Blameless System: A Case Study

This paper aims to address and discuss about the leadership and management of the nurse leader interviewed. This experience was a great opportunity to witness first hand how a nurse leader cultivate and manage their staffs in real life setting. Moreover, it provides a great access to gain insight and knowledge about nurse leaders’ vital responsibilities and role diversities in the organizations they work with. Nurse leaders pay more specific and close attention in handling the staffs and most importantly, patient care.

This paper will illustrate a job shadowing experience with nurse manager Ms. Sarah Erb, RN, BSN. The shadowing experience was completed on 04/14/2017. Ms. Erb is enrolled with Georgetown University where she is two terms away from obtaining her Family Nurse Practitioner license. She has worked for UNM Carrie Tingley Hospital for 7 years. The past 2 years has been spent in the Orthopedic Outpatient Fracture Clinic. The focus of this paper is to evaluate the leadership style observed and analyze which one is most applicable to Ms. Erb. Moreover, the nature of the leader’s role and achievements utilizing this theory, the evolution of leadership style, delegation, challenges, problem-solving skills, communication, and ethical

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

Once these qualities are achieved that organization’s outcomes are superior. The intended audience is for nurse managers and those in leadership positions to help them identify their particular skill set and enhance their management qualities for most effective outcomes. This article is relevant because it allows for accurate public perceptions of people’s skill sets as leaders in nursing. The strength of the article is the clear and concise language used as well as the incorporation of figure 1 chart. The chart allows the reader to differentiate between the styles of leading and it’s effect on organizational outcomes.

Leadership and management are essential to any health care organization, balancing patient care, employees, physicians, and the organization. Nursing is founded on interpersonal relationships. As a people-oriented profession, nursing leadership styles are influenced by humanism. The mission, attitude, and behaviors of a health care organization begins with its leadership, which creates the direction and purpose of the organization. The purpose of this paper is to differentiate between leadership and management, describe views of leadership, and explain the

Focusing her attention on nursing leaders, Dolansky and Moore wrote a thorough article exploring how effective the Quality and Safety Education for Nurses (QSEN) initiative has been since its inception in 2005. The authors further examined the importance of expanding the QSEN framework from an individual approach to a systems approach. They described how expanding the QSEN framework will ultimately allow for an acceleration of quality and safety in both the individual and the healthcare environment. Accomplishing this goal means recognizing patterns that occur between a patient’s behavior and their environment (social, cultural, and so forth). Dolansky and Moore did an outstanding job of supporting their arguments by providing historical

There is no doubt organisations must have leaders to achieve share goals. In health care settings, leadership is essential and significant to promote patient safety. An effective leadership will inspire and motivate nurses to create the right culture in clinical setting. Not only will effective leadership reduce preventable harms and errors but also it accelerates the speed of achieving a satisfying health environment for both patients and health care workers. This essay will highlight the importance of effective leadership in clinical setting by starting with a clear definition of patient safety and patient safety culture, then it will explain the relationship in between patient safety and leadership. This essay will also introduce three leadership styles of authoritarian, democratic, and laissez-faire, followed by comparing their essential characteristics. Furthermore, a critical analyses will be demonstrated on how different leadership styles can help promote patient safety and reduce medication error in the inpatient hospital setting.

The Nurse Manager’s leadership style is Shared (democratic) Leadership. I believe that this leadership style is most like hers because she empowers the staff to be decision makers. Empowering the staff to make their own clinical decisions while still abiding by hospital policies gives people the opportunity to have more control. This style of leadership also makes people more accountable for their choices (Marquis & Huston, 2015).

Economist John Maynard Keynes once said that “the hardest thing is not to get people to accept new ideas; it is to get them to forget old ones” (Porter-O’Grady, Malloch, 2015). In the United States, the healthcare system is a testament to this. Both leadership styles and standards for creating healthy work environments are factors immediately affecting healthcare and its development today. Assessing current leaderships styles and suggesting the inclusion of more contemporary styles helps to spark growth and improvement among healthcare professionals. Likewise, assessing the current standards within healthcare settings helps to identify areas that could benefit from intervention. The American Association of Critical-Care Nurses (AACN) has recognized six standards for establishing a healthy work environment that evaluates skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, authentic leadership within the organization (American Association of Critical-Care Nurses, 2016). By utilizing the AACN Assessment Questionnaire as an assessment of these six standards, I was able to evaluate the current working environment within my unit. In this project, I will elaborate on the concept of leadership and the standards making up a healthy work environment in an effort to effect change within my nursing practice and my health care environment as a whole.

Nursing leaders are able to take on many different leadership styles in their management positions. Such types of leadership include Democratic style, Affiliative style, Transformational style and Authoritarian style. Leaders that are able to switch between different leadership styles are able to lead their teams in all different situations and will in turn gain the respect of their team. Nurse leaders need to lead in a way that allows their team to have full confidence in the leader’s ability to keep calm and maintain working conditions that ensure patient safety and compliance.

Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.). Boston, MA:

Results showed a relationship between leadership and: Patient satisfaction, patient safety outcomes, adverse events, complications, and patient healthcare utilization. Studies were able to show the correlations between effective nurse leaders that are able to staff their nurses appropriately and have proper resources in place are more likely to achieve safe care and optimal patient outcomes. Nurse leaders should be able to contribute strategic direction through their decision making abilities thus reducing the number a adverse events. The ability to have optimal decision making skills using critical thinking will help to reduce the number of complications thus promotes patient safety. This study also suggests that managers with larger span of control may have aided in their ability to provide their nursing staff with direct

We tackled different topics, assignment and discussions that vary from the organizational behavior and nursing leadership theories, to the forces of magnetism. Even though these topics contents were relatively broad, I was able to convene the goals of the course outlines. In the first week, the objective of the class was to examine the development and the effects of the previous management and leadership theories on the present trends in the leadership. We also discussed about the DNP prepared nurse leaders’ prospective in reference to patient safety and health

The effectiveness of nursing leadership has been discussed in a number of studies relating to staff and patient outcome. One key of nursing leadership being effective is the role of the nurse leader in managing staff and resources and in developing strategies for the group to succeed in giving quality patient care. In a research by Wong and Cummings (2007), having good communication skills, being able to adapt to change, open and demonstrating staff relationship and patient safety and staff outcomes is proven to have a significant correlation amongst positive leadership style. A positive relationship amongst leaders and team members facilitates support in staff, staff stability and increases staff satisfaction, the result of collaborative and affirmative team would then lead to increased productivity and higher quality of work (Bjarnason & Lasala, 2011).

Leadership comes in many different styles, the sameness of one leader, may be the directness of another leader. These characteristics are an integral part of nursing as each nurse connects closely with the leaders different styles in the organization. Uncovering the major tenets of leadership styles will help expose the many caveats that make these leaders desirable by their followers.