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Nursing managers and effective leadership
Nursing leadership and management
Nursing leadership and management
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1. Think of a leader who espoused one message and then acted in a different manner. In my previous place of work, I remember the director of the unit; during one of the meetings she talk about the new initiative of the chief nursing officer, to open a discharge lobby, once a patient has the discharge order from the doctor, the nurse will take the patient to the discharge lobby and another nurse will discharge the patient. During the meeting the director explained the advantages of the plan and how it will be helpful to us. A few days later in the cafeteria, I heard the director speaking with the director of another unit about the new initiative and how difficult is for the nurses and for the patients because they cannot wait in the room for …show more content…
How did it affect the leader's ability to be an effective leader? It did affect her ability to be an effective leader because we did not believe in her, she did not like the initiative and she was trying to convince the staff of the benefits of something she did not believe. She did not have communication skills, she did not take our concerns to the chief nursing officer, contrary to that she lied saying that nurses love the idea. There was no trust, the communication was not effective, and there was not motivation, and the environment turn hostile. The director was not in the unit anymore, she tried to avoid meetings, and any activity with staff members.
3. How did it change how you personally felt about the leader? I have to admit there was change in my feeling towards her, at the begging I saw her as a guide, and as someone that will listen to our concerns and that will help us, but more than that I believe she care for us and she was honest with us. After that, I saw that she only care for her and that she will do anything to maintain her position as a director, she did not care about us, and any of our issues. The director was not authentic and genuine with us; there a constant battle between the director and the
In the conflict presented in New Graduate Nurse Orientation, we see that there is a new hire to the floor. Recently graduating from nursing school Helen really wants to fit in with the fellow nurses on the unit. Helen wants to belong to the unit as a whole and is looking to her preceptor Ashley as they one to help facilitate not only her transition from nursing school to the unit, also the transition to being a part of the unit through the camaraderie of the fellow nurses on the unit. What Helen begins to learn is that there is a hierarchy on the unit, which Ashley is in the so called “in crowd”. Throughout Helen’s orientation, Ashley is constantly on her cell phone dealing with personal issues, or a way from Helen when she is need of guidance with alarms and equipment that she is unfamiliar with. Helen being new did not know what she needed or did not need in orientation. When approached by a more seasoned nurse that is not in the “in crowd” as to
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multi-lingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharged teaching is by providing direct checklist for patient and family to follow. One must understand that these approaches will enforce the staff nurses and other health care providers to develop the safe patient transition to home.
Within the scenario, there was a lack of communication between the resident and nurse. There were no established principles for communication on the unit. Nurses could write on a bulletin board if they had a non-urgent matter to discuss with the doctors. The other method for communicating with doctors was to directly page them. Interprofessional rounds occur only once a week which does not account for the communication required between the doctor and nurse on a daily basis. There were no other formal communication methods for when doctors can speak to nurses. Nurses hear from doctors if they happened by chance to have seen the doctor, by word of mouth from other members, or from orders. The resident in the scenario did not seek out the nurse for second opinions and did not let her know about discharge plans. Thus, there was a lack of communication about care
I will recommend to the nurses to use these effective listening strategies while encouraging the patient to explain their interpretations of their medical condition and their plan of care. I will also introduce the new unit based questionnaires given to patients at discharge prior to leaving the unit.
I was shadowing the charge nurse that day and she had two patients that was assigned to her besides her obligations as a charge nurse. One of the Doctor was there to check on a patient and remove the Jackson Pratt tube. The Doctor saw me and asked me to assist him. Before assisting the Doctor, the Charge Nurse asked me to contact one of the CNA to clean one of the rooms. When I called the CAN, she said she was busy but will get to it when she
A charge nurse working the night shift overhears loud talking coming from a nearby room within the unit. Upon locating the room where the noise is coming from, she recognizes that it is a patient with dementia who is becoming increasingly confused, agitated, and combative. The family member at bedside who is also the primary caregiver is trying to keep the patient in bed, and also appears quite frustrated. The primary nurse is in the room, but seems to be struggling with what to do. The charge nurse instructs the primary nurse to review the patient’s medications, and obtain the one used for agitation. The charge nurse then explains to the family member about using the medication, and suggests they take a break while other alternative methods are attempted. The charge nurse then dims some of the lighting within the room, begins to play relaxing music, and purposefully speaks in a very soft tone to the patient. The charge nurse continues to try to redirect the patient, but also understands that you must not argue the reality with dementia patients. The charge nurse proceeds with light massage to the hands, and feet of the patient, all while ensuring the patient that they are safe. The patient is showing less agitation, and the nurse soon arrives with the proper medication. The patient is calm and resting by the time the family member returns. Both the primary nurse and the family
Sears Holdings is a company in transition. Now, faced with adversity and the threat of bankruptcy looming its leadership has come under scrutiny. “Great leaders not only have drive; they want to lead. Also important is a high need for power, a preference to be in leadership rather than follower positions. A high power need induces people to attempt to influence others, and sustains interest and satisfaction in the process of leadership. When the power need is exercised in moral and socially constructive ways, rather than to the detriment of others, leaders inspire more trust, respect, and commitment to their vision (Bateman, pp 399, 2007).”
There are different leadership theories developed throughout the history. Most popular ones are trait theories, behavioral theories, contingency theories, and leader-member exchange (LMX) theory. The author of the post will briefly discuss two theories, Fiedler contingency theory and Leader-Member Exchange (LMX), and compare and contrast their strengths and weakness.
To become a truly effective leader, one must encapsulate the various behaviors related to the aforementioned course learnings in his/her persona and demonstrate such behaviors daily. This course has allowed me to identify four behaviors that all leaders must portray to be effective. The first of which is that a leader must be inspirational. To do so, a leader must set the appropriate vision and direction for the organization and provide a path to achieving defined goals. Additionally, a leader must induce the proper levels of motivation so that each employee has sufficient incentive to work towards the organization’s goals. As discussed in the class, motivation can be accomplished by factors such as rewarding hard work and providing the correct opportunities to employees. While these are motivating in that employees desire to be fairly compensated and to be doing work they deem valuable, inspiration comes more from organizational culture. A leader will be inspirational by setting a tone that appreciates each employee’s contribution, no matter how small in scale it is. Further, employees are inspired when they work collaboratively in a group setting and can capitalize on individual strengths to drive organizational goals.
I was involved in a situation where leadership was ineffective by my director of obstetrics. The topic involved our hiring policy. We had multiple candidates for a nursing position. Due to staffing shortages, this position need filled as soon as possible. My role was assistant nurse manager on night shift. It was myself, the other night shift assistant manager, and our director present for the interview. We had a candidate apply that had a few years of post partum experience, and I worked with her in the past at another facility, though did not recommend her. I kept my opinion quiet, because I always want to be fair. The interview started and was not going well. The candidate did not answer questions well, nor did she look at us in the eyes. She was dressed sloppy and did not possess any professionalism. Towards the end of the interview, the director started to ask when she could start, the compensation, and continued to give her a tour of the unit. The other assistant manager and I could not believe what we were seeing. The director hired her on the spot. This leadership was ineffective in a variety of different ways.
QUESTION 1: DESCRIBE TWO MAJOR WAYS IN WHICH A COMPANY CAN GROW.GIVE EXAMPLES TO ILLUSTRATE THE TWO WAYS OF GROWING.
Being at the apex of the chain of command, the administrative nursing supervisor has numerous responsibilities including but never limited to staffing, conflict resolution, and or crisis. In many circumstances, an administrative nursing supervisor must make timely, prioritizing decisions based on the resources available at any given time. The ultimate outcome ideally is patient and staff safety, and positive patient experiences and outcomes. Throughout the different departments in the facility, there are several governing unions with guidelines and contractual requirements. The facility also has policies and procedures that must be adhered to. Katie remains updated on all guidelines by attending conferences, in-services and administrative meetings. Eason, (2010) stated that, “lifelong learning allows nurses to develop confidence and skill in service provision that is evident to patients, their families, and other health care practitioners” (p.157). I believe that Katie is proficient, has strong leadership skills and is capable of unraveling conflict while following
Leadership is defined as a process by which an individual influences others to obtain goals. There are three aspects that should be addressed when explaining leadership. One aspect is that leadership is a social influence process; leadership could not exist without a leader and one or more followers. Another leadership aspect is compliance; all of the leader’s directions must be complied with voluntarily. Compliance is what separates leadership from other influence-based formal authority. Finally, leadership results in the followers’ behavior, that is purposeful and goal-directed which must be in some organized setting (Leadership Theories and Studies, 2009).
...adership Practices in Relation to Productivity and Morale." In D. Cartwright and A. Zander, Group Dynamics: Research and Theory, 2nd ed. (Elmsford, NY: Row, Paterson, 1960)
What is a leader? When thinking of this question I feel like you have to really know what it means to be a leader. Becoming the kind of leader that people would follow voluntarily; even if you had no title or position. –Brian Tracy. No one is born a leader, leaderships skills come from life experiences, education and employment. Everyone grows into a leader and then afterwards grow into a leadership style that will eventually begin to shape and inspire other leaders. Having a title or high above power does not make you a leader. Inspiring and providing great communication, confidence, advice, laughs, knowledge, honesty and reality. Those great skills help you become a great leader. Even with these great leadership skills, there are