Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct. 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

Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct. 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

Introduction

Nursing leaders and managers are legally and morally obligated to ensure patient safety and high quality of care and to endeavor to improve care. These leaders and managers are in a leading position to mandate policy,   procedures, systems, and organizational climate. The paper analyzes differing leadership and management approaches to ensuring the provision of quality care and safety of patients when floating nurses.Effective Approaches in Leadership and Management.

Floating and how it impacts quality of care and patient safety in the setting in which it occurs

Floating is reassigning staff from their home unit or permanently reassigned unit to another unit based on patient acuities and census.  It is a strategy utilized in addressing alterations in nurse staffing caused by unplanned staffing fluctuations, high patient census or acuity, and unexpected staff call outs. Health care organizations float nurses from their home units to other units to avoid using agency nurses or nurses who are paid overtime. However, floating nurses to units that they are not familiar with can put patients at risk. O’Connor and Dugan (2017) indicate that for nurses, floating to a unit where the needs of patients are diverse from those the nurse usually encounters can elicit anxiety, stress, frustration, and dissatisfaction with work, which can subsequently affect patient safety and quality of care.  Lafontant et al. (2019) indicate that nurses who are assigned in units that are diverse from their own units are afraid of making decisions in unfamiliar care environments that might expose patients to possible harm. Medical errors occur more when nurses are floated to unfamiliar units. Effective Approaches in Leadership and Management.

Working with a patient population that one is not familiar with can eventually threaten the safety of patients.  Recurrent floating can result in staff dissatisfaction and compromise the safety of patients since an employee who is not satisfied might not deliver quality care (O’Connor & Dugan, 2017).  Lafontant et al. (2019) emphasize that floating affects nurses both psychologically and professionally.  Nurses attain expertise and self-confidence in one area. Nurses that float face unfamiliarity with disease processes and the form of patients in the receiving unit. Experienced nurses become nervous and need help from colleagues. The majority of this nervousness is associated with the fear of committing an error, causing harm to patients.Effective Approaches in Leadership and Management.

How professional standards of practice should be demonstrated in floating to maintain professional conduct

Health care organizations can demonstrate professional standards of practice to maintain professional conduct by floating nurses to units that are similar to their own units or cross-training them to equip them with the skills and knowledge to work in different units. According to O’Connor and Dugan (2017), the position statement of the Joint Commission on floating is that when a health care workers are required to work in a unit that is not his/ her home unit, that unit should be the same as her/his own unit and the nurse have competencies to work in the specific unit. The Commission also requires organizations to float staff to units of equivalent acuities and clinical diagnoses. In addition to the Joint Commission guidelines on floating, the Registered Nurse Safe Staffing Act of 2015  mandates healthcare institutions to take the responsibility of ensuring that nurses are not required to provide care in units for which they are not sufficiently trained, educated, and experienced.   Also, the position statement by the American Nurses Association is that registered nurses are professionally permitted to object, accept, or, reject patient tasks that expose themselves or patients to the threat of harm.Effective Approaches in Leadership and Management.

The differing roles of nursing leaders and nursing managers in floating

Although nurses might have negative perceptions about floating but it is usually a necessity. Nursing managers and leaders can take numerous interventions to ensure o best possible outcomes when they use floating.  A nurse leader in a nursing unit must set the tone floating and have a resource plan in place when nurses are required to pull to units that are not familiar with.  According to O’Connor and Dugan (2017), the nurse in charge of a unit should provide orientation to the float nurse, partner the nurse with a nurse who has experience working in the unit and offer written and verbal information o