Helping Nurses "Live Smarter Not Harder" by Balancing the Mind, Body, Soul and Spirit

Archive for the ‘control’ Category

Middle Management The Forgotten Heroes

Organizations must begin to look at their middle management teams as an integral part of their strategic visions. As healthcare becomes increasingly complex and organizations must transform themselves to compete in such things as patient satisfaction, patient outcomes and cost containment: middle managers hold the key to their success. As nursing leaders we must transform ourselves by becoming knowledgeable about who we are and how we can work “Smarter not Harder” and be effective. We must also empower ourselves to ask for what we want and need so we can take care of ourselves, our staff and our patients while implementing the visions of our companies and our profession.

The role of the front line nurse manager has become more stressful today due to the changing healthcare environment. Not only are some managers on call 24 hours and seven days a week, they are held responsible for improving quality care, and patient safety. In addition, they are responsible for their own clinical practice and the clinical practice of others even when they are not there.
Middle managers endure the increased need to multitask more and more each day. Yet many nursing managers are not treated as one who holds real power. Traditionally, nurses receive little credit for their contributions to the successful outcomes of their patients. Nursing leaders also receive little credit for getting the job ‘done’ from their leadership and endure lack of respect from staff. These contribute to job dissatisfaction among nurse leaders. Job dissatisfaction leads to apathy and decreased effectiveness as a leader. middlemanagerscropped1

Why are middle managers forgotten so easily? I believe it has a lot to do with how we are ‘raised’ in our leadership positions. Selection of nursing managers is often done haphazardly. Often, it’s the person who is
1. ‘In line’ for a promotion based on seniority.
2. Hand-picked by a friend in management.
3. Bullying their way in
4. ‘Pushed’ into the position.
However they are chosen, there is little initial or ongoing training for the new manager. They are expected to perform as a leader who understands how to manage budgets, staffing, discipline and people. Most learn by trial and error. Support is ‘hit and miss.’ The skills that the manager learns are sometimes enhanced if they further their education on their own. This education can come in the form of formalized degree programs, coaching and workshops but usually it’s on the job training. Experience is a great teacher but without guidance, mentoring and training it can become very dangerous. Nursing leaders must be carefully selected, developed in their roles, listened to and supported in their decision making.

Nursing management can positively influence the accomplishments of a healthcare organization. They translate the strategic goals and objectives of that organization and have them realized at the operational level. The core responsibilities of the nursing leader are to assure delivery of quality, cost effective nursing services and management of the environment in which nursing is practiced.
Nursing managers need to come out of the shadows. They need to ‘marry’ their clinical knowledge with business savvy. Whether you are seasoned or new to management, understand that leadership is a position of service. Our service is not only to our patients but it’s also to each other. We need to abolish the phrase “Nurses Eat Their Young” by taking care of ourselves and mentoring others.

The best way to gain something is to give something first. You became a leader because you believed you could make a difference. If you think that your leadership is all about you then you are operating with a closed mindset. It is about you but it’s not ALL about you! All is not lost. You can make a difference in your life and the lives of others. Begin by finding someone to mentor. Share your wisdom. (Yes, you have wisdom.) As you live your nursing legacy in real time, in real service and with real power, you will gain so much more. Ask for what you need. You deserve it. Giving all of you and leaving nothing for yourself is not the way to prosper in the long run. It’s about balance.

Middle managers will be forgotten only if they continue to allow themselves to be forgotten. I am calling on all nursing leaders from the charge nurse to the CEO to begin to change our motto from “Nurses Eat Their Young” to “Nurses: We Take Care of Our Own!” You need a renewed mindset and some new tools to do it. I can help! Many nurses I work with have regained their power base and enjoy leadership again. Middle_Manager_of_Justice_logo

Visit my website and get more great information. Contact me for a free “Personal Care Plan Assessment” ™. This is where we can find out what your needs are and whether you can benefit from my services.

About Naomi
Naomi is a Registered Nurse, Certified Life Coach and Motivational Speaker. She is owner and CEO of Consults Unlimited Inc., a Professional Life Coaching company. She is known as the Life Coach RN. With over 30 years of nursing experience, she has been in management for over 19 years. Her nursing practice includes bedside nursing, Hospital, SNF, Homecare and other areas of healthcare. Credentials include a Master’s Degree in Health Services Administration, several certifications, military service and work with several community and professional organizations.

Tips for the Emotional Spender!

Emotional spending has two basic components. One is when
you spend money on things that are not needed or really wanted.  The second is when you spend money because you
are unhappy or stressed out. Uncontrolled emotional spending can lead to
financial ruin.  To make better financial
decisions, it is important to understand and manage our emotions.       

Emotional triggers come from external and internal sources.  External influences like advertisers spend
millions of dollars appealing to your emotions so you will buy their products.  Manufacturers have influenced our society by
promoting holidays and all kinds of reasons to spend money.  Holidays like Valentine’s Day (to prove you
love someone), Easter, Christmas and even back to school have become commercialized
for big sales days.  Today more women
work outside the home and we are made to feel like we must compensate for not
being there.  So we buy our children
things.  These factors increase emotional
spending by making us feel ‘bad’ if we don’t.  

We can limit advertisers influence on our spending.  Here are a few things you can do:

Stay out of the Malls

Opt out of credit card offers  

Sign up for the Do Not Mail Registry 

Install an ad blocker on the computer

Unsubscribe to emails from stores and catalog mailings

Block TV sites like QVC, the Shopping Channel, etc…

  Internal factors and tips for women who are
spending emotionally.

1.  Self
esteem issues- not feeling special.
 When you don’t get the respect and
recognition from others you feel you deserve, you decide to give it to yourself
by shopping.  When you take care of everyone
else and don’t take care of yourself on a regular basis, you then feel like you need to do something for yourself even if the item purchased
is not needed. 

Tips – Get in touch with your feelings.  Just before you spend money ask yourself; Am
I feeling less than?  Often women don’t
ask for what they need from others. 
Getting better communication skills and managing your environment will
give you a sense of control and power.  When
we have control we become powerful and will make good decisions in our lives
and our finances. 

2. Stress-
We all react to stress differently. 
The brain and our hormones play a big part in how we feel and react
to stress. There are actual changes in the brain that occur when we spend
money. The elation we may get from shopping only provides temporary relief
to stress. We must deal with the cause of the stress and find other ways
to deal with your emotions.  Do a
check up from the neck up! 

Tips    Understand
how you react to stress personally.  Try
replacing spending money with other things you like to do.  Exercising, dancing and spending time with a
friend or family.  Do things that don’t
cost money. Go to a park. There are plenty of free resources.  Seek them out!  Watch out for emotional triggers. Ask
yourself, am I angry? Stressed?  Lonely? If
so handle that emotion before spending money!

3.  Buying
on impulse
You go in the store for one thing and then purchase five other
things.  These impulses can wreck a
budget if you’re not careful.  Rationalization
is part of impulse buying.  You tell
yourself “If I don’t buy it now I will not get the opportunity again”. Purchasing
things that you know you can’t afford. 
The use of credit cards allows this reasoning to flourish.  

Tips – Go to stores with a list.  Stick to it! 
Take a friend with you who will hold you accountable for what you say
you are going spend.  Make a decision to
give yourself at least 24 hours from the point of looking to the point of
buying.  Leave credit cards home and
carry only the cash you mean to spend.

Have a budget and follow it.  Budget for
necessary expenditures and a little emotional spending. If you can’t
afford it, don’t buy it! You don’t want to incur excess debt. Keep track of
your spending.  $1 here and there adds
up.  Too many small bills can go
fast.  Did you ever notice what happens
when you break a $20?

I want women to live
smarter not harder. Emotions influence the way women spend money. By taking
control of your environment and your feelings you can pay your bills and exercise
power over your finances.  With this
information we will create a better future for ourselves and our children.  It’s all about financial intelligence and being
powerful women.