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The role of leadership in healthcare
Leadership in healthcare
Registered nurse leadership
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It is curious that we question and perhaps judge that it might not be considered professionally appropriate to express emotion, to be authentic as a leader, to be transparent in our workplace. Sidney Jourard (1964) discussed the concept of transparency, defining it as the ability to make yourself known to others by sharing who you are, what your personal thoughts, values and feelings are. It implies first a level of self-awareness and then a willingness to be vulnerable, sharing ourselves with others, beyond the professional role. President Obama, both in his speech on gun control and throughout his presidency, was able to balance sharing his emotions while still maintaining his position as a powerful leader. An important balance for leaders …show more content…
As stated in the question posed (Fox, 2017), Dewar further identified compassion as “a complex process requiring a range of skills including noticing, engaging emotionally, connecting with the person, and showing humility and humanity” (Dewar et al, 2014, p. 1741) Nursing leadership is uniquely poised to provide compassionate care, at multiple levels. While I am sure there are leaders who fail to be compassionate in their role because of time constraints, focus on productivity, or failure to identify compassion as a core value in their work, that has not been my recent experience. I have seen nursing leaders provide compassionate care in ways similar to direct nursing care and in more complex ways. The leaders I have had the privilege to work with have taken compassion into the system they function in and made changes in the system. Examples I have seen include interventions such as entering into negotiations with patients and family members who are complaining – listening to what the patient’s needs are and working to meet those needs. It changes the patient, family, nurse and team
It is written into our ethical guidelines, it is featured in our entry to practice standards and it is perpetuated through imagery of the caring nurse (Appendix 1). And there is no denying compassionate care is good for patient outcomes (CNA, 2010). Yet, the continual depiction of nurse as synonymous with compassion and selflessness, can make it difficult for nurses to come forward or take time off when they are experiencing compassion fatigue. In a CNA (2010) study, nurses expressed ethical distress at coming forward about experiencing compassion fatigue because it conflicted with their ideas of ideal nursing practice (CNA, 2010). Moreover, nurses felt a professional obligation to provide care for those in need despite feeling apathetic or have limited empathy (CNA,
1.Casida, J., & Parker, J. (2011). Staff nurse perceptions of nurse manager leadership styles and outcomes. Journal Of Nursing Management, 19(4), 478-486. doi:10.1111/j.1365-2834.2011.01252.x
due to this gap we can look at the concerned about DNP that fall into three categories: education , economics and practice
The definition of compassion is “sympathetic consciousness of another’s distress with a desire to alleviate it” (Merriam-Webster dictionary, 2011). Compassion and the desire to nourish may be the deciding factors that would lead one to pursue a career in nursing. Nurses over the span of their career will have extensive exposure to trauma, pain, and unfortunate situations. Workplace stressors such as scheduling and increasing workload along with repeated exposure to the hardships of others predisposes caregivers, especially nurses, to develop a unique type of burnout labeled compassion fatigue (Joinson 1992). Compassion fatigue develops when a nurse unintentionally takes on the misfortune, anxiety, pain, and trauma of the patients they care for.
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.
Clinical Nurse Leaders (CNLs) perform a balancing act that encompasses patient, administration and nurse practitioner interests. They are key executives in contemporary hospital settings. Prospective CNLs must obtain a master’s degree to qualify for this career track. Hospital administrators trust nurse leaders as nursing pool heads. CNLs also monitor and control the caregiving environment. As America’s healthcare needs increase, so will the need for Clinical Nurse Leaders.
Are you tired of having a horrible nursing leaders? Are you tired of the abuse of power by your leaders? Are you tired of your ideas not being heard by your superiors? Are you tired of your supervisors not lifting a finger to help you with the workload? Are you also tired of your leaders not having the right social skills to manage the unit? Are you tired of all the leaders being man? This woman is the right candidate to be your nursing leader. She is the best to improve the outcomes of your patient’s safety and staff satisfaction. As a leader she possess good listening skills, help with the workload on the unit, does not abuse her power, and manage the unit with her social skills. She is the woman to lead and have in your corner. Mrs
...e with compassion fatigue will be of no use to help with the patient’s emotional and spiritual needs. The emotions of both the nurse and the patient needs to be met in order to establish good communication and compassionate care between the two.
Nursing care is delivered to all clients recognizing that each individual as having different things working together as one unit. Nursing clients can be individuals, family, friends or a community of people. A person is a whole, a biophysical being who is clear and sensible, social, emotional, sexual, and deep down healthy. A person possesses possible ability to discover and give knowledge and skills to others, and to learn, grow, and change. As a clear and sensible being, a person uses their brain to seek out knowledge and truth. In a social setting, a person communicates with others and establishes various roles within society. Emotionally a person is able to offer empathy and compassion in certain situations that bring forth those feelings. Spiritually, a person is always pondering why we are here
The nursing leadership problem is there are not enough bachelor prepared nurses to staff hospitals nationwide, because Magnet hospitals have a goal to have 80% of nurses in the hospitals to have a four year Bachelor of Science in nursing degree by the year 2020 (Sarver, Cichra, & Kline, 2015). This problem of the shortage of nurses stems from the baby boomers retiring and needing more medical care. So to offset the need for nurses, more two year programs for nurses have begun around the area to increase the nurse population to accommodate the baby boomers. The problem is leading to the nurses who are working short staffed becoming dissatisfied with their job and jumping around from hospital to hospital causing high turnover rates
Leadership is all about having the right amount of heart and determination to help make a difference in someone’s life. It takes certain qualities to be considered a good leader. A leader should want to help inspire others to make a change and to be the best that they can be. A true leader does not need to feel powerful, instead they empower those around them. Throughout my life I have come across various leaders who have made an impact on my life. It takes a very special person to inspire and touch people’s lives. Leadership is so much deeper than having power and bossing people around.
In the nursing profession, strategic thinking, effective decision making and delegation is important. With this, the goal of providing quality care is key and can be accomplished through a theory called servant leadership. In this style of leadership and management, the entire team has input into decision making based on the organization’s values and ideals. Servant leaders create devoted followers in response to the positive attention they give (Nursing Community Journal, 2015).
Leadership is about organizing a group of people to achieve a common goal (Prieto, 2012). Written below examples of effective communication, team working, delegation, management, planning and organisational skills I have utilized in my placement area:
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.
“Actions speaks louder than words,” is a phrase that been proven true time and time again. “We reap what sew” or “what goes around comes back around,” has also been proven true, so it behooves a person to do all the good they can, while they can, for as long as they can. The profession of nursing understands what it means to do good. “Nursing is conceptualized as a practice discipline with a mandate from society to enhance the health and well-being of humanity” (Shaw, 1993, p. 1654). In the nursing code of ethics, it is a requirement to practice beneficence which means the desire to do good and be the patient’s advocate. Florence Nightingale’s and Jean Watson’s theory of nursing has become two of my favorite theories and has major