Leadership

In today’s healthcare system, effective leadership is essential to improving and reaching organizational outcomes. A leader is someone with the ability to influence others but, an effective leader uses positive strategies to inspire employees to work towards the same goal. Leadership in nursing requires a constant effort to motivate others to become part of the organizational transformation. This can be achieved using a transformational leadership style with a focus on communication, motivation, and empowerment.

1.- Quelles ont été les gestes ou parole les plus difficiles et faciles à faire/à dire lorsque vous avez gratifié/remercie des gens?

I recently accepted the Neuroscience ICU (NSICU) Nurse Manager position at the Medical University of South Carolina. The principals of transformational leadership and nursing distinction radiate throughout the facility, extending the brand of excellence towards nursing. Onboarding as a new leader requires agility and flexibility. I was able to capture the union of course content and application of my leadership practice.

Slide 1: The expectations of nurses today are higher than ever with goals such as achieving top percentiles in nursing and patient satisfaction, to being among the top leaders in quality outcomes, and to build productive work relationships and environments. Nursing leaders serve as the primary link between staff, physicians, and the community. They are expected to be innovative, highly skilled, possess a certain degree of nursing knowledge, and produce qualified individuals to care for the growing population. According to Lorber, Treven, and Mumel (2016) “nursing leadership is pivotal because nurses represent the most extensive discipline in health care”. Because of this growing need for diversity in leadership and my background in the military, I decided to focus on the MSN Executive Track at Chamberlain College of Nursing.

Leadership is a core competency in the field of advanced practice nursing (Hamric, Hanson, Tracy, & O’Grady, 2014). Graduate level nurses exercise leadership across four major spheres including nursing profession, clinical practice environments, health policy, and at the system level. This paper provides and analysis of the author’s leadership style and attributes, a description of the attributes of leadership pertaining to graduate level nurses, and a discussion of the attribute that the writer feels need development with regard to the role of an advanced practice nurse.

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 this intriguing Wharton Leadership Digest interview, authors James Quigley and Mehrdad Baghai talk about eight archetypes of leadership from their new book, As One: Individual Action, Collective Power (Portfolio, 2011): • The landlord and tenants – Tenants voluntarily decide to join landlords, but once they do, the boss has the top-down power, controlling access to scarce resources, doling out rewards and sanctions, and dictating the terms of tenants’ participation. • The community organizer and volunteers – The power for setting direction comes from the bottom up, but the community organizer is the glue that holds things together. Volunteers can’t be ordered around; instead, they join on their own terms if

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

In addition, leadership itself can be described in various forms and through the highlight of different skill sets, but the one thing that all definitions have in common is that “leadership involves influencing the attitudes, beliefs, behaviours and feelings of other people” Spector’s work (as cited in Curtis, de Vries, & Sheerin, 2011, p.306). When the skill set of a leader is compared to that of a manager, true differences are noted. Some of these key differences are apparent even in the approach utilized to reach the desired goals. While a manager directs, a leader transforms, a manager sustains and a leader improves, a manager controls, a leader motivates, a manager’s focus is on short-term goals and a leader’s is long-term based, managers ask how and when, while

The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs to help direct the practice of advanced practice nurses (APN’s). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care. By incorporating effective leadership skills, APN’s can help transform healthcare and make quality improvements for the patient, the institution, and the community. According to the American Association of College of Nursing (2011), an effective leader assumes and applies “the skills of communication, collaboration, negotiation, delegation, and coordination” (p. 11). APN’s must be able to establish and maintain a healthy

Effective nurse leaders are often flexible and are able to change style of leadership to suit changing circumstances. They ensure that their people are regularly being challenged to grow and learn. Nurses show leadership by giving feedback and empowering others to bring out their best and the opportunity to grow. I believe that good leaders help people to see that what they do makes a difference. Nurse further their education to expand and gain knowledge so they can render excellent quality care that patients deserve. Also, the leaders would also help other nurses to work as a team to help the facility run to deliver high-quality care. A leader, “should think and talk about future trends that will affect the team's work, and make sure you communicate your vision to your team regularly” (Pearce, 2007, p. 25). I vision a leader as someone who can move others in achieving their goals and mission. For instance, our nurse supervisor addresses the

It seems ironic that this aspect of nursing is overlooked especially when nurses have so much responsibility to know their skill alongside of working with patience and their families not to mention being a team player with other co-workers. Curtis said in her article, “…clinical leadership is often relegated to a space late in the delivery of nursing education…” (2011, p. 344). However, Curtis also alludes to the problem of leadership training by saying that most often when nursing programs incorporate leadership training into their programs, the training ends up coming from a business approach that is then adapted to clinical leadership. She also indicate that there needs to be more emphasis on leadership training that directly correlates with clinical leadership (2011, p. 346). In addition, Barkhordari-Sharifabad indicates that not equipping nurses with leadership skills results in little to no confidence, commitment and motivation as side effects to the lack of leadership (2017, p. 2). Both of these articles realize the importance of leadership playing an important role in creating an atmosphere that is efficient pleasant, and

Not all nurses go into the profession with leadership ideas. The nursing profession must produce leaders throughout the health care system. Leaders must function as workers, and administrators with leadership qualities, while still meeting their budgets and running effective units with high functioning and happy staff members. They need to trouble shoot necessary and work with the medical faculty while pleasing their staff and the administers.

Hand in hand with education progression and nurses being full partners, the IOM fully expects that many more nurses will emerge as leaders.  The report proposes that leadership be embedded in nursing education to prepare nurses for this role.  It describes the importance of mentorship in helping nurses to achieve advancement, leadership and partnership.  Along with leadership roles a nursing residence or preceptorship program would be prudent to better transition nurses all the way from novice nurse into more multifaceted responsibilities and roles (The future of nursing: leading change, advancing health 2011).  What a culture change this would be from nurses who are rumored to “eat their young” to nurses who mentor and guide those around them. A culture of teamwork working towards a common goal would increase nursing retention, satisfaction and in turn produce happy nurses who make happy patients!

Nursing is a very complex career that at many times requires one to be a leader. Nurses can be leaders in formal roles and also on the unit during any given shift. Nursing is a career that truly tests the character and attributes of those who choose to enter this career. Leadership in nursing is vital in creating a successful environment for patients. According to Stichler (2006), “effective leadership is essential to transforming organizations into environments that are safe for both patients and staff” (p. 422). Therefore, it is vital that as new nurses start out his or her careers that they learn from great leaders who are already in the profession. There are several great leaders working in the field who have a plethora of