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Leadership in the medical field
Leadership in nursing
Leadership in nursing
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Nurse’s can demonstrate leadership by facilitating outstanding care to patients and it is related to how one’s values and behavior affect others. A leader is all about with success and contribution and a successful leader set his/her standards, goals and strategies at high. One can become a leader by assigned or emerged but both will be working towards a common goal of good or bad. In leadership, positive attitude is the key to success and problems and challenge in healthcare industry demand that nurses seek and fill the gap. Let me share one of my outstanding client care experience while I was working as an RN in Italy in the hospitals medicine unit. A 17 year boy was admitted to the medicine unit in sickle cell anemia with complaint of vomiting and weakness. I was on my Monday evening shift and I was assigned for eight patients where seven of them were older and this teen named Mr.Govanni was with sickle cell anemia. When I took the handover from the dayshift nurse, I particularly noticed this patient from my assignment list because of his age and condition and at the same time the nurse who handed over the duty specifically told me that the teen boy was non-cooperative and also I saw it from the chart that the patient was getting the normal saline at 75cc/hr, CBC result morning( 6 am) showed HB-82g/dl, WBC 10.6. According to doctor’s order repeat CBC at 1600hr and if the HB is less than 80 transfuse two units of PRBC and lasix 40 mg in between the transfusion. I visited each patients room and around 4PM I entered Mr.Govanni’s room and I noticed that he was doing something with his mobile and I greeted him but he replied without looking at me by shaking his head and said, oh!..yes, and he continued what he was doing. Hi... ... middle of paper ... ...rd I am sure that I can do my best. We adapted the change and the change will change us. Reference Michael R. Bleich, Colleen P. Kosiak,(Ed.) Managing, Leading, and Following. In P. S. Yoder-Wise(Ed.), Leading and managing in nursing (4th edition), (pp 11). Evolve: Mosby Elsvier. Rose Aguilar Welch (Ed.)Making Decision and Solving Problems. In P. S. Yoder-Wise(Ed.), Leading and managing in nursing (4th edition), (pp 92-93). Evolve: Mosby Elsvier. College of Nurses of Ontario,(2009).Practice Guidelines: Confidentiality and privacy-Personal Health Information. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/41069_privacy.pdf College of Nurses of Ontario,(2009).Practice Guidelines: Conflict prevention and management. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/47004_conflict_prev.pdf
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Huber, D. (2010). Leadership and Nursing Care Management (4th ed.). Maryland Heights, MO: Saunders Elsevier.
Roussel, L., & Swansburg, R.C. (2009). Management and leadership for nurse administrators. Sudbury, MA: Jones & Bartlett Publishers.
What happens when a conflict occurs within the nursing department (s)? How does resolution occur? It depends on the people involved when it comes to conflict, when it’s between staff then I request that they try to address among themselves first, but if that does not work or if it’s a very sticky situation then I get involved, first I try to get information from both parties separately then from them jointly, normally that well works pretty good since it gives them an opportunity to vent or let the feelings out, I then use that as a teaching moment. When all this is happening the staff have to sign a form stating the issue was discussed and what the outcome is, if unable to resolve then it goes up to the administrator. For the most part conflict has led to tension between people involved and to be honest with our team work suffers, I try to deescalate this issues because it gets too far.
Nursing leaders ' responsibility extends to become a voice for the nurses and for offering quality in patient care, not just at their organizations but spanning the whole communities, interacting with law makers in revising regulations and laws, with researchers and educators. Nurse leaders, in particular those at manager and supervisory levels are spread sparsely. They are involved in business planning, human resources, information management and writing reports. It is advisable for them to refocus the leadership on care which matters to patients which is the essence of
Kerfoot, K. (2008). Bossing or serving?: how leaders execute effectively. MEDSURG nursing, 17(2), 133-134. Retrieved from EBSCO host
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. (7th ed.). Philadelphia: Lippincott, Williams & Wilkins.
During one of my rotations, I was assigned a young adult patient who had run out of insulin and had been admitted to the hospital following a Diabetes Ketoacidosis (DKA) episode. I realized that my patient was probably torn between buying insulin and buying healthy food because her chart showed several admissions in the past following the same problems. This particular patient was in her room, isolated in a corner, and she was irritable. As her student nurse, I was actively involved in her care; I was her advocate for the day. The patient lived with her single mother and worked at a fast food restaurant. Since this was my first time dealing with a patient with DKA, it became a definite challenge for me.
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.
Spinks, N., & Moore, C. (2007). Nursing Leadership. The Changing Workforce, Workplace and Nature of Work: Implications for Health Human Resource Management, 20(3), 26-41.
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
My success as a nurse leader will be based on my ability to lead and inspire others. I will . . . “act with integrity, set realistic goals, communicate clearly and often, encourage others, recognize the successes of your team members, and inspire them to provide the best of care.” A winning team can be built only through a shared vision and acknowledgement of each team member’s contribution. (Frandsen, B. 2014). My success as a nurse leader will not be by my work alone, I will have my team of great, effective staff behind me. My success will be
Yoder-Wise, P. S. (2011). Leading and managing in nursing (5th ed.). St. Louis, Missouri: Elsevier Mosby.
Pipe, T., FitzPatrick, K., Doucette, J. N., Cotton, A., & Arnow, D. (2016). The mindful nurse leader. Nursing Management (Springhouse), 47(9), 44-48. doi:10.1097/01.numa.0000491135.83601.3e
These characteristics of a nurse manager show how their leadership plays a role in their position in the nursing field. Without this position in the nursing structure, it would be very difficult to produce positive results in providing optimal patient ca...