Perception of Strength and Limitations of the Managers Hanna was very organized in her day and made a checklist of things to do required of each charge nurse. She would check the crash cart that all materials were there and not expired and to make sure that all equipment was working properly. She also did tasks such as making sure all materials were stocked and if any were needed she would call Central Supply. She would also make trips down to the overflow IMC unit to check on the nurses there and would call down regularly for updates. After all the morning checks she would look over the patient manifest to see who was going to be discharged and downgraded and made room for potential incoming patients. Hanna was very efficient and …show more content…
There was tremendous amount of team work I observed with the unit. When there was an emergency call light, multiple available nurses would rush to the room to help. Another limitation I saw was the nurses’ station desk was full of papers. Hanna would multiple times forget where she would put a list and would search around for it for a few minutes. But overall, Hanna was a very good and organized charge nurse. She knew about all the patients on her floor and was able to actively give suggestions of downgrades and discharges. She was able to catch mistakes such not having orders for foleys. She also suggested putting up signs that say “wash hands” on hand sanitizer dispensers outside of contact precaution rooms to remind nurses that they needed to wash their hands after leaving the room.
Discussion of Responses to the Management Position and Management/Leadership Styles. After observing Hanna for the shift, I feel like the Transformational Leadership Style is very effective in leading an Intermediate Care Unit. Hanna was able to gather information from all nurses about their patients and gather their opinion of the next step in their plan of care. Hanna was able to promote teamwork among the staff, encourage positive self-esteem, motivate staff to function at a high level of
I have chosen transformational leadership as my preferred leadership style because it focuses on empowering others by involving them in decision making, which makes them feel as a part of the team contributing to achieve superior results (Roussel and Swansburg 2009). Numerous studies indicate that transformational leadership is very effective and commonly used in healthcare because it is based on altering and shaping the goals and values of others to attain the best results (Bass 2008).Transformational leadership takes a visionary position, inspires followers through their inspirational nature and charismatic personalities, recognises individual differences and supports followers to develop their strengths (Bass 2008). In transformational leadership rules and regulations are guided by the team’s norms and decisions are made by the team. This attribute provides followers sense of belonging and promote followers to develop ownership of the team’s vision (Bach and Ellis 2011). However, Whitehead et al. (2009) argues that the transformational leaders have less control than transaction leaders, as they believe in providing support to the followers rather than controlling
They found that the daily interaction with residents is very limited which make isdifficult to properly complete the tasks they are assisting with in a quality manner. One Assistantreported that “we’re not enough to provide quality care so we’re asked to take good care ofresidents; we try to but were just not enough, the service we provide is too kept to a minimum.” Ithink these key points are very important to healthcare role, I think that if you are training to bein the healthcare field you should know the importance of taking training seriously and thingsshould be done in a quick but timely manner. I would agree with this article and the nurseassistants who voiced their opinions on how caring more about the residents and properly
If I was faced with this situation and my charge nurse approached me and asked me to help, I would start by looking at my acuity of patients and focusing my attention on making sure I would be able to still provide safe, effective, and efficient care to the patients I have now, on top of adding another patient to my workload. I think we are all on the same page because the main goal is to make sure we all provide safe and effective care at all times. During the staff meeting, I would step up and help the charge nurse motivate everyone to help solve the issue, I would do this by doing the following: asking my co-workers questions, such as how can we solve this; what type of patients they are caring for already; volunteering to share a patient with another co-worker; explaining to everyone that we can do this (communication and encouragement is the key to solving problems in my eyes); can we divide up workload to switch things around for everyone (maybe someone has worked with the patient before and knows how to care for them safely and efficiently); and the list could go on.
My nursing leadership philosophy is based on transformational leadership to which I ascribe. Transformational nurse leaders have a vested interest in the success of those they lead and their organization’s vision. They are visionaries in the pursuit of cutting-edge ways of completing the tasks and goals of the team and organization. They are able to inspire, encourage, open to mentorship, see the potential in those they lead while challenging them, and knowing their strengths and weaknesses. I am cognizant of my own limitations, strengths and weaknesses, acknowledge my mistakes and open to change.
Transformational leaders are those who praise others for their work and show them how gladly appreciated they are. D.G encourages the health care members on her floor to achieve all their goals while on shift and also reward them for a job well done. She has also built many strong relationships with many nurses and physicians which she is considered highly trustworthy. Her leadership involves promoting group collaboration, nurse empowerment and increasing job satisfaction. A transformational leader displays various components. “Transformational leadership is composed of four main elements: “individualized consideration, intellectual stimulation, inspirational motivation, and idealized influence” (as cited by). D.G meets the needs of the nurses
Leading a health care organization comes with immense responsibility and is not an easy task. Transformational leadership has proven to be an effective leadership style in the nursing profession, demonstrating a clear mission, a commitment to excellence, and the ability to motivate and lead others to higher levels of achievement (Schwartz, Spencer, Wilson, & Wood, 2001). Characteristics and qualities of an effective leader include
Joseph Medical Center, Houston, TX and my primary responsibilities are providing care to the patients belonging to the adult and aged groups according to the plan of care and physicians’ recommendations, implementing nursing interventions to achieve progress towards expected patient outcomes, and several other important medical and supervisory roles including evaluation and documentation of patients’ response to nursing care and modification of treatment plans accordingly or to contact physician if it becomes the need of the situation. Moreover, managing pre and post care of patients undergoing diagnostic tests, procedures, and treatments is among my primary responsibilities. Apart from these pivotal responsibilities it is also my duty to assist in orienting and training of new associates, nurse interns, student nurses etc. Taking care of the patients in a compassionate yet efficient manner is my strength and years of experience in administration processes has helped me to enhance my supervisory and administration skills too, and I think all such capabilities are surely going to help me better in serving as RN in a more effective
On Wednesday, October 18, 2017, I had the opportunity of following Kathy. The backup for Sarah ( permanent charge nurse for Day Surgery). Kathy did not only look ahead, or at the later end of the day (staffing wise), she also makes sure that staffs are getting to their breaks and lunches. One of several things that I learn was how she helps in facilitating and resolving discrepancies in the miscount of narcotics. I was able to observe the charge nurse order a special solution from the inpatient pharmacy for a pediatric patient per anesthesia. Besides, the charge nurse explain floor dynamics to staffs on orientation, as well as the pm staffs. It is also the duty of the am charge nurse to update the pm charge nurse on breaks, staffing and patients
Dietary employees that bring the patients food tray should also make sure that everything is within reach. While they are in the room they should also ask if the patient needs to go to the bathroom, if they are in pain, and do they need to change their position before leaving the room. At that point if the patient is needing anything that they cannot perform for them they should inform primary nurse. Housekeeping while in the room cleaning should do the same as dietary, with both housekeeping and dietary make sure that the patient are ask about the 4P’s there should be a decrease in the call lights.
Meanwhile it was time for 10 o’ clock medications to be given to all of my preceptor’s patients. This situation put my preceptor behind about 45 minutes to an hour for giving scheduled medications, patient rounding, patient charting, and then handling the responsibilities of being a charge nurses. This also took time away from her being able to check on her fellow coworkers to see if they needed any help or if they were having any issues during their shift. But more importantly as the charge nurse who has only been a nurse for year this situation was not only stressful but also overwhelming. It quickly became evident, that it is truly best practice to not staff charge nurses with patients, because they are supposed to be a resource for the unit.
This type of leadership focuses on change and highly motivating the workers. This leadership style also focuses on striving for high standards of care. These are all very positive aspects of this type of leadership and it is difficult finding negative aspects (Malloy & Penprase, 2010). Comparing this to the army nurse leadership model shows similarities. An adaptive army nurse leader is a clinical expert and accepting at the same time. The PowerPoint states that the army nurse leader is knowledgeable and can turn challenges into opportunities. This type of motivation that an army nurse leader has is very similar to a transformational leader because they are always looking for ways to better themselves and their
A transformational leadership style along with good communication skills can be used to manage the multiples issues Hartland Memorial faces. “Transformational leadership involves anticipating future trends, inspiring followers to understand and embrace a new vision of possibilities, developing others to be leaders, and reward learners” (Hellriegal & Slocum, 2009, p. 301). Elizabeth and her associates should have the necessary qualities of a transformational leader; integrity, accountability, and motivation, so the staff can identify with them. The nurse manager could give nurses opportunities to demonstrate and experience leadership in their profession on a regular basis. Effective leadership is critical in delivering high quality care; equally
The main focus of the theory is motivation, inspiration and empowerment to create changes. It is based on the idea of empowering others to facilitate overall goal. Bennis and Nanus (1985) describe this new leader as a leader who “commits people to action, who converts leaders into leaders, and who converts leaders into agents of change” (p.3).177. According to processes to engage and motivate staff article “Transformational leadership is important for high quality care delivery, and behaviors that nurse leaders inspire, role model and reinforce are instrumental in creating work practice that deliver optimum care”.
Transformational leadership is an emerging type of leadership that is more adaptable the changing environment within healthcare and has the ability to guide and empower staff to embrace the changes (Finkelman, 2012). This type of leadership is especially important today with many nurses felling unsatisfied, or unappreciated. In order to have a successful organization, it must first have the ability to retain nurses through job satisfaction. Transformational leaders have the ability to encourage staff members to embrace the changes to come, by promoting such things as team work, and recognition of hard work done by staff members (Smith, 2011). Having the ability to recognize staffing needs along with the compassion to try and meet those needs while maintaining the functionality of the organization, is the key to future
Without competent leadership change can have negative impact on both the employees and the patients. According to Wright (2010), lack of leadership in change management could lead to adverse outcomes such as resentment, rebellious attitudes, and could end up damaging the same people it intended to make better (p.20). Therefore, experts warned that it is very important to have competent leadership at the helm of change management (p.20). As the focus of providing leadership shifts to nurse administrators who are often in the frontline of change management, nurse administrator should use essential tools such as the American Organization of Nurse Executives (AONE) five domain of competence as a framework in change management.