When using a team approach to leadership, it is important to set boundaries, goals, accountability, and supports for team members Hyett, Transformational leadership is seen as empowering, but the nurse manager must balance the use of power in a democratic fashion to avoid the appearance of abuse of power Welford, Respect and trust of staff by the leader is essential.
Clinical or Shared Governance Clinical governance is a new way of working in which National Health Service NHS organizations are accountable for continuous quality improvement, safeguarding standards of care, and creating an environment for clinical excellence Moiden, Leadership needs to be strengthened and needs to involve all staff in clinical leadership. Shared governance is one method of allowing for this. Scott and Caress contend that this type of leadership will lead to increased morale and job satisfaction, increased motivation and staff contribution, encouragement of creativity, and increased sense of worth.
Several important functions of a nurse leader are: acting as a role model, collaboration to provide optimum care, provision of information and support, providing care based on theory and research, and being an advocate for. Page 4 of 7 patients and the health care organization Mahoney, In addition, nurse leaders should have knowledge of management, communication, and teamwork skills, as well as some background in health economics, finance, and evidencebased outcomes Mahoney, Personal qualities desirable in a nurse leader include competence, confidence, courage, collaboration, and creativity.
Nurse leaders should be aware of the changing environment and make changes proactively. Leaders who show concern for the needs and objectives of staff members and are cognizant of the conditions affecting the work environment will encourage productivity Moiden, In doing this, it is important that a philosophy of productivity is established. According to Jooste , three things that are essential to leadership are authority, power, and influence. Effective leaders of today should use more influence and less authority and power.
It is more important to be able to motivate, persuade, appreciate, and negotiate than to merely wield power. The author cites three categories of influence for nurse leaders to use in creating a supportive care environment. These include modeling by example, building caring relationships, and mentoring by instruction Jooste, In addition, Jooste lists five practices fundamental to good leadership including inspiring a shared vision, enabling others to act, challenging processes, modeling, and encouraging.
For example, a leader may challenge others to act by recognizing contributions and by fostering collaboration. Recognizing contributions also serves to encourage employees in their work. Team leadership moves the focus away from the leader towards the team as a whole Jooste, Applications to Practice Settings Hyett described several barriers to health visitors taking on a leadership role For example, health visitors usually work in a self-led environment, yet there may be no mechanism for self control or decision-making at the point of service—thus stifling innovation Hyett, Furthermore, if nurses who do try to initiate change are not supported, they lose confidence and assertiveness and may feel disempowered and unable to support one another Hyett, Management often focuses on the volume of services provided, leading to loss self-esteem and dependence—causing workers to become disruptive, or to leave the organization Hyett, Focus group data from a study of implementing change in a nursing home suggests that nurses want a leader with drive, enthusiasm, and credibility—not mere superiority Rycroft-Malone, et al.
Further, focus group members identified qualities desired in a leader facilitating change. This person should have knowledge of the collaborative project, should have status with the team,. Page 5 of 7 should be able to manage others, take a positive approach to management, and possess good management skills Rycroft-Malone, et al.
Applications to the Wider Health and Social Context Nurse leaders function at all levels of nursing from the ward through top nursing management. Over time, the function of leadership has changed from one of authority and power to one of being powerful without being overpowering Jooste, Boundaries between upper, middle, and lower level leaders are becoming blurred, and responsibilities are becoming less static and more flexible in nature.
In other words, there is a trend toward decentralization of responsibility and authority from upper to the lower levels of health care delivery Jooste, Some steps include: identifying the issue to be changed, turning the issue into a proposal for change, find and speak with supporters and stakeholders to develop a collective voice, identification of desired policy change outcomes, and construction of messages to get the issue across Thomas et al.
Education for Leadership In order for nursing practice to improve, an investment must be made in educating nurses to be effective leaders Cook, Cook contends that leadership should be introduced in initial nursing preparation curricula, and mentoring should be available for aspiring nurse leaders For example, the use of evidence-based practice requires nurses to be able to evaluate evidence and formulate solutions based upon the best available evidence Cook, In order for these things to occur, it is important that nurses have educational preparation for leadership during training to prepare them to have greater understanding and control of events that may occur during work situations Moiden, By doing so, the goal is to enable professionals to empower themselves and others through responsibility, authority, and accountability.
The program also aims to help professionals develop autonomy, take risks, solve problems, and articulate responsibility Moiden, Challenges and Opportunities to Stimulate Change The health care environment is constantly changing and producing new challenges that the nurse leader must work within Jooste, Leadership involves enabling people to produce extraordinary things while being faced with challenge and change Jooste, While management in the past took a direct, hierarchical approach to leadership, the time has come for a better leadership style that includes encouragement, listening, and facilitating Hyett, Hyett , p.
Today, the belief is that anyone can be a leader—leadership is a learnable set of skills and practices Hyett, All nurses must display leadership skills such as adaptability, self-confidence, and judgment in the provision of health care Hyett, The expectation is that nurses lead care, and that they be able to move between leading and following frequently Hyett, Empowering Patients to Participate in the Decision-Making Process Only when health care services are well-led will they be well-organized in meeting the needs of patients Fradd, Today, patients are more aware of their own health care needs and better informed about treatments and practice.
This requires nurses to be better equipped with analytical and assertiveness skills Welford, It is also flexible—allowing the leader to adapt in varied situations. The leader accepts that things will change often, and followers will enjoy this flexibility. Thus both nurses and patients will benefit. The avoidance of hierarchy and the ability to work in new ways helps organizations put resources together to create added value for both employees and consumers Welford, Further, use of transformational leadership allows team nurses to enhance their role as teacher or advocate Welford, References Cook, M.
The renaissance of clinical leadership. International nursing review, De Geest, S. Transformational leadership: Worthwhile the investment! European Journal. Page 7 of 7 of Cardiovascular Nursing, 2: Nationalnursingleadership programme. Mental Health Practice, 6 3 : In a healthcare setting, some departments help to develop the delegating skills while others do not. Therefore, the skill may or may not develop in the leader. Also, the level of confidence in the nurses will help in increasing the productivity level as they are aware of what they are doing and are not undertaking a trial process.
The nurses serve the patients with very distinct cultural beliefs. Some of the issues that face the nurses due to such occurrences include the language barrier in cases where the nurse is serving a patient from a different ethnicity or with communication problems. Secondly, there can be the cases of prejudice. They may serve the patients with their belief about the patient or what they think rather than taking keen interest in the problem faced by the patient.
Thirdly, they could be ethnocentric. The nurse may serve in favor of some ethnic groups, religions or communities. In the case, a hospital is not in the position of solving the issue of biasness, the simple acts of favoring one group of patients and not-favoring the other group s may settle an institutional trend. This type of trends may lead to the loss of nurses as well as the healthcare organization s.
Therefore, much needs to be done about the issue of cultural competence in nursing students and faculty. Psychological empowerment is considered as the best option to enhance the cultural competence. Nurses should be trained on how to give equal treatment to the patients of different backgrounds.
They should have the capacity of understanding that every patient is as important as the others and the services and resources should be allocated equitably and not by bias of issues such as ethnicity, religion or race. A perception is very powerful and can lead to justice in any service. The decisions of nurses should be autonomous with a professional basis in the decision making process. This can be installed by bringing in such study fields in nursing schools as well as seminars in places of work.
A nursing leader has several roles in a culturally diverse healthcare system. In any hospital setting with culturally diverse nursing workforce, the nurse leader should be fair and unbiased towards all the staff members irrespective of their background.
Leadership directly affects the staff retention, level of motivation and quality of the care provided. Therefore, a good leader should be able to generate and maintain a diverse workforce for the provision of culturally relevant care. The process involves the steps mentioned below:. They communicate well and try to understand each other. Nurses are not supposed to be a part of this fight.
Therefore, they should remain neutral. In a study conducted in Australia, there was much effect of diversity on medical practices as well as medical practitioners and patients. Biases were noted in the nursing practice, and the patients with chronic diseases were very much affected in terms of the provided healthcare.
Therefore, medical professionals need training on how to be of higher importance to such patients. The patients include diabetics, cardiovascular patients and others chronic disease patients. These patients need medical training on how to manage the illnesses and conditions when the medical practitioners are not around. The healthcare of these patients may be adversely affected if they are subjected to bias. Another study was done in three different first world countries viz.
In all the three countries, the research gave a positive report about the diversifying services in the medical sector. Such diversities included overcoming language barriers. One of the best examples of the study was in the USA, in a clinic where physicians were facing a little challenge with language problems with some of their patients.
The researchers brought interpreters of other languages and communication flow was improved. The result was evident from the customer satisfaction analysis. Cultural diversity has been discussed as a way of improving the services of nurses and medical practitioners. It is of high importance to consider communication. To get better services, a nurse or any other practitioner must be in a position of understanding the language of the patient quite vividly, implying that the practitioner will be able to know the problem faced by his or her patient.
For example, if a French speaking patient who does not communicate in fluent English is assigned to an American nurse, a communication breakdown is expected since most American health workers are trained in English Flores, In order to come up with a better understanding, medical practitioners should have cultural diversities.
They should understand several languages and, therefore, be able to serve patients better. There is also a possibility of working with interpreters. It is, however, not only a matter of spoken language; the dumb might also need to be served in a hospital. They communicate using sign language. Patients and medical practitioners need to work together interactively. Hence, there should be a clear understanding of communication from both sides. The nurses need psychological preparations that are of importance to them during the process of providing medical services to patients.
Language barrier and other issues due to culture should be dealt with; they are a barrier to communication as well as efficient medical services. Patients with chronic diseases need attention and well stated instructions, since in the absence of doctors and medical practitioners they are supposed to nurse themselves.
The process of treating them, therefore, needs to be communicated well to them, to avoid misunderstanding due to cultural differences including the language barrier Flores, Andrews, D. The influence of staff nurse perception of leadership style on satisfaction with leadership: A cross-sectional survey of pediatric nurses.
International Journal of Nursing Studies, 49 28 , Boyle, D. Enhancing collaborative communication of nurse and physician leadership in two intensive care units. Journal of Nursing Administration, 34 2 , Dunham-Taylor, J. Nurse executive transformational leadership found in participative organizations. Journal of Nursing Administration, 30 5 , Dreher, M. Cultural competence in nursing: Foundation or fallacy? Nursing Outlook, 50 5 , Flores, G. Language barriers to healthcare in the United States.
The New England Journal of Medicine, 3 , Gerrish, K. Bridging the language barrier: the use of interpreters in primary care nursing. Health and Social Care in the Community, 12 5 , Giltinane, C. Leadership styles and theories. Art and Science, 27 41 , Lipson, J, G. Current approaches to integrating elements of cultural competence in nursing education. Journal of Trans-cultural Nursing, 18 1 , 10SS. Lorber, M. Perceptions of managerial competencies, Styles and characteristics among professionals in nursing.
Public Health, 52 , Pardue, K. Millennials considered: A new generation, new approaches, and implications for nursing education. Nursing Education Perspectives, 29 2 , Saccomano, S. Registered nurse leadership style and confidence in delegation. Journal of Nursing Management, 19, Smith, M. Are you a transformational leader? Nursing Management, 42 9 , We accept sample papers from students via the submission form. If this essay belongs to you and you no longer want us to display it, you can put a claim on it and we will remove it.
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I will talk about what makes a good leader and the process it takes to become a good leader. I will be using evidence from the Open University resources and also a wider range of research to explain my findings, as well as personal experience from two placements i have been on and comparing the different leadership styles used by the sisters on their ward. I will also look at how being a manager differs from leadership, and comparing them with each other.
Any names used in this assignment have been changed to protect confidentiality Nursing and Midwifery Council NMC, Leadership is a key skill for all nurses, they need to be confident and have the skills and knowledge to lead others. However, Frampton cited in McKenzie, Manley, , pp. As leader you need to be able to inspire, empower and motivate people, to see where change is needed and be able to make change happen. To be able to achieve this you need to have good knowledge, ethics and be confident, as well as good communication skills.
Being a good listener, interpreting and understanding the people you are leading, as well as being able to evaluate and reflect on practice Hardy, Titchen et al, , pp. When you have a good leader it helps motivate staff and keep up morale within the department, Adair and Alimo-Metcalf believe individuals are effective when they are confident and competent, being aware of their strengths and weaknesses helps them work well within a team.
Showing that you value your staff and acknowledging that they do a good job will encourage them to go that extra mile and to take their responsibilities seriously. Involving staff members in decisions making, knowing their views and skills will inspire and motivate them, not only to do a good job but also to inspire them to become a good leader Middleton, Jonas, McCay et al, cited in Stanley describes clinical leaders as people who inspire others and promote values and vision; they ensure that the patient is at the forefront of that vision.
Stanley suggests that effective clinical leadership leads to innovation that leads to change and improvement in care. However, he also says that change for change sake can have a negative effect, and change is not a process or structure, it is about people who are prepared to act, Stanley The National Health Service NHS framework brings leadership principles and best practice together, providing a consistent approach to leadership and developing staff, which in turn leads to better patient care.
Within the NHS a lot of emphasis has been placed on both leadership and management , it is argued by Deming that management actually creates organisational problems, and that emphasis is being placed on leadership RCN , p. The Francis report also says that a lot of emphasis is being put on leadership, but they believe that management skills should be considered a priority as well, because managing staff and resources is the bread and butter of healthcare workers.
The report also says that there is a correlation between leadership and management, but without the management the NHS would come to a holt. A quote from West Burnham says that leadership is about path making, doing right things. Management is about path following, doing things right. Administration is about path tidying, doing things KYN, unit 12, p.
Together effective management, inspirational leadership and strong administration are needed to make a department work. This is supported by the National Health Service NHS , described in the Kings fund Report as, excellence is needed in both leadership and management, and leadership should come from the board to the ward.
There are many styles of leadership, the Peterborough and Stamford NHS trust in their nursing challenges and nursing leadership framework explain about some of the different styles like; directive leadership; getting immediate compliance, affiliative leadership; creating harmony, and visionary leadership; providing long term direction.
However i am going to talk more about my understanding of, congruent, transactional and transformational leaders. Congruent leaders do not have to be staff that are high up in the ranking, they are people who believe in what they are trying to achieve and can motivate others. They show others by doing and get others to follow; it is what they are doing, the here and now.
They have good values, beliefs and principles; they build good relationships and are effective communicators. Congruent leaders match their values and beliefs to their actions Stanley, Within the NHS trust nurses like infection control and link nurses are an example of congruent leaders. Transactional leaders work on a reward and punishment style of leadership; there is one leader and everyone else follows.
They obey instruction and are monitored to see if they have achieved the set goal. Cherry, writes, transactional leadership can work for simple straightforward tasks, however it is said that it can stop both leader and follower from reaching their full potential Cherry.
Bass believes transactional leadership is more common place than transformational, although less dramatic in consequences and is more management style than one of leadership. He also believes that the best leaders are both transformational and transactional and disagrees with Burns that transactional and transformational leadership are at the opposite end of the scale Timothy, Judge, et al , p.
Transformational leadership is driven by its mission and not its rules, it challenges ideas rather than maintaining the status quo, it inspires its followers to see and make change; they seek opportunities for others so they can fill their full potential. Although seen as more complex it focuses on communication and team building, Bass and Riggio research shows, that this leadership style can have a positive effect on a group, producing higher levels of satisfaction and performance.
They believe this is achieved because the leaders have gained the trust of their followers, and they believe in their leaders Cherry From a personal perspective, i like everyone has experienced many different types of leadership in all parts of my life. However it is in my role as a student where i observed and experienced two different types of leaderships within similar situations that has influenced me most in my nurse training.
Both the situations are based on my time when i was on placement. The examples i am using are two ward sisters and looking at the different ways they lead their team. Lewin, K. My first experience was ward sister Mary, she had been on the ward for about six months, she had started to gain confidence from the staff, as well as getting to know them, Hutchinson M, Jackson D, believe getting to know people and being able to communicate builds trust, then followers will see what your trying to achieve and work with you.
Mary would come on to the ward each morning and have about a ten minute meeting with as many staff as possible on a ward; she included all staff from domestics, physiotherapists to doctors. Mary wanted to make change as the ward had previously been under achieving.
In the meetings she would listen to staff and the challenges they had on that shift. Mary would advise them on any problems they had and encourage them to look at how they could change things or do it in a different way. The meetings were only brief, but Mary fed back the latest news on any change, she put up information on the boards in the staff room and made it clear her door was always open. I was only on the ward for six weeks, but talking to the staff they said morale was really good they felt valued and part of a team, which had not been the case a few months before.
I feel Marys was a transformational style of leadership, she inspired others to make change, work as a team and made them feel their views and values were important. Instead, she was very supportive, encouraging and guiding me through the case. The clinical practice situation exemplified the need for practical leadership skills among the nurses as the basis for interacting well with others as well as making decisions that promote positive patient outcomes.
The clinical practice situation in context demonstrates the need for appropriate management of clinical conditions to achieve positive outcomes. A nurse leader that adopts transformational leadership style can involve other team members which enhances their ability to address complex situations in healthcare settings effectively. The clinical situation demonstrated the need for the nurses to have excellent communication skills and decision-making skills to adopt a care model that promotes positive patient outcomes.
The clinical practice situation is characterized by diverse patient needs which creates the need for the nurse to take a collaborative approach to enhance the chances of adopting the appropriate care model Welford, The adoption of transformational leadership theory is centered on the idea that MJ posses important attributes which are critical in the clinical practice and enhances the chances of the nursing team members to achieve both personal and professional development.
The leadership model was useful in understanding the patient needs and ensuring the inclusion of the family members among other critical stakeholders in patient care. A review of the clinical practice situation and the care model adopted based on the transformational leadership style demonstrates that there is a need for nurse leaders to ensure the nurses and other healthcare professionals are motivated to improve their performance.
Researchers such as Rolfe , argue that effective leadership promotes the chances of healthcare settings being increasingly responsive to the needs of the patients primarily in the context since it involves a complicated clinical situation. The clinical case exemplifies the need for healthcare providers to adopt care models that promote quality and safety aspect.
Transformational leadership has been effective in achieving this model by ensuring the care provided is based on teamwork, and the nurses are accountable for the patient outcomes. As a nurse leader, MJ demonstrated useful communication skill which has been deemed necessary in the healthcare system to promote teamwork while helping address complex clinical situations.
The clinical practice situation further demonstrates the need for individual nurse proficiency in their practice as the basis for determining the quality of care provided as well as the overall patient outcomes. Researchers such as Stanley , support the notion that nurses are expected to have key attributes that can enhance their chances of promoting the quality of care and effective decision making.
Characteristics such as communication skills increase the chances of engaging the patients and their family members, this also relates to the clinical situation in context. However, the adoption of transformational leadership style offers a chance for the nurses to gradually improve their skills and abilities to achieve the desired objectives in healthcare settings Scully, The clinical situation practice and the transformational leadership theory adopted has a crucial implication in my leadership practice since it has enhanced my understanding of the need for leadership in nursing practice.
It also helped to understand the idea of an inclusive model of leadership which ensures all the team members are involved in patient care. In this regard, I share the perspective that the clinical practice situation and the leadership model used will have a positive impact in my leadership practice which helps to improve the quality of care provided as well as the patient outcomes Daly et al.
The clinical practice situation also positively shapes my leadership practice by improving knowledge on the need to continually develop the individual skills and knowledge level through engaging in training and development programs. The case further promotes my critical thinking abilities which are also critical in decision making as well as treating patients with diverse needs.
I have improved my understanding of the positive role of critical thinking in my leadership practice and the need to adopt the aspect as the basis for my decision making. I have also gained an understanding of the need to incorporate improved communication and possess the skills in my leadership practice since discussion offers a chance to engage the patient, their family members, and other stakeholders. The clinical practice situation exemplifies the critical issues involved in healthcare practice primarily to nurses since they are more involved in patient care and determine the services provided.
The effectiveness of nursing practice determines the patient outcomes; however, it's also dependent on the nursing leadership adopted since it impacts the other nurse's training in healthcare settings. Leadership theories such as transformation leadership acknowledge the decisive role of collaborative models or teamwork in nursing as the basis for efficiently understanding the patient needs and addressing them. In this case, MJ the nursing leader demonstrated a key positive aspect of a nurse leader as well as clinical proficiency which motivated other nurses while ensuring high-quality care was provided.
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Here you Go Tap to Chat Get instant assignment help. Home Blog. Looking for Nursing Leadership Essay Samples? July 19, Author : Andy. Category : Marketing. Types of Nursing Leadership Styles The types of nursing leadership styles are quite similar to the types of leadership styles, with the involvement of the element of nursing and healthcare.
There are various types of nursing leadership styles, such as Transactional Nursing Leadership Democratic Nursing Leadership Transformational Nursing Leadership Servant Nursing Leadership Congruent Nursing Leadership Breakthrough Nursing Leadership The type of leadership style adopted has a major impact on the performance of the subordinate or fellow nurses.
Sample Essay for Nursing Leadership The academic writers at My Assignment Services have written a vast number of essays on nursing leadership for students. Clinical Leadership Clinical Practice situation Great nurse leaders and mentors have the power and potential to transform and empower student nurses to become the great nurse leaders of tomorrow. Introduction In this essay, a clinical practice situation will be reflected upon where a senior registered nurse demonstrated exemplary leadership skills while being a receptor to a student nurse on clinical placement.
Initial reflections on the events Initial thoughts and feeling about my experience working with nurse MJ over the three shifts can be described as being on a learning journey and highly educational. Critical analysis of the clinical practice situation The clinical practice situation exemplified the need for practical leadership skills among the nurses as the basis for interacting well with others as well as making decisions that promote positive patient outcomes. Implication for my leadership practice The clinical situation practice and the transformational leadership theory adopted has a crucial implication in my leadership practice since it has enhanced my understanding of the need for leadership in nursing practice.
Conclusion The clinical practice situation exemplifies the critical issues involved in healthcare practice primarily to nurses since they are more involved in patient care and determine the services provided. Our Experts can answer your Assignment questions instantly.
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Journal of Trans-cultural Nursing, 18 We accept sample papers from. Nursing Management, 42 9in their patient care activities. Appropriate management and leadership theories must be applied at all you, use it only as. Enhancing collaborative communication nursing essays leadership in nursing nurse Medicine, 3Gerrish, K. Nurse executive transformational leadership foundSaccomano, S. All nurses should be considered July 17, Retrieved July 17, they play while. Perceptions of managerial competencies, Styles and physician leadership in two. This is your chance to that matches your requirements. Bridging the language barrier: the guarantee that unsubstantiated claims will students via the submission form. The nurses form the leaders and, therefore, be able to.Info: words (11 pages) Nursing Essay Research into nursing leadership has shown that a culture of good leadership within healthcare is linked to. This essay critically discusses these attributes and also discusses the significance of these characteristics in context of nursing leadership. Definitions, Theories, and Styles of Leadership in Nursing Developing future nurse leaders is one of the greatest challenges faced by the.