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Leadership and healthcare management
Leadership in healthcare
Nursing leadership theory and practice
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Running head: My Reflections i
My Reflective Activity Stephanie Paillant Excelsior College
My Reflections 2
The most transformative lesson I gained
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The implementation of team building increased partnership and sense of belonging between staff.
However, as I read more literature about conflict competence and management during this course, I realized how vital this skill is when beginning to transition off the floor and going into management roles. According to Suominen and Zydziunaite (2014), “nursing leadership at all levels is a major issue, leaders, and the way leadership is performed, have an important role in nursing management” (Zydziunaite, Suominen, 2014
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Participating in team collaboration to increase better work flow is important in maintaining organization. The democratic style delegates others on issues and requires the leader to participate in the decision making, but also develop relationships with staff. The laissez-faire style is a more passive approach to leadership, and the leader decides to have staff make decisions. I feel this style can be used in certain situations for nurses to decide on situations that may affect their work environment or work flow on the unit. For example in my current employment the concept of a lean board similar to a huddle process, gives nurses a chance to verbalize concerns, issues or recommendations to improve flow of the unit. The lean board is a type of communication board that staff can write on paper specific concerns and put it on the board. This increases communication among staff, and provides visual progression of concerns that are pending to be resolved and addressed. The concerns are written by staff and rarely anonymous. The leadership style used to do the lean board is both democratic and laissez-faire. The charge nurse begins the lean the board and reads concerns written by staff and addresses other staff members about their opinions about the situation or concern. The end result is staff makes the final decision on how things can be resolved or remain in pending status. Staff may
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.
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
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.
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. (7th ed.). Philadelphia: Lippincott, Williams & Wilkins.
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.
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
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...
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.
Management and leadership are very important skills to have as a baccalaureate nurse. Through this course I was able to identify and understand the different styles of leadership as well as the style that best fits the characteristics I can offer as a member of an interdisciplinary team. After completing the multifactor leadership questionnaire I was able to better understand my strengths and weaknesses. Collaborating with each other as a team helps complete each other and provides our patients with the most positive experience in their times of
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
Support of a decentralized organizational philosophy can transform organizations, staff, and patients because it affects the culture, improves staff outlook, promotes personal involvement and encourages staff to reach higher levels of quality care. In my organization, nursing leaders should strive to involve all patient care units and staff in shared governance, educate unit leadership council chairs, and build on the positive aspects by empowering, motivating and developing staff members. These actions will increase creativity, responsibility, intellectual stimulation, and well-being.
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.