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Effective leadership impact on nursing
Examples of clinical nurse leader roles
Effective leadership impact on nursing
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CNL Role in Psychiatric Department
Never has it been more critical to provide high quality care in the hospital while being cost effective. The American Association of Colleges of Nursing (American Association of Colleges of Nursing [AACN], 2005) has created the Clinical Nurse Leader (CNL) role to introduce lateral integration of care for specified groups by creatively and intentionally using a variety of health care resources (AACN, 2005). The CNL’s purpose is to aid in various departments of the health care system including the psychiatric department. Although there is continuous tension between medical care and psychiatric care and choosing which is more important for a patient, the Clinical Nurse Leader is intended to bridge the gap between the two.
The goal in creating the position of Clinical Nurse Leader in inpatient psychiatric facilities is to reorient the health care system to reduce medical errors, increase patients’ safety, and improve health outcomes (Seed, Torkelson, & Karshmer, 2009). The CNL is not common in the psychiatric care setting right now because the role is fairly new (Seed, Torkelson, & Karshmer, 2009). However, the role has impacted other departments greatly and has the capacity to do the same in inpatient psychiatric care. Through describing the relevance and importance of the CNL role within the Medince/Psychiatric (Med/Psych) department, what the team would look like (the integration of the two departments), and future implications of the nursing profession, there will be a better understanding of the impact of the evidence-based model implemented through future CNL’s.
Relevance of the CNL Role to the Psychiatric Department
Although the CNL role is fairly new to the health care system, it has impac...
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... Torkelson, D. J., & Karshmer J. F. (2009). The clinical nurse leader:
Helping psychiatric mental health nurses transform their practice. Journal of the American psychiatric Nurses Association, 15(2), 120-125. doi:
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Sprayberry, L. D. (2014). Transformation of America’s Health Care System:
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Stanley, J., Gannon, J., Gabuat, J., Hartranft, S., Adams, N., Mayes, C., Shouse, G. M.,
Edwards, B. A., & Burch, D. (2008). The clinical nurse leader: a catalyst for improving quality and patient safety. Journal of Nursing Management. 16,
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Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
A nurse manager plays an important role on a hospital unit. Evans defines the role of a nurse manager as one who makes sure all the needs required on a daily basis are accomplished (Evans, 2011). Evans goes on to say that one primary responsibility of a nurse manager acting in the position of a leader is to “raise the level of expectation and help employees reach their highest level of potential excellence” (Evans, 2011). With this said, it is important to identify potential barriers and problems that a nurse manager would face on a given unit and create or adopt evidence-based interventions to eliminate these problems. When this is accomplished, it will help to foster a work environment that maintains safety to patients as well as staff.
...Hallert, C., C. Grant, S. Grehn, C. Grannot, S. Hultent, G. Midhagens M. Strom, H. Svensson,
Forsyth, K., Taylor, R., Kramer, J., Prior, S., Richie, L., Whitehead, J., Owen, C., & Melton, M.
In healthcare it is very important to have strong leaders, especially in the nursing profession. A nurse leader typically uses several styles of leadership depending on the situation presented; this is known as situational leadership. It is important that the professional nurse choose the right style of leadership for any given situation to ensure their employees are performing at their highest potential. Depending on which leadership style a nurse leader uses, it can affect staff retention and the morale of the employees as well as nurse job satisfaction (Azaare & Gross, 2011.) “Nursing leaders have the responsibility to create and maintain a work environment which not only promotes positive patient outcomes but also positively influences teams and individual nurses” (Malloy & Penprase, 2010.) Let’s explore two different leadership styles and discuss how they can enhance or diminish the nursing process.
Zhang, Y. B., Harwood, J., Williams, A., Ylänne-McEwen, V., Wadleigh, P. M., & Thimm, C.
They can create positive outcomes in regard to the nation’s most pressing healthcare concerns. While CNLs are actively involved in daily operations they do not work directly with patients. Their prevue is often limited to leadership among the nurse pool, with their charge ending where hospital administration begins. The Clinical Nurse Leaders master’s degree knowledge base helps to ensure that they can lead their units. Clinical Nurse Leaders specialize in overseeing patient groups rather than individual patients. It is the CNL’s job to make medical decisions based purely on research and
Ottenberg, A. L., Wu, J. T., Poland, G. A., Jacobson, R. M., Koenig , B. A., & Tilburt, J. C.
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Ornstein, R., Rosen, D., Mammel, K., Callahan, S., Forman, S., Jay, M., Fisher, M., Rome, E., &
In summary, all sectors of nursing are likely to come across a client who may have a range of psychotic or emotional difficulty. A person may come in with complaints with the principle reason concerning their mental health or with a physical complaint, having secondary complication to a mental health illness. The misconception is that the bulk of those who have mental health difficulty , even those showing the severest need, are not being treated in general practice with the intervention of specialized psychiatric services. This explains the importance of changes in approach to a more holistic intervention. _________ sums it up clearly , “Providing holistic nursing care requires that we understand that there can be no “health” without mental health”
Duley, S. M., Cancelli, A. A., Kratochwill, T. R., Bergan, J. R., & Meredith, K. E. (1983).
Tamborini, Ron ; Eastin, Matthew S. ; Skalski, Paul ; Lachlan, Kenneth ; Fediuk, Thomas A. ;
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
Nurses are one of the most valuable resources in any healthcare organization (Longest, Rakich, & Darr, 2006). Nurses play an important role as members of the multidisciplinary healthcare teams. Nurses help organizations to achieve its mission and vision and meet its goals and objectives. Nursing care is vital to the provision of the healthcare delivery system in promoting health and wellness, preventing illness, restoring health, caring for disabled, and helping dying patients and their families (Catalano, 2006). The promotion of quality of nursing care and the safety of nursing practice takes place through nursing education and ensuring clinical practices meet evidence-based practice, accreditation, and certification requirements (Ironside,