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Effective leadership in nursing management
Nursing leadership theory and practice
Strengths and weaknesses of leadership in nursing
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Recommended: Effective leadership in nursing management
Tough Act
In the realm of nursing management, the leader expects his followers’ cooperation to fulfill a mission. Hence, the emphasis on teamwork, the value of everyone’s contribution, and consequences of poor performance should have been understood by every staff from the very beginning of employment. From my limited leadership experience as a unit coordinator, I found these basic principles of teamwork necessarily reviewed and enforced. Despite the difficulty in confronting a co-worker, I learned that explaining the effects of one’s substandard performance to the team was better received than utilizing other’s negative feedback. However, individuals have various reactions to corrections and may not lead to positive outcomes, such as self-justification, resentment, and grudges. Nonetheless, the overall leadership experience made me realize two important points: the importance of tact, consistency, clear mission, objectivity, detailed facts, self-control, and trust in confronting staff and my strong aversion in pursuing a management role. In truth, it is necessary, but a tough act to execute on a regular basis. Still, a steadfast leader, with adequate
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Aside from obvious reasons an employee may be dismissed-theft, perjury, damaging company’s property, insubordination, substance abuse-misconduct and poor performance can be dealt with progressive discipline. Linking to the positive side of discipline, Miller (2014) highlighted the manager’s tasks of early intervention, role clarification, behavior modification, and coaching to succeed over verbal, written, and termination process. Thus, if despite these measures, an employee persisted in failing, then a termination can be
Whitehead, D. K., Weiss, S. A., & Tappen, R. M. (2010). Essentials of nursing leadership and
Lashinger et al highlights the need for communication within leadership as effective communication is essential to influence change and motivate others. Emphasising the need for communicating effectively towards all staff members, whilst undergoing change to ensure all staff feel supported and understand the process, allowing implementation to be more successful.
In any discussion of leadership, thoughts immediately begin to turn to examples of leadership gone wrong. These may include leaders who bully, threaten, or allow their mood to affect the environment of the agency (Reed, 2004, p. 67). The reason we focus upon these examples is the destructive impact they have upon the agency as a whole, as well as the individual officers unfortunate enough to serve under that type of leader. Leaders such as these foster an environment of backbiting and belittling as a method of control, resulting in an untenable environment for those officers who choose not to engage in such behavior and, as often as not, promotion of those that do. This kind of management gives way to:
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.
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.
It is another extremely hectic Monday in the Emergency Department. The waiting room is building up fast with many new walk-in patients. Fire Rescue trucks are calling one after the next with several medical and trauma cases. The hospital supervisor is calling to inform the Charge Nurse of the Emergency Department that the Operating Room has several cases that need beds and will supersede the Emergency Department admits. Patient through put will now be further delayed. This is just one example of a typical Monday and why Teamwork and Collaboration are vital components to run an efficient nursing unit, especially in the Emergency Department. When a common goal is created to foster teamwork, health care professionals working cohesively together
Leading and managing in nursing (4th edition), pp. 92-93.
Within the nursing environment one thing that is certain is the constant changes in policies and procedures. It is imperative for the nurses to receive a certain level of support from their nurse leaders (Mullarkey et al., 2011). Establishing and creating human relationships is key in a well-balanced nurse leader. The transformational nurse leader is a perfect example of trustworthiness. This leadership style brings her staff together to work as a team while keeping them on track to reach the finish line (Mullarkey et al., 2011). The transformational leader honors good relationships while leading by example (Mullarkey et al., 2011). This gives staff in any healthcare setting the opportunity to trust in their nurse manager and work as a well-rounded employee (Mullarkey et al., 2011).
Some aspects of the nurse’s job have been made easy and facilitated with the aid of other well trained professionals within their working environments. According to the American Nurses Association (ANA) (2012), registered nurse’s performance has greatly improved over the years as a result of their coordination and partnership with the health care system with other health care providers. As a result, registered nurses are today seen to occupy important leadership positions in the healthcare system and they participate when they are making decisions for patients as well as for other
Sullivan, E. J., & Decker, P. J. (2009). Effective leadership and management in nursing (7th ed.).
They care and nurture patients back to health so they can develop and perform as highly as possible. Nurses must be willing to take the time to listen carefully to other staff members and patients for mutual respect and trust to evolve. Nursing leaders influence and motivate subordinates by building relationships and further developing the practice skills of individual team members. A Servant Leader makes sure the needs of the individual team members are addressed and any conflicts are dealt in way that enhances professional competency among nurses. Recognition that servant leadership advocates a more group-oriented approach to analysis and decision making helps to strengthen the organization and improve the healthcare community (Murphy,
My success as a nurse leader will be based on my ability to lead and inspire others. I will . . . “act with integrity, set realistic goals, communicate clearly and often, encourage others, recognize the successes of your team members, and inspire them to provide the best of care.” A winning team can be built only through a shared vision and acknowledgement of each team member’s contribution. (Frandsen, B. 2014). My success as a nurse leader will not be by my work alone, I will have my team of great, effective staff behind me. My success will be
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.
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.
Being at the apex of the chain of command, the administrative nursing supervisor has numerous responsibilities including but never limited to staffing, conflict resolution, and or crisis. In many circumstances, an administrative nursing supervisor must make timely, prioritizing decisions based on the resources available at any given time. The ultimate outcome ideally is patient and staff safety, and positive patient experiences and outcomes. Throughout the different departments in the facility, there are several governing unions with guidelines and contractual requirements. The facility also has policies and procedures that must be adhered to. Katie remains updated on all guidelines by attending conferences, in-services and administrative meetings. Eason, (2010) stated that, “lifelong learning allows nurses to develop confidence and skill in service provision that is evident to patients, their families, and other health care practitioners” (p.157). I believe that Katie is proficient, has strong leadership skills and is capable of unraveling conflict while following