Case Study: Nursing Leadership
Case Study: Nursing Leadership
Read Chapter 9 attached and create a 500 words essay answering the following. (please use at least 2 references and follow APA style)
1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.
a-Will you have to leave earlier to be in class on time?
b-Will you meet different people on your way to class?Case Nursing Leadership Discussion Essay
c-See different sights?
d-Would you change your route to class on the day of the final exam?
e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change.
2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. Case Study: Nursing Leadership
a-How did you react to the change?
b-Would you have reacted differently if you had had more information?
c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.
ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Case Nursing Leadership Discussion Essay
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
A leader is a person who can motivate others to do work to achieve the goals of the organization. In a nursing organization, improving the quality of healthcare delivered by the department to be equal with the organizational performance is a key role of leadership(Marquis and Huston, 2015). Case Nursing Leadership Discussion Essay Nursing leadership is essential in the clinical setting and plays an important role in the development of the nurse as an individual or as a professional. An effective leader often has persistence, initiative, integrity, courage, and can handle stress. Furthermore, leaders must be able to think critically, communicate effectively with other team members, set and execute goals (Davidson, 2010). During my clinical experience in the Cardiovascular Intensive Care Unit at Arkansas Children’s Hospital, I was apt to learn and perform leadership duties with Ms. Street, a Patient Care Manager. Hence, I addressed four important learning objectives, which are discussed in further detail below.
Currently, the CVICU is understaffed, especially on day shift due to many variables. This leads to the first objective, “Assess staffing to determine if staffing is adequate to meet the required staffing based on the current acuities of the patients.” The staffing is based on the current acuities and also based on the surgeries to be performed that day, direct admissions from the Emergency Department, the Catherization Lab, or outpatient clinics, and any neonates to be born with known fetal cardiac defects that require transportation to ACH for immediate care. Generally speaking, most of the days I was in the unit at least one of the Patient Care Managers were having to work in staffing due to staff shortages. My preceptor had to staff my first day of clinical experience due to nursing shortages. Consequently, I was able to examine an assignment with high acuity patients that had to be paired due to staffing issues. My preceptor’s assignment consisted of a seven-month-old Tetralogy of Fallot with multiple anomalies with pleural effusions status post-operative chest tube drains placed, currently on a Heated Nasal Cannula, with a right radial Arterial Line, femoral Central Venous Line, and a Peripherally Inserted Central Catheter, on contact Case Nursing Leadership Discussion Essay
Healthcare leadership is a complex multifaceted process, comprising of diverse definitions and qualities. It is highly beneficial for healthcare nurses to be able to identify the leadership styles applicable to their nursing practice. Being proficient in identifying these styles qualifies nurses to advance their expertise to become better leaders and also improves the relationship with other leaders and colleagues. Effective leadership is essential for the safety of the patients and better patient outcomes. This essay explores the connection between leadership and patient safety, different leadership styles and their main features and explains how these leadership styles are applicable in different clinical instances.Case Study: Nursing Leadership
Leadership and patient safety
Literature addressed the significant impacts of nursing leadership has on patient safety is extensive and a strong connection exists between patient safety and leadership in health care systems (Wong et al., 2013). Patient safety can be defined as the inhibition of mistakes and adversative effects to the patients allied with the healthcare system. With the advancement of the healthcare system, maintaining patient safety is also becoming more challenging. The main properties of safety emerge from the accurate interactions between components of the healthcare structure, thereby leading the approach to a well-defined emphasis for patient safety, namely system. The objective of patient safety can also be stated as the prevention, evasion, and amelioration of adverse outcomes or harms stemming from the course of care. Thus effective leadership is essential for the patient-centred care and patient safety. Case Nursing Leadership Discussion Essay
The essence of nursing leadership is to motivate, to inspire, to promote ethics, to generate and empower a consistency emphasis on the essentials of the patient being served. By the means of effective leadership, strategies can be implemented to prevent errors, make coordination with the patient and their families, delivery of individualized care to maintain diverse cultural health beliefs of the patients and most importantly maintain patient safety. An emerging body of information now demonstrates a strong association between leadership activities and safety metrics (Wong et al., 2013). A study found that high-performing healthcare organizations with high rank on measures of safety and quality tend to have clinical leaders with more skills in safety and quality issues and devoted more time to discussion of safety and quality with the management bodies. Studies have provided more insight into how leaders can positively influence safety and found that leaders of high-quality hospitals used more effective leadership practices to monitor and improve safety. These practices embrace planned use of data to improve care by allocating detailed eminence objective and frequently observing performance dashboards etc. (Scott & Miles, 2013). Clinical leaderships can address exact safety issues and noticeably illustrate the significance of patient safety as an organizational priority. Case Nursing Leadership Discussion Essay
ORDER NOW FOR CUSTOMIZED SOLUTION PAPERS
Leadership styles
Appropriate leadership styles are crucial for instigating evidence-based interdisciplinary clinical practice. The commonly used leadership styles are autocratic, democratic, transactional, transformational, situational, visionary and Laissez-Faire leadership (Huber, 2013). The manner in which clinical leaders execute leadership over their staff has positive or negative consequences that can give rise to far-reaching effects on the manoeuvres of healthcare organizations (Scott & Miles, 2013). A clinical professional’s individual style of leadership definitely holds a substantial impact on not only patient safety but also on vital health care aspects like employee attrition, teamwork and communication, morale, turnover rate, feedbacks and productivity (Wong et al., 2013).Case Nursing Leadership Discussion Essay
According to Huda (2014), autocratic leadership style characteristically involves leaders or nurse managers who make all relevant decisions, provides working orders and guidelines and also gives instructions to subordinate staffs who must follow under attentive supervision. In this styles, leaders do not consult other staff and the leaders retain as much power and decision-making authority as conceivable. Staffs are expected to follow instructions without receiving any explanation. Case Study: Nursing Leadership
The democratic style of leadership enables greater participation from subordinate workers in the decision-making process of the organization. Despite the fact that the democratic leaders have the ultimate decision-making authority, they gather ideas, information, and feedback from employees before concluding the very decision that will affect those employees (Huber, 2013). This is an extremely effective method of leadership since workers are more likely to present exceptional efforts when they feel valued. Employees feel appreciated when their contribution becomes an integral portion of the decision-making process of an organization. Democratic leadership prospers in healthcare context because of the diverse skill sets and educational backgrounds of staff members. This style encourages open communication of clinicians and decision making (McKeown & Carey, 2015).
According to Huber (2013), in transformational leadership style, a leader works with followers to detect the desirable changes, fashioning a revelation to direct the modification through encouragement and implementing the transformations in tandem with dedicated associates of the group. This style is most effective when handling lower-skilled employees who need closer observation or at the time of crisis (Clarke, 2013). Transformational leaders assists in motivating, increasing confidence and work performance of staff by means of multiple appliances such as linking the employee’s sense of self to the identity of the institute, being a role model for subordinates, inspiring employees to take bigger possession for their work and understanding the strengths and flaws of employees; it allows the leader to align employees with responsibilities that enrich their performance. (Antonakis & House, 2014).
Clinical instances. Case Study: Nursing Leadership
The assortment of a leadership style is entirely reliant on the clinical circumstances and the requirements of the patients. The application of autocratic or authoritarian leadership can be effective for a nurse in charge of the ward working with an inexperienced junior team. A patient unexpectedly collapses on his bed who shows no responses and the leading nurse suspects that he is having a cardiac arrest. The leading nurse can direct the followers and allocate tasks by applying autocratic leadership for the patient’s safety (McSherry & Warr, 2011). The leader cannot be democratic or transactional in this situation because the team members are inexperienced and expecting effective interventions from them can lead to the loss of valuable time for treatment of the patient.
When prescribing medicines clinical leaders frequently applies democratic leadership to avoid any medication error. It is always better to consult with the experienced team members and not to be an autocratic leader before prescribing a drug (Cunningham et al., 2012).
Transformational Leadership has a significant indirect effect on patient falls. Inspiring employees to rigorously assess the safety measurements of the organization, evaluate existing organizational attention to fall, improve supports for fall prevention programs and detect available as well as required resources for fall management can be done effectively by transformational leadership (Higgins, 2015). Autocratic and democratic leadership cannot effectively motivate the followers for patient safety and reduction of fall incidents.Case Nursing Leadership Discussion Essay
Conclusion
Different leadership styles are suitable according to the ever-changing environment of the healthcare system. Several pieces of evidence demonstrated a noteworthy association between affirmative leadership styles, behavior and practice with amplified patient satisfaction and declined adverse incidents. Autocratic leadership is highly effective in an emergency situation. Hospital administration, from workforces and secretarial divisions to amenities upkeep and insurance billing necessitates autocratic leadership to ensure accountability and uniformity. Simultaneously, physicians work collaboratively under democratic leaders to avoid medication and treatment errors. On the other hand, many results proposed that an emphasis on developing transformational nursing leadership can be an imperative organizational approach to enhance patient safety. Case Nursing Leadership Discussion Essay
