Leadership Professional Standards For Nurses

Nurse leaders are the background to the nursing care. Effective nurse leaders can promote a positive workforce and a healthy work place for other nurses. Workplace dynamics is an essential part of how each nurse functions. Nurses, being mentally and physically stressed, need to have support and guidance from a nurse leader to feel confident about performance. The impact of nursing leaders can be a positive and guiding force for the younger or more inexperienced nurse. Having strong relationships with solid leaders can instill values in the beginning stages of a newer nurses’ career. Gaining insight and core concepts from a more experienced leader can make a world of difference in the way a new nurse performs, provides patient care, and sets future goals for themselves. A newer nurse with a positive role model and nurse leader can model themselves to become a leader for future nurses.

Leadership is encountered in every occupation and in everyday life. In nursing, leadership is not only prevalent; it is crucial to patient care and employee satisfaction. The nurse leader that was interviewed was a nurse at the Newport Hospital in Newport, Washington. This is a small hospital in a rural community. She is a charge nurse in the acute care unit, as well as in charge of leading infection control in the hospital. With these roles comes a lot of responsibility, and tasks that must be completed in a timely manner to create a workflow for the rest of the staff. There is a lot of juggling and balancing everything that is included in all of those positions.

Leadership is defined by the Merriam-Webster dictionary as “the power or ability to lead other people” (Merriam-Webster, 2017). A leader may also be thought of as a guide or a director. Our sixth president, John Quincy Adams quoted that "If your actions inspire others to dream more, learn more, do more and become more, you are a leader" (GovLeaders.org, 2017). But what makes a nursing leader? In the book “Leadership & Nursing Care Management”, Huber defines a nursing leader “…as the ability to inspire confidence and support among followers, especially in organizations in which competence and commitment produce performance” (Huber, 2014, p. 4).

Every day, a set team of nurses and nursing managers set out to ensure the health and well-being of their patients. To achieve this goal, a nurse manager must adhere to a specific style of nursing leadership. There are many different styles of leadership in the healthcare field. Bass and Barnes (1985) stated that the two most common are transformational and transactional (as cited in Frankel, 2008, p.24). This paper will define leadership, the two different styles, how each are executed, as well as pros and cons of each.

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

American Nurses Association (ANA) Standards of Professional Performance explains how all registered nurses do their work and activities consistently according to their professions that promote the wellbeing of their patients and communities (ANA, 2010a). The standards provide a mechanism to patients that they are been taken good care of and that the nurses know exactly what to do so as to provide high-quality care and the measures are in place to determine whether nursing care meets the standards. These activities are related to performance like ethics, quality of practice, education, communication, resources, leadership, environmental health, professional practice evaluation, and evidence-based practice and research. Registered nurses are responsible for their professional actions to themselves, their patients, their peers, and the community at large.

To foster strong leaders, nurses need to take responsibility of their own personal and professional growth. Nurses must seek opportunities through nursing associations and education programs to develop and exercise their leadership skills. Strong leadership skills warrant the federal government to ensure that leadership positions are available for nurses so that future health care needs of the changing population can be met effectively.

Leadership is essential in providing excellent health care in nursing. Being a nurse is not for the faint of heart. Nor is it easy to develop leadership skills that will enable a nurse to become the best that he or she can become in their career. High demands of taking care of patience that are in critical condition to the typical situations that cause nurses to carry heavy workloads. All of these aspects can contribute to pressure and stress in the work place when not handled correctly. According to two articles; the first article was written by Elizabeth A. Curtis, “Developing leadership in nursing: the impact of education and training.” The second article “Obstacles and problems of ethical leadership from the perspective

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.

A nurse’s role consists of providing care in a variety of settings to individuals, groups, families, and communities. They have to be strong, consistent and knowledgeable leaders, who inspire others and support professional nursing practice. When it comes to being a nurse in a top ranked hospital, leadership is an important part for a highly qualified professional practice

Leadership may mean different things to different people, the consensus opinion of experts in this field is that leadership is using power to direct and influence activities of people to achieve set goals or targets. Nursing leadership is all about every nurse providing, facilitating and promoting the best healthcare services to client and to the public. Leadership is a shared responsibility. (CNO 2012). The nursing profession need leaders that can build the capacity of nurses through mentoring, coaching, supporting, developing the expertise and management skills of nurses to make a difference to the quality of patient care at all levels of the profession ( McIntyre & McDonald, 2014 ). At the core of every leadership either political or managerial is power and how the leader uses it. While it is practically impossible to lead without power, how the nurse leader uses this power not only determine the leadership style but also the results or outcomes of what is achieved through the process.

Leadership does not always come with a title or prestige. Every nurse has within themselves qualities that make them a great leader. Leadership by definition, “is a combination of intrinsic personality traits, learned leadership skills, and characteristics of the situation (Cherry& Jacob (2013 p. 335). A leader is one who has the capacity and skills to direct or encourage others in efforts to achieve an outcome. I recently completed a self-assessment on my perceived leadership abilities. The survey was called the Nurse Manager Skills Inventory (Nurse Manager Leadership Partnership, 2008). It consists of four content areas of which I will address and identify my strengths and weaknesses.

The American Nurses Association (ANA) established The Standards of Professional Nursing Practice (2010). The Standards of Professional Nursing Practice consists of Standards of Practice and Standards of Professional Performance. The standards serve as guidelines to define the profession of nursing and define the scope of practice for professional nurses. All standards presented in the The Standards of Professional Nursing Practice (2010) are essential for the nursing professional to function, legally, ethically and professionally in the healthcare organization.

The U.S. Institute of Medicine conducted a comprehensive review of nurse education and recommended that "…leadership-related competencies need to be embedded throughout nursing education…" (Drennan, 105).

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