Here's how you can spot and resolve performance issues in your nursing team.

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In any healthcare setting, the performance of your nursing team is crucial to patient care and overall efficiency. As a leader, it's essential to recognize when your team may be struggling and take proactive steps to address any issues. Performance problems can range from simple misunderstandings about job responsibilities to more complex interpersonal conflicts or skill deficits. By staying vigilant and fostering an open environment, you can ensure that your team operates at its best, providing top-notch care to those in need.

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1 Spot Signs

To effectively manage your nursing team, you must be adept at recognizing early signs of performance issues. These can manifest as frequent tardiness , missed deadlines for patient care plans , or a decline in the quality of documentation . You might notice increased tension among team members or a lack of enthusiasm for participating in team activities . By paying close attention to these signs and engaging in regular communication, you can identify problems before they escalate.

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Melrose Bernardo

Multilingual BSN,RN with multiple unencumbered international RN licenses. Speciality in Critical Care and Emergency Nursing.Bringing with me international experiences of care and extensive knowledge to help save lives??
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Soot early signs of performance issues: 1. Decreased Quality of Patient Care: Look for signs of errors, omissions, or lapses in patient safety protocols that may indicate a decline in performance. - Resolution: Address any concerns about patient care quality immediately. Provide additional training, support, or supervision as needed to help team members improve their performance and ensure the highest level of patient care. 2. Increased Absenteeism or Tardiness: - Resolution: Have a conversation with team members who exhibit attendance issues to understand the reasons behind their absences. Offer support, flexibility, or resources to help them address any personal or work-related challenges that may be impacting their attendance.

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Kevin Percival

Chief Nursing Information Officer at Ashford and St Peter’s Hospitals NHS Foundation Trust
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In the age of in increasing data there is a real opportunity to ensure that front-line nurses have access to their own performance and outcomes measures to have their own professional insight but this is also true for managers and supervisors who should use the data to guide professional curiosity and reflection with the front-line nurse. Data is of course only part of the picture which needs to be triangulated with anecdotal and other factors such as any personal challenges or events taking place.

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2 Open Dialogue

Once you've identified potential performance issues, it's important to foster an open dialogue with your nursing team. Approach the situation with empathy and a genuine desire to understand the root causes of the problem. Encourage your team members to share their perspectives and listen actively. This can help you gather valuable insights into the dynamics of your team and the individual challenges that your nurses may be facing.

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Kevin Percival

Chief Nursing Information Officer at Ashford and St Peter’s Hospitals NHS Foundation Trust
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This is really important when you are dealing with any teams in distress to identify, acknowledge and confirm through open and transparent dialogue which means to make the performance issue a shared issue of the "System" that the issue exists within. There then needs to be insight to the individuals involvement in the issue which needs to be done through reflective and restorative practice.

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3 Assess Skills

A thorough assessment of your team's skills and competencies is vital in pinpointing performance issues. Evaluate whether each nurse's training is up-to-date and if there are any gaps in knowledge that need addressing. Consider whether the workload is evenly distributed and if all team members have the necessary resources to perform their duties effectively. This assessment will guide you in developing targeted solutions to enhance your team's performance.

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4 Provide Support

Supporting your nursing team is key to resolving performance issues. This could involve offering additional training , mentoring, or even adjusting work schedules to better match individual strengths and weaknesses. Show appreciation for their hard work and dedication, as this can boost morale and motivation. Remember, support also means being there to listen and provide guidance when your nurses encounter challenges.

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5 Implement Changes

After identifying the issues and providing support, it's time to implement changes. This might involve revising protocols , enhancing communication strategies , or introducing new team-building exercises. Be transparent about the reasons for these changes and involve your team in the decision-making process as much as possible. This inclusion can increase buy-in and commitment to the new procedures.

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6 Monitor Progress

Lastly, monitoring progress is crucial after implementing changes to resolve performance issues. Set clear, measurable goals and regularly check in with your team to assess whether these objectives are being met. Celebrate successes, no matter how small, and be willing to make further adjustments if certain strategies are not working as well as hoped. Continuous evaluation and adaptation will help maintain high standards of nursing performance.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Here's how you can spot and resolve performance issues in your nursing team.

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1 Spot Signs

2 Open Dialogue

3 Assess Skills

4 Provide Support

5 Implement Changes

6 Monitor Progress

7 Here’s what else to consider

Nursing

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