Introduction
California Nurses Association (CNA) was founded in 1903 to promote the financial and professional requirements of nurses in California (Clark,2018). Since then, the association has fought relentlessly to ensure that the government addresses the needs of nurses. Before CNA became active, nurses in California were being mistreated by the government and other workers in the medical field. They had a narrow scope of practice that prevented them from practicing essential patient practices such as performing cardiopulmonary resuscitation (CPR) and administering some medications. More so, the corporate hospital industry, which was responsible for employing nursing, dismissed most qualified nurses, and replaced them with unlicensed staff. Such actions raised concerns from nurses and even patients.The purpose of this paper is to address the efforts and outcomes of the association and how effective leadership affected their outcomes. Besides, an evaluation of how their efforts can be applied to improve the practices of APRNs is included.
Comprehension: Efforts and Outcome of California Nurses Association
When the California Nurses Association came into action, it activated nurses’ strikes and demonstrations in an attempt to gain attention from the concerned bodies (Gastón,2017). Firstly, the CNA leaders mobilized their members to fight for collective bargaining contracts so that their salaries can be increased. At that moment, nurses were being paid low wages as compared to the services they provided. Although it took long for the government to respond, the pressure from demonstrating nurses and the support from patients convinced it to sign the contract that led to a rise in nurses’ wages. Also, the efforts to improve working conditions were successful in 1976 when the government of California agreed to initiate safe staffing of nurses by adopting CNA-sponsored law that demanded that a registered nurse should only handle a maximum of two patients in intensive care units.
In 1992, the association established a new model for nursing organizations in response to changes that had affected patient healthcare delivery, such as the dismissal of licensed nurses. As a result, most unlicensed staff were replaced with qualified nurses, and nurses took charge of most nursing organizations. Similar efforts by nurses to improve nursing practice have been witnessed in Canada, whereby leaders try to negotiate with the healthcare management to support new and evidence-based nursing practiced (Willcox et al., 2018).
Application: Core Leadership Concepts to the success of the California Nurses Association
The success of CNA resulted due to the strong leadership skills approaches applied by nurses in California. Firstly, the nurses in the association understood that empowering themselves could earn them their economic and professional needs. As such, they formed a new model for nursing organizations that mobilized the replacement of unlicensed staff with Registered Nurses. A well-formed organization culture allows members to have shared values, beliefs, and assumptions (Manojlovich,&Ketefian, 2016). Therefore, they work in unity to achieve desired goals. CNA leaders as well applied the transformational theory of leadership, which aims at introducing change in healthcare to improve health outcomes. The nurses fought for the improvement in their working conditions, and this led to the reduction of the number of intensive care unit patients that each nurse should manage.
Cultural competency is essential in healthcare, especially when working in a healthcare facility situated in a multicultural setting (Dave, 2019). In that case, nursing leaders should ensure that employees understand the needs of patients during patient care. However, this was not the case in California, whereby the corporate hospital industry opted to replace qualified nurses with unlicensed staff who were not competent with the culture of patients. Demonstrations from patients indicated that they were not satisfied with the services provided by the unlicensed staff. As a result, the government was forced to replace them with qualified nurses who understood the culture and needs of patients (Mahon, Brogan, Thomason, & Kennedy,2019). Besides, Registered Nurses understood the patient safety culture and climate. Safety climate entails keeping both the patient and the nurse safe (Huber, 2017 p.53). Thus, nurses who had undergone full training could enhance a patient safety culture and climate that can lead to better health outcomes.
The government also plays an essential in promoting healthcare. The California Nurses Association involved the government in solving their problems. Since the nurses could not reach the government themselves, CNA officials represented them effectively by presenting the grievances. According to Huber (2017 p. 54), leaders should promote a just culture that values patients by acting as a bridge between the senior nursing leadership and nurses. The CNA leaders acted as a bridge, in this case, to ensure that nurses in California acquire their desired needs from the government.
Analysis/Synthesis: Variables contributing to the success of the California Nurses Association
The success of the California Nurses Association fighting for the rights of nurses depended on several identified variables. Firstly, transformational leaders leading the association contributed highly by mobilizing the government to respond to the grievances aired by nurses ((Dempsey, & Reilly, 2016). Despite the challenges encountered in the process, they were destined to achieve their desired goals. Besides, they led other nurses in strikes and demonstrations, which helped them to gain media alert. Through them, nurses were able to unite and fight for a common goal. Secondly, the support of patients in demonstrations contributed highly to their success. Patients understood that nurses deserved what they were fighting for, especially an increment in their wages. Also, the walkout of nurses from the hospital greatly affected patient outcomes (Allen, Aldrich, & Adams,2019). As such, they had a reason to demonstrate in favor of nurses so that they can return to their healthcare aid.
Lastly, their persistent spirit of fighting for their rights contributed highly to the success. Studies show that the nurses engaged in several strikes before the government of California responded to their grievances. Initiating a change in nursing practice has always been a challenge, especially when the majority seem to reject the suggested change. In this case, nurses were fighting against the top heath management body, which was reluctant to accept their plans. However, they had a strong fighting spirit since the change meant a total change in the perception of nursing in the country.
Evaluation: Efforts of the CNA as a Model to enhance APRN Practice
The efforts shown by California Nurses Association were meant to remove barriers that affected the convenient delivery of healthcare. For example, nurses were denied the mandate of some of the essential procedures, such as cardiopulmonary resuscitation. Also, the board dismissed most nurses without any valid reason since they had no strong representation. As such, the reason for forming the association was to bring change in the field of nursing practice. Therefore, their efforts can be summed up into the transformational model of leadership, which involves leading employees in initiating a positive change. The model can as well be applied by APRNs to initiate change in their scope of practice. In some healthcare facilities, APRNs are not allowed to practice some of the functions that they are certified to perform, such as diagnosing diseases in patients (Kumar, Larrison, Rodrigues, &McKeithen, 2019). Effective APRN leaders can mobilize other nurses in the field to fight for their professional rights. Also, they should show develop persistence while fighting for a change in the scope of practice since transformation in nursing takes some time due to incidences of rejection from other healthcare providers.
References
Allen, J. I., Aldrich, L. B., & Adams, M. A. (2019). Preparing for Large-Scale Disruptions in Health Care Delivery: Nursing Strikes and Beyond. Clinical Gastroenterology and Hepatology, 17(8), 1424-1427.
Clark, P. L. (2018). Nurses Unions Efforts to Give RNs a Greater Voice in Patient Care. Members-only Library.
Dave, A. (2019). The Need for Cultural Competency and Healthcare Literacy with Refugees. Journal of the National Medical Association, 111(1), 101-102.
Dempsey, C., & Reilly, B. (2016). Nurse engagement: What are the contributing factors for success. OJIN: The Online Journal of Issues in Nursing, 21(1).
Gastón, P. (2017). A Caring Class: Labor Conflict and the Moral Economy of Care in California Hospitals. University of California, Berkeley.
Huber, D. (2017). Leadership and nursing care management-e-book. Elsevier Health Sciences.
Kumar, P., Larrison, C., Rodrigues, S. B., & McKeithen, T. (2019). Assessment of general practitioners’ needs and barriers in primary health care delivery in the Asia Pacific region. Journal of Family Medicine and Primary Care, 8(3), 1106.
Mahon, M., Brogan, G., Thomason, J., & Kennedy, C. (2019, November). Experience, Research, and Policy: Improving the Health and Safety of Nurses and Patients. In APHA’s 2019 Annual Meeting and Expo (Nov. 2-Nov. 6). American Public Health Association.
Manojlovich, M., &Ketefian, S. (2016). The effects of organizational culture on nursing professionalism: Implications for health resource planning. Canadian Journal of Nursing Research Archive, 33(4).
Willcox, A., Sutherland Boal, A., de Padua, A., Balaski, B., Ens, B., Toye, C. R., … & MacPhee, M. (2018). Leadership and Influencing Change in Nursing. University of Regina Press.
Get professional assignment help cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason may is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Our essay writers are graduates with diplomas, bachelor, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college diploma. When assigning your order, we match the paper subject with the area of specialization of the writer.
Why choose our academic writing service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Literature
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Finance
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
Computer science
Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!
Psychology
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
Nursing
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Sociology
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
Business
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
Statistics
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Law
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
Reasons being:
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!
