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Strengths and weaknesses of leadership in nursing
Strengths and weaknesses of leadership in nursing
Summary of leadership in nursing
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As a new graduate nurse I do not have any personal experience with nursing management of units or facilities. I have spent a fair amount of time witnessing the leadership skills my manager(s) utilize on a daily basis. The Chamberlain College of Nursing’s online lessons states, “Although all managers should be leaders, not all leaders are managers” (CCN, 2016). What this quote indicates that leaders in the workplace are not always managers, they can be the charge nurse, staff nurse or maybe even the tech who helps to lead the team. Leadership takes many shapes and forms; it could be as simple as helping out the staff you are responsible for. I have had a unit manager, who when we were in diversion status and short staffed she left her comfy
office to help with anything she could such as admission/ discharges to giving patients baths (I think she assisted with 6 within an hour). For the sake of this discussion, I would like to use a charge nurse position as my demonstrations of leadership in the unit. The charge nurse in my unit is responsible for 41 beds (largest unit in hospital), 10 nurses on shift, 6 techs on shift, secretary on shift, and any other personnel that comes on our unit. Looking at the number of people the charge nurse is responsible for it is easy to realize that communication, time management, camaraderie, and many other aspects are utilized on a constant basis. The charge nurse is the one to go to when in a pinch, or just for an extra hand. They are there to be a resource to help you with a procedure, or help you look for something you simply cannot find. Charge nurses are the ones that can make or break a shift/ team depending on how they handle their position and lead their people. Charge nurses acting as a mentor for staff nurses is important as Catherine Meliniotis states,” Being a model for your team members is vital” (Meliniotis, 2015). Some hospitals, break in charge nurses early, however I find the best charge nurse leaders are the ones who are clinical experts so to speak. Furthermore, they are nursing experts dealing with patients, families, doctors, staff, and plenty others. Despite the many qualities charge nurses as leaders possess, finding a good leader is not very difficult, for we as nurses all have some traits of leadership in us already.
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
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.
Azaare, J., & Gross, J. (2011). The nature of leadership in nursing management. British Journal of Nursing, 20(11), 672-680. 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.
The nursing career has a growing workforce, spurred on by the high demand for caregivers. The growing need for nurses has caused in influx of new nurses, graduating from school and ready to begin their career. Although there are many different work settings for nurses, one universal aspect of assisting new nurses is nursing leadership. Leaders within nursing are tasked with assisting new nurses as well as those who are veteran nurses, and their role is indispensible. “Health leaders model the behavior expected in the organization” (Ledlow & Stephens, 2018). Susan Eckert, the senior vice-president of nursing and chief nursing executive at Medstar Washington Hospital Center, is a prime example of a nursing leader.
This topic is of significance, due to the need to have nurse leaders that can adequately supervise, problem solve and delegate, therefore keeping the unit running efficiently. When the charge nurse is not adequately prepared to function in the role, problems on the unit may arise. Background literature review on this topic revealed a correlation in excellent nursing leaders enhancing nurse satisfaction which then led to better patient outcomes (Cummings, G. G., MacGregor, T., Davey, M., Lee, H., Wong, C. A., Lo, E.,
Whether it is in healthcare or in a corporate office, leadership is about having a vision and making it into a reality (Parker & Hyrask, 2011). In healthcare with all the changes that are constantly happening it is imperative that our leaders in nursing continue to evolve and continue to prioritize in their nursing units. To continue to embrace your career as a nurse leader it is essential to always make sure they have professional development and continue to provide great care for all their patients (Parker & Hyrask, 2011). This all needs to be done while they lead their staff and continue to have fiscal responsibility. To be a leader in the nursing field one must possess certain characteristics such as assertiveness
My interest in nursing first stemed when my grandfather was diagnosed with stage four prostate cancer. Hospice had come into their home, and I was amazed at how they coped with their job. The people who took care of the person I loved the most, were compassionate and caring. Most of all they helped all of us through a time of need. During that time I realized helping people in whatever way I could in the medical field, was the career for me. My grandmother was also a nurse. She would tell me stories of when she worked in different hospitals. When I heard all of her experiences, I wanted to make memories of my own in the nursing field. This past summer, I took a CNA course at Valley Falls/Holton, Kansas. When I enrolled in this course, I thought
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.
I believe that leadership is not something that you are born with, but that has to be learned over time. You learn to become a leader from watching other leaders, and also from personal experience. People should become leaders; so that they can help others do their best. They should not become leaders for the title and power that may come with leadership. Being a leader does not mean you get to boss people around by telling them what to do. The purpose of a leader is to guide others by encouraging, showing them the way, and by challenging them to do the best that they can do. I learned leadership through personal experience. In high school I played sports and had many class projects to do. My senior year was the first time my school had a soccer program, and I along with two other girls was captains. As we all know, when a group of girls come together, the drama comes too. All three of the captains had to work together and show the girls that if we wanted this program to be a success and grow, they had to work together as well. It was hard at first, but when we encouraged everyone, it worked out better than expected in the end. Also, in my business class, we had a lot of projects that were mostly group projects. During the end of the year, we had a project where we had to make up a new product. My partner and I were both seniors and it was a stressful time with finals, SAT scores, graduation, and trying to become honor graduates. We were tired and just did not want to do another project, but our teacher, Mr. Brace, did not give up on us. He showed us what to do, and encouraged us constantly every day. He would tell us many positive things and would check up on us. He was a great teacher and a great leader. Leadership may be one wo...
I started my Nursing career in India and then I came to the United States and became an RN. I entered Nursing with the thinking that Nursing is a profession that will always allow me to have a job and all my patients will get better. However, from my experiences I understood that Nursing is more than just giving medications, and it requires clinical competence, cultural sensitivity, ethics, caring for others, and life-long learning about others and the evolving field of medicine. Florence Nightingale once said:
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 leadership position, the nurse manager must be concerned with reducing incremental overtime for the common good in order for the unit to stay as it is and to prevent drastic changed that will make the nurses on the unit unhappy. The nurses are assigned hours based on availability and as a leader the nurse must realize that the overtime adds up and will eventually lead to decreased availability in hours and possible layoffs from the unit; therefore it is essential to complete tasks such as assessments, administering medications, documenting and providing basic care within the allotted time. When positive leaders create an encouraging and positive environment, then the nurses are more likely to comply. The nurses on the unit want to be motivated and inspired and that is where a leader can come in and give them encouragement and emphasize that they all want to achieve the same goal of providing excellent care in an appropriate amount of time, the end result is that there will be more hours available and rewards for those who are following the lead. The nursing manager cannot accomplish the task alone and as a leader, she must believe in the nursing team and each of the nurses on the unit to work towards the decreasing the incremental overtime. By believing in other people she can encourage the staff nurses and offer assistance by asking how they can work together to achieve this goal. Another important characteristic of a leader is being synergistic and bringing the team together to work towards the same goal. The nurse manager can bring the nurses together by reinforcing that it is a team effort and asking the nurses to step up and offer assistance when someone
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...
Manager and leader are often used interchangeable. They both have different distinctive features in the role that they play. Management is a problem oriented process whom coordinates the activities of the group to maintain balance and direction (Zerwekh & Claborn, 196). Leader on the other hand One nursing leader or manager that I could think of that satisfies the role of a nursing manager is a nursing supervisor that currently works at my job. She has been a nurse for over twenty years. She graduated from the University of Connecticut with the bachelors of Science in nursing and worked five years at St. Francis Hospital as a staff nurse on the cardiac floor. She then moved to Atlanta, Georgia, where she obtained her masters of science in advanced nurse practitioner at Chamberlain College. After ten years of service at the VA hospital as a nurse practitioner, she moved to Connecticut where she works as a nursing supervisor; she also held teaching positions at a few nursing schools, works at a doctor’s office and currently working on her doctoral degree. She is the nursing supervisor at my job for almost ten years. The job responsibilities include providing patient care as well as overseeing all nursing staff in the entire facility. Also, she ensures there are adequate nursing staff during the shift interacts with families and patients and works with other healthcare providers to solve any problems that arise during the shift. In addition to directing and supervising all aspect of patient care, she also collaborates with other members of the healthcare team to provide the most efficient care. Based on the description of my supervisor, the knowledge about the difference between a manager and leader and observing her role as a nursi...