Leadership is an important factor in an “employees’ job satisfaction, retention, and accountability” (Metzger et al, 2014, p. 337). According to Metzger et al (2014), effective leadership “can lead to higher-quality patient care and patient outcomes” (Metzger et al, 2014, p. 337). Crisp states, “as APRNs it is our duty to be leaders in our field…for the well-being of all nurses, patients, and colleagues” (Crisp, 2016, p. 10).…
I appreciated the clarity with which you approached this exploration of leadership roles for the DNP. Drawing from Chism, when you outline the steps to change and what the nurse can do and then acknowledge how political engagement is a natural fit for the DNP (p. 171). While it is easy to identify ways in which the DNP can lead through their work, I concur with your quote from the president of the ANA (2016) that the voice of nurses should be included at the decision making table. Moreover, I would take that a step further and suggest that nursing could be sitting at the head of the table. I addressed this in my original post when I identified the role of the Nurse Fellows Program through the Robert Wood Johnson Foundation Fellow.…
The purpose of this post is to describe the role of nurse leaders in promoting evidence based practice. I will describe strategies used for implementation of change in evidence based practice; discuss the influences that are changing health care culture including current issues and trends, and compare the nursing work group culture with other organizational cultures. An important part of the nursing leader role is to influence the culture and climate in the department (Huber, 2014). Nurse leaders must have an accurate understanding of the culture and climate of their unit to be able to implement change effectively. A leader needs to create a vision that encourages and inspires nurses to take part in the evidence based change.…
In Dr. Sarah Blaffer Hrdy’s talk, she discusses how human infants fall behind other apes in physical development, but human infants excel in areas of monitoring others facial expressions and assessing their intentions from infancy. I find this interesting because in my experience I have only seen human infants compared to other human infants. These comparisons are made through birth weight, ability to hold eye contact, ability to understand facial expression and other factors that have been labeled as typical for human infants and early human development. I think this point is interesting because humans are a very complex and advanced species, and we are capable of very advanced cognitive functions from a very young age. When human infants…
Julieanne Lamond’s article discusses the history of marginalization of Australian women writers, specifically in relation to the Miles Franklin Literary Award. The article is set in response to concerns that the Miles Franklin perpetuates the idea that certain kinds of experiences (male, past, ‘the bush’) are more ‘Australian’ than others, and how this has influenced the gender balance of our awards and literary prizes. Lamond iterates that- because of this- the women’s only literary award: the Stella Prize is both much needed and aptly named. This article provides me with some contextual information for my essay- specifically the question of a perceived ‘Australian literary voice’ as proposed by the Miles Franklin award. I’m also interested…
This style of leadership has been shown to improve patient outcomes, reduce staff turnover, and reduce medical errors. (Gardener, 2005; Joint Commission, 2008; Pearson, 2007) For the needed changes in the U.S. healthcare system to take place all nurses from nursing students through Chief Nursing Officers must develop competencies in leadership and become partners with physicians and others to improve our healthcare system and delivery of…
Leadership and management are an integral part of every nurse’s job, from staff nurse through to those in official executive roles. Management responsibilities such as organising, planning, delivering and evaluating care are activities that a nurse will enagage with every single day while at work. With an ever-limited and aging workforce, a decrease in available resources, a more acutely ill patient population and a profound period of change within the National Health Service (NHS) today’s health care workers are exposed to high stress levels to meet the demands required of them, which is resulting in effective nursing leadership and management being a challenging and difficult task.…
Delegation and Supervision. Many nurses would prefer to directly deliver all the care their patients need. However, today 's nursing shortage and cost-effective staffing models require RNs to accomplish safe and effective care by delegating some aspects of care to others. The secret to effective delegation is both as simple and as complex as the words the National Council of State Boards of Nursing (NCSBN) uses to define delegation: "Delegation is transferring to a competent individual the authority to perform selected tasks in a selected situation.…
With this in perspective, leadership development is part of maintaining and creating a value proposition towards what can actually be sustained over time. Nurses and individuals who operate in this perspective on not only able to create the set standards for development but also for maintaining a value towards what it means to create adherence and alignment. Nurses are leaders within the healthcare field because they are on the front lines (Longpre et al., 2017). They understand the value that is associated with creating and maintaining these opportunities for change. Ultimately, it's important to see it as a place of perspective because it is part of how change can be sustained while focusing on different trends that are happening within the healthcare paradigm.…
Defining what leadership is, who leaders are, and what leaders do is not easy (Grossman & Valiga, 2017). Some of the classic theories include Great Man Theory, Trait Theories, Situational Theories, Contemporary Leadership Theories, Transformational Leadership, Authentic Leadership, and Adaptive Leadership. Applicable to this case study is the transformational leadership. This theory was first introduced by Burns (1978), and he described it as being context based, a process for motivating followers believing in similar internal values directed toward the “greater good”, and having an emphasis for leaders and followers to enjoy a close bond (Grossman & Valiga, 2017). In this case study, this type of leadership fits the charge nurse because it emphasizes how nurses need to lead in order to be able to make a difference and consistently provide a high quality of care (Grossman & Valiga, 2017).…
Nurse leaders need to make the workplace a better place to work and better place to receive care. They need to nurture their caring consciousness and leadership skills. A caring environment can bring positive outcomes such as improved patient care and increased satisfaction among patients and nurse (Williams II, Mcdowell, & Kautz,…
Leadership in nursing is the foundation in which employee motivation and patient satisfaction are built upon. A nurse leader, as defined by the American Association of Colleges of Nursing, is one who displays clinical expertise in a specific clinical practice and works to lead nurses and other members of the interdisciplinary team to improve patient care and hospital standards (n.d.). The nurse, upon licensure, acknowledges responsibility to lead the health care team in a manner that promotes open and clear communication, effective decision making, and appreciation for diversity in all healthcare settings (Blake & Young, 2015). The ability of the nurse to utilize leadership skills to guide the healthcare team is the key to hospital improvement and enhanced patient outcomes.…
Healthcare professionals are faced with important decisions every day that can mean the difference between life and death. Clinicians use evidence from research, clinical expertise and patient’s preferences to make clinical decisions. Often, the available evidence is so vast that finding the appropriate course of action becomes a daunting process. Consequently, the critical appraisal of evidence has become a valuable skill to clinicians. Evidence is ranked in a hierarchy system.…
Leaders have a unique opportunity to create a leadership style by combining multiple qualtiites. Becoming an effective leader can be a found in many combinations of vision, ability, enthusiasm, stability, concern for others, self-confidence, persistence, vitality, charisma, and intergrity (Manning & Curtis, 2015). The top three qualities that were considered most important in nursing leadership as resulted from “A survery of Current Valued Academic Leadership Qualities in Nursing” were noted to be integrity, clarity in communication, and problem solving skills (Delgado & Mitchell, 2016). These qualities were demonstrated daily in Betty Coffer, Director of Surgical Services. Mrs. Coffer was certainly skilled at all of these traits as she lead our hospital and the department of sugery into the 21st centruy.…
The dynamic and challenging nature of the nursing profession has meant that that leadership is a priority in today’s healthcare environment. The nursing leadership concept is complex and multi-dimensional such that it influences the working environment. The leadership method adopted will have a direct bearing on the nursing staff satisfaction, retention and organizational performance (Schwartz, Spencer, Wilson, & Wood, 2011). For quality healthcare provision, it is therefore prudent that an organization adopts the right leadership mechanism and criteria. As a result, numerous theories have been developed to try and address leadership theories that would be prudent in the nursing profession.…