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Trends in nursing leadership
Apply leadership to nursing practice
Trends in nursing leadership
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Reflective Journal #1: Nurse Manager Position
Transitioning into a nurse manager role has been a gradual process in my career. Being a nurse for 26 years, I transitioned into a leadership role about three years ago. Emergency room nursing is my background for the past 22 years and about five years ago began to think about leadership. As a resource to the staff, it was difficult to manage a full patient assignment. I was having trouble satisfying my coworkers and patients; I also became very heavily involved with committee work and projects around this same period. I am currently in a clinical flow coordinator role, considered by the director to be an assistant nurse manager. Many nurses feel unsure that they have the skills needed to
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The key to success and retention of new nurse managers is the time and support put in at the beginning (Hendren, 2010). Reflecting on the leaders I have worked with, they worked their way up to the title or fallen into the positions. I have not seen many managers or directors being cultivated, supported or trained. Nurse leaders should be part of the training of new managers and make sure it supports the organization's philosophy (Marquis &Huston, 2012). The time to build leaders is not a priority, and now there is a threat to future staffing that there will not be enough. As a leader, I hope to develop vital connections with a network of nurses in similar positions to use as mentors ( Cohen, 2013). I have aligned myself with a few mentors in my hospital and a few that are employed elsewhere. New managers need support from their superior in the form of uninterrupted time they need to be able to speak freely and ask questions without fear of retribution (Hendren, 2010). If nurses had more training as leaders, they would likely have better retention and respect from their peers. There is shown to be a positive correlation between nurse manager leadership abilities and greater involvement in the decision making of staff nurses (Wilson,
Roussel, L., & Swansburg, R.C. (2009). Management and leadership for nurse administrators. Sudbury, MA: Jones & Bartlett Publishers.
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.
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
Nursing is an ever changing profession, making strong leadership a crucial aspect. “Nursing leaders play a significant role in creating positive work environments for nurses” (Young – Ritchie, Laschinger, & Wong, 2007, para 1). This paper will define the concept of leadership in nursing. Many qualities are required to be a successful nursing leader. Some of the qualities discussed in this paper are: supporting and empowering team members, being well organized, remaining consistent with their expectations, and being able to effectively communicate with their team. Furthermore, this paper will identify the relationship between leadership qualities and role of the Practical Nurse.
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.
Hospital administrators will charge nurse leaders with ensuring that patient positive outcomes prevail while also controlling overhead. Nurse leaders are specially trained just for this task. Clinical Nurse Leaders are the experts that America’s patients will rely on to keep them safe and healthy in hospital settings.
Marquis, B. L., & Huston, C. J. (2012). Leadership Roles and Management Functions in Nursing: Theory and Application. (7th ed.). Philadelphia: Lippincott, Williams & Wilkins.
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
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
Change requires the reshaping of ideas and the ability to communicate the vision. Influencing others and the ability to develop relations ships is essential. Nurse leaders successfully manage change by directing, guiding, motivating and supporting staff. They communicative and inspire trust (Samela et al., 2011). Since leadership is a skill that is learned over time, education at all levels of nursing within an organization is essential. Nursing leaders within an organization are encouraged to move away from the traditional nursing service models and move to shared and distributed leadership models. An example of distributed leadership model would be shared governance, where bed-side nurses have the opportunity to have input regarding organizational change (MacLeod,
...elly, P., & Crawford, H. (2013). Nursing leadership & management. In Nursing leadership & management(2nd ed., pp. 168-177). Canada: Nelson Education.
Azaare, J., & Gross, J. (2011). The nature of leadership in nursing management. British Journal of Nursing, 20(11), 672-680. Retrieved from EBSCO host
Sherman, R. & Pross, E. (2010). Growing future nurse leaders to build and sustain healthy work
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.
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...