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Leadership versus management in nursing
Leadership in nursing
Leadership versus management in nursing
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Becoming a nurse leader can be stressful, but very beneficial when the right person is in the position. In this paper I will speak about three different exercises. The first exercise explains how, as a nurse manager, I would discuss an unpopular decision to the staff. The second exercise speaks about what my concerns are and what I need to know as a staff nursing going into a leadership role. The third exercise is a summary of an article that speaks about nursing leadership.
Exercise 1
Managers have to make changes to their unit, whether the staff likes all of the decisions or not. If I were a nurse manager and had to tell my staff about an unpopular decision that had been made to implement, I would use an evidence-based research theory to
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For every manager, situations that arise are always different and there is no handbook for it. I would definitely need to know who I could turn to when complications arise and I need advice on how to handle it. Senior nurse managers on other units or even the nursing administrator that is on-call, like Quin used. Even as a staff nurse, there are some situations that you learn as you go. I have been a staff nurse for two years now and I learn new things weekly. When I run into situations that I have not encountered before, I ask another nurse their opinion to ensure the decision is in the patients’ best interest.
Exercise 3 This peer-reviewed journal article is about a study done at Cleveland State University School of Nursing to evaluate the qualities if nursing leadership within the faculty at the school. This study was done by sending out e-mails with a link to an online survey tool to all the nursing staff. The tool asked a total of 27 questions that asked about the different qualities in nursing leadership and improvements. A total of 724 surveys were sent out, but only 52 surveys had enough usable data. The majority of the returned surveys were completed doctoral level prepared nurses.
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In this study, the survey showed that time management and support from upper positions were barriers when it came to them being better leaders within their facility. Time management comes with practice, but when you have time constraints, lack of support from administrators, poor relationship with people above them, lack of financial support, and unrealistic expectations, especially when doing research, it becomes a challenge (Delgado & Mitchell, 2016).
Personal Challenges and Limitations
Family, for most, comes first, and it can be a personal challenge, especially when you are in the managerial role. “Previous research has shown that family care responsibilities can affect the decision to seek leadership positions,” (as cited by Delgado & Mitchell, 2016, p. 13). The biggest limitation that was shown in this study was the low response rate.
Discussion
The majority of nurses who go into nurse leadership have a higher education and have had multiple years of experience. The aging of leadership is becoming and issues and leaders are delaying retirement because it is harder to find qualifying faculty to take on their role.
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Roussel, L., & Swansburg, R.C. (2009). Management and leadership for nurse administrators. Sudbury, MA: Jones & Bartlett Publishers.
Yvy Llambles, BSN, RN is the Primary Nurse Educator for Memorial Herman North East, Emergency Department (ED). Yvy, as she likes to be called, has the educational responsibilities of overseeing orientation for all departments in the Memorial Hermann North East location. In addition to her overall role as an Educator, Yvy is the Nurse Educator for all Registered Nurses within the Emergency Department. This analysis will explore the characteristics of Yvy in her role as a nurse manager as well as detailing her role as an effective nurse leader. The review of Yvy as a nurse leader will also detail her leadership style, responsibilities and skills. Furthermore, the effectiveness of Yvy’s communication style as a
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
The authors in this article aimed to discover nurse manager leadership styles and their outcomes. Nurses from hospitals in the Northeastern part of the United States were asked questions. The data was collected in a locked room, alone, so no one would influence the answers of someone else. The results were put into a software program and displayed for analysis. Results showed when choosing a nurse for a managerial leadership role, one should choose someone if they have the basic components of transformational leadership, not transactional leadership. The authors show that transformational leadership had revealed positive patient outcomes, retention, and satisfaction in the nursing staff. Those nurse leaders who have qualities of transformational leadership are encouraged to build on those skills constantly.
Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
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.
Over sixteen hours, I participated in an external experience for Nursing Leadership and Management in Practice while attending Lock Haven University. I was assigned to choose a facility and an individual to observe and monitor their leadership qualities, style and concepts. During this external experience there were multiple interviews and discussions performed. Observation of several staff members and research was done to fulfill this assignment.
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.
Nurses who are interested in being a manager should be required to undergo leadership training before being considered for the position. If a nurse is already in a management position, but has not undergone leadership training, they should be offered a course.
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
(Become a Nurse Leader. n.d.). A nurse leader is someone who leads by example and helps their team meet goals by empowerment and healthy work environments. Continuing my education and working on my Bachelor of Science degree will help me attain my goal later in life, of being a nurse leader. Being a nurse leader involves lifelong learning and advancement. I believe treating others how you want to be treated is a good way to be successful in leadership. Everyone makes mistakes and it is how we learn from them that makes us a better person. I will be a nurse leader that is honest and encouraging. I will use personal experiences to relate to my team. I will adopt characteristics from various leadership styles to form my own. If the situation calls for a more autocratic role such as during an emergency or code, that is the style I will use. If the democratic or transformational approach is more appropriate, then that is the style I will lean towards.
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.
In HNN320, I learnt many aspects of leadership and clinical governance in a nursing setting that I previously was unaware of. This included topics such as the registered nurse’s role in leadership, quality improvement, change management and the importance of continuous professional development throughout their career. This taught me that nurses have many roles other than delegating staff and looking after patients. I have since taken more notice of these leadership roles while out on clinical placements as a student nurse and generally in the community as a consumer. I now want to improve my leadership skills in an effort to become a more versatile asset to the nursing community. I would eventually like to work towards and hold a nursing leadership