. It can also
lead to work stress for an individual for proper delivering of healthcare services to service users.
There are working areas where teamwork is required due shortage of workforce, practitioners
usually peruse overtime and this long working hours of practitioners leads to conduct
professional issues. This factor termed to be barrier in workflow of health practitioners which
creates difficulties in delivering of healthcare services in systematic manner.
This also impact the quality of care and professional practices. New recruits should be
hired in order to overcome form this issue, who have qualities such as teamwork and leadership
which are most important skills in health care sectors to work (Ryan, (2017)). According to the
studies, quality of leadership and management are factors which play and important role in
delivering better quality of care and services to the patient (Ryan, (2017)).

Evaluation of identified issues which may impact the consumer, patients or stakeholders within
setting
The factors which are considered have impact on the consumer, patients or stakeholders.
In which workplace culture is the factor which can impact the delivery of healthcare services
and also can impact the workforce in the settings. Workplace culture impacts the consumer,
patient and stakeholders in different way. Due to mismanaged workplace culture, it is
complicated to perform nursing staff role in a better way which interrupts the delivery of
healthcare services to the patient. Due to this working pattern in a workplace, the quality of
services usually get impacted which is delivered to the consumer, patients or stakeholders. Due
to unsuitable workplace culture, nursing staff feel problem in delivering of healthcare services
which ultimately impact the last consumer, patient or stakeholders (Rosenkrantz, (2017)). This
satisfaction may also lead many nurse practitioners to quit their jobs and mental distress due to
work stress.
As per the studies it has been considered that employee retention mainly impacts on the
organization but when observed precisely, then it can be seen that due to employee retention
which is to make nursing staff at the workplace can allow them to delivery better quality of
healthcare services due to having experience (Rosenkrantz, (2017)). Due to employee retention
can help nursing staff to get level of satisfaction at lead to improved delivery of healthcare
services to the patient or consumer along with stakeholders (Rosenkrantz, (2017)). This can
impact the quality of care and professional practices that is for the patient, consumer and
stakeholders.
Due to increased employee turnover of healthcare settings, it can be observed that there
is loss of time and training to new nursing staff (Rosenkrantz, (2017)). This high engagement of
multiple number of nursing staff can lead to impact the delivery care to large number of
healthcare services to patients, consumer and stakeholders (Jeong & Kim, (2018)). Due to less
number than required nursing staff also impact the deliver of quality care and professional
practices which impact the patient, consumer and healthcare professionals.
Due to shortage of workforce not having the sufficient number of staff member impact
the smooth delivery of healthcare services and care within settings (Fenwick, (2018)). To
smooth run the organization and proper delivery of healthcare services there is need to provide
sufficient number of staff member at designated post (Jeong & Kim, (2018)). This can help to

perform their role in effective way and can help to complete the work with quality. This can
impact the consumer, patients and stakeholder to receive right time care with quality (Fenwick,
(2018)).
Addition to this, Quality of leadership and management can be termed as proper and
ethical management. In which leadership helps nursing staff to delivery better assistance and
care to each patient. Effective leadership can help nursing staff to perform their job role in
effective way with proper direction. Management can help to establish systematic workflow in
the setting which can impact positively on the consumer, patient and stakeholders.
Recommendation
In the healthcare setting there is high demand to minimize these issues. In odder to
minimize, the strategies which should be implemented that can promotes support and quality
care or professionals practices. In which hire employees with culture fit can be useful
intervention. This is the strategy which can help to retain employees and work effectively in the
current workplace culture (Fenwick, (2018)). This can help to deliver better and quality of care
to the patient and staff. Another can be effective communication which should be applied. It can
help to establish smoother delivery of care, there is need to communicate effectively at the
workplace within healthcare professionals or patients. This can help to full-fill the expectation
regarding quality of care (Fenwick, (2018)).
In some evidence base study reflected that adding great perks in health care setting can
be effective (Fenwick, (2018)). Adding perks can help to attract and retain employees at the
workplace which can impact the quality due to satisfaction of nursing staff in the workplace.
Adding perks make employees to retain at the workplace due to various benefits (Romig,
(2017)). Addition to this, improving skills and training should be adopted through health care
organisation. It can help nursing staff to learn different skills and training enable them to deliver
better quality of care and services to the consumer and patients. Improved skills and training
provide ability to deliver better quality of care and services to the patient in effective way.
CONCLUSION
From above discussion, it can be concluded that there are various factors which can
impact the deliver of quality care and services at the workplace or professional practices. Setting
need to utilize some strategies which can help to retain employees or nursing staff the

workplace which can enable them to deliver better quality of care and services to the patients. In
this essay, there is discussion about various factors that can impact the workplace and quality of
care. There is evaluation of those factors which can impact the consumer, patients and
stakeholders. There is also discussion about the various strategy which should be there in the
setting for effective and smooth running of healthcare services.

REFERENCES
(Chapman, (2017)). Impact of teamwork on missed care in four Australian hospitals. Journal of
clinical nursing, 26(1-2), 170-181.
(Fenwick, (2018)). Personal, professional and workplace factors that contribute to burnout in
Australian midwives. Journal of advanced nursing, 74(4), 852-863.
(Jeong & Kim, (2018)). The relationship between intention to leave the hospital and coping
methods of emergency nurses after workplace violence. Journal of clinical
nursing, 27(7-8), 1692-1701.
(Rasmussen, (2018)). Factors influencing registered nurses' perceptions of their professional
identity: An integrative literature review. The Journal of Continuing Education in
Nursing, 49(5), 225-232.
(Romig, (2017)). The future of clinical education: opportunities and challenges from allied
health deans' perspective. Journal of allied health, 46(1), 43-56.
(Rosenkrantz, (2017)). Trends in publications in radiology journals designated as relating to
patient-centered care. Journal of the American College of Radiology, 14(5), 703-709.
(Ryan, (2017)). Valuable yet vulnerable—a review of the challenges encountered by older
nurses in the workplace. International journal of nursing studies, 72, 42-52.